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GERONTOLOGIC NURSING EXAM QUESTIONS WITH VERIFIED SOLUTIONS; GUARANTEED TO PASS
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GERONTOLOGIC NURSING CHAPTER 1,2,4,5,8,14,29EXAMREVIEW QUESTIONS WITH CORRECT
ANSWERS
Why is gerontologic nursing growing in recognition compared with how it was viewed in the past?
A. More people will be presenting with the same health care problems.
B. More older adults are living a longer period of time in old age.
C. A greater number of people are surviving the unstable period of adolescence.
D. More older adults are living as couples, with men's life expectancies equaling women's life
expectancies. - ANS-B. More older adults are living a longer period of time in old age.
With a "gerontology boom" beginning, the specialty of nursing is growing in recognition. Older adults
are living longer. They continue to be the fastest growing segment of the population, with baby boomers
being the highest number of older adult citizens the United States has ever seen to date. The health care
problems affecting older adults are unique to each individual. This does not account for the growing
recognition of gerontologic nursing. There is no great increase in the number of people surviving
adolescence. Women outlive men and generally marry men older than they are.
Q. Which of the following phenomena most likely accounts for the fact that more women than men live
alone at age 65 and older?
A. Women are living longer than men because of a decreased mortality rate in men from chronic
disease.
B. Older women are much more likely to be married than older men.
C. Men have been living longer than women since the 1930s.
D. Women tend to live longer than men and live alone in the 21-century United States. - ANS-D. Women
tend to live longer than men and live alone in the 21-century United States.
Women tend to live longer than men and live alone in the United States. Since 1930 women have been
living longer than men as a result of reduced maternal mortality, a decreased death rate from infectious
disease, and an increased death rate in men from chronic disease. Older men are much more likely to be
married than older women by 72% of men versus 42% of women.
The nurse is providing care for several older adults on an acute care unit. The nurse recognizes that a
patient with which of the following problems would be the most appropriate candidate for transfer to a
subacute unit?
A. A patient requiring an 8-week course of intravenous (IV) antibiotics for treatment of osteomyelitis
B. A patient who has been admitted from the emergency department with a complaint of explosive
diarrhea of unknown origin
C. A patient with a hip fracture that is in pain and awaiting surgery
D. A patient who presents with left hemiplegia and an expressive speech aphasia and was admitted to
the unit today - ANS-A. A patient requiring an 8-week course of intravenous (IV) antibiotics for
treatment of osteomyelitis
,The patient requiring the 8-week course of IV antibiotics is the best choice for a subacute unit. Though
this is an infection, the diagnosis has been made, treatment is in progress, and the patient is considered
stable. The patient who has explosive diarrhea needs to be diagnosed and treatment begun for the
cause of the diarrhea. This patient is appropriately hospitalized. The patient awaiting hip surgery to
correct the hip fracture is appropriately on the acute hospital unit. The patient with the new acute
cerebrovascular accident (CVA) is also an appropriate housed hospital admission. Acute conditions such
as strokes, hip fractures, congestive heart failure, and infections are common in older adults and still
treated in the hospital, as are critical medical and surgical health problems.
A nurse is providing care for several older adults on a subacute unit. The nurse recognizes that an older
adult patient with which of the following problems would be the most appropriate candidate for
transfer to a hospital emergency room?
A. A patient requiring twice-daily dressing changes for a sacral wound
B. A patient with a fasting blood sugar of 156mg/dl and is on insulin
C. A patient with a weight gain of 10 pounds and bilateral crackles up both lung fields who is not
responding to furosemide IV push orders
D. A patient who has had a knee replacement and is continuing to need Lovenox and Coumadin to
establish a therapeutic International Normalized Ratio (INR) - ANS-C. A patient with a weight gain of 10
pounds and bilateral crackles up both lung fields who is not responding to furosemide IV push orders
-The patient who has the problem with fluid overload and is not responding to a diuretic IV push is the
candidate who is unstable and requires acute care delivery. Because this patient is unstable, a diagnosis
of congestive heart failure, renal failure, or other reasons for the fluid problem needs to be established
and the problem resolved, or the patient's condition will continue to decline. The patient with the sacral
wound dressing change, the one with a slightly elevated blood sugar, and the patient who routinely is
admitted with the need to reach the therapeutic INR and discontinue the subcutaneous Lovenox
injection all represent routine care for either a home health or a skilled care facility and are
appropriately housed. Acute conditions such as strokes, hip fractures, congestive heart failure, and
infections are common in older adults and are still treated in the hospital, as are critical medical and
surgical health problems.
An 86-year-old patient has been living at home alone for several years. The patient's needs now exceed
the ability to maintain at home, and the patient is faced with relocating to a nursing home. Which of the
following characteristics of the patient's current situation is most likely to prompt this move?
A. A new acute diagnosis of diabetes
B. An exacerbation of a motor weakness secondary to the flu
C. A loss of functional skills and a decline in activities of daily living (ADL) abilities
D. A recent loss of a sister in a neighboring state - ANS-C. A loss of functional skills and a decline in
activities of daily living (ADL) abilities
The segment of the population that is older than 85 and whose members have decreased functional
abilities is increasing and represents the group typically found in nursing facilities. A new acute diagnosis
of diabetes would not change the patient's functional skills or ADL abilities by itself. An exacerbation of
motor weakness secondary to the flu will resolve once the short-term flu virus subsides. A recent loss of
a sister in a neighboring state, though saddening, would not change the patient's functional skills or
cause a decline in the patient's ADL abilities. The loss of functional skills and decline in ADL abilities are
common reasons patients enter extended care facilities.
As part of a functional assessment, the nurse is assessing an older adult's activities of daily living in the
home. What piece of assessment data would be considered part of a functional assessment?
, A. The ability to transfer and ambulate with an assistive device safely
B. The ability to get to the store, shop, and bring the groceries home
C. The ability to drive the car to the store and back safely
D. The ability to keep the walkway shoveled in the wintertime and the lawn mowed in the summer -
ANS-A. The ability to transfer and ambulate with an assistive device safely
The ability to transfer and ambulate safely with an assistive device is a functional assessment made by
nurses in all practice settings. It is a basic activity that ensures overall health and well-being. The ability
to get to the store, shop, bring the groceries home, drive the car, and keep the walkway clear to and
from the home are not functional abilities. They are necessary activities to maintain in the home setting,
but they may be done by extended family members or paid help at home. They are not core functional
abilities. They are considered instrumental ADLs.
An older adult patient in your care is in need of a blood transfusion with hemoglobin under 7. The blood
transfusion is ordered and the new billing clerk asks you under what part of the Medicare benefit should
the transfusion be billed?
A. Part A
B. Part B
C. Part C
D. Part D - ANS-A. Part A
Basics of these types of coverage include Part A services such as blood transfusions, home health
services, hospice care, hospital stays as an inpatient, and residency in a skilled care nursing facility. Part
B covers medical. Part C covers Medicare Health Maintenance Organization (HMOs), like Medicare
Advantage. And Part D covers medications and contains the familiar donut hole.
The home care nurse is assessing a 70-year-old patient's functional abilities and notes that the patient's
recent exacerbation of diabetes includes a new neuropathic pain in the left leg and foot. The doctor has
prescribed Gabapentin and asks the home health nurse to evaluate for home health needs. The patient
is not too sure how to best climb the steps or use the bathroom facilities now. The pain in the patient's
left leg and foot sometimes create a balance problem and the patient is afraid of falling. The patient has
no assistance device prescribed and is wondering if one is necessary now. What is the best course of
action to promote safety and improve the patient's functional status with this episode of illness?
A. Order a social service evaluation.
B. Order an occupational therapy evaluation.
C. Order a home health aide to assist with bathing.
D. Order a physical therapy evaluation. - ANS-D. Order a physical therapy evaluation.
This episode of illness is an exacerbation of diabetes with a new neuropathic pain in the left leg and
foot, which is compromising the patient's functional abilities of getting up and down the steps and using
the bathroom facilities safely. The patient will benefit from the physical therapy evaluation. The patient
will receive an appropriate assistive device as assessed by the therapist and instructions for how to
transfer safely on all surfaces. The patient will effectively improve physical ability, improve self-care
ability, and improve independence back to baseline level with the appropriate rehabilitation in the
home setting. Occupational therapy does not assist with ambulation. A home health aide will not
accomplish the goals for the episode long term. It is a temporary measure.
Admission to long-term care results from a combination of acute and chronic health problems and a
decline in functional care abilities over time that create frailty. Which of the following problems is most
likely to trigger an admission to long-term care?
A. A myocardial infarction
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