GERONTOLOGY EXAM PRACTICE
QUESTIONS WITH CORRECT
ANSWERS!!
Medications, slower mobility, lack of proper fluid intake, and poor diet can contribute
to what common symptom in the elder population?
a) Urinary incontinence
b) Skin changes
c) Mental changes
d) Depression - ANSWERA
Which statement would be most appropriate to ask when assessing an aging adult
for cognitive function?
a) What is today's date?
b) Can you count to 10 for me?
c) Have you noticed anything different about your memory or thinking in the past few
months?
d) Who is the president of the United States? - ANSWERC
Which disease or ailment is often under diagnosed and undertreated in the aging
population?
a) Schizpphrenia
b) Depression
c) Associative disorders
d) Attention deficit disorder - ANSWERB
Which statement demonstrates normal cognitive function for an aging adult?
a) Occasional memory lapses
b) Unable to recall the names of their children or siblings
c) Unable to recall current address or phone number
d) Unable to count to 10 or repeat a series of consecutive numbers - ANSWERA
Denmentia and depression are strongly related to:
a) Clients over the age of 60
b) Clients over the age of 65
c) A decreased quality of life and functional deficits
d) Past economic status and job performance - ANSWERC
Which organ is responsible for drug metabolism and must be considered when
prescribing medicaiton for an older adult?
a) Kidneys
b) Pancreas
c) Intestines
d) Liver - ANSWERD
,An older adult on digoxin and furosemide is showing signs of toxicity. The
gerontology nurse understands that:
a) Digoxin and furosemide are excreted by the kidneys, and the doses may need to
be decreased due to impaired kidney function
b) Digoxin and furosemide are excreted through the intestinal tract, and dose
changes would be ineffective
c) An increase in fluid intake will fix the symptoms, and no change in dose is needed
d) How a drug is excreted is not a consideration when dosing an older adult -
ANSWERA
An 80-year-old female asks the nurse about over-the-counter vitamin supplements.
The most appropriate advice would include:
a) No vitamin supplements are needed with a balanced diet
b) Any multivitamin will do
c) Take only a calcium supplement
d) Take a multivitamin for those over the age of 50, which should include the
recommended vitamins for the aging adult - ANSWERD
What benefit does evidnce-based practice offer clients over the age of 60?
a) No actual benefits have been noted when evidence-based practice is the model
for geriatric care
b) Evidence-based practice offers the client improved health care in all settings
c) Evidence-based pracrice is only used as a model in acute care settings
d) Minimal changes in geriatric care have arisen from the use of evidnece-baseed
practice models - ANSWERB
What is the purpose of Rogers' diffusion of innovation model in relation to evidnece-
based practice (EBP)?
a) There is no relation to EBP
b) It offers an explanation of aging
c) It is used to open communication around issues of implementing changes in
practice when EBP research has shown that change would improve outcomes
d) It is the model that contradicts the EBP theory - ANSWERC
Which choice best explains the practice setting for the gerontological nurse?
a) In the home of the client
b) Only in acute care settings
c) Clinics and long-term care facilities
d) Home of the client, acute care facilities, long-term care settings, and clinics or
anywhere clients over the age of 65 seek health care and health education -
ANSWERD
A 70-year-old presents to the clinic stating that his family things he is losing his mind
and they want to put him in a home. What would be the intial role of the
gerontological nurse?
a) Begin the process of finding a qualified nursing home
b) Do a complete history,physical, and assessment
c) Speak with the family about their concerns
d) Make light of the subject until the nurse can evaluate the situation - ANSWERB
, Which item would not be a focus of a cognitive-perceptual pattern assessment for
the older client?
a) Cognition--Have you experienced any changes in your memory?
b) Communication--Have you had any difficulty speaking or forming ideas?
c) FInancial--Have you had any financial hardships over the past several months?
d) Orientation--Do you know what day, month, and year it is? - ANSWERC
Which topic should NOT be omitted when assessign the aging client?
a) Sexual history
b) Caridac history
c) History of abuse
d) All of the above - ANSWERD
Pain of gastrointestinal origin is best differentiated from pain of cardiac origin by the
presence of:
1. chest pain lasting longer than five minutes.
2. chest pain of rapid onset.
3. left flank pain.
4. substernal chest discomfort. - ANSWER4
The progression of intermittent claudication is measured by the:
1. distance walked before leg pain starts.
2. pedal edema after dangling the legs for 20 minutes.
3. peripheral pulses in the affected leg.
4. skin temperature and color of the feet. - ANSWER1
The most common cause of chronic pain in older adults is:
1. arthritis.
2. fractures.
3. headaches.
4. neuropathy. - ANSWER1
Which symptom in older adults is most indicative of a urinary tract infection?
1. Confusion
2. Dysuria
3. Fever
4. Frequency - ANSWER1
Which is a risk factor for vaginitis in older adult women?
1. Anticoagulation therapy
2. Increased sexual activity
3. Poor nutrition
4. Prolonged antibiotic therapy - ANSWER4
Which condition might be indicated by an increase in hemoglobin values?
1. Dehydration
2. Infection
3. Malnutrition
4. Opiate use - ANSWER1
QUESTIONS WITH CORRECT
ANSWERS!!
Medications, slower mobility, lack of proper fluid intake, and poor diet can contribute
to what common symptom in the elder population?
a) Urinary incontinence
b) Skin changes
c) Mental changes
d) Depression - ANSWERA
Which statement would be most appropriate to ask when assessing an aging adult
for cognitive function?
a) What is today's date?
b) Can you count to 10 for me?
c) Have you noticed anything different about your memory or thinking in the past few
months?
d) Who is the president of the United States? - ANSWERC
Which disease or ailment is often under diagnosed and undertreated in the aging
population?
a) Schizpphrenia
b) Depression
c) Associative disorders
d) Attention deficit disorder - ANSWERB
Which statement demonstrates normal cognitive function for an aging adult?
a) Occasional memory lapses
b) Unable to recall the names of their children or siblings
c) Unable to recall current address or phone number
d) Unable to count to 10 or repeat a series of consecutive numbers - ANSWERA
Denmentia and depression are strongly related to:
a) Clients over the age of 60
b) Clients over the age of 65
c) A decreased quality of life and functional deficits
d) Past economic status and job performance - ANSWERC
Which organ is responsible for drug metabolism and must be considered when
prescribing medicaiton for an older adult?
a) Kidneys
b) Pancreas
c) Intestines
d) Liver - ANSWERD
,An older adult on digoxin and furosemide is showing signs of toxicity. The
gerontology nurse understands that:
a) Digoxin and furosemide are excreted by the kidneys, and the doses may need to
be decreased due to impaired kidney function
b) Digoxin and furosemide are excreted through the intestinal tract, and dose
changes would be ineffective
c) An increase in fluid intake will fix the symptoms, and no change in dose is needed
d) How a drug is excreted is not a consideration when dosing an older adult -
ANSWERA
An 80-year-old female asks the nurse about over-the-counter vitamin supplements.
The most appropriate advice would include:
a) No vitamin supplements are needed with a balanced diet
b) Any multivitamin will do
c) Take only a calcium supplement
d) Take a multivitamin for those over the age of 50, which should include the
recommended vitamins for the aging adult - ANSWERD
What benefit does evidnce-based practice offer clients over the age of 60?
a) No actual benefits have been noted when evidence-based practice is the model
for geriatric care
b) Evidence-based practice offers the client improved health care in all settings
c) Evidence-based pracrice is only used as a model in acute care settings
d) Minimal changes in geriatric care have arisen from the use of evidnece-baseed
practice models - ANSWERB
What is the purpose of Rogers' diffusion of innovation model in relation to evidnece-
based practice (EBP)?
a) There is no relation to EBP
b) It offers an explanation of aging
c) It is used to open communication around issues of implementing changes in
practice when EBP research has shown that change would improve outcomes
d) It is the model that contradicts the EBP theory - ANSWERC
Which choice best explains the practice setting for the gerontological nurse?
a) In the home of the client
b) Only in acute care settings
c) Clinics and long-term care facilities
d) Home of the client, acute care facilities, long-term care settings, and clinics or
anywhere clients over the age of 65 seek health care and health education -
ANSWERD
A 70-year-old presents to the clinic stating that his family things he is losing his mind
and they want to put him in a home. What would be the intial role of the
gerontological nurse?
a) Begin the process of finding a qualified nursing home
b) Do a complete history,physical, and assessment
c) Speak with the family about their concerns
d) Make light of the subject until the nurse can evaluate the situation - ANSWERB
, Which item would not be a focus of a cognitive-perceptual pattern assessment for
the older client?
a) Cognition--Have you experienced any changes in your memory?
b) Communication--Have you had any difficulty speaking or forming ideas?
c) FInancial--Have you had any financial hardships over the past several months?
d) Orientation--Do you know what day, month, and year it is? - ANSWERC
Which topic should NOT be omitted when assessign the aging client?
a) Sexual history
b) Caridac history
c) History of abuse
d) All of the above - ANSWERD
Pain of gastrointestinal origin is best differentiated from pain of cardiac origin by the
presence of:
1. chest pain lasting longer than five minutes.
2. chest pain of rapid onset.
3. left flank pain.
4. substernal chest discomfort. - ANSWER4
The progression of intermittent claudication is measured by the:
1. distance walked before leg pain starts.
2. pedal edema after dangling the legs for 20 minutes.
3. peripheral pulses in the affected leg.
4. skin temperature and color of the feet. - ANSWER1
The most common cause of chronic pain in older adults is:
1. arthritis.
2. fractures.
3. headaches.
4. neuropathy. - ANSWER1
Which symptom in older adults is most indicative of a urinary tract infection?
1. Confusion
2. Dysuria
3. Fever
4. Frequency - ANSWER1
Which is a risk factor for vaginitis in older adult women?
1. Anticoagulation therapy
2. Increased sexual activity
3. Poor nutrition
4. Prolonged antibiotic therapy - ANSWER4
Which condition might be indicated by an increase in hemoglobin values?
1. Dehydration
2. Infection
3. Malnutrition
4. Opiate use - ANSWER1
