Page 1 of 73
GERIATRIC EXAM 1 NCLEX PRACTICE QUESTIONS
NEWEST QUESTIONS 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
1) The nurse is preparing to discharge an older client with instructions on
smoking cessation. The nurse states to a colleague, "This client has been
smoking for years and isn't going to stop now." Which negative stereotype of
aging does the nurse's statement most reflect?
1. Old people are expected to be sick.
2. Old people are set in their ways.
3. Old people do not value health promotion education.
4. Old people are a drain on societal resources.
Answer: 3
Explanation:
1. Many older adults have chronic disease but function well.
2. Often people characterize the elderly in a negative way, believing that after a
certain age, things cannot be changed. Older people can learn new things and take
up new hobbies they can enjoy and give life meaning and pleasure.
3. Although it may not be possible to reverse all the damage, it is never too late to
stop smoking cigarettes. People who quit smoking at an older age enjoy better
health outcomes.
4. Older people contribute greatly to society by volunteering, helping with
grandchildren, mentoring others, and continue working.
2) The nurse is planning to conduct education for older adult clients regarding
preventative health screenings. Which type of screening does the nurse
anticipate educating this population on?
, Page 2 of 73
1. Glaucoma
2. Nutrition
3. An annual mammogram
4. Prostate-specific antigen
Answer: 3
Explanation:
1. A glaucoma screening is recommended annually for those at risk for glaucoma.
2. Nutritional assessment and counseling are encouraged for those with diabetes or
renal disease.
3. The nurse will discuss the importance of annual mammograms. Older women are
the fastest growing population in the United States.
4. A prostate-specific antigen is recommended yearly for men under the age of 70.
3) While completing an admission assessment, the nurse learns that a female
adult patient has smoked a pack of cigarettes daily for 20 years and works at a
chemical plant. From this information, what is this patient most at risk for?
1. Decline in muscle mass
2. Nutritional deficiencies
3. Depression and social isolation
4. Occupational hazard shortening life expectancy
Answer: 4
Explanation:
1. While muscle mass does naturally decline in older adults, there is no indication
that she is not physically active.
2. In older adults, adequate nutrition can be a concern, yet there is no indication that
she is not adequately nourished.
3. In older adults, depression and social isolation are a risk, yet there is no indication
that she is not socially active.
4. Exposure to occupational risk factors has been known to affect life expectancy in
men and will have the same effect on women given similar circumstances
4) The nurse is caring for an older adult with a chronic disease. Which is
reflective of a tertiary intervention to help slow down the progression of the
client's illness?
1. Assess the client's mobility
2. Integrate physical therapy
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3. Discuss injury-prevention measures within the home
4. Obtain a referral for occupational therapy
Answer: 2
Explanation:
1. Assessment of the client's mobility is reflective of secondary prevention.
2. The integration of physical therapy for a client with chronic disease reflects a
tertiary intervention to promote restoration and prevent or slow down further
debilitation.
3. Discussing injury prevention is health promotion or primary prevention.
4. Obtaining a referral for an occupational therapist reflects a secondary measure of
prevention in which there is an early diagnosis and prompt treatment.
5) The nurse is caring for an older client with heart disease that is
experiencing fatigue. Which will the nurse initially implement to enhance the
overall quality of life and functional ability of the client?1. Assess the need for
assistive devices
2. Provide education on health screenings
3. Reinforce the importance of rehabilitation
4. Instruct the client on techniques for self-management
Answer: 3
Explanation:
1. Assistive devices may be necessary to increase the independence of the client.
The assessment for an assistive device occurs during the rehabilitation time.
2. Education regarding health screenings focuses on prevention of disease.
3. Rehabilitation after a chronic illness can enhance the quality of life and functional
ability of the client. Managing chronic fatigue that occurs with heart disease can
require rehabilitation.
4. Techniques of self-management can reduce pain and cost of chronic disease by
teaching the client to manage their own chronic condition.
6) The nurse is assessing an older female patient admitted to the hospital for
generalized weakness and a cough. Which assessment findings indicate
normal changes of aging? Select all that apply.
1. Blood pressure of 160/90
2. Needing to urinate every 3 hours
3. Needing to wear eye glasses for reading
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4. Pulse rate 110 bpm
5. Respiratory rate 22 per minute after walking a short distance
Answer: 2, 3, 5
Explanation:
1. Even though the arteries stiffen with age, an elevation in blood pressure needs to
be investigated and not assumed that it is a normal change related to aging.
2. With aging, bladder capacity declines. Needing to urinate every 3 hours would be
evidence of reduced bladder capacity.
3. With aging, difficulty focusing up close would necessitate the need for reading
glasses. This would be considered a normal change with aging.
4. Even though the heart muscle thickens with age, a pulse rate of 110 needs to be
investigated and not assumed that it is a normal change related to aging.
5. Maximum breathing capacity may decline by about 40% between the ages of 40
and 70. A respiratory rate of 22 per minute after walking a short distance can be
considered a normal change related to aging.
7) The family of an older male patient asks why the patient needs to be
hospitalized for pneumonia when the youngest daughter had the same
infection a few months ago and was treated at home. How should the nurse
respond to the family?
1. "The patient has chronic illnesses that put him at risk."
2. "I don't think you can compare your grandfather to yourself."
3. "There are some differences between men and women and illness."
4. "Aging decreases the body's ability to restore balance to body systems with
an infection."
Answer: 4
Explanation:
1. There is not enough information to determine if the patient has chronic illnesses.
2. This response does not address the issue that body systems return to balance
slower after an illness as a part of aging.
3. This response does not address that the patient's age impacts the body's ability to
fight an infection and return to homeostasis.
4. The loss of organ reserve that can occur with aging can lead to the concept of
homeostenosis or inability of the body to restore homeostasis after even minor
GERIATRIC EXAM 1 NCLEX PRACTICE QUESTIONS
NEWEST QUESTIONS 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
1) The nurse is preparing to discharge an older client with instructions on
smoking cessation. The nurse states to a colleague, "This client has been
smoking for years and isn't going to stop now." Which negative stereotype of
aging does the nurse's statement most reflect?
1. Old people are expected to be sick.
2. Old people are set in their ways.
3. Old people do not value health promotion education.
4. Old people are a drain on societal resources.
Answer: 3
Explanation:
1. Many older adults have chronic disease but function well.
2. Often people characterize the elderly in a negative way, believing that after a
certain age, things cannot be changed. Older people can learn new things and take
up new hobbies they can enjoy and give life meaning and pleasure.
3. Although it may not be possible to reverse all the damage, it is never too late to
stop smoking cigarettes. People who quit smoking at an older age enjoy better
health outcomes.
4. Older people contribute greatly to society by volunteering, helping with
grandchildren, mentoring others, and continue working.
2) The nurse is planning to conduct education for older adult clients regarding
preventative health screenings. Which type of screening does the nurse
anticipate educating this population on?
, Page 2 of 73
1. Glaucoma
2. Nutrition
3. An annual mammogram
4. Prostate-specific antigen
Answer: 3
Explanation:
1. A glaucoma screening is recommended annually for those at risk for glaucoma.
2. Nutritional assessment and counseling are encouraged for those with diabetes or
renal disease.
3. The nurse will discuss the importance of annual mammograms. Older women are
the fastest growing population in the United States.
4. A prostate-specific antigen is recommended yearly for men under the age of 70.
3) While completing an admission assessment, the nurse learns that a female
adult patient has smoked a pack of cigarettes daily for 20 years and works at a
chemical plant. From this information, what is this patient most at risk for?
1. Decline in muscle mass
2. Nutritional deficiencies
3. Depression and social isolation
4. Occupational hazard shortening life expectancy
Answer: 4
Explanation:
1. While muscle mass does naturally decline in older adults, there is no indication
that she is not physically active.
2. In older adults, adequate nutrition can be a concern, yet there is no indication that
she is not adequately nourished.
3. In older adults, depression and social isolation are a risk, yet there is no indication
that she is not socially active.
4. Exposure to occupational risk factors has been known to affect life expectancy in
men and will have the same effect on women given similar circumstances
4) The nurse is caring for an older adult with a chronic disease. Which is
reflective of a tertiary intervention to help slow down the progression of the
client's illness?
1. Assess the client's mobility
2. Integrate physical therapy
, Page 3 of 73
3. Discuss injury-prevention measures within the home
4. Obtain a referral for occupational therapy
Answer: 2
Explanation:
1. Assessment of the client's mobility is reflective of secondary prevention.
2. The integration of physical therapy for a client with chronic disease reflects a
tertiary intervention to promote restoration and prevent or slow down further
debilitation.
3. Discussing injury prevention is health promotion or primary prevention.
4. Obtaining a referral for an occupational therapist reflects a secondary measure of
prevention in which there is an early diagnosis and prompt treatment.
5) The nurse is caring for an older client with heart disease that is
experiencing fatigue. Which will the nurse initially implement to enhance the
overall quality of life and functional ability of the client?1. Assess the need for
assistive devices
2. Provide education on health screenings
3. Reinforce the importance of rehabilitation
4. Instruct the client on techniques for self-management
Answer: 3
Explanation:
1. Assistive devices may be necessary to increase the independence of the client.
The assessment for an assistive device occurs during the rehabilitation time.
2. Education regarding health screenings focuses on prevention of disease.
3. Rehabilitation after a chronic illness can enhance the quality of life and functional
ability of the client. Managing chronic fatigue that occurs with heart disease can
require rehabilitation.
4. Techniques of self-management can reduce pain and cost of chronic disease by
teaching the client to manage their own chronic condition.
6) The nurse is assessing an older female patient admitted to the hospital for
generalized weakness and a cough. Which assessment findings indicate
normal changes of aging? Select all that apply.
1. Blood pressure of 160/90
2. Needing to urinate every 3 hours
3. Needing to wear eye glasses for reading
, Page 4 of 73
4. Pulse rate 110 bpm
5. Respiratory rate 22 per minute after walking a short distance
Answer: 2, 3, 5
Explanation:
1. Even though the arteries stiffen with age, an elevation in blood pressure needs to
be investigated and not assumed that it is a normal change related to aging.
2. With aging, bladder capacity declines. Needing to urinate every 3 hours would be
evidence of reduced bladder capacity.
3. With aging, difficulty focusing up close would necessitate the need for reading
glasses. This would be considered a normal change with aging.
4. Even though the heart muscle thickens with age, a pulse rate of 110 needs to be
investigated and not assumed that it is a normal change related to aging.
5. Maximum breathing capacity may decline by about 40% between the ages of 40
and 70. A respiratory rate of 22 per minute after walking a short distance can be
considered a normal change related to aging.
7) The family of an older male patient asks why the patient needs to be
hospitalized for pneumonia when the youngest daughter had the same
infection a few months ago and was treated at home. How should the nurse
respond to the family?
1. "The patient has chronic illnesses that put him at risk."
2. "I don't think you can compare your grandfather to yourself."
3. "There are some differences between men and women and illness."
4. "Aging decreases the body's ability to restore balance to body systems with
an infection."
Answer: 4
Explanation:
1. There is not enough information to determine if the patient has chronic illnesses.
2. This response does not address the issue that body systems return to balance
slower after an illness as a part of aging.
3. This response does not address that the patient's age impacts the body's ability to
fight an infection and return to homeostasis.
4. The loss of organ reserve that can occur with aging can lead to the concept of
homeostenosis or inability of the body to restore homeostasis after even minor
