Gerontological Nurse Test Gerontological Nursing 5

Question 1

Which finding on a medication reconciliation is MOST concerning in a newly admitted 84-year-old patient?

Accepted Answer

Taking diphenhydramine nightly as a sleep aid

Answer

Diphenhydramine is on the Beers Criteria as a potentially inappropriate medication for older adults due to its strong anticholinergic properties, which can cause confusion, urinary retention, constipation, and increased fall risk.

Question 2

A 77-year-old patient refuses to eat meals at the facility. The nurse learns the patient has always eaten culturally specific foods not offered on the menu. What is the BEST initial intervention?

Accepted Answer

Consult dietary services to incorporate culturally appropriate food options

Answer

Respecting cultural food preferences is fundamental to person-centered care; a dietary consult to incorporate culturally appropriate options addresses the root cause of the refusal and supports nutritional intake.

Question 3

Which assessment finding would MOST likely indicate elder mistreatment and require mandatory reporting by the nurse?

Accepted Answer

An 80-year-old with multiple bruises in various stages of healing on the trunk

Answer

Multiple bruises in various stages of healing on the trunk are a red flag for physical abuse, as accidental bruising in ambulatory older adults typically occurs on the extremities, not the trunk.

Question 4

The nurse is caring for an older adult patient at end of life who is experiencing Cheyne-Stokes respirations. How should the nurse interpret this finding?

Accepted Answer

Document as a normal expected physiological change in the dying process

Answer

Cheyne-Stokes respirations — a cyclic pattern of waxing and waning breathing with apneic pauses — are a common and expected physiological sign in the final hours to days of life, not a medical emergency.

Question 5

A gerontological nurse assesses a patient using the Timed Up and Go (TUG) test. A result of 20 seconds indicates:

Accepted Answer

High fall risk requiring intervention

Answer

A TUG test result of ≥12 seconds is associated with high fall risk in community-dwelling older adults; 20 seconds indicates significantly impaired mobility requiring fall prevention interventions.

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Gerontological Nursing 5