Gerontological Nursing Certification
Final Test Review (Qns & Ans)
2025
1. Multiple Choice
A 78-year-old patient presents with confusion, urinary
incontinence, and gait instability. Which condition should be
suspected?
A. Alzheimer's disease
B. Normal pressure hydrocephalus
C. Parkinson's disease
D. Vascular dementia
ANS : B. Normal pressure hydrocephalus
©2025
, Rationale : The triad of confusion, urinary incontinence, and
gait instability is characteristic of normal pressure hydrocephalus.
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2. Fill-in-the-Blank
The ___________ scale is used to assess the risk of pressure
ulcers in older adults.
ANS : Braden
Rationale : The Braden Scale evaluates risk factors for pressure
ulcers, guiding preventive measures.
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3. True/False
Polypharmacy is a common issue in geriatric patients and
increases the risk of adverse drug events.
ANS : True
Rationale : Polypharmacy often leads to drug-drug interactions
and side effects, especially in older adults.
©2025
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4. Multiple Response
Which of the following are risk factors for osteoporosis in older
adults? (Select all that apply.)
A. Smoking
B. Sedentary lifestyle
C. Long-term corticosteroid use
D. High body mass index (BMI)
ANS : A. Smoking, B. Sedentary lifestyle, C. Long-term
corticosteroid use
Rationale : These factors contribute to bone density loss,
increasing the risk of osteoporosis.
---
5. Multiple Choice
A 75-year-old female presents with unintentional weight loss,
anorexia, and early satiety. What is the most appropriate initial
diagnostic test?
©2025
, A. Abdominal ultrasound
B. CT scan of the abdomen
C. Upper endoscopy
D. Colonoscopy
ANS : C. Upper endoscopy
Rationale : Upper endoscopy is indicated to evaluate for gastric
cancer or peptic ulcer disease in patients with these symptoms.
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6. Fill-in-the-Blank
The most common cause of heart failure with preserved ejection
fraction (HFpEF) in older adults is ___________.
ANS : Hypertension
Rationale : Chronic hypertension leads to left ventricular
hypertrophy and diastolic dysfunction, causing HFpEF.
---
©2025
Final Test Review (Qns & Ans)
2025
1. Multiple Choice
A 78-year-old patient presents with confusion, urinary
incontinence, and gait instability. Which condition should be
suspected?
A. Alzheimer's disease
B. Normal pressure hydrocephalus
C. Parkinson's disease
D. Vascular dementia
ANS : B. Normal pressure hydrocephalus
©2025
, Rationale : The triad of confusion, urinary incontinence, and
gait instability is characteristic of normal pressure hydrocephalus.
---
2. Fill-in-the-Blank
The ___________ scale is used to assess the risk of pressure
ulcers in older adults.
ANS : Braden
Rationale : The Braden Scale evaluates risk factors for pressure
ulcers, guiding preventive measures.
---
3. True/False
Polypharmacy is a common issue in geriatric patients and
increases the risk of adverse drug events.
ANS : True
Rationale : Polypharmacy often leads to drug-drug interactions
and side effects, especially in older adults.
©2025
,---
4. Multiple Response
Which of the following are risk factors for osteoporosis in older
adults? (Select all that apply.)
A. Smoking
B. Sedentary lifestyle
C. Long-term corticosteroid use
D. High body mass index (BMI)
ANS : A. Smoking, B. Sedentary lifestyle, C. Long-term
corticosteroid use
Rationale : These factors contribute to bone density loss,
increasing the risk of osteoporosis.
---
5. Multiple Choice
A 75-year-old female presents with unintentional weight loss,
anorexia, and early satiety. What is the most appropriate initial
diagnostic test?
©2025
, A. Abdominal ultrasound
B. CT scan of the abdomen
C. Upper endoscopy
D. Colonoscopy
ANS : C. Upper endoscopy
Rationale : Upper endoscopy is indicated to evaluate for gastric
cancer or peptic ulcer disease in patients with these symptoms.
---
6. Fill-in-the-Blank
The most common cause of heart failure with preserved ejection
fraction (HFpEF) in older adults is ___________.
ANS : Hypertension
Rationale : Chronic hypertension leads to left ventricular
hypertrophy and diastolic dysfunction, causing HFpEF.
---
©2025
