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“GERONTOLOGICAL NURSING EXAM 2026
”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
The home health registered nurse (RN) is changing an older client's wet to dry
dressing. Which observation should the RN evaluate as a therapeutic
response with the removal of the dry dressing?
A. Debridement and removal of slough and eschar
B. Drainage of purulent exudate from the wound
C. Moist skin edges around the wound field
D. Presence of capillary growth in the wound
(A) Debridement and removal of slough and eschar
Rationale: Wet to dry dressings begin with a wet packing inside of the wound, and
then a dry gauze is used to cover the wet packing to wick drainage and bacteria
away from the wound to promote healing. Removal of dried dressing provides
debridement by removing exudate, sloughing tissue, and eschar (A). (B) is evidence
of an infection. (C) is indicative of continuous moisture that is causing the skin edges
of the wound to be vulnerable to further damage. (D) is manifested by a pink
environment with serosanguineous fluid.
The home health registered nurse (RN) is assessing an older client for a
pressure ulcer. Which finding should the RN observe the area for a Stage I
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pressure ulcer?
A. Superficial skin breakdown and flaking
B. Deep pink, red or mottle skin
C. Subcutaneous damage or necrosis
D. Skin that blanches pink when pressed
(B) Deep pink, red or mottled skin
Rationale: Temporary blanching of an area can last for over a minute due to poor
circulation. Deep pink, red or mottle skin (B) is a finding consistent with Stage I
pressure ulcer. (A, C and D) are evidence of a pressure ulcer at different stages of
development.
An older client who is unconscious is admitted after experiencing a head
injury from a fall. Glasgow Coma Scale (GCS) is prescribed to evaluate the
client. Which focused assessments should the registered nurse (RN) use to
determine the client's GCS score? (Select all that apply.)
A. Verbal response
B. Motor response
C. Eye opening
D. Pupillary reaction
E. Hearing
(A), (B), (C)
Rationale: (A, B, and C) are correct. The Glasgow Coma Scale evaluates verbal
response (A), motor response (B), and eye opening (C). The GSC does not evaluate
pupil reaction (D) or hearing (E).
A 64-year-old client is admitted to the hospital with a fractured right hip. One
of the concerns following surgical repair is to promote dorsiflexion. Which
intervention would a nurse implement?
A. Begin early ambulation
B. Monitor pain level
C. Provide PCA instructions
D. Provide a foot board
(D) Provide a foot board
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Rationale: A footboard supports the feet in dorsiflexion and helps prevent foot drop
throughout recovery (D). (A) and good body alignment may also reduce the
possibility of foot drop, however the footboard is maintained throughout recovery. (B)
and (C) will alleviate pain but does not promoted dorsiflexion.
The cleansing of the stomach with solution delivered through a nasogastric
tube is known as what?
Gavage
Emesis
Lavage
Stomach pumping
Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication,
or other toxic substance. It is delivered through a nasogastric tube
You are providing care to a patient who has recently begun dialysis. Her
daughter, with whom she lives and who prepares many of her meals, asks
what types of foods she should incorporate into her diet and which she should
avoid. Which of the following is NOT a food that this patient should be advised
to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas.
Lean red meat
Dialysis patients are encouraged to eat lean meat, including red meat. High quality
proteins produce less waste and help the body heal and maintain regular processes.
Dialysis patients should avoid foods high in potassium, including avocado, banana,
and dried fruit, and should eat other potassium-containing foods in moderation.
Your 89-year-old patient presents with dyspepsia and nausea. After testing,
you determine she is positive for Peptic Ulcer Disease. Of the following, which
would LEAST likely be a differential diagnosis for Peptic Ulcer Disease?
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Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease.
Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the
condition are pancreatitis and biliary tract disease.
There are a good many diseases affecting the elderly that are the result of
smoking. Counseling regarding smoking cessation is part of the GNP's job.
The components of brief intervention for treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange
Ask, Advise, Assess, Assist, Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to
quit, Assist in this quit attempt. Arrange a follow-up.
Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is
concerned about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques.
Wheal
Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated,
circumscribed lesion that's larger than 5mm. Wheal: circumscribed, reddening with
transient elevation lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of
papules; elevated and a variety of shapes; larger than 5mm.
“GERONTOLOGICAL NURSING EXAM 2026
”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
The home health registered nurse (RN) is changing an older client's wet to dry
dressing. Which observation should the RN evaluate as a therapeutic
response with the removal of the dry dressing?
A. Debridement and removal of slough and eschar
B. Drainage of purulent exudate from the wound
C. Moist skin edges around the wound field
D. Presence of capillary growth in the wound
(A) Debridement and removal of slough and eschar
Rationale: Wet to dry dressings begin with a wet packing inside of the wound, and
then a dry gauze is used to cover the wet packing to wick drainage and bacteria
away from the wound to promote healing. Removal of dried dressing provides
debridement by removing exudate, sloughing tissue, and eschar (A). (B) is evidence
of an infection. (C) is indicative of continuous moisture that is causing the skin edges
of the wound to be vulnerable to further damage. (D) is manifested by a pink
environment with serosanguineous fluid.
The home health registered nurse (RN) is assessing an older client for a
pressure ulcer. Which finding should the RN observe the area for a Stage I
, Page 2 of 152
pressure ulcer?
A. Superficial skin breakdown and flaking
B. Deep pink, red or mottle skin
C. Subcutaneous damage or necrosis
D. Skin that blanches pink when pressed
(B) Deep pink, red or mottled skin
Rationale: Temporary blanching of an area can last for over a minute due to poor
circulation. Deep pink, red or mottle skin (B) is a finding consistent with Stage I
pressure ulcer. (A, C and D) are evidence of a pressure ulcer at different stages of
development.
An older client who is unconscious is admitted after experiencing a head
injury from a fall. Glasgow Coma Scale (GCS) is prescribed to evaluate the
client. Which focused assessments should the registered nurse (RN) use to
determine the client's GCS score? (Select all that apply.)
A. Verbal response
B. Motor response
C. Eye opening
D. Pupillary reaction
E. Hearing
(A), (B), (C)
Rationale: (A, B, and C) are correct. The Glasgow Coma Scale evaluates verbal
response (A), motor response (B), and eye opening (C). The GSC does not evaluate
pupil reaction (D) or hearing (E).
A 64-year-old client is admitted to the hospital with a fractured right hip. One
of the concerns following surgical repair is to promote dorsiflexion. Which
intervention would a nurse implement?
A. Begin early ambulation
B. Monitor pain level
C. Provide PCA instructions
D. Provide a foot board
(D) Provide a foot board
, Page 3 of 152
Rationale: A footboard supports the feet in dorsiflexion and helps prevent foot drop
throughout recovery (D). (A) and good body alignment may also reduce the
possibility of foot drop, however the footboard is maintained throughout recovery. (B)
and (C) will alleviate pain but does not promoted dorsiflexion.
The cleansing of the stomach with solution delivered through a nasogastric
tube is known as what?
Gavage
Emesis
Lavage
Stomach pumping
Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication,
or other toxic substance. It is delivered through a nasogastric tube
You are providing care to a patient who has recently begun dialysis. Her
daughter, with whom she lives and who prepares many of her meals, asks
what types of foods she should incorporate into her diet and which she should
avoid. Which of the following is NOT a food that this patient should be advised
to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas.
Lean red meat
Dialysis patients are encouraged to eat lean meat, including red meat. High quality
proteins produce less waste and help the body heal and maintain regular processes.
Dialysis patients should avoid foods high in potassium, including avocado, banana,
and dried fruit, and should eat other potassium-containing foods in moderation.
Your 89-year-old patient presents with dyspepsia and nausea. After testing,
you determine she is positive for Peptic Ulcer Disease. Of the following, which
would LEAST likely be a differential diagnosis for Peptic Ulcer Disease?
, Page 4 of 152
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease.
Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the
condition are pancreatitis and biliary tract disease.
There are a good many diseases affecting the elderly that are the result of
smoking. Counseling regarding smoking cessation is part of the GNP's job.
The components of brief intervention for treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange
Ask, Advise, Assess, Assist, Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to
quit, Assist in this quit attempt. Arrange a follow-up.
Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is
concerned about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques.
Wheal
Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated,
circumscribed lesion that's larger than 5mm. Wheal: circumscribed, reddening with
transient elevation lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of
papules; elevated and a variety of shapes; larger than 5mm.
