NUR 257 GERIATRICS EXAM 2 | FALL 2025/2026
Galen College of Nursing Geriatric Nursing Exam with Complete Questions & 100% Correct
Answers | Latest Version
Overview
This Fall 2025/2026 updated resource contains the latest Galen College of Nursing NUR 257
Geriatrics Exam 2 with the exact 50 questions and 100% correct answers, following current Galen
College geriatric curriculum standards, evidence-based gerontological nursing practices, and specialized
care principles for older adult populations.
Key Features
● ✓ Actual Galen College exam format with the official 50 questions
● ✓ Comprehensive coverage of geriatric nursing principles and older adult care
● ✓ Updated Fall 2025/2026 geriatric care guidelines and best practices
● ✓ Practical older adult care scenarios and nursing intervention applications
● ✓ Age-related physiological changes and health promotion strategies
Core Content Areas (50 Total Questions)
● Normal Aging & Physiological Changes (12 Qs)
● Geriatric Assessment & Health Screening (10 Qs)
● Common Geriatric Syndromes (10 Qs)
● Pharmacology in Older Adults (8 Qs)
● End-of-Life & Palliative Care Considerations (6 Qs)
● Ethical & Legal Issues in Geriatric Care (4 Qs)
Detailed Content Breakdown
● Age-Related Physiological Changes & Functional Assessment (8 Qs)
● Comprehensive Geriatric Assessment Components (6 Qs)
● Delirium, Dementia & Depression Recognition (7 Qs)
● Fall Risk Assessment & Prevention Strategies (6 Qs)
● Polypharmacy Management & Beers Criteria (7 Qs)
● Urinary Incontinence & Constipation Management (5 Qs)
● Pressure Injury Prevention & Wound Care (4 Qs)
● Advance Care Planning & Palliative Care Principles (4 Qs)
● Elder Abuse Recognition & Reporting (3 Qs)
Answer Format
Correct answers are marked in bold green and include:
● Galen College geriatric nursing curriculum standard applications
● Evidence-based geriatric care guideline implementations (AGS, Hartford Institute)
● Age-appropriate assessment tool selection and interpretation
● Medication safety considerations and dose adjustment rationales
● Functional status preservation and rehabilitation strategies
● Cognitive impairment differentiation and management approaches
Updates for Fall 2025/2026
, ● 🔹
🔹 Reflects Fall 2025/2026 Galen College NUR 257 geriatric curriculum revisions
●
● 🔹
🔹
Updated American Geriatrics Society (AGS) clinical practice guidelines
Enhanced dementia care and cognitive assessment standards
●
● 🔹
🔹
New telehealth applications for geriatric care delivery
Revised fall prevention and mobility promotion protocols
●
●
●
🔹 Updated Beers Criteria for medication safety in older adults
🔹 New health equity considerations in geriatric care
Revised palliative care and advance directive communication techniques
NUR 257 GERIATRICS EXAM 2 QUESTIONS (1–50)
1. Which age-related change contributes to increased risk of dehydration in older adults?
A. Increased thirst sensation
B. Decreased thirst sensation and reduced kidney concentrating ability
C. Enhanced renal blood flow
D. Higher total body water percentage
Rationale: Aging reduces thirst perception and renal concentrating capacity, increasing
dehydration risk even in mild illness or hot weather. Total body water also declines with age (AGS
Geriatrics Review, 2025).
2. The primary purpose of the Timed Up and Go (TUG) test is to:
A. Assess cognitive function
B. Evaluate mobility and fall risk
C. Measure blood pressure
D. Screen for depression
Rationale: TUG measures time to rise from a chair, walk 10 feet, turn, return, and sit. >12 seconds
indicates high fall risk (Hartford Institute Fall Prevention, 2025).
3. A nurse suspects delirium in an older patient who is acutely confused and inattentive.
The FIRST action is to:
A. Administer an antipsychotic
, B. Assess for underlying causes (e.g., infection, medication, dehydration)
C. Restrain the patient
D. Disregard as normal aging
Rationale: Delirium is a medical emergency. The nurse must identify and treat reversible causes
(e.g., UTI, electrolyte imbalance, polypharmacy) per AGS Beers Criteria (2025). Antipsychotics are
last-resort.
4. Which medication is listed in the 2025 AGS Beers Criteria as potentially inappropriate
for older adults due to fall risk?
A. Lisinopril
B. Diazepam
C. Metformin
D. Levothyroxine
Rationale: Benzodiazepines like diazepam increase fall, fracture, and delirium risk in older adults
and are listed as “avoid” in the Beers Criteria (AGS, 2025).
5. The Confusion Assessment Method (CAM) requires which feature for delirium
diagnosis?
A. Memory impairment alone
B. Acute onset, inattention, and either disorganized thinking or altered consciousness
C. Slow progression over months
D. Normal attention span
Rationale: CAM diagnostic criteria: (1) acute onset/fluctuating course, (2) inattention, plus (3)
disorganized thinking OR (4) altered level of consciousness (Hartford Institute, 2025).
6. A patient with dementia resists bathing. The nurse’s BEST approach is to:
A. Force the bath for hygiene
B. Offer choices, use calm redirection, and try bathing at a less distressing time
Galen College of Nursing Geriatric Nursing Exam with Complete Questions & 100% Correct
Answers | Latest Version
Overview
This Fall 2025/2026 updated resource contains the latest Galen College of Nursing NUR 257
Geriatrics Exam 2 with the exact 50 questions and 100% correct answers, following current Galen
College geriatric curriculum standards, evidence-based gerontological nursing practices, and specialized
care principles for older adult populations.
Key Features
● ✓ Actual Galen College exam format with the official 50 questions
● ✓ Comprehensive coverage of geriatric nursing principles and older adult care
● ✓ Updated Fall 2025/2026 geriatric care guidelines and best practices
● ✓ Practical older adult care scenarios and nursing intervention applications
● ✓ Age-related physiological changes and health promotion strategies
Core Content Areas (50 Total Questions)
● Normal Aging & Physiological Changes (12 Qs)
● Geriatric Assessment & Health Screening (10 Qs)
● Common Geriatric Syndromes (10 Qs)
● Pharmacology in Older Adults (8 Qs)
● End-of-Life & Palliative Care Considerations (6 Qs)
● Ethical & Legal Issues in Geriatric Care (4 Qs)
Detailed Content Breakdown
● Age-Related Physiological Changes & Functional Assessment (8 Qs)
● Comprehensive Geriatric Assessment Components (6 Qs)
● Delirium, Dementia & Depression Recognition (7 Qs)
● Fall Risk Assessment & Prevention Strategies (6 Qs)
● Polypharmacy Management & Beers Criteria (7 Qs)
● Urinary Incontinence & Constipation Management (5 Qs)
● Pressure Injury Prevention & Wound Care (4 Qs)
● Advance Care Planning & Palliative Care Principles (4 Qs)
● Elder Abuse Recognition & Reporting (3 Qs)
Answer Format
Correct answers are marked in bold green and include:
● Galen College geriatric nursing curriculum standard applications
● Evidence-based geriatric care guideline implementations (AGS, Hartford Institute)
● Age-appropriate assessment tool selection and interpretation
● Medication safety considerations and dose adjustment rationales
● Functional status preservation and rehabilitation strategies
● Cognitive impairment differentiation and management approaches
Updates for Fall 2025/2026
, ● 🔹
🔹 Reflects Fall 2025/2026 Galen College NUR 257 geriatric curriculum revisions
●
● 🔹
🔹
Updated American Geriatrics Society (AGS) clinical practice guidelines
Enhanced dementia care and cognitive assessment standards
●
● 🔹
🔹
New telehealth applications for geriatric care delivery
Revised fall prevention and mobility promotion protocols
●
●
●
🔹 Updated Beers Criteria for medication safety in older adults
🔹 New health equity considerations in geriatric care
Revised palliative care and advance directive communication techniques
NUR 257 GERIATRICS EXAM 2 QUESTIONS (1–50)
1. Which age-related change contributes to increased risk of dehydration in older adults?
A. Increased thirst sensation
B. Decreased thirst sensation and reduced kidney concentrating ability
C. Enhanced renal blood flow
D. Higher total body water percentage
Rationale: Aging reduces thirst perception and renal concentrating capacity, increasing
dehydration risk even in mild illness or hot weather. Total body water also declines with age (AGS
Geriatrics Review, 2025).
2. The primary purpose of the Timed Up and Go (TUG) test is to:
A. Assess cognitive function
B. Evaluate mobility and fall risk
C. Measure blood pressure
D. Screen for depression
Rationale: TUG measures time to rise from a chair, walk 10 feet, turn, return, and sit. >12 seconds
indicates high fall risk (Hartford Institute Fall Prevention, 2025).
3. A nurse suspects delirium in an older patient who is acutely confused and inattentive.
The FIRST action is to:
A. Administer an antipsychotic
, B. Assess for underlying causes (e.g., infection, medication, dehydration)
C. Restrain the patient
D. Disregard as normal aging
Rationale: Delirium is a medical emergency. The nurse must identify and treat reversible causes
(e.g., UTI, electrolyte imbalance, polypharmacy) per AGS Beers Criteria (2025). Antipsychotics are
last-resort.
4. Which medication is listed in the 2025 AGS Beers Criteria as potentially inappropriate
for older adults due to fall risk?
A. Lisinopril
B. Diazepam
C. Metformin
D. Levothyroxine
Rationale: Benzodiazepines like diazepam increase fall, fracture, and delirium risk in older adults
and are listed as “avoid” in the Beers Criteria (AGS, 2025).
5. The Confusion Assessment Method (CAM) requires which feature for delirium
diagnosis?
A. Memory impairment alone
B. Acute onset, inattention, and either disorganized thinking or altered consciousness
C. Slow progression over months
D. Normal attention span
Rationale: CAM diagnostic criteria: (1) acute onset/fluctuating course, (2) inattention, plus (3)
disorganized thinking OR (4) altered level of consciousness (Hartford Institute, 2025).
6. A patient with dementia resists bathing. The nurse’s BEST approach is to:
A. Force the bath for hygiene
B. Offer choices, use calm redirection, and try bathing at a less distressing time
