ESTUDYR
NURS 210 2025 MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. An older adult with an infected laceration has no fever. The student nurse is unsure if
infection is present. The preceptor explains that older adults often do not have a fever
with infection. This statement is:
A. False
B. ✔ True
C. True only for viral infections
D. False unless immunocompromised
Rationale: Older adults often have blunted febrile responses; infection may present
with atypical signs (confusion, functional decline).
2. The nurse uses the mnemonic DIAPERS to assess urinary incontinence. The “P” stands
for:
A. Prolapse
B. ✔ Pharmaceuticals (medications)
C. Polyuria
D. Pressure ulcers
Rationale: DIAPERS = Delirium, Infection, Atrophic urethritis/vaginitis, Pharmaceuticals,
Excess urine output, Restricted mobility, Stool impaction.
3. A new systolic, high-pitched, nonradiating murmur in an 82-year-old most likely
indicates:
A. Benign and no clinical significance
B. Infective endocarditis
C. ✔ Increased cardiovascular risk (age-related aortic sclerosis/stenosis risk)
D. Mitral valve prolapse
Rationale: New murmurs in elders often reflect valvular calcification/stenosis and carry
increased CVD risk; evaluation recommended.
4. A client demonstrates orthostatic hypotension. The nurse should emphasize which
educational topic?
, ESTUDYR
A. Increasing dietary sodium drastically
B. Performing frequent Valsalva maneuvers
C. ✔ Fall prevention strategies
D. Avoiding all physical activity
Rationale: Orthostasis increases fall risk — education focuses on prevention (rise slowly,
assistive devices, medications review).
5. Purpura observed on the forearms of an older adult most commonly indicates:
A. Allergic reaction
B. Trauma only
C. Cellulitis
D. ✔ Vascular fragility (age-related thinning of dermal vessels)
Rationale: Age, sun damage, and anticoagulants predispose to purpura from fragile
vessels.
6. A 77-year-old, BMI above normal, BP 147/89 — the nurse’s priority teaching topic
should be:
A. Smoking cessation only
B. Low-fat diets exclusively
C. ✔ Diet that supports a normal BMI and overall cardiovascular health
D. High-protein bodybuilding regimen
Rationale: Weight management and heart-healthy diet help control BP and
comorbidities.
7. Multiple bruises of different colors on an older adult who recently started living with a
relative should raise suspicion for:
A. Normal aging
B. Vitamin K deficiency only
C. ✔ Elder abuse (physical abuse/neglect)
D. Platelet disorder only
Rationale: Bruises in atypical locations + new caregiver warrant assessment for abuse
and safe reporting.
NURS 210 2025 MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. An older adult with an infected laceration has no fever. The student nurse is unsure if
infection is present. The preceptor explains that older adults often do not have a fever
with infection. This statement is:
A. False
B. ✔ True
C. True only for viral infections
D. False unless immunocompromised
Rationale: Older adults often have blunted febrile responses; infection may present
with atypical signs (confusion, functional decline).
2. The nurse uses the mnemonic DIAPERS to assess urinary incontinence. The “P” stands
for:
A. Prolapse
B. ✔ Pharmaceuticals (medications)
C. Polyuria
D. Pressure ulcers
Rationale: DIAPERS = Delirium, Infection, Atrophic urethritis/vaginitis, Pharmaceuticals,
Excess urine output, Restricted mobility, Stool impaction.
3. A new systolic, high-pitched, nonradiating murmur in an 82-year-old most likely
indicates:
A. Benign and no clinical significance
B. Infective endocarditis
C. ✔ Increased cardiovascular risk (age-related aortic sclerosis/stenosis risk)
D. Mitral valve prolapse
Rationale: New murmurs in elders often reflect valvular calcification/stenosis and carry
increased CVD risk; evaluation recommended.
4. A client demonstrates orthostatic hypotension. The nurse should emphasize which
educational topic?
, ESTUDYR
A. Increasing dietary sodium drastically
B. Performing frequent Valsalva maneuvers
C. ✔ Fall prevention strategies
D. Avoiding all physical activity
Rationale: Orthostasis increases fall risk — education focuses on prevention (rise slowly,
assistive devices, medications review).
5. Purpura observed on the forearms of an older adult most commonly indicates:
A. Allergic reaction
B. Trauma only
C. Cellulitis
D. ✔ Vascular fragility (age-related thinning of dermal vessels)
Rationale: Age, sun damage, and anticoagulants predispose to purpura from fragile
vessels.
6. A 77-year-old, BMI above normal, BP 147/89 — the nurse’s priority teaching topic
should be:
A. Smoking cessation only
B. Low-fat diets exclusively
C. ✔ Diet that supports a normal BMI and overall cardiovascular health
D. High-protein bodybuilding regimen
Rationale: Weight management and heart-healthy diet help control BP and
comorbidities.
7. Multiple bruises of different colors on an older adult who recently started living with a
relative should raise suspicion for:
A. Normal aging
B. Vitamin K deficiency only
C. ✔ Elder abuse (physical abuse/neglect)
D. Platelet disorder only
Rationale: Bruises in atypical locations + new caregiver warrant assessment for abuse
and safe reporting.
