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ANCC Gerontology Sample Questions, Exams of Gerontology

Newman UniversityGerontology

A series of sample questions related to gerontology nursing, covering topics such as age-related issues, dietary adherence, age-related macular degeneration, dementia care, nursing interventions for older adults, medication management, and ethical principles in geriatric nursing. The questions assess the nurse's knowledge and decision-making skills in providing care for older adult patients. Valuable insights into the key competencies and considerations required for effective gerontological nursing practice.

Typology: Exams

2022/2023

Available from 10/22/2024

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ANCC GERONTOLOGY SAMPLE
QUESTIONS (older version)
A 75-year-old female patient, whose marriage ended in divorce after two years, has
lived alone for the past 50 years. Feeling as if her life has had little meaning, the patient
is terrified of living out her remaining years and of dying. The age-related issue to be
resolved is:
A) disengagement versus activity.
B) ego integrity versus despair.
C) self-determination versus resignation.
D) self-esteem versus self-actualization. - Correct Answer-B
An 80-year-old male patient, who lives at home with his wife, is instructed to follow a 2-g
sodium diet. The patient states, "I've always eaten the same way all my life, and I'm not
going to change now." To promote optimal dietary adherence, the gerontological nurse's
initial approach is to:
A)inform the patient about the need to follow the diet.
B) inquire about the patient's current food preferences and eating habits.
C) list the variety of foods that are allowed on the diet.
D) provide dietary instruction to the patient's wife who prepares the meals. - Correct
Answer-B
Signs and symptoms of age-related macular degeneration include:
A) deficits in peripheral vision.
B) decreases in depth perception.
C) distortion of lines and print.
D) reports of flashes of light. - Correct Answer-C
A 90-year-old patient comes to the clinic with a family member. During the health
history, the patient is unable to respond to questions in a logical manner. The
gerontological nurse's action is to:
A) ask the family member to answer the questions.
B) ask the same questions in a louder and lower voice.
C) determine if the patient knows the name of the current president.
D) rephrase the questions slightly, and slowly repeat them in a lower voice. - Correct
Answer-D
An effective way to adequately provide nourishishment to a patient with moderate
dementia is:
A) allowing the patient to choose foods from a varied menu.
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ANCC GERONTOLOGY SAMPLE

QUESTIONS (older version)

A 75-year-old female patient, whose marriage ended in divorce after two years, has lived alone for the past 50 years. Feeling as if her life has had little meaning, the patient is terrified of living out her remaining years and of dying. The age-related issue to be resolved is: A) disengagement versus activity. B) ego integrity versus despair. C) self-determination versus resignation. D) self-esteem versus self-actualization. - Correct Answer-B An 80-year-old male patient, who lives at home with his wife, is instructed to follow a 2-g sodium diet. The patient states, "I've always eaten the same way all my life, and I'm not going to change now." To promote optimal dietary adherence, the gerontological nurse's initial approach is to: A)inform the patient about the need to follow the diet. B) inquire about the patient's current food preferences and eating habits. C) list the variety of foods that are allowed on the diet. D) provide dietary instruction to the patient's wife who prepares the meals. - Correct Answer-B Signs and symptoms of age-related macular degeneration include: A) deficits in peripheral vision. B) decreases in depth perception. C) distortion of lines and print. D) reports of flashes of light. - Correct Answer-C A 90-year-old patient comes to the clinic with a family member. During the health history, the patient is unable to respond to questions in a logical manner. The gerontological nurse's action is to: A) ask the family member to answer the questions. B) ask the same questions in a louder and lower voice. C) determine if the patient knows the name of the current president. D) rephrase the questions slightly, and slowly repeat them in a lower voice. - Correct Answer-D An effective way to adequately provide nourishishment to a patient with moderate dementia is: A) allowing the patient to choose foods from a varied menu.

B) hand-feeding the patient's favorite foods. C) routinely reminding the patient about the need for adequate nutrition. D) serving soup in a mug, and offering finger foods. - Correct Answer-D The American Nurses Association's Gerontological Nursing: Scope and Standards of Practice emphasizes: A) the role of the older adult as the sole decision maker in planning his or her care. B) the unchanging nature of the goals and plans of care for older adult patients. C) that abnormal responses to the aging process determine the appropriate nursing diagnoses. D) that the health status data of older adults be documented in a retrievable form. - Correct Answer-D A 65-year-old patient exhibits symptoms of hemianopia. The most appropriate nursing intervention is to: A) arrange the patient's meal tray so that all the food is in the patient's field of vision. B) explain all tasks thoroughly to help allay the patient's fears. C) look directly at the patient when speaking to maximize comprehension. D) minimize the operating stimuli to reduce distractions to the patient. - Correct Answer- A For older adults who are taking neuroleptic medication, the primary concern is the development of: A) lethargy. B) nausea. C) poor appetite. D) tardive dyskinesia. - Correct Answer-D After a complaint about the care of a nursing home resident is made, a state ombudsman initiates an investigation. Which statement about the investigation process is true? A) The ombudsman may proceed with the investigation without identifying the individual who made the complaint, and without obtaining a court order or written consent. B) The ombudsman must identify the individual who made the complaint. C) The ombudsman must obtain a court order to review documentation, if the resident described in the complaint does not give written permission. D) The ombudsman must obtain the written permission of the resident who is described in the complaint. - Correct Answer-A When teaching an independent, older adult patient how to self-administer insulin, the most productive approach is to:

A) Autonomy B) Beneficence C) Justice D) Responsibility - Correct Answer-A An older adult woman, who lives in an apartment in a housing complex for senior citizens, began residing with an older adult man from the same complex three months ago. Upon learning of the situation, the woman's daughter expresses concern to the housing administrator, who reports that both residents have reported satisfaction with the arrangement. When the daughter requests advice, the gerontological nurse's initial response is: A) "I can understand why you are upset. Has she ever done something like this before?" B) "Why don't we all talk to your mother to get her side of the story?" C) "Your mother has the right to do what she wants because she is mentally competent." D) "Your mother seems to be happy with the arrangement. Have you discussed this situation with her?" - Correct Answer-D Which patient is at greatest risk for developing arteriosclerotic heart disease? A) A 60-year-old female patient with a triglyceride level of 135 mg/dL, and a high- density lipoptrotein level of 68 mg/dL B) A 70-year old male patient with a total cholesterol level of 181 mg/dL, and a low- density lipoprotein level of 90 mg/dL C) A 75-year old female patient with a triglyceride level of 189 mg/dL, and a low-density lipoprotein level of 149 mg/dL D) An 86-year-old male patient with a low-density lipoprotein level of 100 mg/dL, and a high-density lipoprotein level of 50 mg/dL - Correct Answer-C An 82-year-old male patient has a painful, vesicular rash that burns over his left abdomen. The patient indicates that he has tried multiple creams which have not helped. Which question does the gerontological nurse first ask? A) "Did you have the pain before the rash appeared?" B) "Do you have any food or drug allergies?" C) "Have you been around anyone with a rash?" D) "Have your grandchildren visited recently?" - Correct Answer-A Which question does the gerontological nurse prioritize for an 86-year-old male patient with abdominal pain, muscle weakness, and leg cramps? A) "Do you eat a lot of meat?" B) "Do you have heart problems?" C) "Do you take a diuretic?" D) "Do you walk everyday?" - Correct Answer-C

A frail 80-year-old woman, who cares for her husband at home without assistance, requires minor surgery. Lacking any family members residing in the area, the wife expresses concern about her husband's care while she is recovering. The gerontological nurse's recommendation is: A) arranging inpatient, respite care for the husband. B) hiring around-the-clock help for two weeks. C) hospitalizing the husband. D) remaining in the hospital during the postoperative period. - Correct Answer-A An older adult patient currently takes phenytoin (Dilantin) and tolterodine (Detrol). The gerontological nurse reinforces the need for routine dental visits because these two medications decrease: A) calcium levels in the blood. B) innervations of the trigeminal nerve. C) the muscle strength of the tongue. D) the production of saliva. - Correct Answer-D An older adult, who is terminally ill with multiple myeloma, is followed by hospice. Which situation best illustrates that the principles of hospice care are being met? A) The caregiver asks if hospice includes weekend care. B) The caregiver has been calling the provider on his or her own. C) The patient reports enjoying daily excursions. D) The patient reports no breakthrough pain medications are needed. - Correct Answer- D A 76-year-old male patient reports hesitancy, decreased force of the urinary flow, a sensation of incomplete emptying of the bladder, and dribbling. The gerontological nurse first asks: A) "Have you experienced abdominal pain?" B) "Have you had a daily bowel movement?" C) "Have you had low back pain?" D) "Have you noticed blood in your urine?" - Correct Answer-D A gerontological nurse is monitoring signs of suspected abuse in an 89-year-old patient who was admitted from home. When planning for the patient's discharge, the nurse's first action is to: A) delay discharge by informing the provider of the suspected abuse. B) enlist the help of family members with transitioning the patient home. C) notify Adult Protective Services of the patient's discharge.