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Gerontological Nursing Exam Prep Test
Bank with Questions and Correct Answers
with Rationales / BSN 425 Practice Exam
2026 Test Bank with the Latest Updated
Questions and Answers
An exercise physiologist approaches the gerontological nurse
manager at a local assisted living facility about beginning an
exercise program for the clients at the facility. When developing
the program, which characteristic would the nurse manager
require as being most important for the program to include?
..........ANSWER.......Addressing cardiovascular endurance,
flexibility, and strength training
The nurse plans care for a client who has had gradual vision loss.
Which of the following should the nurse include in the care plan?
..........ANSWER.......A clock that chimes the hour in the client's
living room
The nurse is assessing an older adult client's hearing. Which
finding would lead the nurse to suspect that the client is
experiencing a problem? Select all that apply.
..........ANSWER.......- Client looks directly at speaker's lips during
interview
- Client leans head to one side
-Client consistently asking, "What did you say?"
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- Client asks to have words repeated
A gerontological nurse is participating at a community health fair
and is providing information to older adults about ways to
promote healthy sensory function. Which suggestion would the
nurse most likely make? ..........ANSWER......."Even if you have
good vision, it's important to get an eye examination every year."
A gerontological nurse is conducting a health promotion program
for a group of older adults about activities specific to the
integumentary system. The nurse determines that the teaching
was successful based on which statement?
..........ANSWER......."I'm aware that irregularly shaped moles can
be associated with melanoma."
A gerontological nurse is working with an older adult to develop
an individual exercise program. Which information would the
nurse need to integrate into the development of the program?
..........ANSWER.......The number and size of muscle fibers decline
leading to a decrease in grip strength.
A gerontological nurse is describing the effects of aging on the
endocrine system to a client diagnosed with diabetes. Which
information would the nurse most likely integrate into the
discussion about how aging affects the endocrine system and its
hormones? ..........ANSWER.......The endocrine system's ability to
regulate body activities decreases.
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A 79-year-old male client has a number of health problems,
including Parkinson's disease. When assessing this client, which
finding would the nurse most likely attribute to the client's
diagnosis of Parkinson's disease? ..........ANSWER.......- Emotional
instability
- Blank facial expression
- Slow movement with poor balance
- Walking with a shuffling gait
The nurse is working with clients diagnosed with cancer and their
families to identify ways to deal with difficult issues. Which
reason would the nurse identify as supporting why a diagnosis of
malignant melanoma may be extremely difficult for clients to
accept? ..........ANSWER.......It is a type of skin cancer that is
highly metastatic, making it more deadly.
A 78-year-old resident with a diagnosis of melanoma is
experiencing anxiety related to the appearance of the large and
highly visible lesion on the right cheek. Which intervention would
be most appropriate for the nurse to implement to help decrease
the resident's anxiety? ..........ANSWER.......Resolve to interact
with and touch the resident no differently than other residents.
An older adult client has heart disease, and the client's spouse
needs to learn about the cooking methods and recipes that can be
used to help with the client's condition. Which individual would
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be the best source for the spouse to get additional information?
..........ANSWER.......Member of a support group
A 79-year-old female client, admitted for hip replacement surgery,
said that she had insomnia the night before. The client received a
dose of a prescribed benzodiazepine. Shortly thereafter, the client
began displaying signs of delirium that have persisted until the
morning change of shift. Which instruction would the night nurse
give to the nurse coming on shift? ..........ANSWER......."Try to
keep her level of stimulation as low as you can when you are
working with her."
An older adult client comes to the clinic for a check-up. Which
finding would the nurse identify as suspicious for cancer?
..........ANSWER.......A sore that does not heal
The family of a 78-year-old client is shocked by the recent
diagnosis of pancreatic cancer, citing the client's lifelong
commitment to a healthy diet, consistent exercise, and avoidance
of environmental risk factors. Which factor would the nurse most
likely identify as contributing to this client's diagnosis?
..........ANSWER.......Age-related changes to the immune system
may have compromised the body's ability to recognize cancerous
cells.
A nurse planning a health workshop for senior citizens wants to
provide discussion topics that will interest everyone. In a typical
group of seniors, which disorder would the nurse most likely
Gerontological Nursing Exam Prep Test
Bank with Questions and Correct Answers
with Rationales / BSN 425 Practice Exam
2026 Test Bank with the Latest Updated
Questions and Answers
An exercise physiologist approaches the gerontological nurse
manager at a local assisted living facility about beginning an
exercise program for the clients at the facility. When developing
the program, which characteristic would the nurse manager
require as being most important for the program to include?
..........ANSWER.......Addressing cardiovascular endurance,
flexibility, and strength training
The nurse plans care for a client who has had gradual vision loss.
Which of the following should the nurse include in the care plan?
..........ANSWER.......A clock that chimes the hour in the client's
living room
The nurse is assessing an older adult client's hearing. Which
finding would lead the nurse to suspect that the client is
experiencing a problem? Select all that apply.
..........ANSWER.......- Client looks directly at speaker's lips during
interview
- Client leans head to one side
-Client consistently asking, "What did you say?"
,2|Page
- Client asks to have words repeated
A gerontological nurse is participating at a community health fair
and is providing information to older adults about ways to
promote healthy sensory function. Which suggestion would the
nurse most likely make? ..........ANSWER......."Even if you have
good vision, it's important to get an eye examination every year."
A gerontological nurse is conducting a health promotion program
for a group of older adults about activities specific to the
integumentary system. The nurse determines that the teaching
was successful based on which statement?
..........ANSWER......."I'm aware that irregularly shaped moles can
be associated with melanoma."
A gerontological nurse is working with an older adult to develop
an individual exercise program. Which information would the
nurse need to integrate into the development of the program?
..........ANSWER.......The number and size of muscle fibers decline
leading to a decrease in grip strength.
A gerontological nurse is describing the effects of aging on the
endocrine system to a client diagnosed with diabetes. Which
information would the nurse most likely integrate into the
discussion about how aging affects the endocrine system and its
hormones? ..........ANSWER.......The endocrine system's ability to
regulate body activities decreases.
,3|Page
A 79-year-old male client has a number of health problems,
including Parkinson's disease. When assessing this client, which
finding would the nurse most likely attribute to the client's
diagnosis of Parkinson's disease? ..........ANSWER.......- Emotional
instability
- Blank facial expression
- Slow movement with poor balance
- Walking with a shuffling gait
The nurse is working with clients diagnosed with cancer and their
families to identify ways to deal with difficult issues. Which
reason would the nurse identify as supporting why a diagnosis of
malignant melanoma may be extremely difficult for clients to
accept? ..........ANSWER.......It is a type of skin cancer that is
highly metastatic, making it more deadly.
A 78-year-old resident with a diagnosis of melanoma is
experiencing anxiety related to the appearance of the large and
highly visible lesion on the right cheek. Which intervention would
be most appropriate for the nurse to implement to help decrease
the resident's anxiety? ..........ANSWER.......Resolve to interact
with and touch the resident no differently than other residents.
An older adult client has heart disease, and the client's spouse
needs to learn about the cooking methods and recipes that can be
used to help with the client's condition. Which individual would
, 4|Page
be the best source for the spouse to get additional information?
..........ANSWER.......Member of a support group
A 79-year-old female client, admitted for hip replacement surgery,
said that she had insomnia the night before. The client received a
dose of a prescribed benzodiazepine. Shortly thereafter, the client
began displaying signs of delirium that have persisted until the
morning change of shift. Which instruction would the night nurse
give to the nurse coming on shift? ..........ANSWER......."Try to
keep her level of stimulation as low as you can when you are
working with her."
An older adult client comes to the clinic for a check-up. Which
finding would the nurse identify as suspicious for cancer?
..........ANSWER.......A sore that does not heal
The family of a 78-year-old client is shocked by the recent
diagnosis of pancreatic cancer, citing the client's lifelong
commitment to a healthy diet, consistent exercise, and avoidance
of environmental risk factors. Which factor would the nurse most
likely identify as contributing to this client's diagnosis?
..........ANSWER.......Age-related changes to the immune system
may have compromised the body's ability to recognize cancerous
cells.
A nurse planning a health workshop for senior citizens wants to
provide discussion topics that will interest everyone. In a typical
group of seniors, which disorder would the nurse most likely
