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Original Test-Bank-Style Questions & Answers
Chapter 1–3: Foundations of Gerontology & Healthy Aging
- Which concept best describes the goal of healthy aging?
- Eliminating all disease
- Supporting optimal function and well-being despite limitations
- Restoring individuals to peak physical performance
- Preventing all age-related decline
Answer: B
2.<> A<> nurse<> encourages<> an<> older<> adult<> to<> attend<> group<> exercise<> twice<> per<> week.<> This<> intervention primarily supports which domain of wellness?
- Economic
- Environmental
- Social
- Occupational
Answer: C
Chapter 4–8: Physiological Aging & Assessment
- Which change in cardiac function is considered a normal part of aging?
- Increased maximal heart rate
- Thickening of the left ventricular wall
- Faster impulse conduction
- Decreased peripheral vascular resistance
Answer: B
- An older adult reports new-onset urinary incontinence. What is the nurse’s priority action?
- Recommend fluid restriction
- Assess for reversible causes
- Suggest adult protective garments
- Document it as age-related
Answer: B
Chapter 9–12: Psychosocial Changes & Mental Health
- Which behavior most suggests early cognitive impairment?
- Forgetting names occasionally
- Misplacing items but finding them later
- Getting lost in familiar areas
- Reporting mild word-finding difficulty
Answer: C
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6. According to Erikson, the developmental task of older adulthood is:
- Autonomy vs. Shame
- Initiative vs. Guilt
- Intimacy vs. Isolation
- Ego Integrity vs. Despair
Answer: D
Chapter 13–17: Chronic Illness & Safety
- Which intervention best reduces fall risk in community-dwelling older adults?
- Daily stretching only
- Removal of home throw rugs
- Vitamin supplements
- Increasing fluid intake
Answer: B
- An older adult with diabetes reports dizziness after meals. The nurse suspects:
- Postprandial hypotension
- Fluid overload
- Medication toxicity
- Hypothyroidism
Answer: A
Chapter 18–23: Medication Management & Nutrition
9. Polypharmacy is best defined as:
- Taking three or more medications
- Taking unnecessary or inappropriate medications
- Taking only OTC drugs
- Frequently switching pharmacies
Answer: B
- Which age-related change increases risk for adverse drug reactions?
- Faster kidney filtration
- Reduced hepatic metabolism
- Increased muscle mass
- Increased gastric motility
Answer: B
Chapter 24–29: Long-Term Care, Ethics & End-of-Life
11. A resident refuses morning medications. The nurse should:
- Document the refusal and return later
- Mix medications in their food
- Notify family to persuade the resident
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- Insist the resident must comply
Answer: A
- Which statement reflects ageism?
- "Older adults can learn new technology."
- "Most older adults remain active and independent."
- "All older adults are lonely and depressed."
- "Aging affects people differently."
Answer: C
Chapter 30–36: Acute Care, Rehabilitation & Complex Needs
- What is the earliest sign of infection in many older adults?
- Fever
- Increased appetite
- Acute confusion
- Elevated white blood cell count
Answer: C
14.<> A<> nurse<> develops<> a<> care<> plan<> supporting<> an<> older<> adult’s<> independence<> during<> rehabilitation.<> The
best goal is:
- Family completes all ADLs
- Patient performs ADLs with minimal assistance
- Patient avoids all physical activity
- Patient rests in bed to conserve energy
Answer: B
- Which client is at highest risk for pressure injuries?
- Ambulatory older adult
- Older adult with weight gain
- Bedbound older adult with poor nutrition
- Older adult who walks daily
Answer: C
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