NU 217 Gerontological Nursing
Final Assessment Review
Questions & Solutions
2025
©2025
,Multiple Choice Questions (MCQs)
A 78-year-old patient with advanced Alzheimer’s disease presents with
increased agitation and inability to sleep. Which of the following
interventions is most appropriate to manage this behavior? A) Administer
antipsychotic medication immediately B) Implement a consistent sleep-
wake cycle and use non-pharmacologic soothing techniques C) Restrict
fluids in the evening D) Isolate the patient in a low-stimulus environment
without family contact
ANS: B
Rationale: Non-pharmacologic interventions like establishing routine and
using soothing techniques are first-line for managing agitation in
dementia patients, reducing the need for risky pharmacologic therapies.
2. Which physiological change in the aging kidney most significantly alters
the pharmacokinetics of renally-excreted drugs?
A) Increased renal blood flow
B) Decreased glomerular filtration rate (GFR)
C) Increased tubular secretion
D) Enhanced reabsorption
ANS: B
Rationale: Decreased GFR in older adults results in slower clearance of
renally-excreted drugs, necessitating dose adjustments to avoid toxicity.
3. In gerontological nursing, which scale is the most effective for
assessing pressure ulcer risk in an elderly hospitalized patient?
A) Glasgow Coma Scale
B) Braden Scale
C) Morse Fall Scale
D) Katz Index of Independence
ANS: B
Rationale: The Braden Scale evaluates sensory perception, moisture,
activity, mobility, nutrition, and friction/shear to assess pressure ulcer
©2025
, risk.
4. A 82-year-old patient demonstrates new-onset confusion and
disorientation. After ruling out dementia, which diagnosis should be
considered first?
A) Delirium
B) Depression
C) Normal aging
D) Psychosis
ANS: A
Rationale: Delirium is an acute change in cognition common in the
elderly, often reversible if underlying causes are promptly treated.
5. Which nutritional deficiency is most commonly associated with
pernicious anemia in elderly patients?
A) Vitamin C
B) Vitamin B12
C) Iron
D) Folate
ANS: B
Rationale: Pernicious anemia is caused by Vitamin B12 deficiency due to
intrinsic factor loss, common in elderly.
Fill-in-the-Blank Questions
6. The acronym __________ is used to assess the ability of an elderly
person to perform activities related to personal care and mobility.
ANS: ADL (Activities of Daily Living)
Rationale: ADL measures essential personal care tasks indicating an
elderly person's functional status.
7. __________ is the most common type of arthritis causing joint pain
and disability in older adults.
©2025
Final Assessment Review
Questions & Solutions
2025
©2025
,Multiple Choice Questions (MCQs)
A 78-year-old patient with advanced Alzheimer’s disease presents with
increased agitation and inability to sleep. Which of the following
interventions is most appropriate to manage this behavior? A) Administer
antipsychotic medication immediately B) Implement a consistent sleep-
wake cycle and use non-pharmacologic soothing techniques C) Restrict
fluids in the evening D) Isolate the patient in a low-stimulus environment
without family contact
ANS: B
Rationale: Non-pharmacologic interventions like establishing routine and
using soothing techniques are first-line for managing agitation in
dementia patients, reducing the need for risky pharmacologic therapies.
2. Which physiological change in the aging kidney most significantly alters
the pharmacokinetics of renally-excreted drugs?
A) Increased renal blood flow
B) Decreased glomerular filtration rate (GFR)
C) Increased tubular secretion
D) Enhanced reabsorption
ANS: B
Rationale: Decreased GFR in older adults results in slower clearance of
renally-excreted drugs, necessitating dose adjustments to avoid toxicity.
3. In gerontological nursing, which scale is the most effective for
assessing pressure ulcer risk in an elderly hospitalized patient?
A) Glasgow Coma Scale
B) Braden Scale
C) Morse Fall Scale
D) Katz Index of Independence
ANS: B
Rationale: The Braden Scale evaluates sensory perception, moisture,
activity, mobility, nutrition, and friction/shear to assess pressure ulcer
©2025
, risk.
4. A 82-year-old patient demonstrates new-onset confusion and
disorientation. After ruling out dementia, which diagnosis should be
considered first?
A) Delirium
B) Depression
C) Normal aging
D) Psychosis
ANS: A
Rationale: Delirium is an acute change in cognition common in the
elderly, often reversible if underlying causes are promptly treated.
5. Which nutritional deficiency is most commonly associated with
pernicious anemia in elderly patients?
A) Vitamin C
B) Vitamin B12
C) Iron
D) Folate
ANS: B
Rationale: Pernicious anemia is caused by Vitamin B12 deficiency due to
intrinsic factor loss, common in elderly.
Fill-in-the-Blank Questions
6. The acronym __________ is used to assess the ability of an elderly
person to perform activities related to personal care and mobility.
ANS: ADL (Activities of Daily Living)
Rationale: ADL measures essential personal care tasks indicating an
elderly person's functional status.
7. __________ is the most common type of arthritis causing joint pain
and disability in older adults.
©2025
