Geriatric Nursing Final Exam Questions
Course Introduction
Geriatric Nursing focuses on the comprehensive healthcare needs of older adults, emphasizing physical, psychological, and social changes associated with aging. This course explores common geriatric syndromes, chronic disease management, medication safety, and the promotion of functional independence. Students will learn evidence-based nursing interventions, holistic assessment techniques, and ethical considerations unique to geriatric care. Multidisciplinary approaches and family involvement in enhancing the quality of life for seniors are also emphasized, preparing students to deliver compassionate, person-centered care in a variety of healthcare settings.
Recommended Textbook
Basic Geriatric Nursing 6th Edition by Williams
Available Study Resources on Quizplus
20 Chapters
546 Verified Questions
546 Flashcards
Source URL: https://quizplus.com/study-set/899
Page 2
Chapter 1: Trends and Issues
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/17721
Sample Questions
Q1) What reason is often stated by nurses today for not seeking careers in gerontology?
A) The physical work is too difficult.
B) Their technical skills are not used.
C) There is too much challenge.
D) There are limited options for employment.
Answer: B
Q2) What characteristics are typical for a caregiver of an aging family member? (Select all that apply.)
A) 32 years of age
B) Female
C) Having full-time employment
D) Having a care recipient older than 70
E) Giving care for an average of 18 years
Answer: B,C,D,E
Q3) The nurse clarifies that the term that refers to the promotion of high-level functioning and supportive care to older adults is __________.
Answer: gerontics
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Theories of Aging
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/17722
Sample Questions
Q1) Which of the following would be selected for a diet high in antioxidants? (Select all that apply.)
A) Fruits
B) Vegetables
C) Organ meat
D) Folic acid
E) Vitamin D
Answer: A,B,D
Q2) Which of the following would be considered positive outcomes of Erikson's "life review"? (Select all that apply.)
A) Wisdom and integrated self-image
B) Comparing self with others
C) Understanding self and relationships
D) Seeking another's opinion of his or her achievement
E) Acceptance of self
Answer: A,C,E
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Physiologic Changes
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/17723
Sample Questions
Q1) A person who experienced a hemorrhagic cardiac vascular accident (CVA) to the left hemisphere would demonstrate which type of symptoms?
A) Language disturbances
B) Poor impulse control
C) Inappropriate affect
D) Confabulation
Answer: A
Q2) Why would a nurse lead a group of postmenopausal women on a daily 15-minute "walking tour" through the long-term care facility?
A) To improve bone strength
B) To orient them to their surroundings
C) To improve their socialization
D) To increase their appetite
Answer: A
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Health Promotion, Health Maintenance, and
Home Health Considerations
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/17724
Sample Questions
Q1) How often should a 75-year-old have a visual screening?
A) Every 6 months
B) Every 12 months
C) Every 2 years
D) On an as needed basis
Q2) What factors might interfere with the health maintenance activities of a 76-year-old patient? (Select all that apply.)
A) A belief that diminished health is part of aging
B) Loss of a spouse 3 months ago
C) Having a physical examination every year
D) Living in an assisted living facility and not driving
E) Having no family
Q3) What benefits can the older adult female expect with even a small amount of daily exercise? (Select all that apply.)
A) Build muscle mass
B) Control weight
C) Retard bone loss
D) Control the blood glucose level
E) Promote a sense of well-being
6
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Communicating with Older Adults
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/17725
Sample Questions
Q1) The patient denies smoking, although the smell of tobacco is strong in his hospital room. Which of the following statements by the nurse would be the most effective?
A) "Don't bother to lie to me. I know you've been smoking."
B) "It is very dangerous to smoke in bed."
C) "The hospital has policies against smoking."
D) "I can smell the tobacco, and I see your lighter on the bedside table."
Q2) What would the nurse be conveying when using touch as a form of communication? (Select all that apply.)
A) Affection
B) Understanding
C) Concern
D) Apathy
E) Acknowledgment
Q3) What percent of communication is transmitted by verbal methods?
A) 7
B) 18
C) 22
D) 36
To view all questions and flashcards with answers, click on the resource link above.
7
Chapter 6: Maintaining Fluid Balance and Meeting
Nutritional Needs
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/17726
Sample Questions
Q1) The nurse cautions the older adult against taking excess vitamin supplements because some vitamins can be retained in fatty tissue and cause liver damage, including vitamin(s) __________. (Select all that apply.)
A) A
B) B?
C) C
D) D
E) E
Q2) The nurse encourages a group of extended care residents to sit out on the sunny patio for an hour each day. What vitamin level is the nurse trying to improve?
A) A
B) B<sub>12</sub>
C) D
D) K
Q3) What is the caloric value of vitamins?
A) 9 cal/g
B) 4 cal/g
C) 0 cal/g
D) 7 cal/g
Page 8
To view all questions and flashcards with answers, click on the resource link above.
Chapter 7: Medications and Older Adults
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/17727
Sample Questions
Q1) What measures may the older adult take to reduce the high cost of prescription drugs? (Select all that apply.)
A) Simply not fill a new prescription
B) Take less than prescribed to preserve their supply
C) Fill all prescriptions at once
D) Save old prescription drugs for later use
E) Share medications
Q2) The home health nurse would be most concerned about self-medicating errors for the older adult living alone who is a type 1 diabetic and is
A) afflicted with early Parkinson disease.
B) visually impaired.
C) a rheumatoid arthritic with stiffened hands.
D) paralyzed from the waist down.
Q3) What age-related changes in the stomach can cause increased drug absorption and possibly drug toxicity?
A) Decreased gastric motility
B) Gastric reflux disease
C) Inability of gastric cells to transport the drug
D) Decreased peristalsis
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Health Assessment for Older Adults
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/17728
Sample Questions
Q1) What is the correct term for the difference between the apical pulse and the radial pulse?
A) Pulse pressure
B) Pulse deficit
C) Pulse ratio
D) Pulse quality
Q2) When conducting a health assessment, which finding would be recorded as crackles?
A) High-pitched sounds in the lung bases on inspiration
B) Continuous low-pitched snoring sounds over major bronchi
C) Squeaky musical sounds on expiration
D) Coarse grating sounds on inspiration and expiration
Q3) How should the nurse begin the health interview in order to most effectively build rapport with the patient?
A) Focus on the problems that the patient sees as important.
B) Explain the importance of health maintenance.
C) Inform the patient of the number of questions that will be asked.
D) Reassure the patient that the interview is private.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Meeting Safety Needs of Older Adults
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/17729
Sample Questions
Q1) What is the primary focus of a fall prevention program in a long-term care facility?
A) Improving balance
B) Improving muscle mass
C) Improving circulation
D) Increase in the knowledge base about falls
Q2) What factors increase the risk of vehicular accidents for the older adult? (Select all that apply.)
A) Increased reflex time
B) Cognitive disorders
C) Altered depth perception
D) Changes in night vision
E) Reduced flexibility
Q3) The nurse is aware that the older adult is at greater risk for hypothermia than a younger person because the older adult has a diminished ability to:
A) convert glycogen to glucose.
B) select appropriate clothing or bed linen.
C) shiver.
D) constrict vessels.
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Cognition and Perception
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/17730
Sample Questions
Q1) Antipsychotic medication can be prescribed to control which of the following?
A) Disruptive verbal behavior
B) Constant yelling and hitting others
C) Hallucinations
D) Disorientation
Q2) An 84-year-old female resident with dementia in an extended-care facility rapidly paces the halls and the common areas from right after breakfast to bedtime. What should be included in the nursing plan of care?
A) Restrain the resident from pacing.
B) Apply a bracelet that sounds an alarm if the resident leaves the building.
C) Encourage rest by asking her to sit and have a glass of juice or a snack.
D) Pace with her and engage her in conversations.
Q3) A nurse is teaching a family member about her mother's memory loss. Which of the following would be included in the teaching regarding memory loss? (Select all that apply.)
A) Increases with age
B) Decreases in a person with more education
C) Increases with the use of antihistamines
D) Decreases with the use of vitamin A
E) Decreases in persons who have many varied memories
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 11: Self Perception and Self-Concept
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17731
Sample Questions
Q1) What is a common feeling for an older adult who is placed in a long-term care facility?
A) Rejection
B) Safety
C) Making a fresh start
D) Immediate assistance at hand
Q2) What can the long-term care nurse do to best relieve anxiety in a female resident?
A) Stimulate her with group activity.
B) Sedate her to allow her to sleep.
C) Provide her with coffee for relaxation.
D) Offer her a diversion of a quiet activity.
Q3) What influences the older adult's self-perception? (Select all that apply.)
A) Family support
B) Ethnic heritage
C) Health status
D) Financial status
E) Sense of independence
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Roles and Relationships
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17732
Sample Questions
Q1) The nurse is aware that an older adult may become socially isolated related to the loss of __________. (Select all that apply.)
A) a spouse
B) friends to death or relocation
C) health
D) home
E) culture
Q2) What is a typical response for friends when dealing with a grieving person?
A) Avoid discussing the source of grief.
B) Encourage discussion of the source of grief.
C) Schedule an intervention.
D) Try to resolve the grief.
Q3) Which stage of grief usually resolves after approximately 2 weeks to 4 months?
A) Disorientation
B) Shock and numbness
C) Reorganization
D) Searching and yearning
Q4) A society that has numerous subcultures with different or conflicting expectations is said to be a(n) __________ society.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Coping and Stress
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17733
Sample Questions
Q1) What methods for coping with stress would be included in a teaching session with a group of older adults? (Select all that apply.)
A) Meditation
B) Talking with family and friends
C) Swimming
D) Alcohol use in moderation
E) Massage therapy
Q2) The nurse is assessing an older adult who has been recently admitted to the long-term care facility. The resident has become active in the facility, goes to every activity, carefully makes her bed every day, does jigsaw puzzles, and chats with tablemates at mealtime. What defense mechanism is the resident exhibiting?
A) Projection
B) Rationalization
C) Intellectualization
D) Substitution
Q3) The nurse explains that according to the general adaptation syndrome theory, if coping skills do not resolve the initial alarm response, the body becomes depleted of its reserve and the person enters the __________ stage.
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Values and Beliefs
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/17734
Sample Questions
Q1) What would an 80-year-old African-American woman most likely believe would aid in improving her health?
A) Eating fresh fruits and vegetables
B) Daily exercise
C) A visit from her pastor to pray for her recovery
D) The close attendance of her family
Q2) The home health nurse is caring for an 85-year-old patient with conservative economic values. What does the nurse expect from the older adult?
A) Using credit cards rather than cash
B) Hoarding old prescription drugs for later use
C) Seeking the care of a physician frequently
D) Seeking to qualify for food stamps
Q3) After the burial of a Jewish man who was a resident in a long-term care facility, the nurse is aware that the family will observe a 7-day period of mourning known as ___________ following the burial.
Q4) The nurse explains that Muslims have a great reverence for their holy book, called the __________.
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: End-of-Life Care
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/17735
Sample Questions
Q1) A resident in the long-term care facility has just expired, and the family is on the way to say their last goodbyes. What should the nurse do prior to the arrival of the family? (Select all that apply.)
A) Remove equipment (e.g., IV poles and tubing, feeding tubes, oxygen equipment).
B) Dress the resident in a clean gown and cover him or her with a clean sheet.
C) Remove dentures.
D) Apply a diaper to catch draining body fluids.
E) Provide privacy by drawing the curtain or moving the other resident to an unoccupied room.
Q2) Why is end-of-life planning often neglected? (Select all that apply.)
A) There is a clear procedure to follow.
B) People are uncomfortable talking about death.
C) Young people do not see the need for end-of-life planning.
D) End-of-life planning is a relatively new concept.
E) Many persons are not really sure what they want to do.
Q3) The hospice nurse explains that dying in peace without pain and with dignity in a supportive care environment is defined as a(n) _________ death.
To view all questions and flashcards with answers, click on the resource link above. Page 17
Chapter 16: Sexuality and Aging
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/17736
Sample Questions
Q1) What drugs can contribute to erectile dysfunction? (Select all that apply.)
A) Digitalis
B) Pancreatic enzyme replacement
C) Antihistamines
D) Antiparkinson drugs
E) Antidepressants
Q2) What age-related changes of the female reproductive system can affect sexual intercourse? (Select all that apply.)
A) Pruritus vulvae
B) Atrophic vaginitis
C) Frequent yeast infections
D) Dyspareunia
E) Decreased response time
Q3) The nurse teaches that some persons have found relief from postmenopausal discomfort by using phytoestrogens. In what food can phytoestrogens be found?
A) Mangos
B) Soybeans
C) Broccoli
D) Lima beans
To view all questions and flashcards with answers, click on the resource link above.
Page 18
Chapter 17: Care of Aging Skin and Mucous Membranes
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17737
Sample Questions
Q1) The 80-year-old woman newly admitted to a long-term care facility complains of intense itching in her axillae and antecubital fossa. There are small red lesions in linear patterns. What condition does the nurse suspect?
A) Rosacea
B) Keratosis
C) Pruritus
D) Scabies
Q2) What are causes of pruritus in the older adult? (Select all that apply.)
A) A reduction of sebaceous gland function
B) A reduction in the amount of perspiration
C) Excessive bathing
D) Use of emollients
E) Environmental conditions
Q3) On the admission assessment of a resident to a long-term care facility, the nurse notes a painless area on the patient's coccyx that has partial skin loss. The nurse would record this as a stage _____ pressure ulcer.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: Elimination
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17738
Sample Questions
Q1) The nurse is aware that an adult has the urge to urinate when the bladder has approximately _____ mL of urine in it.
Q2) What would be the most effective action of the nurse when assisting an 85-year-old adult with weak abdominal muscles to defecate?
A) Encourage the use of a bedpan before getting up in the morning.
B) Place a footstool under the feet of the patient when seated on the toilet.
C) Insert a finger in the patient's rectum to stimulate the urge to defecate.
D) Instruct the patient to do isometric exercises to strengthen the abdominal muscles.
Q3) The nurse is aware that the urge to defecate is increased peristalsis stimulated by the defecation reflex and the __________ reflex.
Q4) What can the nurse implement to reduce episodes of bowel incontinence?
A) Encourage intake of foods that cause mild constipation.
B) Use appropriate disposable garments, pads, and bed covering.
C) Establish a toileting schedule.
D) Coach the patient in Kegel exercises.
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Activity and Exercise
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/17739
Sample Questions
Q1) What benefit is there for an older adult to participate in balance training?
A) Increase peripheral circulation
B) Increase strength
C) Decrease the incidence of falls
D) Eliminate the need for ambulatory assistive devices
Q2) What action by the 75-year-old would indicate that an appropriate action has been taken to combat reduced stamina?
A) Moving his home office to a downstairs location
B) Using public transportation rather than driving his own car
C) Tilling the garden plot with a motor-driven tiller
D) Visiting the senior center twice in 1 week to play dominoes
Q3) What are the effects of decreased speed impulses in the older adult?
A) A "scrambled" message in the brain
B) Longer time required to complete an activity
C) Increased confusion
D) Forget how to complete an activity
Q4) To increase safe mobility for a patient recovering from a fractured left hip, the nurse would instruct the patient to place the cane on the __________ side.
To view all questions and flashcards with answers, click on the resource link above.
Page 21
Chapter 20: Sleep and Rest
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/17740
Sample Questions
Q1) What can alter an older adult's diurnal patterns? (Select all that apply.)
A) Shift work
B) Time zone changes
C) Altered nutrition
D) Illness
E) Medications
Q2) The wife of a patient tells the home health nurse that she suspects her husband has sleep apnea because he __________. (Select all that apply.)
A) snores loudly
B) interrupts snoring with several seconds of silence
C) complains of daytime drowsiness
D) frequently is incontinent of urine
E) has episodes of myoclonus
Q3) The patient asks how the continuous positive airway pressure (CPAP) machine decreases the incidence of sleep apnea. What is the correct response by the nurse?
A) By stimulating inspiration to be deeper
B) By taking over respiratory activity when the patient ceases to breathe
C) By sounding an alarm if respirations have ceased
D) By preventing relaxation of the tissues
To view all questions and flashcards with answers, click on the resource link above.
Page 22