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Older Adult Nclex questions, NCLEX Practice Questions for geriatrics, Geriatrics
NCLEX Questions and Answers with Solutions UPDATED!!!
The nurse is setting up an education session with an 85-year-old
patient who will be going home on anticoagulant therapy.
Which strategy would reflect consideration of aging changes
that may exist with this patient?
A. Show a colorful video about anticoagulation therapy.
B. Present all the information in one session just before
discharge.
C. Give the patient pamphlets about the medications to read at
home.
D. Develop large-print handouts that reflect the verbal
information presented. - ANSWER D. Develop large-print
handouts that reflect the verbal information presented.
Rationale: Option D addresses altered perception in two ways.
First, by using visual aids to reinforce verbal instructions, one
addresses the possibility of decreased ability to hear high-
frequency sounds. By developing the handouts in large print,
one addresses the possibility of decreased visual acuity. Option
A does not allow discussion of the information; furthermore,
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the text and print may be small and difficult to read and
understand.
When developing the plan of care for an older adult who is
hospitalized for an acute illness, the nurse should
A. use a standardized geriatric nursing care plan.
B. plan for likely long-term-care transfer to allow additional
time for recovery.
C. consider the preadmission functional abilities when setting
patient goals.
D. minimize activity level during hospitalization. - ANSWER C.
consider the preadmission functional abilities when setting
patient goals.
Rationale: The plan of care for older adults should be
individualized and based on the patients current functional
abilities. A standardized geriatric nursing care plan is unlikely to
address individual patient needs and strengths. A patients need
for discharge to a long-term-care facility is variable. Activity
level should be designed to allow the patient to retain
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functional abilities while hospitalized and 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 forgetfulness 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. -
ANSWER B. The patient has lost 10 pounds (4.5 kg) during the
last month.
Rationale: A 10-pound weight loss may be an indication of elder
neglect or depression and requires further assessment by the
nurse.
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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:
A. Myocardial muscle damage
B. Reduction in physical activity
C. Ingestion of foods high in sodium
D. Accumulation of plaque on arterial walls - ANSWER D.
Accumulation of plaque on arterial walls
In reviewing changes in the older adult, the nurse recognizes
that which of the following statements related to cognitive
functioning in the older client is true?
A. Delirium is usually easily distinguished from irreversible
dementia.
B. Therapeutic drug intoxication is a common cause of senile
dementia.
C. Reversible systemic disorders are often implicated as a cause
of delirium.
Older Adult Nclex questions, NCLEX Practice Questions for geriatrics, Geriatrics
NCLEX Questions and Answers with Solutions UPDATED!!!
The nurse is setting up an education session with an 85-year-old
patient who will be going home on anticoagulant therapy.
Which strategy would reflect consideration of aging changes
that may exist with this patient?
A. Show a colorful video about anticoagulation therapy.
B. Present all the information in one session just before
discharge.
C. Give the patient pamphlets about the medications to read at
home.
D. Develop large-print handouts that reflect the verbal
information presented. - ANSWER D. Develop large-print
handouts that reflect the verbal information presented.
Rationale: Option D addresses altered perception in two ways.
First, by using visual aids to reinforce verbal instructions, one
addresses the possibility of decreased ability to hear high-
frequency sounds. By developing the handouts in large print,
one addresses the possibility of decreased visual acuity. Option
A does not allow discussion of the information; furthermore,
,2|Page
the text and print may be small and difficult to read and
understand.
When developing the plan of care for an older adult who is
hospitalized for an acute illness, the nurse should
A. use a standardized geriatric nursing care plan.
B. plan for likely long-term-care transfer to allow additional
time for recovery.
C. consider the preadmission functional abilities when setting
patient goals.
D. minimize activity level during hospitalization. - ANSWER C.
consider the preadmission functional abilities when setting
patient goals.
Rationale: The plan of care for older adults should be
individualized and based on the patients current functional
abilities. A standardized geriatric nursing care plan is unlikely to
address individual patient needs and strengths. A patients need
for discharge to a long-term-care facility is variable. Activity
level should be designed to allow the patient to retain
,3|Page
functional abilities while hospitalized and 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 forgetfulness 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. -
ANSWER B. The patient has lost 10 pounds (4.5 kg) during the
last month.
Rationale: A 10-pound weight loss may be an indication of elder
neglect or depression and requires further assessment by the
nurse.
, 4|Page
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:
A. Myocardial muscle damage
B. Reduction in physical activity
C. Ingestion of foods high in sodium
D. Accumulation of plaque on arterial walls - ANSWER D.
Accumulation of plaque on arterial walls
In reviewing changes in the older adult, the nurse recognizes
that which of the following statements related to cognitive
functioning in the older client is true?
A. Delirium is usually easily distinguished from irreversible
dementia.
B. Therapeutic drug intoxication is a common cause of senile
dementia.
C. Reversible systemic disorders are often implicated as a cause
of delirium.
