NU 176
EXAM 4
Geriatric Nursing
50 Actual Questions with Correct Answers
Galen College of Nursing
This Document Description:
This document contains a collection of 50
verified questions with Correct answers with
Rationales.
Ideal for exam preparation and concept
reinforcement.
,1. The nurse is caring for an older adult client who has been diagnosed with
dementia. The client’s family asks what the future holds and how to plan for it.
Which response by the nurse is correct?
Select the correct answer:
A. “The disease is a progressive deterioration, and we can review the symptoms to look
for as the client declines.”
B. “Dementia usually improves completely with rest.”
C. “There is no need to plan because symptoms remain the same.”
D. “The client will regain full cognitive ability after medication therapy.”
Correct Answer:
A. “The disease is a progressive deterioration, and we can review the symptoms to
look for as the client declines.”
Expert Rationale:
Dementia is usually progressive and involves worsening cognitive and functional decline
over time. Families need education, planning, support, and realistic expectations.
2. The nurse working in an assisted living facility is caring for an older adult client
who has developed relocation stress syndrome. Which client observation correlates
with this syndrome?
Select the correct answer:
A. Asking facility workers where the kitchen is so they can cook a meal
B. Participating comfortably in all activities
C. Stating that the new room feels like home
D. Sleeping well and eating all meals
Correct Answer:
A. Asking facility workers where the kitchen is so they can cook a meal
Expert Rationale:
Relocation stress syndrome occurs when an older adult has difficulty adjusting to a new
living environment. Confusion, anxiety, searching for familiar routines, and attempts to
maintain previous roles may occur.
, 3. The nurse observes that an older adult client who has rheumatoid arthritis is
becoming malnourished. Which type of change is the client experiencing?
Select the correct answer:
A. Physical
B. Spiritual
C. Financial
D. Environmental
Correct Answer:
A. Physical
Expert Rationale:
Rheumatoid arthritis can cause pain, stiffness, fatigue, and decreased ability to prepare or
eat food. Malnutrition related to disease effects is considered a physical change.
4. The nurse is caring for an older adult client who is showing signs of cognitive
impairment. Which assessment tool should the nurse initially use to gain a quick 3-
minute assessment?
Select the correct answer:
A. Mini-Cog
B. Braden Scale
C. Glasgow Coma Scale
D. Apgar Score
Correct Answer:
A. Mini-Cog
Expert Rationale:
The Mini-Cog is a brief screening tool used to assess cognitive impairment. It includes a
three-word recall and clock-drawing test and can be completed quickly.
5. The nurse is talking with an older adult client who is considering a move from
their home to an assisted living facility. Which benefit should the nurse expect the
client to identify?
Select the correct answer:
A. Availability of a community dining room
B. Requirement for complete bedrest
EXAM 4
Geriatric Nursing
50 Actual Questions with Correct Answers
Galen College of Nursing
This Document Description:
This document contains a collection of 50
verified questions with Correct answers with
Rationales.
Ideal for exam preparation and concept
reinforcement.
,1. The nurse is caring for an older adult client who has been diagnosed with
dementia. The client’s family asks what the future holds and how to plan for it.
Which response by the nurse is correct?
Select the correct answer:
A. “The disease is a progressive deterioration, and we can review the symptoms to look
for as the client declines.”
B. “Dementia usually improves completely with rest.”
C. “There is no need to plan because symptoms remain the same.”
D. “The client will regain full cognitive ability after medication therapy.”
Correct Answer:
A. “The disease is a progressive deterioration, and we can review the symptoms to
look for as the client declines.”
Expert Rationale:
Dementia is usually progressive and involves worsening cognitive and functional decline
over time. Families need education, planning, support, and realistic expectations.
2. The nurse working in an assisted living facility is caring for an older adult client
who has developed relocation stress syndrome. Which client observation correlates
with this syndrome?
Select the correct answer:
A. Asking facility workers where the kitchen is so they can cook a meal
B. Participating comfortably in all activities
C. Stating that the new room feels like home
D. Sleeping well and eating all meals
Correct Answer:
A. Asking facility workers where the kitchen is so they can cook a meal
Expert Rationale:
Relocation stress syndrome occurs when an older adult has difficulty adjusting to a new
living environment. Confusion, anxiety, searching for familiar routines, and attempts to
maintain previous roles may occur.
, 3. The nurse observes that an older adult client who has rheumatoid arthritis is
becoming malnourished. Which type of change is the client experiencing?
Select the correct answer:
A. Physical
B. Spiritual
C. Financial
D. Environmental
Correct Answer:
A. Physical
Expert Rationale:
Rheumatoid arthritis can cause pain, stiffness, fatigue, and decreased ability to prepare or
eat food. Malnutrition related to disease effects is considered a physical change.
4. The nurse is caring for an older adult client who is showing signs of cognitive
impairment. Which assessment tool should the nurse initially use to gain a quick 3-
minute assessment?
Select the correct answer:
A. Mini-Cog
B. Braden Scale
C. Glasgow Coma Scale
D. Apgar Score
Correct Answer:
A. Mini-Cog
Expert Rationale:
The Mini-Cog is a brief screening tool used to assess cognitive impairment. It includes a
three-word recall and clock-drawing test and can be completed quickly.
5. The nurse is talking with an older adult client who is considering a move from
their home to an assisted living facility. Which benefit should the nurse expect the
client to identify?
Select the correct answer:
A. Availability of a community dining room
B. Requirement for complete bedrest
