Gerontology Exam Sample Questions

An early sign of alcohol withdrawal is:

1. auditory hallucinations.

2. decreased blood pressure.

3. depression.

4. diaphoresis.

4

Medications, slower mobility, lack of proper fluid intake, and poor diet can contribute to what common symptom in the elder population?

a) Urinary incontinence

b) Skin changes

c) Mental changes

d) Depression

A

Which statement demonstrates normal cognitive function for an aging adult?

a) Occasional memory lapses

b) Unable to recall the names of their children or siblings

c) Unable to recall current address or phone number

d) Unable to count to 10 or repeat a series of consecutive numbers

A

Denmentia and depression are strongly related to:

a) Clients over the age of 60

b) Clients over the age of 65

c) A decreased quality of life and functional deficits

d) Past economic status and job performance

C

Which organ is responsible for drug metabolism and must be considered when prescribing medicaiton for an older adult?

a) Kidneys

b) Pancreas

c) Intestines

d) Liver

D

Which substance(s) show changes through aging by becoming less pliable and stiffer?

a) Lipofuscin

b) Collagen and elastin

c) Epithelial tissue

d) Cytoplasm

B

Which factor is NOT a normal part of aging and needs to be addressed to promote nutrition in the older adult client?

a) Loss of teeth

b) Increase in gastric pH

c) Xerostoma or dry mouth

d) Decline in basal metabolic rate

C

Systems theory includes which components about aging?

a) Gene regulation ideas

b) Nutation accumulation on aging

c) Neuroendocrine and immunological ideas

d) Free radical ideas

C

What is the most noticeable change in tissue as it ages?

a) Decrease in lipids

b) Increase in subcutaneous tissue

c) Decrease in wrinkles

d) Accumulation of pigmented material called lipofuscin

D

What is the most significant change in vital organs in the aging client?

a) No change in organ tissue is noted

b) The outer appearance of an organ changes, but the functional component does not change

c) Organs show signs of decrease in function during the aging process

d) The aging process speeds up the functional capacity of major organs

C

What benefit does evidnce-based practice offer clients over the age of 60?

a) No actual benefits have been noted when evidence-based practice is the model for geriatric care

b) Evidence-based practice offers the client improved health care in all settings

c) Evidence-based pracrice is only used as a model in acute care settings

d) Minimal changes in geriatric care have arisen from the use of evidnece-baseed practice models

B

What is the purpose of Rogers' diffusion of innovation model in relation to evidnece-based practice (EBP)?

a) There is no relation to EBP

b) It offers an explanation of aging

c) It is used to open communication around issues of implementing changes in practice when EBP research has shown that change would improve outcomes

d) It is the model that contradicts the EBP theory

C

Which of the following statements defines who is appropriate for gerontological nursing care as stated by Orem (1991)?

a) Orem (1991) refers to advanced epdistric nursing care

b) Any aged client whose self-care demands exceed their ability to meet those demands is appropriate

c) Orem (1991) refers to young adult nursing care in preparation for a healthyolder adult life stage

d) Any client who needs nursing care for whatever reason at any age is appropriate

B

Describe the order for the nursing process as practiced by the gerontological nurse:

a) Diagnose, implement, evaluate

b) Assess, identify expected outcomes, implement, evaluate

c) Assess, dignose along with the team, identify outcomes, plan, implement, evaluate

d) Assess, evaluate, plan, implement, and look at outcomes

C

Which choice best explains the practice setting for the gerontological nurse?

a) In the home of the client

b) Only in acute care settings

c) Clinics and long-term care facilities

d) Home of the client, acute care facilities, long-term care settings, and clinics or anywhere clients over the age of 65 seek health care and health education

D

A 70-year-old presents to the clinic stating that his family things he is losing his mind and they want to put him in a home. What would be the intial role of the gerontological nurse?

a) Begin the process of finding a qualified nursing home

b) Do a complete history,physical, and assessment

c) Speak with the family about their concerns

d) Make light of the subject until the nurse can evaluate the situation

B

Which item would not be a focus of a cognitive-perceptual pattern assessment for the older client?

a) Cognition--Have you experienced any changes in your memory?

b) Communication--Have you had any difficulty speaking or forming ideas?

c) FInancial--Have you had any financial hardships over the past several months?

d) Orientation--Do you know what day, month, and year it is?

C

Which topic should NOT be omitted when assessign the aging client?

a) Sexual history

b) Caridac history

c) History of abuse

d) All of the above

D

For an individual with age-related hearing loss, which sound is most difficult to hear:

a) A recording of a march played softly

b) A young child talking in a cafeteria line

c) Hammering during construction of a house next door

d) The voice of a man speaking in an elevator

2

Pain of gastrointestinal origin is best differentiated from pain of cardiac origin by the

presence of:

1. chest pain lasting longer than five minutes.

2. chest pain of rapid onset.

3. left flank pain.

4. substernal chest discomfort.

4

The progression of intermittent claudication is measured by the:

1. distance walked before leg pain starts.

2. pedal edema after dangling the legs for 20 minutes.

3. peripheral pulses in the affected leg.

4. skin temperature and color of the feet.

1

In assessing the aging client, it is importnat for the nurse to recognize:

a) The client's ability to perform ADLs

b) The financial status of the client

c) The job that the client held prior to aging

d) All components of well-being, including biological function, psychological function, and social function

D

The nurse assessing the older population needs to have a basic understanding of which of the following?

a) The economic status of the area

b) The difference between normal and abnormal for the older age group

c) The signs of sexual dysfunction

d) The signs of cardiac disease

B

Which statement would be most appropriate to ask when assessing an aging adult for cognitive function?

a) What is today's date?

b) Can you count to 10 for me?

c) Have you noticed anything different about your memory or thinking in the past few months?

d) Who is the president of the United States?

C

Which disease or ailment is often under diagnosed and undertreated in the aging population?

a) Schizpphrenia

b) Depression

c) Associative disorders

d) Attention deficit disorder

B

Which statement reflects the state of drug absorption in the geriatric patient?

a) The rate of absorption is slowed

b) The rate of absorption is faster due to thinning of the mucosa

c) The percentage of the medication that is absorbed is decreased

d) There is a decrease in gastric pH as we age

A

The absorption of medication in the geriatric client is most often affected by:

a) A decrease in body fat

b) An increase in serun albumin

c) A decrease in body water and lean body weight

d) An increase in body water

C

An older adult on digoxin and furosemide is showing signs of toxicity. The gerontology nurse understands that:

a) Digoxin and furosemide are excreted by the kidneys, and the doses may need to be decreased due to impaired kidney function

b) Digoxin and furosemide are excreted through the intestinal tract, and dose changes would be ineffective

c) An increase in fluid intake will fix the symptoms, and no change in dose is needed

d) How a drug is excreted is not a consideration when dosing an older adult

A

Which statement is true regarding adverse drug reactions (ADRs) in older adults?

a) The rate of ADRs in geriatric clients is seven times that of younger adults and poses serious health problems

b) Older adults rarely have adverse reactions to prescribed medications becuase they are monitored

c) Adverse reactions are minimal in older adults and require no intervention

d) Only about 1% of older adults require hospitalization for ADRs

A

An 80-year-old female asks the nurse about over-the-counter vitamin supplements. The most appropriate advice would include:

a) No vitamin supplements are needed with a balanced diet

b) Any multivitamin will do

c) Take only a calcium supplement

d) Take a multivitamin for those over the age of 50, which should include the recommended vitamins for the aging adult

D

Which theories on aging were introduced in the early 1900s?

a) Wear-and-tear theory and autointoxication theory

b) Evolution theory

c) Molecular theory

d) Cellular theory

A

A stage III pressure ulcer is characterized by:

1. blisters, abrasions, or shallow craters.

2. deep craters with or without undermining and full-thickness skin loss involving

subcutaneous tissue.

3. full-thickness skin loss with tissue necrosis or damage to muscle or bone.

4. partial-thickness skin loss involving the dermis or epidermis.

2

The primary risk factor for the development of pressure ulcers in older adult patients is:

1. immobility.

2. impaired circulation.

3. incontinence.

4. malnutrition.

1

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:

1. cataracts.

2. delusions.

3. glaucoma.

4. increased intracranial pressure.

3

The most common cause of chronic pain in older adults is:

1. arthritis.

2. fractures.

3. headaches.

4. neuropathy.

1

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:

1. adherence to his medication regimen, inhalation therapy, and instruction about

methods of conserving energy.

2. an exercise program to increase the vital capacity of his lungs.

3. instruction in respiratory exercises with emphasis on forced inhalation.

4. oxygen therapy at 3 L/min as needed and deep-breathing exercises for

relaxation.

1

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:

1. a lung tumor.

2. chronic obstructive pulmonary disease.

3. pulmonary edema.

4. tuberculosis.

1

Which symptom in older adults is most indicative of a urinary tract infection?

1. Confusion

2. Dysuria

3. Fever

4. Frequency

1

Which is a risk factor for vaginitis in older adult women?

1. Anticoagulation therapy

2. Increased sexual activity

3. Poor nutrition

4. Prolonged antibiotic therapy

4

Which condition might be indicated by an increase in hemoglobin values?

1. Dehydration

2. Infection

3. Malnutrition

4. Opiate use

1

An 83-year-old female patient underwent a total hip replacement three days ago. She

should not cross her legs because:

1. abduction of the hip can cause dislocation of the prosthesis.

2. adduction of the hip can cause dislocation of the prosthesis.

3. blood clots often result from pressure on arteries in the legs.

4. contracture can be prevented by avoiding acute flexion of the hip.

2

A 76-year-old patient with osteoarthritis complains of pain, stiffness, and deformities of

the fingers. The gerontological nurse recommends:

1. cold packs.

2. exercise.

3. meditation therapy.

4. vitamin therapy.

2

A factor that contributes to hypothermia in older adults is:

1. decreased activity.

2. decreased vulnerability to cold.

3. increased perception of cold.

4. increased subcutaneous fat.

1

Heat stroke is a serious form of hyperthermia that is characterized by:

1. absence of sweating.

2. decrease in body temperature.

3. increase in sweating.

4. nausea and vomiting.

1

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:

1. ask the patient to put on a shirt.

2. demonstrate the proper way to put on a shirt.

3. explain the difficulties in putting on a shirt.

4. give verbal instructions on dressing procedures.

2

Older adults with Parkinson disease exhibit:

1. confusion and depression.

2. dementia and hyperkinesia.

3. rigidity and tremor at rest.

4. weakness and tremor with movement.

3

To prevent injury, a gerontological nurse advises an older adult who is taking tricyclic

antidepressants to:

1. eat a diet high in roughage.

2. get an additional night light.

3. provide lubrication for the oral mucosa.

4. stand up slowly from sitting or lying positions.

4

Persons who are taking anticholinergic drugs are at high risk for:

1. cardiac arrhythmias.

2. dry mouth.

3. orthostatic hypotension.

4. slurred speech.

2

Age-related changes in which two organs most affect an older adult's reaction to

medication?

1. Heart and lungs

2. Intestines and spleen

3. Liver and kidneys

4. Pancreas and gall bladder

3

Sildenafil citrate (Viagra) is hazardous for patients with:

1. a history of coronary artery bypass graft.

2. a history of shingles.

3. heart failure and borderline hypotension.

4. Paget disease and hypertension.

3

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?

1. Diphenhydramine (Benadryl)

2. Ferrous sulfate

3. Guaifenesin (Robitussin)

4. Loratadine (Claritin)

1

Older adults who take the herbal supplement cascara sagrada are monitored for the

presence of:

1. fever.

2. hypokalemia.

3. jaundice.

4. vertigo.

2

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?

1. Generalizability

2. Reliability

3. Statistical significance

4. Validity

4

A common side effect of angiotensin-converting enzyme inhibitors that frequently results

in discontinuation of therapy is:

1. a dry, persistent cough.

2. exacerbation of heart failure.

3. sedation.

4. urinary incontinence.

1

A patient with Stage 2 Alzheimer disease visits the mental health clinic. During the

interview, the patient becomes hostile and refuses to answer further questions. The

gerontological nurse's best action is to:

1. ask if the questions upset the patient in any way.

2. discontinue the interview.

3. explain that the information is needed to plan the patient's care.

4. ignore the patient's reaction and proceed.

2

A gerontological nurse at a nursing home conducts a reminiscence therapy group for

residents with confusion. A member of the group stands up and says, "I just heard my

cow. I have to go and milk her now." The nurse's most therapeutic response is:

1. "All right, you may leave the group now."

2. "Please tell us about your cow."

3. "That wasn't a cow; maybe you heard a vacuum cleaner."

4. "You live here at the nursing home now, not on the farm."

2

Reminiscence therapy promotes an older adult's sense of security by:

1. increasing socialization skills.

2. meshing the past with the future.

3. providing praise and recognition.

4. reviewing comforting memories.

4

A physician has just informed an older adult patient that test results indicate that the

patient has cancer and will require extensive surgery. The patient says, "I know the

tests are wrong. I feel fine." The gerontological nurse's most appropriate response is to:

1. acknowledge that the patient looks healthy and encourage seeking a second

opinion.

2. advise the patient to join a support group.

3. convey availability to talk to the patient.

4. tell the patient that the tests are reliable and accurate.

3

A 75-year-old patient who sustained a stroke has residual left-sided weakness. From

the first day of hospitalization, the patient has been combative and demanding, and has

refused to swallow any medication. The most constructive nursing action is to:

1. continue to attempt to follow the physician's orders.

2. determine the patient's premorbid personality.

3. restrain the patient and request a change in the route of medication.

4. wait for the patient to become more cooperative.

2

A healthy 80-year-old female patient complains that her skin feels dry and sometimes

itchy. The gerontological nurse advises her to:

1. avoid scratching since breaks in the skin increase the risk of infection.

2. drink more liquids and take showers instead of baths.

3. take fewer baths, use soap sparingly, and apply skin cream afterward.

4. wear cotton clothing and try a different brand of soap.

3

A 90-year-old patient with multiple medical problems is admitted to the hospital's

geriatric care unit. The nursing assessment reveals lethargy, poor capillary perfusion,

and urinary incontinence. These findings alert the gerontological nurse to the potential

for:

1. aspiration.

2. contractures.

3. dehydration.

4. skin breakdown.

4

An 80-year-old patient complains of sleeping less despite spending more time in bed.

The patient does not use alcohol, caffeine, or any medications other than

acetaminophen for arthritis pain. The patient goes to bed at 11:00 pm, falls asleep in 15

minutes, awakens several times during the night, and promptly goes back to sleep. The

patient feels refreshed in the morning and works five days a week as a volunteer. The

gerontological nurse's most appropriate response is to:

1. recommend that the patient eliminate fluid intake after 6:00 pm.

2. recommend that the patient go to bed one hour earlier.

3. suggest that the patient enroll in a sleep study.

4. tell the patient that the sleeping pattern is a normal age-related change.

4

Which signs are characteristic of deep vein thrombosis?

1. A cool, non-tender limb

2. Limb numbness with diaphoresis

3. Rapid onset of unilateral leg swelling with dependent edema

4. Vertigo with an abrupt onset of blurred vision

3

Unusual symptoms of pneumonia often found in long-term care residents include:

1. anorexia and new behavioral problems.

2. headache and difficulty breathing.

3. muscle aches and fever.

4. nonproductive cough and chest pain.

1

Which symptom is exhibited first by an older adult with a urinary tract infection?

1. Anorexia

2. Confusion

3. Fever

4. Restlessness

2

Which assessment tool measures economic resources, mental health, and activities of

daily living?

1. Lawton's Physical Self-Maintenance Scale

2. Older Americans Resources and Services Assessment

3. Problem Oriented Medical Record

4. Short Portable Mental Status Questionnaire

2

All care plans for older adult patients include:

1. a bowel and bladder program.

2. a fall prevention program.

3. discharge planning.

4. reminiscence therapy.

3

An older adult patient, who is recovering from surgery, has a sodium level of 128 mEq/L

and is confused. The physician diagnoses syndrome of inappropriate secretion of

antidiuretic hormone. The gerontological nurse's primary goal for this patient is to:

1. decrease edema by restricting free water intake.

2. prevent complications of hyponatremia.

3. reorient the patient to his or her surroundings.

4. restore the patient's fluid and electrolyte balance.

4

The adult children of an aging couple ask a gerontological nurse about alternative

therapies or nontraditional services to improve their parents' health. The nurse's most

appropriate response is to:

1. discuss the benefits, risks, and limitations of various therapies.

2. distinguish between folk and traditional medicine.

3. give a firm warning about alternative therapies.

4. recommend a reputable holistic health therapist.

1

A 73-year-old patient is admitted to a rehabilitation facility after sustaining a mild stroke.

After three nights in the facility, the patient begins to sleep only four to five hours a night

and to awaken frequently during the night. The patient then complains of not feeling

rested and begins to nap during the day. Which is the most appropriate nursing action?

1. Completing an assessment of the patient's sleep-wake cycle to determine

necessary interventions

2. Doing nothing since this type of sleep pattern is associated with normal aging

3. Inquiring if the patient takes a medication at bedtime and requesting that the

physician order it

4. Moving the patient further away from the nurse's station to minimize disturbances

1

A 68-year-old man calls his daughter every night to talk about his beloved wife who died

four weeks ago. During the day, he is sad and goes out frequently to get away from the

empty house. The man's most probable state is:

1. depression.

2. mourning.

3. neurosis.

4. prolonged grief.

2

The main reason that older adults with a chronic illness tolerate functional impairments

is that they:

1. are afraid to seek medical advice for fear of what they may find.

2. associate their symptoms with aging rather than an illness.

3. believe in home remedies and parental traditions.

4. relate their symptoms to conditions that resolved in the past without treatment.

2

An 87-year-old man, who has been living independently, is entering a nursing home. To

help him adjust, the most effective action is to:

1. involve him in as many activities as possible so he can meet other residents.

2. move him as quickly as possible so that he does not have time to think.

3. restrict family visits for the first two weeks to give him time to adjust.

4. suggest that he bring his favorite things from home to make his room seem

familiar.

4

An 80-year-old patient is in the terminal stage of Alzheimer disease. The treatment team

meets with the patient's who are angry and complain about a recent incident in which

their parent's dentures were misplaced. The team members realize that:

1. anger at staff is a symptom of grief and needs to be addressed.

2. anxiety about the meeting may have interfered with the children's affect.

3. material items are the focus for the children at this time.

4. the focus of control should shift to the parent.

1

When relocating from a family home to a continuing care community, the most crucial

factor in an older person's adjustment is his or her:

1. level of economic independence.

2. perceived control of the move.

3. physical proximity to remaining family.

4. risk-taking ability.

2

A 78-year-old male resident at a long-term care facility, who is a former business

executive, has been smoking and extinguishing cigarettes in a paper cup in areas

where smoking is prohibited. He has been informed repeatedly of the designated

smoking areas. The resident's behavior indicates an attempt to:

1. express self-transcendence.

2. maintain autonomy by exercising control.

3. maintain his previous professional role.

4. react against the facility's ageism.

2

A gerontological nurse is caring for an older adult who has been confined to home for

the last 10 weeks due to illness. The patient is anxious, has multiple somatic

complaints, and has become unable to follow instructions. The nurse knows that this

phenomenon commonly occurs with:

1. environmental overload.

2. protective isolation.

3. selective inattention.

4. sensory deprivation.

4

The gerontological nurse facilitates the benefits of life review by:

1. assisting the older adult to accept death as the inevitable last stage.

2. changing the topic when a patient talks about his or her morbid past.

3. encouraging reminiscence, oral histories, and storytelling.

4. helping the older adult explore how spiritual involvement assists with stress relief.

3

The holiday season is approaching and a woman is admitted to a psychiatric unit. She

reports that her husband of 45 years passed away four weeks ago. She frequently cries,

eats poorly, periodically complains of back and stomach aches, and has begun isolating

herself. What type of grief is this woman exhibiting?

1. Acute

2. Anticipatory

3. Disenfranchising

4. Dysfunctional

1

A 92-year old patient, who recently underwent a below-the-knee leg amputation, is

resisting attempts at rehabilitation. The most likely reason for the resistance is that the

patient:

1. has goals that differ from the rehabilitation care plan.

2. has too many disabilities to realistically plan for rehabilitation.

3. is too old to undergo rehabilitation.

4. requires a psychiatrist's assistance to deal with the loss.

1

When the gerontological nurse in a clinic asks a 70-year-old man about his sexual

activity, he begins to cry and says, "I feel so bad for my wife; she is only 60, and I can't

seem to satisfy her as often as I used to." Which is the nurse's most appropriate

response?

1. "At your age, sexual activity diminishes because of changes in your circulation. I

will explain this to your wife."

2. "Certain body functions, such as erections, slow down with age. Could you tell

me more about your sexual relations? For instance, how often do you have

intercourse?"

3. "Your problem is probably an emotional one. If you could relax, you would be as

sexually active as you were 10 years ago."

4. "Your problem is probably due to a decrease in your sexual hormones. This

occurs naturally as people age."

2

An alert and oriented 82-year-old woman, who lives with her daughter, has been

admitted to the hospital with bruises about the face and head. The daughter reports that

her mother fell. Which behavior by the daughter raises the greatest suspicion of elder

abuse?

1. Becoming defensive when questions are asked

2. Complaining about care delivered by hospital staff

3. Giving an illogical account of her mother's fall

4. Refusing to leave her mother alone to answer questions

4

In teaching an older adult client, the gerontological nurse's most appropriate initial

strategy is to:

1. assess the client and individualize the teaching methods.

2. set a slow learning pace and begin teaching simple concepts.

3. teach slowly and use repetition.

4. use demonstration and provide ample opportunity for practice.

1

In preparing a presentation for older adults, a gerontological nurse keeps in mind that:

1. older adults are unlikely to participate in educational programs due to lack of

interest.

2. older adult learners are heterogeneous due to diverse educational experiences

and learning strategies.

3. the ability to acquire knowledge from a verbal presentation decreases with age

more than the ability to acquire knowledge through reasoning.

4. the age-related decline in intellectual performance creates obstacles for acquiring

new information.

2

Members of a family are caring for their father at home. Which statement by a family

member indicates a need for teaching and caregiver instruction?

1. "Dad has gotten lazy about his bathroom habits. He blames his arthritis

medication for his toileting accidents."

2. "Dad's room is close to the bathroom and we keep a light on for him at night."

3. "It's inconvenient, but we stop other activities to remind Dad to go to the

bathroom on a regular schedule."

4. "We try to avoid coffee and tea at night, but Dad really likes a cup of coffee for

breakfast."

1

When hospital quality assurance indicators are assigned, the nursing staff strives to:

1. avoid emphasizing performance deficits.

2. decrease patient falls.

3. focus on achieving 100% compliance.

4. identify high-risk, high-volume, or problem-prone areas.

4

The most appropriate environment for a person with chronic dementia is one that:

1. changes often to decrease boredom.

2. contains familiar objects.

3. is limited in color and sound.

4. is stimulating so as to challenge thought.

2

In assessing the lighting for a patient with glaucoma, the gerontological nurse knows

that:

1. ceiling lights are best.

2. drapes should be left open during the daylight hours.

3. higher levels of light are needed.

4. lower levels of light are needed.

4

A 63-year-old patient is returning home after being hospitalized for injuries received

during a robbery and home invasion. Although neighborhood robberies are rampant, the

patient has lived in the same house for 50 years and does not want to move. The

patient receives a monthly social security check. The gerontological nurse's most

appropriate step is to:

1. advise the patient to arrange for someone to visit regularly or move into the

home.

2. advise the patient to have the social security check deposited directly to the bank

and to get a dog.

3. assume that the patient is incompetent and initiate commitment proceedings.

4. take no action since the patient has a right to autonomy.

2

A gerontological nurse in a daycare program for older adults observes that the

participants have long toenails, corns, calluses, and other problems indicating a need

for better foot care. What is the nurse's best action?

1. Developing an educational program on foot health and arranging for podiatry

services at the site

2. Establishing a regular foot care plan whereby the participants' toenails would be

cut and corns and calluses shaved

3. Instructing competent family members in the proper methods of cutting toenails

and using commercial foot care products.

4. Recommending that the participants soak their feet for 10 minutes before cutting

their toenails using safe toenail clippers

1

The occurrence of tuberculosis in the older adult is significantly increased among

individuals who:

1. are physically inactive.

2. are cigarette smokers.

3. have received the Bacile Calmette Guérin (BCG) vaccine.

4. reside in institutions.

4

Which type of fracture has the highest morbidity and mortality in the older adult?

1. Ankle

2. Hip

3. Shoulder

4. Vertebral

2

The primary reason for establishing quality improvement committees at long-term care

facilities is to:

1. facilitate staff participation.

2. initiate changes based on interdisciplinary exchange.

3. monitor and record incidents, accidents, and injuries.

4. provide quality care based on measurable data.

4

An accrediting body evaluates a nursing home by monitoring the number of residents

who developed pressure ulcers and urinary tract infections. What type of audit is being

conducted?

1. Outcomes

2. Process

3. Prospective

4. Structure

1

A gerontological nurse is creating a staff development program for a unit. To assess the

staff's learning needs, the nurse's best approach is to ask staff members:

1. "How do you want to learn new material?"

2. "What do you need to know to do your job better?"

3. "What do you think others need to learn?"

4. "What do you think others want you to learn?"

2

A comprehensive staff development program in a long-term care facility is based on the:

1. availability of educational resources.

2. nursing director's perceptions of staff learning needs.

3. philosophy, goals, and objectives of the organization.

4. recommendations of the ombudsman.

3

A gerontological charge nurse delegates the administration of a nasogastric tube

feeding to a licensed practical nurse (LPN). Which statement about this situation is most

accurate?

1. The charge nurse is responsible for delegated care.

2. The charge nurse should implement the care and not delegate the task.

3. The LPN is accountable for his or her own actions.

4. The LPN should respectfully refuse to initiate this care.

1

Which profession first developed standards of gerontological care and provided a

certification mechanism to ensure expertise?

1. Medicine

2. Nursing

3. Physical therapy

4. Social work

2

The gerontological nurses in a teaching nursing home are informed of a research

project to obtain voiding cystometrograms on all residents. The gerontological nurses'

responsibility is to ensure that the:

1. non-English speaking residents receive a complete explanation of the study in

their native languages.

2. nursing home administration know that the nurses do not support such invasive

studies on the residents.

3. research team is well staffed so that the nursing home staff can provide care as

usual.

4. residents will be properly medicated in the examining room where the tests will

be conducted.

1

Which is an accurate statement about Medicare?

1. Medicare is a health insurance program with carefully described benefits that

may restrict the length of hospital stays.

2. Medicare patients can expect to receive routine household and attendant care

under Part A of their Medicare insurance.

3. Medicare pays for the majority of nursing home care for persons who are 65

years of age or older.

4. Persons covered by Medicare must pay once-in-a-lifetime deductibles on both

the physician and hospital portions of the program.

1