Q:1-According to the National Center for Complementary and Alternative Medicine,
which of the following is an example of a whole medical system?
Mark one answer:
Meditation
Massage
Acupuncture
Vitamin therapy
Q:2-When assessing a patient with dysarthria, the best approach is to:
Mark one answer:
Ask yes/no questions
Use visual aids to communicate ideas to patient
Ask information questions
Speak loudly and clearly
Q:3-Group instruction is most effective for older adults with diabetes for teaching:
Mark one answer:
Testing of glucose levels
General diabetic care
Insulin administration
Management of hypoglycemic reactions
Q:4-A legal document that specifically designates someone to make decisions regarding
medical and end-of-life care if a patient is mentally incompetent is a(n):
Mark one answer:
Durable power of attorney
Advance directive
Do-not-resuscitate order
General power of attorney
Q:5-When treating anxiety in an older adult, which type of medication is preferred?
Mark one answer:
Tricyclic antidepressant
Short-acting benzodiazepine
Beta-adrenergic agent
Long-acting benzodiazepine
Q:6-When evaluating outcomes data for evidence-based practice, the type of data that
includes measures of mortality, longevity, and cost-effectiveness is:
Mark one answer:
Physiological
Psychosocial
Integrative
Clinical
Q:7-A chronic obstructive pulmonary disease (COPD) patient experiences chronic
shortness of breath and difficulty expiring air. Which of the following exercises is best for
COPD patients to promote effective expulsion of trapped air from the lungs?
Mark one answer:
Inspiratory muscle training
Paced walking
Pursed-lip breathing
Diaphragmatic breathing
Q:8-A 68-year-old man with Parkinson disease is experiencing anticipatory grieving at the
prospect of becoming increasingly disabled and has exhibited social withdrawal,
depression, and anger, and changes in activity level and eating habits. After evaluating the
patient, the first action should be to:
Mark one answer:
Refer the patient for counseling
Reinforce patient’s strengths
Discuss the need for antidepressants
Identify possible support systems
Q:9-When the gerontological nurse interviews a patient with advanced cancer, he states, “I
can’t stand this pain anymore. I’m going to take my gun and shoot myself.” The best
response is:
Mark one answer:
“I understand why you feel that way.”
“I believe an antidepressant may help you.”
“I’m sure you don’t really mean that.”
“Let’s work together to find better ways to manage your pain.”
Q:10-A 65-year-old patient has suffered a stroke in the left hemisphere with right-sided
paralysis. Which of the following symptoms should the gerontological nurse anticipate?
Mark one answer:
Respiratory and cardiac dysfunction
Nausea and vomiting
Aphasia
Left-sided neglect
Q:1-Signs and symptoms of age-related macular degeneration include:
Mark one answer:
decreases in depth perception.
deficits in peripheral vision.
distortion of lines and print.
reports of flashes of light.
Q:2-A frail 80-year-old patient, who cares for a spouse at home without assistance, requires
minor surgery. Lacking any family members residing in the area, the patient expresses
concern about the spouse's care while the patient is recovering. The gerontological nurse's
recommendation is:
Mark one answer:
arranging inpatient respite care for the spouse.
having the patient remain in the hospital during the post operative period.
hiring around-the-clock help for two weeks.
hospitalizing the spouse.
Q:3-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:
Mark one answer:
calcium levels in the blood.
innervations of the trigeminal nerve.
the muscle strength of the tongue.
the production of saliva.
Q: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:
Mark one answer:
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.
Q:5-The American Nurses Association's Gerontological Nursing: Scope and Standards of
Practice emphasizes:
Mark one answer:
that abnormal responses to the aging process determine the appropriate nursing diagnoses.
that the health status data of older adult patients be documented in a retrievable form.
the role of the older adult patient 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.
Q:6-A state ombudsman initiates an investigation after a complaint about the care of a
nursing home resident. Which statement about the investigation process is true?
Mark one answer:
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.
Q:7-Which patient is at greatest risk for developing arteriosclerotic heart disease?
Mark one answer:
A 60-year-old female patient with a triglyceride level of 135 mg/dL, and a high-density
lipoprotein 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.
Q:8-A 65-year-old patient exhibits symptoms of hemianopsia. The most appropriate
nursing intervention is to:
Mark one answer:
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.
Q:9-An 80-year-old patient, who lives at home with a spouse, 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:
Mark one answer:
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 spouse, who prepares the meals.
Q:10-For older adult patients who are taking neuroleptic medication, the primary concern
is the development of:
Mark one answer:
lethargy.
nausea.
poor appetite.
tardive dyskinesia.
Q:1-The gerontological nurse works with patients with non-insulin dependent diabetes at a
senior center in a predominantly Hispanic neighborhood. The nurse demonstrates
competency in collaboration by:
Mark one answer:
assisting and educating patients on diet restrictions.
delivering care by preserving and protecting patient autonomy.
providing written education materials in Spanish.
working with Hispanic groups in the community.
Q:2-An older adult patient, who has end-stage multiple myeloma, is receiving hospice care.
Which situation illustrates that the principles of hospice care are being met?
Mark one answer:
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.
Q:3-A 79-year-old retired actor, who continues to pursue lifelong interests in swimming
and singing, exemplifies which theory of aging?
Mark one answer:
Continuity.
Developmental.
Disengagement.
Physical.
Q:4-A 75-year-old patient, whose marriage ended in divorce after two years, has lived
alone for the past 50 years. Feeling as if life has had little meaning, the patient is terrified of
living out the remaining years and of dying. The age-related issue to be resolved is:
Mark one answer:
disengagement vs. activity.
ego integrity vs. despair.
self-determination vs. resignation.
self-esteem vs. self-actualization.
Q:5-Three months ago, an older adult patient, who lives in an apartment in a housing
complex for senior citizens, began residing with an older adult patient from the same
complex. Upon learning of the situation, the patient's adult child expresses concern to the
housing administrator, who reports that both residents have reported satisfaction with the
arrangement. When the child requests advice, the gerontological nurse's initial response is:
Mark one answer:
I can understand why you are upset. Has he or she ever done something like this before?"
"Why don't we all talk to your parent to get his or her side of the story?"
"Your parent has the right to do what he or she wants because he or she is mentally
competent."
"Your parent seems to be happy with the arrangement. Have you discussed this situation
with him or her?"
Q:6-Under the Affordable Care Act and the National Strategy for Quality Improvement in
Health Care, which of the following represents the three national aims?
Mark one answer:
Affordable care, universal care, and health promotion
Preventive care, affordable care, and health promotion
Health promotion, affordable care, and universal care
Better care, healthy people/communities, and affordable care
Q:7-On the Braden scale for predicting risk of developing pressure sores, a patient scores 2
(1-4 or 1-3 scale) on each of 6 parameters (total score 12). The patient’s risk of developing a
pressure sore is:
Mark one answer:
High risk
Breakpoint for risk
Extremely high risk (worst score)
Very minimal risk
Q:8-According to Maslow’s Hierarchy of Needs, which of the patient’s needs must be met
first?
Mark one answer:
Safety and security
Physiological
Belonging and self-esteem
Self-actualization
Q:9-An elderly woman takes the Geriatric Depression Scale short version and answers
“no” to 8 questions and “yes” to 7 questions, for a score of 7. What is the minimal score to
indicate depression?
Mark one answer:
15
= 10
3-4
>5
Q:10-Based on best practices, processes for caring for peripherally inserted central
catheter (PICC) lines have been established, and infections in PICC lines are being tracked
for 4-week periods. Trends show wild fluctuations with high levels of infection in one
period, low in a second, and vacillations in a third. Because of these findings, the first step
should be to:
Mark one answer:
Retrain all staff members
Assume these are normal variations
Evaluate whether processes are being followed
Modify processes
Q:1-According to the National Center for Complementary and Alternative Medicine,
which of the following is an example of a whole medical system?
Mark one answer:
Meditation
Massage
Acupuncture
Vitamin therapy
Q:2-When assessing a patient with dysarthria, the best approach is to:
Mark one answer:
Ask yes/no questions
Use visual aids to communicate ideas to patient
Ask information questions
Speak loudly and clearly
Q:3-Group instruction is most effective for older adults with diabetes for teaching:
Mark one answer:
Testing of glucose levels
General diabetic care
Insulin administration
Management of hypoglycemic reactions
Q:4-A legal document that specifically designates someone to make decisions regarding
medical and end-of-life care if a patient is mentally incompetent is a(n):
Mark one answer:
Durable power of attorney
Advance directive
Do-not-resuscitate order
General power of attorney
Q:5-When treating anxiety in an older adult, which type of medication is preferred?
Mark one answer:
Tricyclic antidepressant
Short-acting benzodiazepine
Beta-adrenergic agent
Long-acting benzodiazepine
Q:6-When evaluating outcomes data for evidence-based practice, the type of data that
includes measures of mortality, longevity, and cost-effectiveness is:
Mark one answer:
Physiological
Psychosocial
Integrative
Clinical
Q:7-A chronic obstructive pulmonary disease (COPD) patient experiences chronic
shortness of breath and difficulty expiring air. Which of the following exercises is best for
COPD patients to promote effective expulsion of trapped air from the lungs?
Mark one answer:
Inspiratory muscle training
Paced walking
Pursed-lip breathing
Diaphragmatic breathing
Q:8-A 68-year-old man with Parkinson disease is experiencing anticipatory grieving at the
prospect of becoming increasingly disabled and has exhibited social withdrawal,
depression, and anger, and changes in activity level and eating habits. After evaluating the
patient, the first action should be to:
Mark one answer:
Refer the patient for counseling
Reinforce patient’s strengths
Discuss the need for antidepressants
Identify possible support systems
Q:9-When the gerontological nurse interviews a patient with advanced cancer, he states, “I
can’t stand this pain anymore. I’m going to take my gun and shoot myself.” The best
response is:
Mark one answer:
“I understand why you feel that way.”
“I believe an antidepressant may help you.”
“I’m sure you don’t really mean that.”
“Let’s work together to find better ways to manage your pain.”
Q:10-A 65-year-old patient has suffered a stroke in the left hemisphere with right-sided
paralysis. Which of the following symptoms should the gerontological nurse anticipate?
Mark one answer:
Respiratory and cardiac dysfunction
Nausea and vomiting
Aphasia
Left-sided neglect
