Older Adult NCLEX Questions and Answers Graded A+
The nurse is setting up an education session with an
D. Develop large-print handouts that reflect the verbal
85-year-old patient who will be going home on anticoag-
information presented.
ulant therapy. Which strategy would reflect consideration
of aging changes that may exist with this patient? Rationale: Option D addresses altered perception in two
ways. First, by using visual aids to reinforce verbal instruc-
A. Show a colorful video about anticoagulation therapy.
tions, one addresses the possibility of decreased ability to
B. Present all the information in one session just before
hear high-frequency sounds. By developing the handouts
discharge.
in large print, one addresses the possibility of decreased
C. Give the patient pamphlets about the medications to
visual acuity. Option A does not allow discussion of the
read at home.
information; furthermore, the text and print may be small
D. Develop large-print handouts that reflect the verbal
and diflcult to read and understand.
information presented.
C. consider the preadmission functional abilities when
setting patient goals.
When developing the plan of care for an older adult who
is hospitalized for an acute illness, the nurse should Rationale: The plan of care for older adults should be
individualized and based on the patients current function-
A. use a standardized geriatric nursing care plan.
al abilities. A standardized geriatric nursing care plan is
B. plan for likely long-term-care transfer to allow addition-
unlikely to address individual patient needs and strengths.
al time for recovery.
A patients need for discharge to a long-term-care facility
C. consider the preadmission functional abilities when
is variable. Activity level should be designed to allow the
setting patient goals.
patient to retain functional abilities while hospitalized and
D. minimize activity level during hospitalization.
also to allow any additional rest needed for recovery from
the acute process.
Which information obtained by the home health nurse
when making a visit to an 88-year-old with mild forget-
B. The patient has lost 10 pounds (4.5 kg) during the last
fulness is of the most concern?
month.
A. The patient's son uses a marked pillbox to set up the
Rationale: A 10-pound weight loss may be an indication of
patient's medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last
,Older Adult NCLEX Questions and Answers Graded A+
month.
C. The patient is cared for by a daughter during the day
elder neglect or depression and requires further assess-
and stays with a son at night.
ment by the nurse.
D. The patient tells the nurse that a close friend recently
died.
A 70-year-old client asks the nurse to explain to her about
hypertension. An appropriate response by the nurse as to
why older clients often have hypertension is due to:
D. Accumulation of plaque on arterial walls
A. Myocardial muscle damage
B. Reduction in physical activity
C. Ingestion of foods high in sodium
D. Accumulation of plaque on arterial walls
In reviewing changes in the older adult, the nurse rec-
ognizes that which of the following statements related to
cognitive functioning in the older client is true? C. Reversible systemic disorders are often implicated as a
cause of delirium.
A. Delirium is usually easily distinguished from irreversible
dementia. Rationale: Delirium is a potentially reversible cognitive im-
B. Therapeutic drug intoxication is a common cause of pairment that is often due to a physiological cause such as
senile dementia. an electrolyte imbalance, cerebral anoxia, hypoglycemia,
C. Reversible systemic disorders are often implicated as a medications, tumors, cerebrovascular infection, or hem-
cause of delirium. orrhage.
D. Cognitive deterioration is an inevitable outcome of the
human aging process.
Which of the following interventions should be taken to D. Encourage regular exercise.
help an older client to prevent osteoporosis?
Rationale: Key word in question is prevent
A. Decrease dietary calcium intake. Weight-bearing exercises helps to fight ott degeneration
B. Increase sedentary lifestyles of bone in osteoporosis
, Older Adult NCLEX Questions and Answers Graded A+
C. Increase dietary protein intake.
D. Encourage regular exercise.
Which of the following statements accurately reflects data
that the nurse should use in planning care to meet the
needs of the older adult?
D. Adults older than 65 years of age are the greatest users
A. 50% of older adults have two chronic health problems. of prescription medications.
B. Cancer is the most common cause of death among
Rationale: Approximately two thirds of older adults use
older adults.
prescription and nonprescription drugs with one third of
C. Nutritional needs for both younger and older adults are
all prescriptions being written for older adults
essentially the same.
D. Adults older than 65 years of age are the greatest users
of prescription medications.
The nurse is aware that the majority of older adults:
A. Live alone
D. Are actively involved in their community
B. Live in institutional settings
C. Are unable to care for themselves
D. Are actively involved in their community
The nurse works with elderly clients in a wellness screen-
ing clinic on a weekly basis. Which of the following state-
ments made by the nurse is the most therapeutic regard-
ing their mobility?
A. "Your shoulder pain is normal for your age." B. "Continue to exercise your joints regularly to your tol-
B. "Continue to exercise your joints regularly to your erance level."
tolerance level."
C. "Why don't you begin walking 3 to 4 miles a day, and
we'll evaluate how you feel next week."
D. "Don't worry about taking that combination of medica-
tions since your doctor has prescribed them."
The nurse is setting up an education session with an
D. Develop large-print handouts that reflect the verbal
85-year-old patient who will be going home on anticoag-
information presented.
ulant therapy. Which strategy would reflect consideration
of aging changes that may exist with this patient? Rationale: Option D addresses altered perception in two
ways. First, by using visual aids to reinforce verbal instruc-
A. Show a colorful video about anticoagulation therapy.
tions, one addresses the possibility of decreased ability to
B. Present all the information in one session just before
hear high-frequency sounds. By developing the handouts
discharge.
in large print, one addresses the possibility of decreased
C. Give the patient pamphlets about the medications to
visual acuity. Option A does not allow discussion of the
read at home.
information; furthermore, the text and print may be small
D. Develop large-print handouts that reflect the verbal
and diflcult to read and understand.
information presented.
C. consider the preadmission functional abilities when
setting patient goals.
When developing the plan of care for an older adult who
is hospitalized for an acute illness, the nurse should Rationale: The plan of care for older adults should be
individualized and based on the patients current function-
A. use a standardized geriatric nursing care plan.
al abilities. A standardized geriatric nursing care plan is
B. plan for likely long-term-care transfer to allow addition-
unlikely to address individual patient needs and strengths.
al time for recovery.
A patients need for discharge to a long-term-care facility
C. consider the preadmission functional abilities when
is variable. Activity level should be designed to allow the
setting patient goals.
patient to retain functional abilities while hospitalized and
D. minimize activity level during hospitalization.
also to allow any additional rest needed for recovery from
the acute process.
Which information obtained by the home health nurse
when making a visit to an 88-year-old with mild forget-
B. The patient has lost 10 pounds (4.5 kg) during the last
fulness is of the most concern?
month.
A. The patient's son uses a marked pillbox to set up the
Rationale: A 10-pound weight loss may be an indication of
patient's medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last
,Older Adult NCLEX Questions and Answers Graded A+
month.
C. The patient is cared for by a daughter during the day
elder neglect or depression and requires further assess-
and stays with a son at night.
ment by the nurse.
D. The patient tells the nurse that a close friend recently
died.
A 70-year-old client asks the nurse to explain to her about
hypertension. An appropriate response by the nurse as to
why older clients often have hypertension is due to:
D. Accumulation of plaque on arterial walls
A. Myocardial muscle damage
B. Reduction in physical activity
C. Ingestion of foods high in sodium
D. Accumulation of plaque on arterial walls
In reviewing changes in the older adult, the nurse rec-
ognizes that which of the following statements related to
cognitive functioning in the older client is true? C. Reversible systemic disorders are often implicated as a
cause of delirium.
A. Delirium is usually easily distinguished from irreversible
dementia. Rationale: Delirium is a potentially reversible cognitive im-
B. Therapeutic drug intoxication is a common cause of pairment that is often due to a physiological cause such as
senile dementia. an electrolyte imbalance, cerebral anoxia, hypoglycemia,
C. Reversible systemic disorders are often implicated as a medications, tumors, cerebrovascular infection, or hem-
cause of delirium. orrhage.
D. Cognitive deterioration is an inevitable outcome of the
human aging process.
Which of the following interventions should be taken to D. Encourage regular exercise.
help an older client to prevent osteoporosis?
Rationale: Key word in question is prevent
A. Decrease dietary calcium intake. Weight-bearing exercises helps to fight ott degeneration
B. Increase sedentary lifestyles of bone in osteoporosis
, Older Adult NCLEX Questions and Answers Graded A+
C. Increase dietary protein intake.
D. Encourage regular exercise.
Which of the following statements accurately reflects data
that the nurse should use in planning care to meet the
needs of the older adult?
D. Adults older than 65 years of age are the greatest users
A. 50% of older adults have two chronic health problems. of prescription medications.
B. Cancer is the most common cause of death among
Rationale: Approximately two thirds of older adults use
older adults.
prescription and nonprescription drugs with one third of
C. Nutritional needs for both younger and older adults are
all prescriptions being written for older adults
essentially the same.
D. Adults older than 65 years of age are the greatest users
of prescription medications.
The nurse is aware that the majority of older adults:
A. Live alone
D. Are actively involved in their community
B. Live in institutional settings
C. Are unable to care for themselves
D. Are actively involved in their community
The nurse works with elderly clients in a wellness screen-
ing clinic on a weekly basis. Which of the following state-
ments made by the nurse is the most therapeutic regard-
ing their mobility?
A. "Your shoulder pain is normal for your age." B. "Continue to exercise your joints regularly to your tol-
B. "Continue to exercise your joints regularly to your erance level."
tolerance level."
C. "Why don't you begin walking 3 to 4 miles a day, and
we'll evaluate how you feel next week."
D. "Don't worry about taking that combination of medica-
tions since your doctor has prescribed them."
