Geriatric Nursing
Practice Exam
2025-2026 VERSION
WITH QUALIFIED
QUESTIONS AND
VERRIFIED ANSWERS
100% RATED
,1. A 78-year-old patient reports difficulty sleeping. What
is the best initial nursing action?
A. Prescribe a sedative
B. Encourage daytime naps
C. Assess sleep hygiene habits
D. Restrict evening fluids
Answer: C
Rationale: Sleep problems in older adults are best
addressed first by assessing habits and environmental
factors.
2. Which age-related change is expected in the
cardiovascular system?
A. Increased heart rate variability
B. Decreased arterial elasticity
C. Increased cardiac output
D. Increased valve strength
Answer: B
Rationale: Aging causes stiffening of blood vessels
leading to reduced elasticity.
,3. An elderly patient is at highest risk for falls due to
which factor?
A. Hyperactivity
B. Polypharmacy
C. Increased vision acuity
D. High calcium intake
Answer: B
Rationale: Multiple medications increase dizziness,
sedation, and fall risk.
4. What is the priority nursing intervention for an older
adult with confusion?
A. Apply restraints
B. Reorient frequently
C. Restrict fluids
D. Increase noise stimulation
Answer: B
Rationale: Frequent reorientation helps reduce delirium
and confusion.
, 5. Which finding is normal in aging?
A. Increased lung elasticity
B. Decreased immune response
C. Increased kidney filtration
D. Increased bone density
Answer: B
Rationale: Immune function declines with age.
6. Which symptom is most suggestive of delirium?
A. Gradual memory loss
B. Sudden confusion
C. Chronic disorientation
D. Stable cognition
Answer: B
Rationale: Delirium has an acute onset and fluctuating
course.
7. The nurse should prioritize which intervention for
pressure ulcer prevention?