The nurse is setting up an education session with an 85-year-old patient who will be going home on

anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with
this patient?

A. Show a colorful video about anticoagulation therapy.

B. Present all the information in one session just before discharge.
C. Give the patient pamphlets about the medications to read at home.
D. Develop large-print handouts that reflect the verbal information presented.

D. Develop large-print handouts that reflect the verbal information presented.

Rationale: Option D addresses altered perception in two ways. First, by using visual aids to reinforce
verbal instructions, one addresses the possibility of decreased ability to hear high-frequency sounds. By
developing the handouts in large print, one addresses the possibility of decreased visual acuity. Option A
does not allow discussion of the information; furthermore, the text and print may be small and difficult
to read and understand.

When developing the plan of care for an older adult who is hospitalized for an acute illness, the nurse
should

A. use a standardized geriatric nursing care plan.

B. plan for likely long-term-care transfer to allow additional time for recovery.
C. consider the preadmission functional abilities when setting patient goals.
D. minimize activity level during hospitalization.

C. consider the preadmission functional abilities when setting patient goals.

Rationale: The plan of care for older adults should be individualized and based on the patients current
functional abilities. A standardized geriatric nursing care plan is unlikely to address individual patient
needs and strengths. A patients need for discharge to a long-term-care facility is variable. Activity level
should be designed to allow the patient to retain functional abilities while hospitalized and also to allow
any additional rest needed for recovery from the acute process.

Which information obtained by the home health nurse when making a visit to an 88-year-old with mild
forgetfulness is of the most concern?

A. The patient's son uses a marked pillbox to set up the patient's medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
C. The patient is cared for by a daughter during the day and stays with a son at night.
D. The patient tells the nurse that a close friend recently died.
B. The patient has lost 10 pounds (4.5 kg) during the last month.

Rationale: A 10-pound weight loss may be an indication of elder neglect or depression and requires
further assessment by the nurse.

A 70-year-old client asks the nurse to explain to her about hypertension. An appropriate response by the
nurse as to why older clients often have hypertension is due to:

A. Myocardial muscle damage

B. Reduction in physical activity
C. Ingestion of foods high in sodium
D. Accumulation of plaque on arterial walls

D. Accumulation of plaque on arterial walls

In reviewing changes in the older adult, the nurse recognizes that which of the following statements
related to cognitive functioning in the older client is true?

A. Delirium is usually easily distinguished from irreversible dementia.

B. Therapeutic drug intoxication is a common cause of senile dementia.
C. Reversible systemic disorders are often implicated as a cause of delirium.
D. Cognitive deterioration is an inevitable outcome of the human aging process.

C. Reversible systemic disorders are often implicated as a cause of delirium.

Rationale: Delirium is a potentially reversible cognitive impairment that is often due to a physiological
cause such as an electrolyte imbalance, cerebral anoxia, hypoglycemia, medications, tumors,
cerebrovascular infection, or hemorrhage.

Which of the following interventions should be taken to help an older client to prevent osteoporosis?

A. Decrease dietary calcium intake.

B. Increase sedentary lifestyles
C. Increase dietary protein intake.
D. Encourage regular exercise.

D. Encourage regular exercise.

Rationale: Key word in question is prevent

Weight-bearing exercises helps to fight off degeneration of bone in osteoporosis

Which of the following statements accurately reflects data that the nurse should use in planning care to
meet the needs of the older adult?
A. 50% of older adults have two chronic health problems.
B. Cancer is the most common cause of death among older adults.
C. Nutritional needs for both younger and older adults are essentially the same.
D. Adults older than 65 years of age are the greatest users of prescription medications.

D. Adults older than 65 years of age are the greatest users of prescription medications.

Rationale: Approximately two thirds of older adults use prescription and nonprescription drugs with one
third of all prescriptions being written for older adults

The nurse is aware that the majority of older adults:

A. Live alone
B. Live in institutional settings
C. Are unable to care for themselves
D. Are actively involved in their community

D. Are actively involved in their community

The nurse works with elderly clients in a wellness screening clinic on a weekly basis. Which of the
following statements made by the nurse is the most therapeutic regarding their mobility?

A. "Your shoulder pain is normal for your age."

B. "Continue to exercise your joints regularly to your tolerance level."
C. "Why don't you begin walking 3 to 4 miles a day, and we'll evaluate how you feel next week."
D. "Don't worry about taking that combination of medications since your doctor has prescribed them."

B. "Continue to exercise your joints regularly to your tolerance level."

A long-term care facility sponsors a discussion group on the administration of medications. The
participants have a number of questions concerning their medications. The nurse responds most
appropriately by saying:

A. "Don't worry about the medication's name if you can identify it by its color and shape."
B. "Unless you have severe side affects, don't worry about the minor changes in the way you feel."
C. "Feel free to ask your physician why you are receiving the medications that are prescribed for you."
D. "Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of your
medications."

C. "Feel free to ask your physician why you are receiving the medications that are prescribed for you."

Rationale: The nurse should encourage the older adult to question the physician and/or pharmacist
about all prescribed drugs and over-the-counter drugs. The older adult should be taught the names of all
drugs being taken, when and how to take them, and the desirable and undesirable effects of the drugs.
In performing a physical assessment for an older adult, the nurse anticipates finding which of the
following normal physiological changes of aging?

A. Increased perspiration
B. Increased airway resistance
C. Increased salivary secretions
D. Increased pitch discrimination

B. Increased airway resistance

Rational: Normal physiological changes of aging include increased airway resistance in the older adult.
The older adult would be expected to have decreased perspiration and drier skin as they experience
glandular atrophy (oil, moisture, sweat glands) in the integumentary system. The older adult would be
expected to have a decrease in saliva. A normal physiological change of the older adult related to hearing
is a loss of acuity for high-frequency tones (presbycusis).

There are factors that influence the musculoskeletal system associated with aging. The nurse recognizes
that with age:

A. Men have the greatest incidence of osteoporosis

B. Muscle fibers increase in size and become tighter
C. Weight-bearing exercise reduces the loss of bone mass
D. Muscle strength does not diminish as much as muscle mass

C. Weight-bearing exercise reduces the loss of bone mass

Which of the following statements, made by the daughter of an older adult client concerning bringing
her mother home to live with her family, presents the greatest concern for the nurse?

A. "If this doesn't work out, she can always go to live with my sister."
B. "I don't think she will react very well to me making decisions for her."
C. "I'm afraid that mom will be depressed and miss her home."
D. "My children will just have to adjust to having their grandmother with us."

B. "I don't think she will react very well to me making decisions for her."

The nurse, preparing to discharge an 81-year-old client from the hospital, recognizes that the majority of
older adults:

A. Require institutional care

B. Have no social or family support
C. Are unable to afford any medical treatment
D. Are capable of taking charge of their own lives
D. Are capable of taking charge of their own lives

Which of the following responses by an older-adult client is most reflective of a need for further
education by the nurse regarding the physiological changes associated with the older adult?

A. "I call a cab if I want to go out after dark."

B. "I can't help worrying about becoming forgetful."
C. "I have my eyes checked regularly. Can't afford to fall."
D. "I really enjoy eating good vanilla ice cream, but I have cut way down." 0%

B. "I can't help worrying about becoming forgetful."

Which of the following statements made by a family member of a client recently diagnosed with early
stages of Alzheimer's disease is most reflective of an understanding of this disease process?

A. "Dad has always been a fighter; he'll fight this too. He won't give up."
B. "We have an appointment with his care provider to see about medication therapy."
C. "Good thing we found out about this early so we can prevent this from getting worse."
D. "We have a made arrangements to discuss nursing home placement for dad."

B. "We have an appointment with his care provider to see about medication therapy."

The nurse is planning client education for an older adult being prepared for discharge home after
hospitalization for a cardiac problem. Which nursing action addresses the most commonly determined
need for this age-group?

A. Suggest that he purchase an emergency in-home alert system.

B. Arrange for the client to receive meals delivered to his home daily.
C. Encourage the client to use a compartmentalized pill storage container for his daily medications.
D. Provide only written document describing the medications the client is currently prescribed.

Encourage the client to use a compartmentalized pill storage container for his daily medications.

An assisted living facility has provided its clients with an educational program on safe administration of
prescribed medications. Which statement made by an older-adult client reflects the best understanding
of safe self-administration of medications?

A. "I don't seem to have problems with side effects, but I'll let my doctor know if something happens."
B. "I'm lucky since my daughter is really good about keeping up with my medications."
C. "I'll be sure to read the inserts and ask the pharmacist if I don't understand something."
D. "It shouldn't be too hard to keep it straight since I don't have any really serious health issues."

C. "I'll be sure to read the inserts and ask the pharmacist if I don't understand something."
Which of the following client statements regarding self-medication administration by an older-adult
client requires follow-up teaching by the nurse?

A. "I take all the pills ordered once a day at bedtime, so I'm less likely to forget them."
B. "I have one pill that needs cut in half. I am going to ask the pharmacist to do that for me."
C. "The pharmacist said to keep my pills away from the sunlight, so I put them inside the kitchen
cabinet."
D. "My daughter comes over each morning and puts my pills into a container that sorts them by the time
they are due."

A. "I take all the pills ordered once a day at bedtime, so I'm less likely to forget them."

Which of the following statements made by an older-adult client poses the greatest concern for the
nurse conducting an assessment regarding the clients adjustment to the aging process?

A. "I use to enjoy dancing and jogging so much, but now I have arthritis in my knees so that it's hard to
even walk."
B. "I've given my grandchildren money for college so they can live a better life than I had."
C. "Growing old certainly presents all sorts of challenges. I wish I knew then what I know now."
D. "As I age I've found its harder to do the things I love doing, but I guess it will all be over soon enough."

D. "As I age I've found its harder to do the things I love doing, but I guess it will all be over soon enough."

Of the following options, which is the greatest barrier to providing quality health care to the older-adult
client?

A. Poor client compliance resulting from generalized diminished capacity

B. Inadequate health insurance coverage for the group as a whole
C. Insufficient research to provide a basis for effective geriatric health care
D. Preconceived assumptions regarding the lifestyles and attitudes of this group

D. Preconceived assumptions regarding the lifestyles and attitudes of this group

A patient is taking delayed-release omeprazole (Prilosec) capsules for the treatment of gastroesophageal
reflux disease (GERD). Which statement will the nurse include in the teaching plan about this
medication?

A. "Take this medication once a day after breakfast."

B. "You will only have to be on this medication for 2 weeks for a life long treatment of the reflux
disease."
C. "The medication may be dissolved in a liquid for better absorption."
D. "The entire capsule should be taken whole, not crushed, chewed, or opened."
D. "The entire capsule should be taken whole, not crushed, chewed, or opened."

The nurse defines ageism most accurately as:

A. The undervaluing of individuals based on their age.

B. Perception of a person's worth based on productivity
C. Biases directed towards individuals considered aged
D. Discrimination based on an individual's increasing age

D. Discrimination based on an individual's increasing age

A nurse is caring for an older adult client preparing for discharge to a nursing center after having hip
surgery. Which of the following nursing responses is most therapeutic with a client's concern that she,
will never go back home?

A. "What makes you think that this transfer to the nursing center will be permanent?"
B. "The reason for this transfer is only to support you while you continue to recuperate."
C. "The decision to stay in the nursing center is yours to make. When you want to leave no one will stop
you."
D. "The nursing center is a lovely place with a wonderful staff of caring people. Just give it a chance. You
may like it."

A. "What makes you think that this transfer to the nursing center will be permanent?"

A nurse caring for older adults in an assistive living facility recognizes that a clients quality of life needs
are best determined by:

A. Excellent physical, social, and emotional nursing assessments

B. A working knowledge of this age-group's developmental needs
C. A therapeutic nurse-client relationship that facilitates communication
D. The client's need for complete physical, emotional, and cognitive care

C. A therapeutic nurse-client relationship that facilitates communication

Which of the following statements made by a nurse reflects the best understanding of the health value
of conducting a blood pressure (BP) screening at a senior citizens centers health fair?

A. "This is a high risk group, so assessing BP allows us to identify clients at risk and send them for
treatment."
B. "Older adults enjoy health fairs, so it's a good place to screen substantial numbers of clients for
hypertension."
C. "Hypertension doesn't present symptoms early on, so screening elder adults is a wonderful preventive
measure."
D. "Blood pressure problems are common among this group, so it's a good way to monitor the
effectiveness of their medications."

B. "Older adults enjoy health fairs, so it's a good place to screen substantial numbers of clients for
hypertension."

The three common conditions affecting cognition in the older adults are:

A. Stroke, MI, Cancer

B. Cancer, Alzheimer's disease, Stroke
C. Delirium, Depression, Dementia
D. Blindness, Hearing loss, Stroke

C. Delirium, Depression, Dementia

A client has been recently diagnosed with Alzheimer's disease. When teaching the family about the
prognosis, the nurse must explain that:

A. Diet and exercise can slow the process considerably

B. It usually progresses gradually with a deterioration of function
C. Many individuals can be cured if the diagnosis is made early
D. Few clients live more than 3 years after the diagnosis

B. It usually progresses gradually with a deterioration of function

An overall, general assessment of an older adult patient is best performed in which setting?

A. During a meal.
B. During assessment of vital signs.
C. While assisting a patient with a bath.
D. When assisting a patient during a walk.

C. While assisting a patient with a bath.

When caring for the older adult, it is important to:

Student Response Value Correct Answer Feedback

A. Repeat oneself often because older adults are forgetful.
B. Treat the client as an individual with a unique history of his or her own.
C. Be aware that older adults are no longer interested in sex.
D. Disregard the older adult's experiences because older people are too old-fashioned to be of value
today.

B. Treat the client as an individual with a unique history of his or her own.

When administering a mental status examination to a patient with delirium, the nurse should

A. give the examination when the patient is well-rested.

B. choose a place without distracting environmental stimuli.
C. reorient the patient as needed during the examination.
D. medicate the patient first to reduce anxiety.

B. choose a place without distracting environmental stimuli.

When performing a comprehensive geriatric assessment of an older adult, focus of the nursing
assessment is on the patient's:

A. Physical signs of aging.

B. Immunological function.
C. Functional abilities.
D. Chronic illness.

C. Functional abilities.

Of the following, which describes dementia?

A. Quick onset, irreversible

B. Slow onset, chronic
C. Acute onset, reversible
D. Progressive, terminal

B. Slow onset, chronic

When a fall results in injury and hospitalization, a cycle of disuse may occur over time. When establishing
a care plan for the patient and family to prevent this, it is important to remember disuse is most likely a
result of:

A. Decreasing muscle strength.

B. Decreased joint mobility.
C. Fear of repeated falls.
D. Changes in sensory perception.

C. Fear of repeated falls.

What is the best resource (of those listed below) for identifying information regarding an older adult's
current functional ability?

A. Psychological tests and related exams

B. Diagnostic x-rays and lab tests
C. Family members who visit occasionally and call weekly
D. Neighbor who visits daily and helps the person to the store weekly.

D. Neighbor who visits daily and helps the person to the store weekly.

When caring for an older adult patient, the nurse uses the following interventions to accommodate
visual changes with age:

A. Eye glasses in the bedside table.

B. Adequate lighting and uncluttered walkways.
C. Draw drapes in room to prevent glare.
D. Keep bedside rails down.

B. Adequate lighting and uncluttered walkways.

The primary reason an older adult client is more likely to develop a pressure ulcer on the elbow as
compared to a middle-age adult is:

A. A reduced skin elasticity is common in the older adult

B. The attachment between the epidermis and dermis is weaker
C. The older client has less subcutaneous padding on the elbows
D. Older adults have a poor diet that increases risk for pressure ulcers

C. The older client has less subcutaneous padding on the elbows

While bathing an elderly client who has limited abilities for self-care, the nurse notices several patches of
dry skin on the clients heels, elbows, and coccyx. The nurse cleans and dries all the areas well and
applies a moisturizing lotion. The most appropriate immediate follow-up by the nurse to ensure
appropriate nursing care for this clients skin is to:

A. Revise the client's care plan to show the need for the application of moisturizing lotion
B. Assume personal responsibility to apply the moisturizing lotion daily to the client's skin
C. Encourage the client to tell whomever bathes her to apply the moisturizing lotion to her areas of dry
skin
D. Inform the staff that the client's skin is showing signs of breakdown and moisturizing lotion needs to
be applied daily

A. Revise the client's care plan to show the need for the application of moisturizing lotion
A 76-year-old adult female is brought to a neighborhood client after being found wandering around the
local park. The client appears disheveled and reports being hungry. Which of the following assessment
and interview findings would cause the nurse to suspect elder abuse? (Select all that apply.)

A. Falls asleep in the examination room

B. Repeatedly states, "Don't hurt me."
C. Chafing around wrists and ankles
D. Bruises in various stages of healing

B. Repeatedly states, "Don't hurt me."

C. Chafing around wrists and ankles
D. Bruises in various stages of healing

One reason for medication problems in the elderly is that

1. Regular use of laxatives increases absorption of medications

2. Decreased renal function slows excretion of drugs
3. Enhanced sense of taste of medications
4. Increased perception of pain from injections

2. Decreased renal function slows excretion of drugs

You are caring for a 78 year-old female cardiac patient. In preconference, your clinical instructor asks you
what is an age-related change in the cardiac system of the older adult? Your best response would be

Student Response Value Correct Answer Feedback

1. Decreased blood pressure
2. Decreased cardiac output
3. Increase ability to respond to stress
4. Increased heart recovery rate

2. Decreased cardiac output

The most common affective or mood disorder of old age is

1. dementia.
2. depression.
3. delirium.
4. Alzheimer's.

2. depression.
Your patient assigned to you has pneumonia. You are reviewing the age-related changed involved with
the older adult. Select all age-related changes of the respiratory system that apply.

1. Decreased in residual lung volume

2. Decreased gas exchange
3. Decreased cough efficiency
4. Increased gas exchange

2. Decreased gas exchange

3. Decreased cough efficiency

The leading cause of injury and preventable source of mortality and morbidity in older adults is

1. presbycusis.
2. car accidents.
3. pneumonia.
4. falls.

4. falls.

Which medication prevents the breakdown of a brain chemical important for memory and thinking and
may slow the progress of Alzheimer's disease.

1. memantine (Namenda)
2. ozazepam (Serax)
3. donepezil (Aricept)
4. citalopram (Celexa)

3. donepezil (Aricept)

The following sample questions are similar to those on the examination but do not represent the full
range of content or levels of difficulty. The answers to the sample questions are provided after the last
question. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual
certification examination. Completion of these or any other sample question(s) does not imply eligibility
for certification or successful performance on any certification examination.

To respond to the sample questions, first enter your first and last names in the boxes below (this
information will not be recorded; it is strictly for purposes of identifying your results). Then click the
button corresponding to the best answer for each question. When you are finished, click the "Evaluate"
button at the bottom of the page. A new browser window will open, displaying your results, which you
may print, if you wish.

This practice exam is not timed, and you may take it as many times as you wish. Good luck!
First name: Last name:

1. A 75-year-old female patient, whose marriage ended in divorce after two years, has lived alone for the
past 50 years. Feeling as if her life has had little meaning, the patient is terrified of living out her
remaining years and of dying. The age-related issue to be resolved is:

disengagement versus activity.

ego integrity versus despair.

self-determination versus resignation.

self-esteem versus self-actualization.

2. An 80-year-old male patient, who lives at home with his wife, is instructed to follow a 2-g sodium diet.
The patient states, “I've always eaten the same way all my life, and I'm not going to change now." To
promote optimal dietary adherence, the gerontological nurse's initial approach is to:

inform the patient about the need to follow the diet.

inquire about the patient's current food preferences and eating habits.

list the variety of foods that are allowed on the diet.

provide dietary instruction to the patient's wife who prepares the meals.

3. Signs and symptoms of age-related macular degeneration include:

deficits in peripheral vision.

decreases in depth perception.

 distortion of lines and print.

reports of flashes of light.

4. A 90-year-old patient comes to the clinic with a family member. During the health history, the patient
is unable to respond to questions in a logical manner. The gerontological nurse's action is to:

ask the family member to answer the questions.

ask the same questions in a louder and lower voice.

determine if the patient knows the name of the current president.

rephrase the questions slightly, and slowly repeat them in a lower voice.

5. An effective way to adequately provide nourishishment to a patient with moderate dementia is:

allowing the patient to choose foods from a varied menu.

hand-feeding the patient's favorite foods.

routinely reminding the patient about the need for adequate nutrition.

serving soup in a mug, and offering finger foods.

6. The American Nurses Association's Gerontological Nursing: Scope and Standards of

Practice emphasizes:
 the role of the older adult as the sole decision maker in planning his or her care.

the unchanging nature of the goals and plans of care for older adult patients.

that abnormal responses to the aging process determine the appropriate nursing diagnoses.

that the health status data of older adults be documented in a retrievable form.

7. A 65-year-old patient exhibits symptoms of hemianopia. The most appropriate nursing intervention is
to:

arrange the patient's meal tray so that all the food is in the patient's field of vision.

explain all tasks thoroughly to help allay the patient's fears.

look directly at the patient when speaking to maximize comprehension.

minimize the operating stimuli to reduce distractions to the patient.

8. For older adults who are taking neuroleptic medication, the primary concern is the development of:

lethargy.

nausea.

poor appetite.

tardive dyskinesia.
9. After a complaint about the care of a nursing home resident is made, a state ombudsman initiates an
investigation. Which statement about the investigation process is true?

The ombudsman may proceed with the investigation without identifying the individual who made

the complaint, and without obtaining a court order or written consent.

The ombudsman must identify the individual who made the complaint.

The ombudsman must obtain a court order to review documentation, if the resident described in

the complaint does not give written permission.

The ombudsman must obtain the written permission of the resident who is described in the

complaint.

10. When teaching an independent, older adult patient how to self-administer insulin, the most
productive approach is to:

facilitate involvment in a small group where the skill is being taught.

gather information about the patient's family health history.

provide frequent, competitive skills testing to enhance learning.

use repeated, return demonstrations to promote the patient's retention of the involved tasks.

11. The gerontological nurse assesses a 78-year-old patient, who has had a thyroidectomy, for spasm or
edema of the vocal chords by:

auscultating the patient's neck over the vocal chords.

checking the patient's tone of voice and ability to speak.

 monitoring the patient for dysphagia.

observing the patient for changes in mental status.

12. A male resident in a nursing home requests a new room because he does not like the view from his
current room. While the resident is away from the home on a provider visit, the staff moves the
resident's belongings to another room with a better view. The resident and his family later file a formal
complaint regarding the move. Which statement gives the best justification for the resident's complaint?

The change was made without a provider's order.

The resident was not included in the decision making.

The resident's belongings were moved without his assistance.

The resident's family was not included in the decision making.

13. A nursing home resident, who was recently admitted, and her family only speak Spanish. One
evening during a visit, the resident and her family begin to wail and sob loudly. The gerontological nurse
is unable to determine what is wrong. The nurse's most appropriate action is to:

ask the supervisor to get an interpreter.

attempt to make the resident and her family comfortable.

contact the provider for orders.

find an escort to take the resident and her family to the chapel for privacy.

14. Which condition do older adults with Down syndrome tend to develop?
 Alzheimer disease

Muscular dystrophy

Paget disease

Parkinson disease

15. Which ethical principle underlies nursing actions respecting each patient's values and beliefs?

Autonomy

Beneficence

Justice

Responsibility

16. An older adult woman, who lives in an apartment in a housing complex for senior citizens, began
residing with an older adult man from the same complex three months ago. Upon learning of the
situation, the woman's daughter expresses concern to the housing administrator, who reports that both
residents have reported satisfaction with the arrangement. When the daughter requests advice, the
gerontological nurse's initial response is:

“I can understand why you are upset. Has she ever done something like this before?"

“Why don't we all talk to your mother to get her side of the story?"

“Your mother has the right to do what she wants because she is mentally competent."
 “Your mother seems to be happy with the arrangement. Have you discussed this situation with

her?"

17. Which patient is at greatest risk for developing arteriosclerotic heart disease?

A 60-year-old female patient with a triglyceride level of 135 mg/dL, and a high-density lipoptrotein

level of 68 mg/dL
A 70-year old male patient with a total cholesterol level of 181 mg/dL, and a low-density lipoprotein

level of 90 mg/dL
A 75-year old female patient with a triglyceride level of 189 mg/dL, and a low-density lipoprotein

level of 149 mg/dL

An 86-year-old male patient with a low-density lipoprotein level of 100 mg/dL, and a high-density

lipoprotein level of 50 mg/dL

18. An 82-year-old male patient has a painful, vesicular rash that burns over his left abdomen. The
patient indicates that he has tried multiple creams which have not helped. Which question does the
gerontological nurse first ask?

“Did you have the pain before the rash appeared?"

“Do you have any food or drug allergies?"

“Have you been around anyone with a rash?"

“Have your grandchildren visited recently?"

19. Which question does the gerontological nurse prioritize for an 86-year-old male patient with
abdominal pain, muscle weakness, and leg cramps?
 “Do you eat a lot of meat?”

“Do you have heart problems?”

“Do you take a diuretic?”

“Do you walk everyday?”

20. A frail 80-year-old woman, who cares for her husband at home without assistance, requires minor
surgery. Lacking any family members residing in the area, the wife expresses concern about her
husband's care while she is recovering. The gerontological nurse's recommendation is:

arranging inpatient, respite care for the husband.

hiring around-the-clock help for two weeks.

hospitalizing the husband.

remaining in the hospital during the postoperative period.

21. An older adult patient currently takes phenytoin (Dilantin) and tolterodine (Detrol). The
gerontological nurse reinforces the need for routine dental visits because these two medications
decrease:

calcium levels in the blood.

innervations of the trigeminal nerve.

 the muscle strength of the tongue.

the production of saliva.

22. An older adult, who is terminally ill with multiple myeloma, is followed by hospice. Which situation
best illustrates that the principles of hospice care are being met?

The caregiver asks if hospice includes weekend care.

The caregiver has been calling the provider on his or her own.

The patient reports enjoying daily excursions.

The patient reports no breakthrough pain medications are needed.

23. A 76-year-old male patient reports hesitancy, decreased force of the urinary flow, a sensation of
incomplete emptying of the bladder, and dribbling. The gerontological nurse first asks:

“Have you experienced abdominal pain?"

“Have you had a daily bowel movement?"

“Have you had low back pain?"

“Have you noticed blood in your urine?"

24. A gerontological nurse is monitoring signs of suspected abuse in an 89-year-old patient who was
admitted from home. When planning for the patient's discharge, the nurse's first action is to:
 delay discharge by informing the provider of the suspected abuse.

enlist the help of family members with transitioning the patient home.

notify Adult Protective Services of the patient's discharge.

restrict the family members' access to the patient prior to discharge.

25. The gerontological nurse manager involves the nursing staff in the utilization of trend data and
analysis for quality improvement by:

encouraging staff to volunteer for The Joint Commission's onsite surveys.

highlighting the quality improvement work of experts in the specialty area.

informing how data and outcomes are directly related to the staff's daily work.

using scatter diagrams to identify the root cause of unresolved concerns.

Gerontological Nursing Sample Questions

Information
First Name:
Last Name:

You have made the following errors

Question 1
The right answer was ego integrity versus despair.

Question 2
The right answer was inquire about the patient's current food preferences and eating habits.

Question 3
The right answer was distortion of lines and print.
Question 4
The right answer was rephrase the questions slightly, and slowly repeat them in a lower voice.

Question 5
The right answer was serving soup in a mug, and offering finger foods.

Question 6
The right answer was that the health status data of older adults be documented in a retrievable form.

Question 7
The right answer was arrange the patient's meal tray so that all the food is in the patient's field of vision.

Question 8
The right answer was tardive dyskinesia.

Question 9
The right answer was The ombudsman may proceed with the investigation without identifying the
individual who made the complaint, and without obtaining a court order or written consent.

Question 10
The right answer was use repeated, return demonstrations to promote the patient's retention of the
involved tasks.

Question 11
The right answer was checking the patient's tone of voice and ability to speak.

Question 12
The right answer was The resident was not included in the decision making.

Question 13
The right answer was ask the supervisor to get an interpreter.

Question 14
The right answer was Alzheimer disease

Question 15
The right answer was Autonomy

Question 16
The right answer was “Your mother seems to be happy with the arrangement. Have you discussed this
situation with her?"

Question 17
The right answer was A 75-year old female patient with a triglyceride level of 189 mg/dL, and a low-
density lipoprotein level of 149 mg/dL
Question 18
The right answer was “Did you have the pain before the rash appeared?"

Question 19
The right answer was “Do you take a diuretic?”

Question 20
The right answer was arranging inpatient, respite care for the husband.

Question 21
The right answer was the production of saliva.

Question 22
The right answer was The patient reports no breakthrough pain medications are needed.

Question 23
The right answer was “Have you noticed blood in your urine?"

Question 24
The right answer was notify Adult Protective Services of the patient's discharge.

Question 25
The right answer was informing how data and outcomes are directly related to the staff's daily work.

You have made 25 errors.

Total score: 0.

STANDARDS & CRITERIA OF GERONTOLOGICAL NURSING Standard 1 –

Uniqueness of Older People Each older person is unique. Criteria

The Gerontological Nurse: 1.1 Recognizes the factors that influence the older person's experience of
aging. 1.2 Elicits from older persons their perceptions and expectations of their situations or
circumstances and their reactions to these including: - patterns of coping - satisfaction with health status
- health goals - rights and responsibilities - quality of life 1.3 Assesses all factors that contribute to the
uniqueness of each older person including: - physical and mental status - emotional attributes - cultural
heritage - family constellation and relationships - educational and economic circumstances - social and
spiritual values

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