JERSEY COLLEGE NUR202 GERIATRIC NURSING: MANAGEMENT CONCEPTS FOR ELDER
CARE 300 – COMPREHENSIVE QUESTIONS AND ANSWERS | VERIFIED AND WELLDETAILED
ANSWERS | DETAILED EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION
STUDY GUIDE | PRACTICE QUESTIONS | LATEST EXAM UPDATE
*
CORE DOMAINS
• Aging theories, demographics, and normal aging
• Comprehensive geriatric assessment and health promotion
• Chronic illness and multimorbidity management
• Pharmacology, polypharmacy, and medication safety
• Cognitive, neurological, and mental health conditions
• Mobility, falls, osteoporosis, and functional impairment
• Nutrition, hydration, elimination, and sensory changes
• Safety, abuse, neglect, ethics, and legal considerations
• End-of-life care, palliative care, and advance care planning
• Care coordination, communication, independence, and quality of life
*
*INTRODUCTION
This examination-preparation assessment evaluates essential knowledge and clinical
reasoning related to the nursing management of older adults. The questions address normal
aging, common geriatric syndromes, chronic disease management, medications, cognition,
mobility, nutrition, safety, psychosocial needs, ethical decision-making, and end-of-life care.
Multiple-choice questions are used to assess foundational knowledge as well as
interpretation, prioritization, application, and professional judgment. Effective geriatric
nursing requires nurses to distinguish normal age-related changes from pathology, recognize
risks early, promote functional independence, and coordinate individualized care. The
questions therefore emphasize both understanding of concepts and their practical
application in situations involving older adults and their families.
JERSEY COLLEGE NUR202 GERIATRIC NURSING SECTION ONE
SECTION ONE: QUESTIONS 1–100
Question 1. Which statement best describes normal biological aging?
,A. Aging inevitably causes severe cognitive impairment
B. Aging is associated with progressive changes in structure and function that vary among
individuals
C. Aging always results in complete loss of functional independence
D. Aging is primarily caused by chronic disease
Correct Answer: B. Aging is associated with progressive changes in structure and function
that vary among individuals
Explanation: Normal aging involves gradual physiological changes, but the rate and extent
vary considerably among individuals. Severe cognitive impairment and loss of independence
are not inevitable consequences of normal aging.
Question 2. Which nursing approach is most appropriate when caring for an older adult?
A. Assume the patient is dependent because of age
B. Focus primarily on disease rather than function
C. Promote autonomy while addressing individual health and safety needs
D. Make decisions for the patient whenever possible
Correct Answer: C. Promote autonomy while addressing individual health and safety needs
Explanation: Geriatric nursing emphasizes person-centered care, independence, dignity, and
autonomy. Nurses should support older adults in making decisions and performing activities
to the greatest extent safely possible.
Question 3. Which change is generally considered a normal age-related cardiovascular
finding?
A. Increased arterial stiffness
B. New-onset severe chest pain
C. Persistent resting tachycardia
D. Acute heart failure
Correct Answer: A. Increased arterial stiffness
Explanation: Aging commonly causes vascular stiffening and reduced arterial compliance.
Severe chest pain, persistent tachycardia, and heart failure are pathological findings
requiring evaluation.
Question 4. An older adult asks why skin bruises more easily with aging. Which explanation
is most appropriate?
A. Older adults normally develop impaired blood clotting
B. The epidermis becomes thicker with age
C. Loss of subcutaneous tissue and thinning skin increase vulnerability
D. Increased skin pigmentation causes bruising
, Correct Answer: C. Loss of subcutaneous tissue and thinning skin increase vulnerability
Explanation: Aging causes thinning of the epidermis and dermis, reduced subcutaneous
tissue, and changes in connective tissue and blood vessels. These changes increase the risk
of bruising and skin injury.
Question 5. Which finding should the nurse recognize as more suggestive of pathology than
normal aging?
A. Gradual decrease in skin elasticity
B. Mild slowing of reaction time
C. Sudden onset of confusion
D. Reduced muscle mass
Correct Answer: C. Sudden onset of confusion
Explanation: Acute confusion is not a normal consequence of aging and may indicate
delirium, infection, medication effects, metabolic abnormalities, or another acute condition.
Question 6. Which intervention best promotes independence in an older adult with mild
functional limitations?
A. Complete all activities for the patient
B. Encourage the patient to perform tasks independently with appropriate assistance
C. Restrict activity to prevent fatigue
D. Ask family members to make all decisions
Correct Answer: B. Encourage the patient to perform tasks independently with appropriate
assistance
Explanation: Supporting independence preserves function, self-esteem, and autonomy.
Assistance should be provided when needed without unnecessarily taking over activities the
patient can safely perform.
Question 7. Which physiological change commonly occurs with aging?
A. Increased total body water
B. Increased renal blood flow
C. Decreased muscle mass
D. Increased lung elasticity
Correct Answer: C. Decreased muscle mass
Explanation: Sarcopenia involves age-related loss of skeletal muscle mass and strength. Total
body water, renal function, and pulmonary elasticity generally decline with aging.
Question 8. Which assessment finding is particularly important when evaluating an older
adult's nutritional status?
CARE 300 – COMPREHENSIVE QUESTIONS AND ANSWERS | VERIFIED AND WELLDETAILED
ANSWERS | DETAILED EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION
STUDY GUIDE | PRACTICE QUESTIONS | LATEST EXAM UPDATE
*
CORE DOMAINS
• Aging theories, demographics, and normal aging
• Comprehensive geriatric assessment and health promotion
• Chronic illness and multimorbidity management
• Pharmacology, polypharmacy, and medication safety
• Cognitive, neurological, and mental health conditions
• Mobility, falls, osteoporosis, and functional impairment
• Nutrition, hydration, elimination, and sensory changes
• Safety, abuse, neglect, ethics, and legal considerations
• End-of-life care, palliative care, and advance care planning
• Care coordination, communication, independence, and quality of life
*
*INTRODUCTION
This examination-preparation assessment evaluates essential knowledge and clinical
reasoning related to the nursing management of older adults. The questions address normal
aging, common geriatric syndromes, chronic disease management, medications, cognition,
mobility, nutrition, safety, psychosocial needs, ethical decision-making, and end-of-life care.
Multiple-choice questions are used to assess foundational knowledge as well as
interpretation, prioritization, application, and professional judgment. Effective geriatric
nursing requires nurses to distinguish normal age-related changes from pathology, recognize
risks early, promote functional independence, and coordinate individualized care. The
questions therefore emphasize both understanding of concepts and their practical
application in situations involving older adults and their families.
JERSEY COLLEGE NUR202 GERIATRIC NURSING SECTION ONE
SECTION ONE: QUESTIONS 1–100
Question 1. Which statement best describes normal biological aging?
,A. Aging inevitably causes severe cognitive impairment
B. Aging is associated with progressive changes in structure and function that vary among
individuals
C. Aging always results in complete loss of functional independence
D. Aging is primarily caused by chronic disease
Correct Answer: B. Aging is associated with progressive changes in structure and function
that vary among individuals
Explanation: Normal aging involves gradual physiological changes, but the rate and extent
vary considerably among individuals. Severe cognitive impairment and loss of independence
are not inevitable consequences of normal aging.
Question 2. Which nursing approach is most appropriate when caring for an older adult?
A. Assume the patient is dependent because of age
B. Focus primarily on disease rather than function
C. Promote autonomy while addressing individual health and safety needs
D. Make decisions for the patient whenever possible
Correct Answer: C. Promote autonomy while addressing individual health and safety needs
Explanation: Geriatric nursing emphasizes person-centered care, independence, dignity, and
autonomy. Nurses should support older adults in making decisions and performing activities
to the greatest extent safely possible.
Question 3. Which change is generally considered a normal age-related cardiovascular
finding?
A. Increased arterial stiffness
B. New-onset severe chest pain
C. Persistent resting tachycardia
D. Acute heart failure
Correct Answer: A. Increased arterial stiffness
Explanation: Aging commonly causes vascular stiffening and reduced arterial compliance.
Severe chest pain, persistent tachycardia, and heart failure are pathological findings
requiring evaluation.
Question 4. An older adult asks why skin bruises more easily with aging. Which explanation
is most appropriate?
A. Older adults normally develop impaired blood clotting
B. The epidermis becomes thicker with age
C. Loss of subcutaneous tissue and thinning skin increase vulnerability
D. Increased skin pigmentation causes bruising
, Correct Answer: C. Loss of subcutaneous tissue and thinning skin increase vulnerability
Explanation: Aging causes thinning of the epidermis and dermis, reduced subcutaneous
tissue, and changes in connective tissue and blood vessels. These changes increase the risk
of bruising and skin injury.
Question 5. Which finding should the nurse recognize as more suggestive of pathology than
normal aging?
A. Gradual decrease in skin elasticity
B. Mild slowing of reaction time
C. Sudden onset of confusion
D. Reduced muscle mass
Correct Answer: C. Sudden onset of confusion
Explanation: Acute confusion is not a normal consequence of aging and may indicate
delirium, infection, medication effects, metabolic abnormalities, or another acute condition.
Question 6. Which intervention best promotes independence in an older adult with mild
functional limitations?
A. Complete all activities for the patient
B. Encourage the patient to perform tasks independently with appropriate assistance
C. Restrict activity to prevent fatigue
D. Ask family members to make all decisions
Correct Answer: B. Encourage the patient to perform tasks independently with appropriate
assistance
Explanation: Supporting independence preserves function, self-esteem, and autonomy.
Assistance should be provided when needed without unnecessarily taking over activities the
patient can safely perform.
Question 7. Which physiological change commonly occurs with aging?
A. Increased total body water
B. Increased renal blood flow
C. Decreased muscle mass
D. Increased lung elasticity
Correct Answer: C. Decreased muscle mass
Explanation: Sarcopenia involves age-related loss of skeletal muscle mass and strength. Total
body water, renal function, and pulmonary elasticity generally decline with aging.
Question 8. Which assessment finding is particularly important when evaluating an older
adult's nutritional status?
