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ALBERTA GERIATRIC NURSING EXAM QUESTIONS AND
CORRECT ANSWER (VERIFIED ANSWER) PLUS
RATIONALE 2026 Q&A|INSTANT DOWNLOAD PDF
1 – 10 (Aging Process & General Care)
1. The most common physiological change in aging is: A. Increased metabolism B. Decreased organ function C. Increased vision D. Increased immunity Answer: B Rationale: Aging leads to gradual decline in organ efficiency across body systems. 2. The primary goal of geriatric nursing is to: A. Cure aging B. Promote comfort and quality of life C. Increase hospital stays D. Stop medication Answer: B Rationale: Focus is on dignity, independence, and quality of life. 3. The most common chronic disease in elderly is: A. Malaria B. Hypertension C. Measles D. Typhoid Answer: B Rationale: Hypertension is highly prevalent in older adults. 4. Normal aging includes: A. Severe confusion B. Mild memory decline
C. Total blindness D. Paralysis Answer: B Rationale: Mild cognitive slowing is expected with age.
5. Elderly patients are at high risk of falls due to: A. Increased strength B. Reduced balance C. Increased vision D. Increased reflexes Answer: B Rationale: Aging affects coordination and balance. 6. The best way to prevent falls is: A. Bed rest B. Environmental safety modification C. Sedation D. Isolation Answer: B Rationale: Removing hazards reduces fall risk. 7. Polypharmacy means: A. One drug use B. Multiple drug use C. No drugs D. Herbal use only Answer: B Rationale: Many elderly take several medications simultaneously. 8. Dehydration in elderly is common due to: A. Increased thirst B. Reduced thirst sensation C. Increased water intake D. Kidney failure only
Answer: B Rationale: Neurodegenerative brain disorder.
13. Delirium is: A. Chronic condition B. Acute confusion C. Normal aging D. Infection only Answer: B Rationale: Sudden reversible confusion. 14. Most common cause of delirium in elderly is: A. Hair loss B. Infection C. Exercise D. Diet Answer: B Rationale: UTIs and pneumonia commonly trigger delirium. 15. Pressure ulcers occur due to: A. Movement B. Prolonged pressure C. Exercise D. Diet Answer: B Rationale: Constant pressure reduces blood flow. 16. First sign of pressure ulcer is: A. Deep wound B. Redness over bony area C. Bleeding D. Rash Answer: B Rationale: Early tissue ischemia appears as redness.
17. Osteoporosis causes: A. Strong bones B. Bone fragility C. Hair growth D. Fever Answer: B Rationale: Loss of bone density increases fracture risk. 18. Hip fractures in elderly are common due to: A. Strong bones B. Falls and osteoporosis C. Exercise D. Diet Answer: B Rationale: Weak bones and falls lead to fractures. 19. Urinary incontinence in elderly is: A. Always normal B. Loss of bladder control C. Infection only D. Kidney failure Answer: B Rationale: Reduced bladder control or neurological decline. 20. Constipation in elderly is often due to: A. High fiber diet B. Low activity and low fluid intake C. Exercise D. Infection Answer: B Rationale: Reduced mobility slows bowel movement. 21 – 30 (Psychosocial & Functional Care)
B. Presbycusis C. Asthma D. Dementia Answer: B Rationale: Age-related hearing loss.
26. Vision changes in elderly include: A. Improved vision B. Cataracts and reduced acuity C. No change D. Perfect vision Answer: B Rationale: Lens changes reduce clarity. 27. Malnutrition in elderly is caused by: A. Excess appetite B. Poor intake and absorption C. Exercise D. Infection only Answer: B Rationale: Reduced appetite and digestion issues. 28. Mobility aids are used to: A. Increase falls B. Improve independence C. Reduce walking D. Cause weakness Answer: B Rationale: Enhance safety and mobility. 29. Sleep disturbances in elderly are due to: A. Increased hormones B. Aging changes C. Exercise only
D. Diet only Answer: B Rationale: Circadian rhythm changes with age.
30. Pain in elderly should be: A. Ignored B. Assessed carefully C. Hidden D. Untreated Answer: B Rationale: Pain perception may be altered but still significant. **31 – 40 (Advanced Geriatric Nursing Care)
- The best position for bedridden elderly is:** A. Same position always B. Frequent repositioning C. Prone only D. Sitting only Answer: B Rationale: Prevents pressure ulcers and improves circulation. 32. Hydration in elderly is important because: A. They drink more water B. They are prone to dehydration C. They sweat more D. They eat more Answer: B Rationale: Reduced thirst increases dehydration risk. 33. Vaccination in elderly prevents: A. Aging B. Infections C. Fractures D. Pain
38. Elderly medication safety requires: A. Polypharmacy review B. Ignoring drugs C. Increasing dose D. No monitoring Answer: A Rationale: Prevents adverse drug interactions. 39. Most important nursing value in geriatrics is: A. Speed B. Patience and dignity C. Ignorance D. Delay Answer: B Rationale: Elder care requires respect and patience. 40. Goal of geriatric nursing is: A. Cure aging B. Promote quality of life C. Increase hospitalization D. Reduce care Answer: B Rationale: Focus is comfort, dignity, and independence. **41 – 50 (Dementia, Delirium & Cognitive Care)
- A key feature of dementia is:** A. Sudden onset B. Gradual memory decline C. Fever D. Rash Answer: B Rationale: Dementia develops slowly with progressive cognitive decline.
42. Delirium differs from dementia because it: A. Is permanent B. Has sudden onset C. Has no cause D. Is genetic Answer: B Rationale: Delirium develops rapidly and is often reversible. 43. A common trigger of delirium is: A. Hair loss B. Infection C. Exercise D. Diet Answer: B Rationale: UTIs and pneumonia frequently cause delirium in elderly. 44. A priority nursing action for confusion is: A. Restraints immediately B. Identify underlying cause C. Ignore patient D. Sedate always Answer: B Rationale: Treating cause improves cognitive state. 45. Alzheimer’s disease primarily affects: A. Kidneys B. Brain C. Liver D. Lungs Answer: B Rationale: It is a neurodegenerative brain disorder. 46. Safe care for dementia patients includes: A. Open environment with hazards
D. Fever pattern Answer: B Rationale: Confusion worsens in late afternoon/evening. 51 – 60 (Mobility, Falls & Safety)
51. The leading cause of injury in elderly is: A. Infection B. Falls C. Fever D. Rash Answer: B Rationale: Falls are the most common cause of trauma. 52. Fall prevention includes: A. Slippery floors B. Proper lighting C. No walking D. Sedation Answer: B Rationale: Environmental safety reduces fall risk. 53. Hip fracture in elderly is often due to: A. Strong bones B. Osteoporosis and falls C. Infection D. Exercise Answer: B Rationale: Bone fragility increases fracture risk. 54. Mobility aids help to: A. Increase falls B. Improve independence C. Cause pain D. Reduce strength
Answer: B Rationale: Support safe movement.
55. Safe transfer technique prevents: A. Healing B. Injury to patient and nurse C. Infection only D. Diet issues Answer: B Rationale: Proper body mechanics prevent injuries. 56. Restraints in elderly should be used: A. Frequently B. Only when necessary C. Always D. Never Answer: B Rationale: Used only when safety is at risk. 57. Pressure ulcer prevention includes: A. Bed rest only B. Frequent repositioning C. Dehydration D. Immobilization Answer: B Rationale: Reduces prolonged pressure on skin. 58. First sign of pressure injury is: A. Deep wound B. Red skin over bony area C. Bleeding D. Fever Answer: B Rationale: Early tissue damage appears as redness.
63. Hypertension in elderly is: A. Rare B. Common chronic disease C. Always acute D. Not treatable Answer: B Rationale: One of the most prevalent conditions. 64. Diabetes in elderly requires careful monitoring due to: A. Hair loss B. Complications risk C. Vision improvement D. Increased immunity Answer: B Rationale: Higher risk of complications. 65. Reduced lung function in elderly leads to: A. Increased oxygenation B. Decreased respiratory reserve C. Faster breathing always D. No change Answer: B Rationale: Less lung elasticity affects breathing. 66. Constipation in elderly is caused by: A. High activity B. Low fiber and low mobility C. Infection D. Exercise Answer: B Rationale: Slowed bowel motility is common. 67. Urinary incontinence is managed by: A. Ignoring
B. Bladder training C. No fluids D. Sedation Answer: B Rationale: Improves bladder control.
68. Skin in elderly becomes: A. Thick B. Thin and fragile C. Oily D. Stronger Answer: B Rationale: Collagen decreases with age. 69. Hearing loss in elderly is called: A. Myopia B. Presbycusis C. Asthma D. Dementia Answer: B Rationale: Age-related hearing decline. 70. Vision changes include: A. Improved eyesight B. Cataracts C. Night vision increase D. No change Answer: B Rationale: Lens becomes cloudy with age. **71 – 80 (End-of-Life, Ethics & Holistic Care)
- Palliative care focuses on:** A. Cure B. Comfort
Answer: B Rationale: End-of-life supportive care.
76. Family support in elderly care is: A. Not important B. Essential C. Harmful D. Optional always Answer: B Rationale: Improves emotional wellbeing. 77. Spiritual care in elderly promotes: A. Stress B. Comfort and meaning C. Pain D. Confusion Answer: B Rationale: Supports emotional health. 78. Elder abuse prevention includes: A. Ignoring signs B. Reporting concerns C. Isolation D. Sedation Answer: B Rationale: Protects vulnerable patients. 79. Holistic care means: A. Physical only B. Whole-person care C. Medication only D. Surgery only Answer: B Rationale: Addresses physical, emotional, social needs.
80. Final goal of geriatric nursing is: A. Cure aging B. Dignity and quality of life C. Hospitalization D. Restriction Answer: B Rationale: Ensures comfort, respect, and independence.
