GERONTOLOGY EXAM QUESTIONS
& ANSWERS(GRADED A+)
In assessing the aging client, it is importnat for the nurse to recognize:
a) The client's ability to perform ADLs
b) The financial status of the client
c) The job that the client held prior to aging
d) All components of well-being, including biological function, psychological function,
and social function - ANSWERD
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
The nurse assessing the older population needs to have a basic understanding of
which of the following?
a) The economic status of the area
b) The difference between normal and abnormal for the older age group
c) The signs of sexual dysfunction
d) The signs of cardiac disease - ANSWERB
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 statement reflects the state of drug absorption in the geriatric patient?
a) The rate of absorption is slowed
b) The rate of absorption is faster due to thinning of the mucosa
c) The percentage of the medication that is absorbed is decreased
d) There is a decrease in gastric pH as we age - ANSWERA
The absorption of medication in the geriatric client is most often affected by:
a) A decrease in body fat
b) An increase in serun albumin
c) A decrease in body water and lean body weight
d) An increase in body water - 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
Which statement is true regarding adverse drug reactions (ADRs) in older adults?
a) The rate of ADRs in geriatric clients is seven times that of younger adults and
poses serious health problems
b) Older adults rarely have adverse reactions to prescribed medications becuase
they are monitored
c) Adverse reactions are minimal in older adults and require no intervention
d) Only about 1% of older adults require hospitalization for ADRs - ANSWERA
Which substance(s) show changes through aging by becoming less pliable and
stiffer?
a) Lipofuscin
b) Collagen and elastin
c) Epithelial tissue
d) Cytoplasm - ANSWERB
Which factor is NOT a normal part of aging and needs to be addressed to promote
nutrition in the older adult client?
, a) Loss of teeth
b) Increase in gastric pH
c) Xerostoma or dry mouth
d) Decline in basal metabolic rate - ANSWERC
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
Which theories on aging were introduced in the early 1900s?
a) Wear-and-tear theory and autointoxication theory
b) Evolution theory
c) Molecular theory
d) Cellular theory - ANSWERA
Systems theory includes which components about aging?
a) Gene regulation ideas
b) Nutation accumulation on aging
c) Neuroendocrine and immunological ideas
d) Free radical ideas - ANSWERC
What is the most noticeable change in tissue as it ages?
a) Decrease in lipids
b) Increase in subcutaneous tissue
c) Decrease in wrinkles
d) Accumulation of pigmented material called lipofuscin - ANSWERD
What is the most significant change in vital organs in the aging client?
a) No change in organ tissue is noted
b) The outer appearance of an organ changes, but the functional component does
not change
c) Organs show signs of decrease in function during the aging process
d) The aging process speeds up the functional capacity of major organs -
ANSWERC
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
& ANSWERS(GRADED A+)
In assessing the aging client, it is importnat for the nurse to recognize:
a) The client's ability to perform ADLs
b) The financial status of the client
c) The job that the client held prior to aging
d) All components of well-being, including biological function, psychological function,
and social function - ANSWERD
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
The nurse assessing the older population needs to have a basic understanding of
which of the following?
a) The economic status of the area
b) The difference between normal and abnormal for the older age group
c) The signs of sexual dysfunction
d) The signs of cardiac disease - ANSWERB
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 statement reflects the state of drug absorption in the geriatric patient?
a) The rate of absorption is slowed
b) The rate of absorption is faster due to thinning of the mucosa
c) The percentage of the medication that is absorbed is decreased
d) There is a decrease in gastric pH as we age - ANSWERA
The absorption of medication in the geriatric client is most often affected by:
a) A decrease in body fat
b) An increase in serun albumin
c) A decrease in body water and lean body weight
d) An increase in body water - 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
Which statement is true regarding adverse drug reactions (ADRs) in older adults?
a) The rate of ADRs in geriatric clients is seven times that of younger adults and
poses serious health problems
b) Older adults rarely have adverse reactions to prescribed medications becuase
they are monitored
c) Adverse reactions are minimal in older adults and require no intervention
d) Only about 1% of older adults require hospitalization for ADRs - ANSWERA
Which substance(s) show changes through aging by becoming less pliable and
stiffer?
a) Lipofuscin
b) Collagen and elastin
c) Epithelial tissue
d) Cytoplasm - ANSWERB
Which factor is NOT a normal part of aging and needs to be addressed to promote
nutrition in the older adult client?
, a) Loss of teeth
b) Increase in gastric pH
c) Xerostoma or dry mouth
d) Decline in basal metabolic rate - ANSWERC
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
Which theories on aging were introduced in the early 1900s?
a) Wear-and-tear theory and autointoxication theory
b) Evolution theory
c) Molecular theory
d) Cellular theory - ANSWERA
Systems theory includes which components about aging?
a) Gene regulation ideas
b) Nutation accumulation on aging
c) Neuroendocrine and immunological ideas
d) Free radical ideas - ANSWERC
What is the most noticeable change in tissue as it ages?
a) Decrease in lipids
b) Increase in subcutaneous tissue
c) Decrease in wrinkles
d) Accumulation of pigmented material called lipofuscin - ANSWERD
What is the most significant change in vital organs in the aging client?
a) No change in organ tissue is noted
b) The outer appearance of an organ changes, but the functional component does
not change
c) Organs show signs of decrease in function during the aging process
d) The aging process speeds up the functional capacity of major organs -
ANSWERC
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
