MOCK TEST GERIA.pdf

MOCK TEST GERIA 1. What was Barbara Davis's major contribution to gerontologic nursing? A) She introduced the first standardized test for elderly care. B) She was the first nurse to speak before the American Geriatric Society. C) She developed the first national nursing home care...

MOCK TEST GERIA 1. What was Barbara Davis's major contribution to gerontologic nursing? A) She introduced the first standardized test for elderly care. B) She was the first nurse to speak before the American Geriatric Society. C) She developed the first national nursing home care policy. D) She created a global education program for older adults. 2. What is the Graying of America? A) A phenomenon where more people dye their hair as they age. B) A significant increase in the number of older adults in the U.S. population. C) The rapid decline in health among Americans over 50. D) A cultural movement promoting healthier lifestyles for seniors. 3. What is the primary goal of gerontological nursing care? A) To cure chronic diseases in older adults. B) To promote and maintain the functional independence of older adults. C) To provide medication for all illnesses faced by older adults. D) To place all seniors in assisted living facilities. 4. According to Maslow's Human Needs Theory, what is the highest level of need that motivates human behavior? A) Love and Belonging B) Safety and Security C) Self-Actualization D) Physical Needs 5. The Activity Theory in aging suggests that: A) Older adults should gradually disengage from society. B) Remaining active and engaged is key to life satisfaction in old age. C) Older adults should separate from society and form subcultures. D) Aging is best managed by withdrawing from responsibilities. 6. Which of the following is NOT a modifiable risk factor for physical decline in older adults? A) Smoking B) Poor nutrition C) Physical inactivity D) Genetic predisposition 7. The Free Radical Theory of aging suggests that: A) Aging is caused by errors in the immune system. B) Damage from free radicals leads to cellular damage and aging. C) Aging happens when the body’s cells divide too many times. D) Aging is entirely controlled by genetic codes in the cells. 8. What is the role of the Gerontologic Nurse Practitioner (GNP)? A) To specialize in research only. B) To provide primary care and manage health conditions in older adults. C) To work exclusively in nursing homes. D) To study aging theories without clinical involvement. 9. In the Wear and Tear Theory, aging is described as: A) A result of gradual withdrawal from society.  B) Caused by random cellular mutations. C) Cells wearing out from repeated use over time. D) A process controlled by the immune system. 10. According to the Continuity Theory, which factor influences life satisfaction in older adults? A) A complete change in personality and roles. B) Staying involved with society through activity. C) Maintaining a consistent personality throughout life. D) Increasing dependence on family and social support. Week 2 1. As people age, which of the following happens to their respiratory system? A) Increased elasticity of the lungs B) More alveoli are created C) Chest wall becomes less flexible D) Lung capacity increases 2. Mr. Johnson is 75 years old and often forgets where he places his glasses. However, he can vividly recall details from his childhood. What type of memory is most likely being affected here? A) Long-term memory B) Short-term memory C) Sensory memory D) All types of memory 3. Which of the following happens to the skin as we age? A) Increased production of sweat B) Loss of subcutaneous fat C) Thicker skin D) Increased melanin, resulting in darker skin 4. Mrs. White, an 80-year-old woman, insists that the furniture in her living room never be rearranged, even though her family suggests it would look nicer. What might be a reason behind her insistence? A) Rigidity due to old age B) Concern for safety due to poor memory and visual deficits C) Fear of change in general D) She wants to prevent others from moving her belongings 5. Which system is responsible for producing fewer hormones like testosterone and estrogen as we age? A) Cardiovascular B) Endocrine C) Gastrointestinal D) Nervous Mr. Lee, a 78-year-old, struggles to hear his grandchildren speak softly and often asks them to speak louder. What age-related change could be affecting his hearing? A) Atrophy of hair cells in the ear B) Increased production of earwax C) Shrinking of the eardrum D) Decrease in ear canal size Which of the following is true regarding changes in muscle and bone in older adults? A) Muscle mass increases over time B) Bones become stronger  C) Height may decrease D) Joints become more flexible Mrs. Garcia, aged 85, has a hard time staying focused during long conversations and gets distracted by small noises in the room. What mental change could be responsible for this? A) Reduced intelligence B) Shortened attention span C) Decreased memory D) Trouble with verbal comprehension Which of the following changes happens to the brain with aging? A) Brain weight increases B) Blood flow to the brain is reduced C) Neurons multiply at a faster rate D) Reflexes become quicker Mr. Brown, aged 82, enjoys doing crossword puzzles and seems to solve them without any issues, but he struggles when learning how to use a smartphone. What type of intelligence is likely being affected here? A) Crystallized intelligence B) Verbal comprehension C) Fluid intelligence D) Arithmetic ability Week 3: What is the purpose of the Comprehensive Geriatric Assessment (CGA)? A) To check only the physical health of older adults B) To assess all aspects including physical, mental, functional, social, and environmental health C) To determine their medical history D) To see how well they take their medications Which of the following is NOT part of the Katz Index? A) Bathing B) Dressing C) Running D) Eating What does the Mini-Mental State Examination (MMSE) assess? A) Memory, language, and attention B) Heart rate and blood pressure C) Muscle strength D) Weight and height Which tool is used to check if it’s safe for an older adult to start exercising? A) Mini-Mental State Examination (MMSE) B) Physical Activity Readiness Questionnaire (PAR-Q) C) Katz Index of Independence D) Gordon’s 11 Health Patterns In Gordon’s 11 Basic Health Patterns, what does the Self-Perception/Self-Concept pattern look at? A) How the older adult feels about themselves B) Their ability to eat independently C) Their exercise routine D) Their relationship with family members Mrs. Green is an older adult who feels sad because she can’t do things as easily as before, like cooking or dressing. She feels like she's not as independent as she used to be. Which pattern would you assess to understand her feelings? A) Roles/Relationship Pattern B) Self-Perception/Self-Concept Pattern C) Nutritional/Metabolic Pattern D) Activity/Exercise Pattern In the Nutritional/Metabolic pattern, which of the following would you assess? A) Sleep quality B) Ability to perform daily activities C) Food and fluid intake D) Pain management Mr. Brown is having trouble sleeping at night and often naps during the day. Which pattern would help assess his sleep and rest habits? A) Cognitive/Perceptual Pattern B) Rest and Sleep Pattern C) Elimination Pattern D) Health Perception/Health Management Pattern What is the Activity/Exercise Pattern mainly concerned with? A) Making sure the older adult is moving around and exercising safely B) Checking their relationships with friends C) Seeing if they sleep enough D) Managing stress levels Mrs. Lee feels anxious about taking her medications correctly and managing her health problems. Which pattern would help you assess how well she understands and handles her health management? A) Health Perception/Health Management Pattern B) Cognitive/Perceptual Pattern C) Elimination Pattern D) Coping/Stress-Tolerance Pattern WEEK 4: 1. Which of the following is a common factor that increases the risk of adverse drug events (ADEs) in older adults? A) Faster metabolism B) Decreased body fat C) Reduced kidney function D) Increased water in the body 2. Situation: Mrs. Thompson, a 78-year-old patient, has been taking a long-acting benzodiazepine daily for her anxiety. Which potential risk should be considered for this type of medication? A) Increased alertness B) Longer half-life and drug accumulation C) Increased muscle strength D) Decreased risk of falling 3. Which of the following best describes Polypharmacy? A) Taking a specific type of medication for a long time B) The use of more medications than clinically necessary C) Taking herbal medicines in addition to prescription drugs D) A strategy to reduce the number of medications 4. Situation: Mr. Brown has been prescribed aspirin for pain relief but also has atrophic gastritis. What risk could occur if he continues to take aspirin? A) Faster recovery from illness B) Reduced stomach acidity C) Gastrointestinal hemorrhage D) Increased appetite 5. According to the Beers Criteria, which class of medications should generally be avoided in older adults due to the risk of accumulation and toxicity? A) Short-acting antihistamines B) Long-acting benzodiazepines C) Antibiotics D) Antacids 6. Situation: A nurse notices that Mrs. Green, who is 85 years old, has been prescribed both warfarin and aspirin. What should be the primary concern regarding these two medications? A) The combination may cause increased drowsiness B) They might reduce each other’s effectiveness C) Increased risk of bleeding D) Lower risk of adverse reactions 7. Which federal legislation specifically regulates the appropriate use of medications in institutionalized older adults? A) Affordable Care Act B) Omnibus Budget Reconciliation Act (OBRA) of 1987 C) Medicare Modernization Act D) Health Insurance Portability and Accountability Act (HIPAA) 8. Situation: Mr. Lopez, an 80-year-old patient with decreased kidney function, is prescribed a medication. What should the healthcare provider consider before determining the dose? A) Prescribing the highest recommended dose B) Increasing the dosing frequency C) Decreasing the dose or extending the dosing interval D) Avoiding water intake with the medication 9. What is the primary concern of a Drug-Food Interaction? A) Increased metabolism of drugs B) The way food can change how a drug works in the body C) Delayed drug absorption in the liver D) Increased protein binding of medications 10. Situation: Mrs. Carter has been feeling dizzy and weak after starting a new medication for high blood pressure. Which measure should the nurse prioritize to manage this issue? A) Encourage Mrs. Carter to exercise more B) Recommend increasing the dose of medication C) Schedule diuretics in the morning and monitor her blood pressure D) Advise her to skip doses when feeling dizzy WEEK 5: 1. Which of the following is NOT a common cause of cataracts? a) Injury b) Exposure to UV light c) Diabetes d) High blood pressure 2. Situation: An 82-year-old woman reports trouble seeing at night and complains of seeing halos around lights. What condition is she likely experiencing? a) Macular Degeneration b) Glaucoma c) Cataracts d) Presbyopia 3. Which of the following is a risk factor for developing glaucoma? a) Family history of glaucoma b) Smoking c) Exposure to loud noises d) Lack of exercise 4. Situation: Mr. Rodriguez, age 70, is having trouble hearing high-pitched sounds. His family says he often asks them to repeat themselves. What is a likely cause of his hearing loss? a) Conductive hearing loss due to earwax b) Tinnitus c) Presbycusis d) Middle ear infection 5. What is a common symptom of dry macular degeneration? a) Sudden, severe pain in the eye b) Slow loss of central vision c) Double vision d) Flashing lights and floating spots 6. Situation: Mrs. Davis reports hearing a constant ringing in her ears, even in a quiet room. This condition is known as: a) Presbycusis b) Tinnitus c) Sensorineural hearing loss d) Conductive hearing loss 7. Which of the following is a treatment option for conductive hearing loss? a) Cochlear implant b) Surgery to remove earwax c) Phacoemulsification d) Glaucoma medication 8. Situation: An older adult complains of a persistent dry mouth, especially when eating. This symptom is most likely caused by: a) Overuse of antibiotics b) Lack of dietary zinc c) Xerostomia d) Hypernatremia 9. What condition is characterized by a loss of the ability to smell? a) Tinnitus b) Xerostomia c) Olfactory Dysfunction d) Sensorineural hearing loss 10. Situation: Mr. Lee, a 75-year-old man, has been confused and disoriented after starting a new medication. What might be the cause of his confusion? a) Dementia b) Acute Confusional State (Delirium) c) Age-related memory loss d) Chronic stress 11. Which electrolyte imbalance is most likely to cause confusion in older adults? a) Low sodium b) High calcium c) Low magnesium d) High potassium 12. Situation: A 68-year-old woman with a history of diabetes reports recent memory problems and difficulty concentrating. Which of the following is a possible cause? a) Low blood pressure b) Hyperglycemia (high blood sugar) c) Hyperventilation d) Ear infection 13. In which situation might a person be at risk of developing delirium? a) Gradual decline in memory over years b) After a sudden infection or surgery c) Living in a familiar environment d) Engaging in regular physical activity 14. Situation: An older adult has been experiencing confusion and forgetfulness for several months. He remembers events from his childhood but struggles with recent memory. This is most characteristic of: a) Dementia b) Delirium c) Acute Confusional State d) Sleep deprivation 15. Which of the following could help improve nutrition in an older adult experiencing taste disturbances? a) Increasing the use of medications b) Adjusting dentures for a better fit c) Avoiding sunlight d) Using hearing aids