GERO TESTBANK QUESTIONS
WITH 100% CORRECT
ANSWERS
The nurse is teaching an older patient with diverticulitis on foods that could precipitate a
painful attack. How should the nurse instruct this patient?
1. Avoid foods with seeds.
2. Restrict the intake of high fiber foods.
3. Limit the intake of eggs and dairy products.
4. Eat whole grains with sesame seeds for added protein. - Answer-1. Avoid foods with
seeds.
An older patient with intermittent diarrhea has been advised to increase the amount of
soluble fiber in the diet. What should the nurse suggest to this patient?
1. Use Metamucil as prescribed.
2. Restrict the intake of oranges.
3. Limit eating frozen vegetables.
4. Do not eat the peels of apples or pears. - Answer-1. Use Metamucil as prescribed.
The nurse is discussing proper nutrition with older community members at a senior
citizen center. What should the nurse teach as general guidelines for healthy older
individuals?
Standard Text: Select all that apply.
1. Calcium intake should be 1,000 mg for those over the age of 51 years.
2. Older individuals need to take supplements of vitamins A, C, E, and K.
3. Vitamin D intake should be 600 IU up to age 70 and 800 IU if older than 70.
,4. Ingest at least 0.8 grams of protein for each kilogram of body weight each day
5. Fluid intake each day should be at least 13 cups for men and 9 cups for women. -
Answer-3. Vitamin D intake should be 600 IU up to age 70 and 800 IU if older than 70.
4. Ingest at least 0.8 grams of protein for each kilogram of body weight each day
5. Fluid intake each day should be at least 13 cups for men and 9 cups for women.
A patient prescribed medications for gastroesophageal reflux disease (GERD) is at risk
for altered absorption of which nutrients?
Standard Text: Select all that apply.
1. Iron
2. Calcium
3. Folic acid
4. Vitamin D
5. Vitamin B12 - Answer-1. Iron
2. Calcium
5. Vitamin B12
An older patient without any major health problems is experiencing decreased strength
and endurance while performing some activities. What should the nurse explain as the
reason for the change in strength and endurance?
1. Depression
2. Decrease in lean muscle mass
3. Lowered absorption of vitamin D
4. Increase in cholecystokinin production - Answer-2. Decrease in lean muscle mass
The nurse instructed an older patient on the importance of maintaining adequate
hydration. Which statement by the patient indicates that additional teaching is needed?
1. Ill drink water and unsweetened beverages whenever I feel thirsty.
,2. I can add an extra cup of decaffeinated coffee with breakfast and dinner.
3. I will set up a schedule to drink a glass of water every 2 hours throughout the day.
4. If I drink a lot of fluids, Ill have to go to the bathroom more often, but Ill get more
exercise. - Answer-1. Ill drink water and unsweetened beverages whenever I feel thirsty.
Which assessment data indicates to the nurse that an older patient is experiencing
undernutrition?
1. Body mass index (BMI) of 20
2. Unintentional 3% weight loss over a month
3. Denial of taking a multiple vitamin supplement
4. Serum albumin slightly below normal, prealbumin and transferrin within normal limits -
Answer-1. Body mass index (BMI) of 20
Which older patient is at greatest risk for vitamin D deficiency?
1. The patient with macrocytic anemia
2. The patient who does not drink milk
3. The patient who works outdoors daily and does not wear sunscreen
4. The patient who is taking isoniazid (INH) after a positive tuberculin skin test - Answer-
2. The patient who does not drink milk
A resident in the nursing home is diagnosed with undernutrition and is unable to take in
adequate food despite efforts by the multidisciplinary team and family members. Prior to
insertion of a permanent feeding tube, which issue needs to be considered?
1. Equipment, care, and time needed to administer the feedings
2. The extent of the surgical intervention, cost and insurance coverage
3. The patients nutritional needs and tolerance of the formula feedings
4. The patients advanced directive and evaluation of risks, benefits, and ethical
considerations - Answer-4. The patients advanced directive and evaluation of risks,
benefits, and ethical considerations
Which observation made by the nurse suggests that a patient is having difficulty
swallowing?
, 1. Drooling
2. Cheilosis
3. Long furrowed tongue
4. Unintentional weight loss - Answer-1. Drooling
An older patient is prescribed diet supplementation to combat unintentional weight loss.
How should the nurse provide these supplements to the patient?
1. Serve at room temperature.
2. Provide with the next meal.
3. Provide separate from medications.
4. Provide more than an hour before the next meal. - Answer-4. Provide more than an
hour before the next meal.
An older patient is receiving feedings through a permanent feeding tube. Which nursing
intervention will decrease this patients risk of aspiration?
1. Administer formulas that contain fiber.
2. Keep the head of the bed elevated at a 30 to 45 degree angle.
3. The risk of aspiration no longer exists after a permanent feeding tube has been
placed.
4. Flush the tube with water before and after each medication administered through the
tube. - Answer-2. Keep the head of the bed elevated at a 30 to 45 degree angle.
Which older patient would the nurse identify as being at the highest risk of dehydration
from receiving nutrition through a feeding tube?
1. Receiving bolus feedings
2. Receiving 50 ml free water at 4-hour intervals
3. Receiving feedings through a jejunostomy tube
4. Receiving feedings with a formula that is 1.5 calories per ml - Answer-4. Receiving
feedings with a formula that is 1.5 calories per ml
WITH 100% CORRECT
ANSWERS
The nurse is teaching an older patient with diverticulitis on foods that could precipitate a
painful attack. How should the nurse instruct this patient?
1. Avoid foods with seeds.
2. Restrict the intake of high fiber foods.
3. Limit the intake of eggs and dairy products.
4. Eat whole grains with sesame seeds for added protein. - Answer-1. Avoid foods with
seeds.
An older patient with intermittent diarrhea has been advised to increase the amount of
soluble fiber in the diet. What should the nurse suggest to this patient?
1. Use Metamucil as prescribed.
2. Restrict the intake of oranges.
3. Limit eating frozen vegetables.
4. Do not eat the peels of apples or pears. - Answer-1. Use Metamucil as prescribed.
The nurse is discussing proper nutrition with older community members at a senior
citizen center. What should the nurse teach as general guidelines for healthy older
individuals?
Standard Text: Select all that apply.
1. Calcium intake should be 1,000 mg for those over the age of 51 years.
2. Older individuals need to take supplements of vitamins A, C, E, and K.
3. Vitamin D intake should be 600 IU up to age 70 and 800 IU if older than 70.
,4. Ingest at least 0.8 grams of protein for each kilogram of body weight each day
5. Fluid intake each day should be at least 13 cups for men and 9 cups for women. -
Answer-3. Vitamin D intake should be 600 IU up to age 70 and 800 IU if older than 70.
4. Ingest at least 0.8 grams of protein for each kilogram of body weight each day
5. Fluid intake each day should be at least 13 cups for men and 9 cups for women.
A patient prescribed medications for gastroesophageal reflux disease (GERD) is at risk
for altered absorption of which nutrients?
Standard Text: Select all that apply.
1. Iron
2. Calcium
3. Folic acid
4. Vitamin D
5. Vitamin B12 - Answer-1. Iron
2. Calcium
5. Vitamin B12
An older patient without any major health problems is experiencing decreased strength
and endurance while performing some activities. What should the nurse explain as the
reason for the change in strength and endurance?
1. Depression
2. Decrease in lean muscle mass
3. Lowered absorption of vitamin D
4. Increase in cholecystokinin production - Answer-2. Decrease in lean muscle mass
The nurse instructed an older patient on the importance of maintaining adequate
hydration. Which statement by the patient indicates that additional teaching is needed?
1. Ill drink water and unsweetened beverages whenever I feel thirsty.
,2. I can add an extra cup of decaffeinated coffee with breakfast and dinner.
3. I will set up a schedule to drink a glass of water every 2 hours throughout the day.
4. If I drink a lot of fluids, Ill have to go to the bathroom more often, but Ill get more
exercise. - Answer-1. Ill drink water and unsweetened beverages whenever I feel thirsty.
Which assessment data indicates to the nurse that an older patient is experiencing
undernutrition?
1. Body mass index (BMI) of 20
2. Unintentional 3% weight loss over a month
3. Denial of taking a multiple vitamin supplement
4. Serum albumin slightly below normal, prealbumin and transferrin within normal limits -
Answer-1. Body mass index (BMI) of 20
Which older patient is at greatest risk for vitamin D deficiency?
1. The patient with macrocytic anemia
2. The patient who does not drink milk
3. The patient who works outdoors daily and does not wear sunscreen
4. The patient who is taking isoniazid (INH) after a positive tuberculin skin test - Answer-
2. The patient who does not drink milk
A resident in the nursing home is diagnosed with undernutrition and is unable to take in
adequate food despite efforts by the multidisciplinary team and family members. Prior to
insertion of a permanent feeding tube, which issue needs to be considered?
1. Equipment, care, and time needed to administer the feedings
2. The extent of the surgical intervention, cost and insurance coverage
3. The patients nutritional needs and tolerance of the formula feedings
4. The patients advanced directive and evaluation of risks, benefits, and ethical
considerations - Answer-4. The patients advanced directive and evaluation of risks,
benefits, and ethical considerations
Which observation made by the nurse suggests that a patient is having difficulty
swallowing?
, 1. Drooling
2. Cheilosis
3. Long furrowed tongue
4. Unintentional weight loss - Answer-1. Drooling
An older patient is prescribed diet supplementation to combat unintentional weight loss.
How should the nurse provide these supplements to the patient?
1. Serve at room temperature.
2. Provide with the next meal.
3. Provide separate from medications.
4. Provide more than an hour before the next meal. - Answer-4. Provide more than an
hour before the next meal.
An older patient is receiving feedings through a permanent feeding tube. Which nursing
intervention will decrease this patients risk of aspiration?
1. Administer formulas that contain fiber.
2. Keep the head of the bed elevated at a 30 to 45 degree angle.
3. The risk of aspiration no longer exists after a permanent feeding tube has been
placed.
4. Flush the tube with water before and after each medication administered through the
tube. - Answer-2. Keep the head of the bed elevated at a 30 to 45 degree angle.
Which older patient would the nurse identify as being at the highest risk of dehydration
from receiving nutrition through a feeding tube?
1. Receiving bolus feedings
2. Receiving 50 ml free water at 4-hour intervals
3. Receiving feedings through a jejunostomy tube
4. Receiving feedings with a formula that is 1.5 calories per ml - Answer-4. Receiving
feedings with a formula that is 1.5 calories per ml
