Title WORKBOOK - GERIA (KEY) ✅

COMPREHENSIVE PHASE WORKBOOK GERIATRIC NURSING NOVEMBER 2025 Philippine Nurse Licensure Examination Review 1. Paulina is a 76 year old patient with urinary tract infection. The most dependable sign of infection in the older patient is: A. Change in mental status B. Fever and chills C. Pleuritic chest pain during inspiratory phase D. Decreased breath sounds with crackles 2. A 67 year old female client is currently admitted for breast cancer. However, during examination, you observed that the patient has shallow respirations but no sign of respiratory distress. Which of the following isn’t ABNORMAL physiologic change related to aging? A. Increased elastic recoil of the lungs B. Increased number of functional capillaries in the alveoli C. Decreased residual volume D. Decreased vital capacity 3. Tatay Clarito has been experiencing urinary incontinence. You know that her risk of urinary incontinence increases because of which of the following changes? A. Dilated urethra B. Shrinkage of penis C. Diuretic use D. Decreased bladder capacity 4. Nurse Delia works in a nursing home. In order to care for the fragile skin among the elderly, she should exclude the following: I. Apply lotion or cream on the skin II. Daily full bath III. Provide sponge bath alternately with full bath IV. Rub wash cloth briskly on the skin A. 1 only B. 2 and 4 C. 4 only D. 1 and 3 5. Orlando is a 78 years old who had been bedridden for almost a year due to generalized weakness. The following are appropriate nursing actions to prevent postural hypotension in an elderly client except: A. Advise to get out of bed gradually B. Instruct to have a daily fluid intake of 3 glasses a day C. Advise to avoid straining at stool D. Advise to avoid bending down and suddenly standing up again 6. Eufemia is an 87 year old patient who verbalized to the nurse that she feels like she hasn’t lived her purpose in life at all. In order to respond accordingly, you have to know the developmental task of the patient at this point.The developmental task of the older adult according to Erickson is: A. Identity vs. role confusion B. Intimacy vs. isolation C. Ego integrity vs. despair D. Generativity vs. stagnation 7. A booster dose of a COVID-19 vaccine is about to be administered to Rodelia, an 87 year old healthy geriatric patient. by the nurse. The nurse should remember that an older client has: A. less subcutaneous tissue and muscle mass than a younger client B. more subcutaneous tissue and less muscle mass than a younger client C. less subcutaneous tissue and more muscle mass than a younger client D. more subcutaneous tissue and muscle mass than a younger client 8. A client was given photo albums to look at during her downtime. Which of the following colors do older people see BEST? A. Blue, green and purple B. Red, yellow, and orange C. Pink and blue D. Fuchsia, Magenta, Burgundy 9. Mario came to the clinic for a monthly wellness consult. Which of the following is NOT expected to be seen in an elderly male? A. Enlarge prostate B. Presbyopia C. Absence of bowel sounds D. Diminished lung expansion 10. Lillia was diagnosed with Alzheimer’s Disease at 65. You are currently supervising a student nurse. During your planning, which of the following should be included EXCEPT? A. Have clocks or calendars in the environment B. Provide consistent routine of activities C. Spend time with the client and listen to concerns D. Address the patient by calling him “grandpa” 11. Resurreccion was found to be still awake at 11 PM by a nurse doing hourly rounds. Which statement if made by the client indicates that teaching about improving sleep is necessary? A. “I drink hot chocolate before bedtime.” B. “I have stopped smoking cigars.” C. “I swim three times a week.” D. “I read for 40 minutes before bedtime.” 12. In meeting physiological and physical needs of an elderly, the nurse should I. Keep client ambulatory as long as possible II. Maintain optimal nutritional/vitamin status III. Expose to sources of infection IV. Maintain bowel and bladder elimination through routine consistent toilet training A. Institute safety measures B. 1, 2 C. 3, 4 D. All but 3 e. 4,5 13. Delia, an 85-year-old woman, has just been admitted to a nursing home. During your initial assessment, the nurse should plan special measures to accommodate age-related sensory losses such as A. Increased hearing sensation B. Increased sensitivity to heat C. Diminished sensation of pain D. Heightened response to stimuli SITUATION: Marlene, 89 years old, is a new resident of the nursing home. She has been observed to be easily irritated and TOP RANK REVIEW ACADEMY, INC. Page 1 | 4


48. Nurse Queenie is a home health nurse. She visited Tatay Esming, a 77 years old with a history of stroke. Which of the following is of the most concern? A. The patient's son uses a marked pillbox to set up the patient's medications weekly. B. The patient has lost 10 pounds (4.5 kg) during the last month. C. The patient is cared for by a daughter during the day and stays with a son at night. D. The patient tells the nurse that a close friend recently died. 49. Nanay Lorelie asks the nurse why a lot of older people have hypertension. An appropriate response by the nurse as to why older clients often have hypertension is due to: A. Myocardial muscle damage B. Reduction in physical activity C. Ingestion of foods high in sodium D. Accumulation of plaque on arterial walls 50. Which of the following interventions should be taken to help an older client to prevent osteoporosis? A. Decrease dietary calcium intake. B. Increase sedentary lifestyles C. Increase dietary protein intake. D. Encourage regular exercise. TOP RANK REVIEW ACADEMY, INC. Page 4 | 4