1
NUR2214 Quiz 2 2024/2025 – Nursing
Care of the Older Adult | Rasmussen |
Verified Questions with Full Review
1. An 80-year-old client reports frequent falls at home. What is the priority nursing
action?
A. Administer a sedative to promote rest
B. Perform a fall risk assessment
C. Restrict the client’s mobility
D. Encourage high-intensity exercise
Correct Answer: B (Perform a fall risk assessment)
Rationale: Older adults are at high risk for falls due to age-related changes like decreased
balance. A fall risk assessment, such as the Morse Fall Scale, identifies risks and guides
preventive interventions. Eliopoulos, Gerontological Nursing, 10th ed., Ch. 14.
2. Which age-related change increases the risk of adverse drug reactions in older
adults?
A. Increased liver metabolism
B. Decreased renal function
C. Enhanced gastric absorption
D. Increased cardiac output
Correct Answer: B (Decreased renal function)
Rationale: Decreased renal function in older adults slows drug clearance, increasing the
risk of toxicity and adverse reactions. Eliopoulos, Gerontological Nursing, 10th ed., Ch.
10.
3. A 76-year-old client with presbycusis asks how to improve communication. What
should the nurse recommend?
A. Speak loudly and rapidly
B. Face the client and speak clearly
C. Use high-pitched tones
D. Avoid direct eye contact
Correct Answer: B (Face the client and speak clearly)
Rationale: Presbycusis impairs high-frequency hearing. Facing the client and speaking
clearly at a moderate pace aids lip-reading and communication. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 12.
4. The nurse is assessing an older adult for cognitive impairment. Which tool is most
appropriate?
A. Braden Scale
B. Mini-Mental State Examination (MMSE)
C. Morse Fall Scale
, 2
D. PHQ-9
Correct Answer: B (Mini-Mental State Examination (MMSE))
Rationale: The MMSE assesses cognitive function, including memory and orientation, to
screen for dementia or delirium in older adults. Eliopoulos, Gerontological Nursing, 10th
ed., Ch. 15.
5. An 82-year-old client reports constipation. What is the initial nursing intervention?
A. Administer an enema
B. Assess dietary fiber intake
C. Restrict fluid intake
D. Encourage bed rest
Correct Answer: B (Assess dietary fiber intake)
Rationale: Low fiber intake is a common cause of constipation in older adults. Assessing
diet guides non-pharmacologic interventions to promote bowel function. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 18.
6. Which finding indicates a high risk for pressure injuries in an older adult?
A. Braden Scale score of 20
B. Braden Scale score of 12
C. Moist skin
D. Frequent repositioning
Correct Answer: B (Braden Scale score of 12)
Rationale: A Braden Scale score of 12 indicates high risk for pressure injuries, requiring
interventions like repositioning and pressure-relieving devices. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 13.
7. The nurse observes an older adult with a shuffling gait. This is most likely related to
which condition?
A. Parkinson’s disease
B. Peripheral neuropathy
C. Osteoarthritis
D. Presbyopia
Correct Answer: A (Parkinson’s disease)
Rationale: A shuffling gait is characteristic of Parkinson’s disease in older adults due to
bradykinesia and muscle rigidity. Eliopoulos, Gerontological Nursing, 10th ed., Ch. 19.
8. What is the priority goal for an older adult with advanced dementia?
A. Restore cognitive function
B. Ensure safety and comfort
C. Promote complete independence
D. Administer cognitive-enhancing drugs
Correct Answer: B (Ensure safety and comfort)
Rationale: Dementia is progressive and incurable; nursing care focuses on safety and
comfort through environmental modifications and supportive care. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 15.
9. An 85-year-old client is at risk for dehydration. What is the best nursing
intervention?
A. Restrict fluids to 1 L/day
B. Offer fluids frequently
C. Administer IV fluids routinely
NUR2214 Quiz 2 2024/2025 – Nursing
Care of the Older Adult | Rasmussen |
Verified Questions with Full Review
1. An 80-year-old client reports frequent falls at home. What is the priority nursing
action?
A. Administer a sedative to promote rest
B. Perform a fall risk assessment
C. Restrict the client’s mobility
D. Encourage high-intensity exercise
Correct Answer: B (Perform a fall risk assessment)
Rationale: Older adults are at high risk for falls due to age-related changes like decreased
balance. A fall risk assessment, such as the Morse Fall Scale, identifies risks and guides
preventive interventions. Eliopoulos, Gerontological Nursing, 10th ed., Ch. 14.
2. Which age-related change increases the risk of adverse drug reactions in older
adults?
A. Increased liver metabolism
B. Decreased renal function
C. Enhanced gastric absorption
D. Increased cardiac output
Correct Answer: B (Decreased renal function)
Rationale: Decreased renal function in older adults slows drug clearance, increasing the
risk of toxicity and adverse reactions. Eliopoulos, Gerontological Nursing, 10th ed., Ch.
10.
3. A 76-year-old client with presbycusis asks how to improve communication. What
should the nurse recommend?
A. Speak loudly and rapidly
B. Face the client and speak clearly
C. Use high-pitched tones
D. Avoid direct eye contact
Correct Answer: B (Face the client and speak clearly)
Rationale: Presbycusis impairs high-frequency hearing. Facing the client and speaking
clearly at a moderate pace aids lip-reading and communication. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 12.
4. The nurse is assessing an older adult for cognitive impairment. Which tool is most
appropriate?
A. Braden Scale
B. Mini-Mental State Examination (MMSE)
C. Morse Fall Scale
, 2
D. PHQ-9
Correct Answer: B (Mini-Mental State Examination (MMSE))
Rationale: The MMSE assesses cognitive function, including memory and orientation, to
screen for dementia or delirium in older adults. Eliopoulos, Gerontological Nursing, 10th
ed., Ch. 15.
5. An 82-year-old client reports constipation. What is the initial nursing intervention?
A. Administer an enema
B. Assess dietary fiber intake
C. Restrict fluid intake
D. Encourage bed rest
Correct Answer: B (Assess dietary fiber intake)
Rationale: Low fiber intake is a common cause of constipation in older adults. Assessing
diet guides non-pharmacologic interventions to promote bowel function. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 18.
6. Which finding indicates a high risk for pressure injuries in an older adult?
A. Braden Scale score of 20
B. Braden Scale score of 12
C. Moist skin
D. Frequent repositioning
Correct Answer: B (Braden Scale score of 12)
Rationale: A Braden Scale score of 12 indicates high risk for pressure injuries, requiring
interventions like repositioning and pressure-relieving devices. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 13.
7. The nurse observes an older adult with a shuffling gait. This is most likely related to
which condition?
A. Parkinson’s disease
B. Peripheral neuropathy
C. Osteoarthritis
D. Presbyopia
Correct Answer: A (Parkinson’s disease)
Rationale: A shuffling gait is characteristic of Parkinson’s disease in older adults due to
bradykinesia and muscle rigidity. Eliopoulos, Gerontological Nursing, 10th ed., Ch. 19.
8. What is the priority goal for an older adult with advanced dementia?
A. Restore cognitive function
B. Ensure safety and comfort
C. Promote complete independence
D. Administer cognitive-enhancing drugs
Correct Answer: B (Ensure safety and comfort)
Rationale: Dementia is progressive and incurable; nursing care focuses on safety and
comfort through environmental modifications and supportive care. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 15.
9. An 85-year-old client is at risk for dehydration. What is the best nursing
intervention?
A. Restrict fluids to 1 L/day
B. Offer fluids frequently
C. Administer IV fluids routinely
