©THEBRIGHTSTARS 2024
Geriatric Exam 3 Practice Questions With
Correct Answers
Which aspect of the microenvironment is a 79-year-old widow most likely to focus on first?
A) The decor of the house is several decades out of date.
B) The home was recently burglarized and the television stolen.
C) The front steps of the house are decaying and pose a safety risk.
D) The home is unbearably hot in the summer and has cockroaches. - answer✔d
Which of the following lighting schemes should the nurse manager integrate into the plan for a
new long-term care facility?A) Placement of multiple diffuse lighting sources
B) The use of large banks of windows to maximize direct sunlight
C) Placement of large fluorescent lighting panels centered in each room
D) Low levels of lighting to reduce glare and accommodate residents with light sensitivity -
answer✔a
An older individual is touring an assisted living facility with his family in order to find a place to
live after the death of his spouse and issues with mobility. Which characteristic of the facility is
most in need of modification?
A) The temperature of common areas is kept between 75°F and 77°F
B) Aromatherapy is used in the facility to provide a pleasant scent environment
C) Area rugs are placed in front of each sink in residents' washrooms to ensure warmth
D) There is more tile than carpet throughout the facility and carpets are glued to the floor -
answer✔c
A design firm is contracted to remodel a care facility. Which bathroom design component is
most conducive to safety and quality of life for the older adult residents who will use them?
A) Throw rugs will be placed on the tile floors
B) Bathrooms will include bathtubs rather than showers
, ©THEBRIGHTSTARS 2024
C) A small independent light to remain lit in the bathroom at all times
D) A single, rotating faucet installed at the sink to control water flow and temperature -
answer✔c
The nurse is on a task force to reduce the incidence of falls among residents of a long-term care
facility. Which measure should the nurse recommend to prevent the most falls?
A) The use of diffuse, natural lighting on the unit
B) A fall history and fall risk assessment of each patient on admission
C) Psychosocial interventions aimed at reducing individuals' fear of falling
D) Use of physical restraints on new patients who have delirium or dementia. - answer✔b
During a morning assessment the nurse notes that the oral temperature of an older patient is 96°F
(35.6°C). What guide will the nurse use to make decisions about this assessment finding?
A) Older adults are at increased risk for hyperthermia
B) Low temperature constitutes a risk to cardiac health
C) Older adults often lose body heat in response to infection
D) The normal body temperature of older adults is often lower than that of younger people -
answer✔d
A group of residents in a skilled nursing facility are sitting outside in the garden enjoying a hot
summer day. What primary concern does the nurse recognize for these residents?
A) Lack of thirst perception
B) Lack of energy and related depression
C) Lack of motivation to get out of the sun
D) Effects of certain medications on body temperature - answer✔a
The daughter of an older patient believes that fresh air kills germs and keeps her father's
bedroom window open at night. Because her father wears pajamas, she insists that he is
comfortable. What recommendation should the nurse make?
A) The patient should wear flannel pajamas.
B) Place one quilt and two blankets on the patient's bed
C) Keep the temperature in the patient's room not lower than 75°F
D) Ensure that the window in the patient's room has permanent screening - answer✔c
, ©THEBRIGHTSTARS 2024
An older patient who lives at home has had several admissions to the hospital for infections and
drug reactions over the last 18 months. Which nursing diagnosis would the nurse identify as
being appropriate for this patient?
A)Risk for Injury
B)Risk for Infection
C)Risk for Impaired Mobility
D)Risk for Violence: Self-Directed - answer✔a
The staff on a unit that provides care to patients with dementia wants to make changes to the
patients' environment. What would be the recommended change to lighting?
A)Remove all incidental lamps from the rooms
B)Keep a bedside light on in the rooms all night
C)Avoid using the fluorescent light over the beds at night
D)Close the curtains during the day to minimize the effect of sunlight - answer✔c
The nursing home staff is working on a renovation project for the special care unit. What should
be a key element of the plan?
A)Paint the bedrooms green
B)Paint the dining room violet
C)Use wavy-patterned rugs in the hallways
D)Use contrasting colors for the doors of the storage closets - answer✔a
An older adult has been diagnosed with presbyopia. To minimize the patient's risk for falls, the
nurse suggests:
a. that the edges of steps be painted a contrasting color.
b. the patient wear sunglasses when driving.
c. the patient wear a wide-brimmed hat when spending time outdoors.
d. hanging blinds over sunny windows - answer✔a
When appropriately addressing safety issues, the geriatric nurse plans the patient's care plan
directed by the standard of care that requires:
a. promoting both health and wellness by assuring safety.
b. minimizing the patient's risk for physical injury while preserving autonomy.
Geriatric Exam 3 Practice Questions With
Correct Answers
Which aspect of the microenvironment is a 79-year-old widow most likely to focus on first?
A) The decor of the house is several decades out of date.
B) The home was recently burglarized and the television stolen.
C) The front steps of the house are decaying and pose a safety risk.
D) The home is unbearably hot in the summer and has cockroaches. - answer✔d
Which of the following lighting schemes should the nurse manager integrate into the plan for a
new long-term care facility?A) Placement of multiple diffuse lighting sources
B) The use of large banks of windows to maximize direct sunlight
C) Placement of large fluorescent lighting panels centered in each room
D) Low levels of lighting to reduce glare and accommodate residents with light sensitivity -
answer✔a
An older individual is touring an assisted living facility with his family in order to find a place to
live after the death of his spouse and issues with mobility. Which characteristic of the facility is
most in need of modification?
A) The temperature of common areas is kept between 75°F and 77°F
B) Aromatherapy is used in the facility to provide a pleasant scent environment
C) Area rugs are placed in front of each sink in residents' washrooms to ensure warmth
D) There is more tile than carpet throughout the facility and carpets are glued to the floor -
answer✔c
A design firm is contracted to remodel a care facility. Which bathroom design component is
most conducive to safety and quality of life for the older adult residents who will use them?
A) Throw rugs will be placed on the tile floors
B) Bathrooms will include bathtubs rather than showers
, ©THEBRIGHTSTARS 2024
C) A small independent light to remain lit in the bathroom at all times
D) A single, rotating faucet installed at the sink to control water flow and temperature -
answer✔c
The nurse is on a task force to reduce the incidence of falls among residents of a long-term care
facility. Which measure should the nurse recommend to prevent the most falls?
A) The use of diffuse, natural lighting on the unit
B) A fall history and fall risk assessment of each patient on admission
C) Psychosocial interventions aimed at reducing individuals' fear of falling
D) Use of physical restraints on new patients who have delirium or dementia. - answer✔b
During a morning assessment the nurse notes that the oral temperature of an older patient is 96°F
(35.6°C). What guide will the nurse use to make decisions about this assessment finding?
A) Older adults are at increased risk for hyperthermia
B) Low temperature constitutes a risk to cardiac health
C) Older adults often lose body heat in response to infection
D) The normal body temperature of older adults is often lower than that of younger people -
answer✔d
A group of residents in a skilled nursing facility are sitting outside in the garden enjoying a hot
summer day. What primary concern does the nurse recognize for these residents?
A) Lack of thirst perception
B) Lack of energy and related depression
C) Lack of motivation to get out of the sun
D) Effects of certain medications on body temperature - answer✔a
The daughter of an older patient believes that fresh air kills germs and keeps her father's
bedroom window open at night. Because her father wears pajamas, she insists that he is
comfortable. What recommendation should the nurse make?
A) The patient should wear flannel pajamas.
B) Place one quilt and two blankets on the patient's bed
C) Keep the temperature in the patient's room not lower than 75°F
D) Ensure that the window in the patient's room has permanent screening - answer✔c
, ©THEBRIGHTSTARS 2024
An older patient who lives at home has had several admissions to the hospital for infections and
drug reactions over the last 18 months. Which nursing diagnosis would the nurse identify as
being appropriate for this patient?
A)Risk for Injury
B)Risk for Infection
C)Risk for Impaired Mobility
D)Risk for Violence: Self-Directed - answer✔a
The staff on a unit that provides care to patients with dementia wants to make changes to the
patients' environment. What would be the recommended change to lighting?
A)Remove all incidental lamps from the rooms
B)Keep a bedside light on in the rooms all night
C)Avoid using the fluorescent light over the beds at night
D)Close the curtains during the day to minimize the effect of sunlight - answer✔c
The nursing home staff is working on a renovation project for the special care unit. What should
be a key element of the plan?
A)Paint the bedrooms green
B)Paint the dining room violet
C)Use wavy-patterned rugs in the hallways
D)Use contrasting colors for the doors of the storage closets - answer✔a
An older adult has been diagnosed with presbyopia. To minimize the patient's risk for falls, the
nurse suggests:
a. that the edges of steps be painted a contrasting color.
b. the patient wear sunglasses when driving.
c. the patient wear a wide-brimmed hat when spending time outdoors.
d. hanging blinds over sunny windows - answer✔a
When appropriately addressing safety issues, the geriatric nurse plans the patient's care plan
directed by the standard of care that requires:
a. promoting both health and wellness by assuring safety.
b. minimizing the patient's risk for physical injury while preserving autonomy.
