OLDER ADULT NURSING PRACTICE QUESTIONS AND ANSWERS
| OLDER ADULT NURSING STUDY GUIDE & PRACTICE TEST
2026/2027
A Group of residents on a garden hot summer day, which would be the greatest cause of concern ?
a. Lack of desire to get out of the sun
b. Lack of thirst perception
c. Affects of med on body temp - ANS ✔✔Lack of thirst perception
Planning budget for next year in special care unit has options of adding flowering plants, a bird feeder
and a toaster, which would these be considered
a. Items for residents sensory stimulation
b. Personal items for patient
c. Important tools for maintaining step satisfaction - ANS ✔✔Items for residents sensory stimulation
During a home visit a nurse learns that an older adult with macular degeneration restricts fluid Intake
after 6 pm. What would the nurse suspect the reason for this ?
a. Fear of falling at night
b. Lack of thirst perception
c. Lack of non skid footwear
d. Problems differentiating color shades - ANS ✔✔Fear of falling at night
4. A gerontological nurse is making a home visit to an older adult who lives with daughter. The daughter
believes that leaving the window open kills germs, so she keeps her father's bedroom window open at
night. Which recommendation would the nurse need to make?
a. Ensure the window has permanent screens
b. Be sure father wears flannel pajamas
c. Place 1 quilts and 2 blankets on bed
d. Keep temperature no lower than 75 - ANS ✔✔Keep temperature no lower than 75
5. The nurse is providing a long-term care facility, which measures should the nurse recommend to
prevent the most falls?
a. Psychosocial intervention to reduce fear of falling
b. Using physical restraint on patients with dementia
c. Fall and history risk assessment - ANS ✔✔Fall and history risk assessment
6. The nurse visits the client in the daughter's home and finds that the patient has a bed with bilateral
full-length bed rails, what should you do?
, a. Recommend frequent repositioning
b. Commend the family for the use of the bed
c. Present alternatives to the family - ANS ✔✔Present alternatives to the family
7. Nursing staff on a sub acute medical unit have an 80 year old patient with alzheimers, he tends to
become confused and agitated at night time. Which intervention would be most appropriate to address
this behavior?
a. Ensure the clients room is dark
b.Limit the fluid intake to prevent nocturia
c. Minimize touch used in nursing care
d. Schedule physical therapy in early afternoon to expend energy - ANS ✔✔Schedule physical therapy in
early afternoon to expend energy
8. A 74 y/o male is distraught because his wife is diagnosed with Alzheimer's, the husband is conducting
online research, trying to find possible treatments, when talking with the husband which response is
most appropriate?
a. "There is presently no cure for alzheimer's but many good treatments"
b. "Drugs that affect the neurotransmitters are now available can cure alzehimers"
c. "there isn't currently a cure for alzheimers but some drugs have been shown to slow the progression
of the disease" - ANS ✔✔"there isn't currently a cure for alzheimers but some drugs have been shown to
slow the progression of the disease"
9. A nurse is providing care for older adults with dementia, when looking at pt. History, what condition
would the nurse suspect as the cause of the dementia?
a. Hyperlipidemia
b. disease
c. Genetic predisposition?
d. hypertension - ANS ✔✔Genetic predisposition
10. The daughter of an 82 y/o male recovering from prostate resection comes to the hospital and is
sitting with the patient, the daughter approaches the nurse and states that he is uncharacteristically
difficult to rouse this morning and is muttering nonsense.
a. Diagnostic imaging to determine organic brain changes
b. Screen for risk factors for Alzheimer's Disease
c. Assess to determine the cause of the delirium - ANS ✔✔Assess to determine the cause of the delirium
11. Autopsy is used to determine the cause of death in pt. That may have been poisoned, the brain tissue
shows neuritic plaques and neurofibrillary tangles, no other abnormalities. What would the future have
held for him if he had lived?
a. Neuro atrophy in frontal lobe
b. Dementia associated with smoking and hypertension
c. Neuronal degeneration in the hippocampus & neocortex - ANS ✔✔Neuronal degeneration in the
hippocampus & neocortex
| OLDER ADULT NURSING STUDY GUIDE & PRACTICE TEST
2026/2027
A Group of residents on a garden hot summer day, which would be the greatest cause of concern ?
a. Lack of desire to get out of the sun
b. Lack of thirst perception
c. Affects of med on body temp - ANS ✔✔Lack of thirst perception
Planning budget for next year in special care unit has options of adding flowering plants, a bird feeder
and a toaster, which would these be considered
a. Items for residents sensory stimulation
b. Personal items for patient
c. Important tools for maintaining step satisfaction - ANS ✔✔Items for residents sensory stimulation
During a home visit a nurse learns that an older adult with macular degeneration restricts fluid Intake
after 6 pm. What would the nurse suspect the reason for this ?
a. Fear of falling at night
b. Lack of thirst perception
c. Lack of non skid footwear
d. Problems differentiating color shades - ANS ✔✔Fear of falling at night
4. A gerontological nurse is making a home visit to an older adult who lives with daughter. The daughter
believes that leaving the window open kills germs, so she keeps her father's bedroom window open at
night. Which recommendation would the nurse need to make?
a. Ensure the window has permanent screens
b. Be sure father wears flannel pajamas
c. Place 1 quilts and 2 blankets on bed
d. Keep temperature no lower than 75 - ANS ✔✔Keep temperature no lower than 75
5. The nurse is providing a long-term care facility, which measures should the nurse recommend to
prevent the most falls?
a. Psychosocial intervention to reduce fear of falling
b. Using physical restraint on patients with dementia
c. Fall and history risk assessment - ANS ✔✔Fall and history risk assessment
6. The nurse visits the client in the daughter's home and finds that the patient has a bed with bilateral
full-length bed rails, what should you do?
, a. Recommend frequent repositioning
b. Commend the family for the use of the bed
c. Present alternatives to the family - ANS ✔✔Present alternatives to the family
7. Nursing staff on a sub acute medical unit have an 80 year old patient with alzheimers, he tends to
become confused and agitated at night time. Which intervention would be most appropriate to address
this behavior?
a. Ensure the clients room is dark
b.Limit the fluid intake to prevent nocturia
c. Minimize touch used in nursing care
d. Schedule physical therapy in early afternoon to expend energy - ANS ✔✔Schedule physical therapy in
early afternoon to expend energy
8. A 74 y/o male is distraught because his wife is diagnosed with Alzheimer's, the husband is conducting
online research, trying to find possible treatments, when talking with the husband which response is
most appropriate?
a. "There is presently no cure for alzheimer's but many good treatments"
b. "Drugs that affect the neurotransmitters are now available can cure alzehimers"
c. "there isn't currently a cure for alzheimers but some drugs have been shown to slow the progression
of the disease" - ANS ✔✔"there isn't currently a cure for alzheimers but some drugs have been shown to
slow the progression of the disease"
9. A nurse is providing care for older adults with dementia, when looking at pt. History, what condition
would the nurse suspect as the cause of the dementia?
a. Hyperlipidemia
b. disease
c. Genetic predisposition?
d. hypertension - ANS ✔✔Genetic predisposition
10. The daughter of an 82 y/o male recovering from prostate resection comes to the hospital and is
sitting with the patient, the daughter approaches the nurse and states that he is uncharacteristically
difficult to rouse this morning and is muttering nonsense.
a. Diagnostic imaging to determine organic brain changes
b. Screen for risk factors for Alzheimer's Disease
c. Assess to determine the cause of the delirium - ANS ✔✔Assess to determine the cause of the delirium
11. Autopsy is used to determine the cause of death in pt. That may have been poisoned, the brain tissue
shows neuritic plaques and neurofibrillary tangles, no other abnormalities. What would the future have
held for him if he had lived?
a. Neuro atrophy in frontal lobe
b. Dementia associated with smoking and hypertension
c. Neuronal degeneration in the hippocampus & neocortex - ANS ✔✔Neuronal degeneration in the
hippocampus & neocortex
