Final Exam Review (Geriatric Nursing Pre-
Test) Questions With Correct Answers.
For an individual with age-related hearing loss, which sound is most difficult to hear? -
answer✔A young child talking in a cafeteria line
Pain of gastrointestinal origin is best differentiated from pain of cardiac origin by the presence
of: - answer✔substernal chest discomfort
The progression of intermittent claudication is measured by the: - answer✔distance walked
before leg pain starts.
An early sign of alcohol withdrawal is: - answer✔diaphoresis.
A stage III pressure ulcer is characterized by: - answer✔deep craters with or without
undermining and full-thickness skin loss involving subcutaneous tissue
The primary risk factor for the development of pressure ulcers in older adult patients is: -
answer✔immobility.
An 80-year-old resident of a retirement center states that something is wrong with the lighting in
the room because colored rings appear around the light bulbs. The resident most likely has: -
answer✔glaucoma.
The most common cause of chronic pain in older adults is: - answer✔arthritis.
A 72-year-old man with asthma, chronic obstructive pulmonary disease, and chronic anxiety is
admitted to a nursing home. Care plan objectives for this man include: - answer✔adherence to
his medication regimen, inhalation therapy, and instruction about methods of conserving energy.
A 65-year-old man with a 45-year history of smoking complains of a change in his cough
pattern, a nonproductive cough, and an ache in his chest. The man's chest x-ray reveals an
infiltrate. The gerontological nurse suspects: - answer✔a lung tumor.
Which symptom in older adults is most indicative of a urinary tract infection? -
answer✔Confusion
Which is a risk factor for vaginitis in older adult women? - answer✔Prolonged antibiotic
therapy
A factor that contributes to hypothermia in older adults is: - answer✔decreased activity
Heat stroke is a serious form of hyperthermia that is characterized by - answer✔absence of
sweating
A gerontological nurse is teaching dressing techniques to a patient with right hemiplegia and a
severe speech impairment. An appropriate first step in the nurse's teaching would be to: -
answer✔demonstrate the proper way to put on a shirt.
Older adults with Parkinson disease exhibit: - answer✔rigidity and tremor at rest.
To prevent injury, a gerontological nurse advises an older adult who is taking tricyclic
antidepressants to: - answer✔stand up slowly from sitting or lying positions.
Persons who are taking anticholinergic drugs are at high risk for: - answer✔dry mouth.
Age-related changes in which two organs most affect an older adult's reaction to medication? -
answer✔Liver and kidneys
Sildenafil citrate (Viagra) is hazardous for patients with: - answer✔heart failure and borderline
hypotension.
A 78-year-old patient calls a telephone triage nurse and reports several falls after taking over-the-
counter medication for a recent cold. Which medication contributed to the falls? -
answer✔Diphenhydramine (Benadryl)
Older adults who take the herbal supplement cascara sagrada are monitored for the presence of: -
answer✔hypokalemia.
A nursing home conducts a survey to evaluate nursing care. However, some residents did not
express their concerns due to fear of reprisal by the staff. Which aspect of the evaluation is most
affected? - answer✔Validity
A common side effect of angiotensin-converting enzyme inhibitors that frequently results in
discontinuation of therapy is: - answer✔a dry, persistent cough.
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