Geriatric Nursing Question Bank
Course Introduction
Geriatric Nursing focuses on the specialized care and management of aging adults, addressing the unique physiological, psychological, and sociocultural changes that occur with aging. This course covers assessment techniques, common health conditions in older adults, principles of medication administration, chronic disease management, and strategies for promoting functional independence and quality of life. Students will develop skills in interdisciplinary collaboration, patient advocacy, and ethical decision-making, all tailored to the complex needs of the elderly population across various healthcare settings.
Recommended Textbook
Advanced Practice Nursing in the Care of Older Adults 1st Edition by Laurie Kennedy Malone
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19 Chapters
312 Verified Questions
312 Flashcards
Source URL: https://quizplus.com/study-set/3891
Page 2
Chapter 1: Changes With Aging
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/77498
Sample Questions
Q1) The strongest evidence regarding normal physiological aging is available through:
A) Randomized controlled clinical trials
B) Cross-sectional studies
C) Longitudinal studies
D) Case control studies
Answer: C
Q2) Functional abilities are best assessed by:
A) Self-report of function
B) Observed assessment of function
C) A comprehensive head-to-toe examination
D) Family report of function
Answer: B
Q3) The cytochrome p system involves enzymes that are generally:
A) Inhibited by drugs
B) Induced by drugs
C) Inhibited or induced by drugs
D) Associated with decreased liver perfusion
Answer: C
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Chapter 2: Health Promotion
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/77497
Sample Questions
Q1) Ali is a 72-year-old man who recently came to the U.S.from Nigeria.He reports having BCG (bacille Calmette-Guerin)vaccination as a child.Which of the following is correct regarding a tuberculin skin test?
A) It should not be done at all.
B) It should be read as smaller than it really is.
C) Vaccination history is irrelevant;read as usual.
D) It should be read as larger than it really is.
Answer: C
Q2) An example of secondary prevention you could recommend/order for older adults would be to:
A) Check for fecal occult blood
B) Wear seat belts in the car
C) Provide foot care for a diabetic patient
D) Administer a tetanus shot
Answer: A
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4
Chapter 3: Exercise in Older Adults
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5 Verified Questions
5 Flashcards
Source URL: https://quizplus.com/quiz/77496
Sample Questions
Q1) Exercise recommended for older adults should include activities that:
A) Conserve energy
B) Restrict flexibility
C) Strengthen muscles
D) Are anaerobic in nature
Answer: C
Q2) Which of the following medical conditions is not considered restrictive for engaging in physical activity?
A) Unstable angina
B) Dehydration
C) Depression
D) Uncontrolled tachycardia
Answer: C
Q3) The best recommendation for a patient who states they have no equipment to exercise would be:
A) Sign a contract for a year's membership to a local gym
B) Borrow free weights from grandchildren
C) Have a personal trainer come to the home three times a week
D) Improvise with recommended objects at home that can be used
Answer: D
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Chapter 4: Comprehensive Geriatric Assessment
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/77495
Sample Questions
Q1) The medical outcome study short form 36 remains the gold standard of quality of life instruments.It measures:
A) Mental and social domains
B) Social domain
C) Physical,mental,and social domains
D) Physical domain
Q2) A review of the evidence relative to screening of the elderly reveals the highest evidence rating for:
A) Vision screening
B) Mammography screening
C) Hearing screening
D) Dementia screening
Q3) Evidence-based geriatric assessment instruments available to the clinician:
A) Are largely screening instruments to detect a condition
B) Largely do not exist and if they do they have limited clinical utility
C) Include screening,evaluation,and measurement instruments in multiple domains
D) Have applicability in the outpatient but not the inpatient setting
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6
Chapter 5: Symptoms and Syndromes
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/77494
Sample Questions
Q1) Risk factors associated with the finding of a malignancy in a patient with hemoptysis include all of the following except:
A) Male sex
B) Smoking history
C) Over age 40
D) Childhood asthma
Q2) All of the following are considered as contributors to dysphagia except:
A) Anticholinergics
B) Drugs that increase reflux symptoms
C) Inadequate intake of fluids with medications and meals
D) Smooth muscle relaxants
Q3) Thoracic aortic dissection presents typically as:
A) Sharp stabbing pain in the mid thorax
B) Pleuretic chest pain and dyspnea
C) Severe retrosternal chest pain that radiates to the back and both arms
D) Unilateral pleuretic chest pain and dyspnea
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Chapter 6: Skin and Lymphatic Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77493
Sample Questions
Q1) A full thickness pressure ulcer is partially covered with eschar and the surrounding tissue is reddened.Which of the following is the most appropriate treatment for this condition?
A) Apply an occlusive dressing
B) Debride mechanically or chemically
C) Saline moistened gauze dressings
D) Vacuum-assisted wound closure
Q2) Identify the type of malignant melanoma that is associated with the Hutchinson's sign of the cuticle of the finger.
A) Lentigo maligna
B) Acral lentiginous
C) Nodular
D) Superficial spreading malignant melanoma
Q3) A hyperkeratatotic nodule formed as the result of exposure of the foot to moisture from perspiration is called:
A) Hard corn
B) Tinea pedis
C) Soft corn
D) Plantar warts (verrucae)
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Chapter 7: Head, neck, and Face Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/77492
Sample Questions
Q1) Which of the following conditions is the leading cause of blindness in the United States?
A) Macular degeneration
B) Diabetic retinopathy
C) Glaucoma
D) Cataracts
Q2) Sensory impairment (vision and hearing)in the elderly is associated with:
A) Impaired quality of life
B) Decreased function
C) Increased mortality
D) All of the above
Q3) Causes of sensorineural hearing loss include:
A) Ototoxicity
B) Ménière's disease
C) Otosclerosis
D) Inner ear fistula
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9
Chapter 8: Chest Disorders
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/77491
Sample Questions
Q1) The best way to diagnose structural heart disease/dysfunction non-invasively is:
A) Chest x-ray
B) EKG
C) Echocardiogram
D) Heart catheterization
Q2) Aortic regurgitation requires medical treatment for early signs of CHF with:
A) Beta blockers
B) ACE inhibitors
C) Surgery
D) Hospitalization
Q3) In mitral stenosis,p waves may suggest:
A) Left atrial enlargement
B) Right atrial enlargement
C) Left ventricle enlargement
D) Right ventricle enlargement
Q4) A common auscultatory finding in advanced CHF is:
A) Systolic ejection murmur
B) S3 gallop rhythm
C) Friction rub
D) Bradycardia
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Chapter 9: Peripheral Vascular Disorders
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/77490
Sample Questions
Q1) The hallmark of venous stasis ulcers include all of the following except:
A) Lower extremity edema
B) Hyperpigmentation of the lower extremities
C) Ulcers on the medial or lateral malleolus
D) Copious draining ulcers
Q2) The best initial screening test for abdominal aortic aneurysm is:
A) Angiography
B) CT scan with IV contrast
C) Abdominal ultrasound
D) MRI
Q3) Home exercise programs for peripheral arterial disease focus on:
A) Walk until pain develops then stop
B) Walk through the pain then stop
C) Begin at a slow speed with 10 minutes a day and build up to 30 minutes
D) Walk through the pain,rest until it goes away,then resume walking
Q4) The initial treatment for symptomatic abdominal aortic aneurysm involves:
A) Emergency surgery
B) Aggressive blood pressure control
C) Watch-and-wait approach
D) Cardiology consult
Page 11
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Chapter 10: Abdominal Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77489
Sample Questions
Q1) The nurse practitioner is examining a 62-year-old female who has been complaining of lower abdominal pain.Upon auscultation,bowel sounds are high pitched and tinkling.Which of the following terms describes this finding?
A) Succession splash
B) Borborygmi
C) Tenesmus
D) Puddle sign
Q2) When teaching a group of older adults regarding prevention of gastroesophageal reflux disease symptoms,the nurse practitioner will include which of the following instructions?
A) Raise the head of the bed with pillows at night and chew peppermints when symptoms of heartburn begins
B) Raise the head of the bed on blocks and take the proton pump inhibitor medication at bedtime
C) Sit up for an hour after taking any medication and restrict fluid intake
D) Avoid food intolerances,raise head of bed on blocks,and take a proton pump inhibitor before a meal
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Chapter 11: Urological and Gynecological Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/77488
Sample Questions
Q1) Age-related changes in the bladder,urethra,and ureters include all of the following in older women except:
A) Increased estrogen production's influence on the bladder and ureter
B) Decline in bladder outlet function
C) Decline in ureteral resistance pressure
D) Laxity of the pelvic muscle
Q2) All of the following may be reasons associated with an elevated PSA besides prostate cancer except:
A) Prostatitis
B) Urinary tract infection
C) Perineal trauma
D) Digital rectal exam
Q3) The nurse practitioner is evaluating a patient's pelvic muscle strength by digital examination.This is performed when:
A) A male patient complains of nocturia and dribbling
B) The nurse practitioner needs to confirm a cystocele or stress incontinence
C) The patient reports sudden loss of large amounts of urine or urge incontinence
D) The nurse practitioner suspects overflow incontinence
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Chapter 12: Musculoskeletal Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77487
Sample Questions
Q1) When examining the spine of an older adult you notice a curvature with a sharp angle.This is referred to as a:
A) Gibbus
B) Scoliosis
C) Kyphosis
D) Lordosis
Q2) The best method of verifying a diagnosis of gout in a joint is which of the following:
A) Radiographic examination of the joint with two views
B) Ultrasound
C) Palpation
D) Joint aspiration and polarized-light microscopy
Q3) A 72-year-old female patient has been diagnosed with gout.She also has a long history of chronic congestive heart failure.The most likely contributing factor to the development of gout in this older female is:
A) Lead intoxication
B) Illegal whiskey
C) Binge-eating
D) Thiazide diuretics
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14
Chapter 13: Central and Peripheral Nervous System Disorders
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/77486
Sample Questions
Q1) The Mini-Cog is a short screening tool used to assess cognition.Which of the following statements pertaining to the test is a true statement?
A) The patient will be asked to repeat five words immediately following the directions by the practitioner.
B) The patient is asked to draw the hour and minute hands on a picture of an analog clock.
C) A score of 0-2 is a positive screen for dementia.
D) The patient is asked to recall five images from picture cards following the drawing of the clock hands.
Q2) In review of a nursing home patient's chart,the nurse practitioner discovers that the neurology consult identified that the client has a homonymous hemianopsia.Which of the following statements accurately describes these findings?
A) Partial loss of visual acuity in the ipsilateral peripheral fields
B) Diplopia in the eye contralateral to the cerebral lesion
C) Loss of vision in either the right or left halves of the visual fields
D) Nystagmus in both eyes with asymmetrical movement
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Chapter 14: Endocrine, metabolic, and Nutritional Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77485
Sample Questions
Q1) Six months ago an elderly patient was diagnosed with subclinical hypothyroidism.Today the patient returns and has a TSH of 11.0 and complains of fatigue.He has taken Synthroid 25 mcg daily as prescribed.What is the best course of action for the nurse practitioner?
A) Assess further for a cause of fatigue
B) Double the dose of Synthroid
C) Discontinue the Synthroid
D) Prescribe Liotrix (T3 & T4 combination)
Q2) During a routine physical examination of a 62-year-old female patient,the nurse practitioner identifies xanthelasma around both his eyes.What is the significance of this finding?
A) High potential for future blindness and requires immediate referral
B) None,normal variant of aging process
C) Abnormal lipid metabolism requiring medical management
D) Hereditary variant that is of no consequence but requires watchful waiting
Q3) Which is a "cardinal feature" of failure to thrive?
A) Decline in toileting ability
B) Gait disturbance
C) Poor nutritional status
D) Spiritual distress
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Chapter 15: Hematological and Immune System Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/77484
Sample Questions
Q1) In the older adult,which group comprises the highest rate of HIV/AIDS?
A) African American women
B) African American men
C) Hispanic women
D) Hispanic men
Q2) Iron Deficiency Anemia (IDA)is classified as a microcytic,hypochromic anemia.This classification refers to which of the following laboratory data?
A) Hemoglobin and hematocrit
B) Mean Corpuscular Volume (MCV)and Mean Corpuscular Hemoglobin (MCH)
C) Serum ferritin and serum iron
D) Total iron binding capacity and transferrin saturation
Q3) Despite adherence to oral iron therapy of 2 weeks,your elderly patient with IDA demonstrates a drop in his hemoglobin from 8.4 to 7.4.He is complaining of fatigue,dyspnea,and heart racing.You would change his therapy by which of the following:
A) Schedule patient for outpatient parenteral iron infusion
B) Switch to a different form of oral therapy
C) Schedule patient for outpatient blood transfusion
D) Make no changes until evaluated by GI specialist
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Page 17
Chapter 16: Psychological Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/77483
Sample Questions
Q1) Older adults with dementia sometimes suffer from agnosia,which is defined as the inability to:
A) Use language
B) Understand language
C) Recognize objects
D) Remember events and places
Q2) The prevalence of depression in nursing home residents is greater than adults living in the community.
A) 1-2 times
B) 2-3 times
C) 3-4 times
D) 5 times
Q3) The justification for ordering a CBC,TSH,and serum B12 for a patient you suspect may have clinical depression is:
A) To determine the cause of sadness
B) Because of overlapping symptoms with anemia,thyroid dysfunction,and nutritional deficiencies
C) To differentiate between depression and metabolic disorders
D) To rule out vascular disease
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Page 18
Chapter 17: Nutritional Support in the Older Adult
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/77482
Sample Questions
Q1) Patients at risk of Refeeding Syndrome include those with:
A) No food intake for more than 10 days
B) Chronic malnutrition
C) Dysphagia
D) All of the above
Q2) What is the name of the federal program that allots a month supply of food stamps to eligible participants?
A) Meals on Wheels
B) Food Assistance
C) Second Harvest
D) Supplemental Nutrition Assistance Program (SNAP)
Q3) Which of the following is a major indicator of protein-energy malnutrition?
A) Total cholesterol less than 200 mg/dl with LDL <100
B) Intentional weight loss of 25 pounds in 2 years
C) Mid-arm circumference less than 16 inches
D) Unintentional low body weight less than 10% of average for height and age
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Chapter 18: Chronic Illness and the Advanced Practice
Registered Nurse Aprn
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/77481
Sample Questions
Q1) Which of the following statements are true?
A) Most Medicare participants have a single care provider
B) Chronic kidney disease patients have better outcomes due to the dialysis benefit
C) Nearly half of Medicare participants have five or more chronic diseases
D) Nearly half of Medicare participants have three or more chronic diseases
Q2) Transitional care is best described as:
A) A set of actions to ensure the coordination and continuity of care across sites/settings
B) The care received in transit from one site of care to another
C) A discharge-planning model
D) Long-term acute care that provides the transition from hospital to long-term care or home
Q3) The highest number of people with multiple chronic conditions are those that are:
A) Over age 85
B) Diagnosed with type 2 diabetes
C) African American women over age 65
D) Diagnosed with COPD
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Chapter 19: Palliative Care and End-Of-Life Care
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/77480
Sample Questions
Q1) A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea)is:
A) Morphine
B) Methadone
C) Gabapentin
D) Lorazepam
Q2) The strongest level of evidence reflects the absolute contraindication for NSAID use exists with:
A) Chronic kidney disease
B) Peptic ulcer disease
C) Heart disease
D) Liver disease
Q3) The best description of complicated grief is:
A) Chronic,delayed,exaggerated,masked,or disenfranchised
B) Experience of shock during notification of the death
C) When grief is actually experienced before the death of a loved one
D) A physical illness develops soon after death of a loved one
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