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Chapter 24 Older Adult NCLEX 2026 | 200+ NCLEX Practice Questions with Detailed Rationales | Gerontological Nursing, Dementia, Health Promotion, Fall Prevention & Long-Term Care

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This comprehensive Chapter 24 Older Adult NCLEX study guide contains more than 200 NCLEX-style practice questions, verified answers, and detailed rationales focused on the assessment, care, and health promotion needs of older adults. The material thoroughly examines gerontological nursing concepts, age-related physiological changes, cognitive disorders, medication management, nutrition, mobility, safety, psychosocial adaptation, and evidence-based nursing interventions frequently tested on NCLEX-RN, NCLEX-PN, nursing school examinations, and geriatric nursing assessments. The question bank covers a broad range of clinically relevant topics, including Erikson's stage of Ego Integrity versus Despair, successful aging, assisted living and long-term care services, malnutrition in older adults, exercise and mobility promotion, osteoporosis prevention, dementia, Alzheimer's disease, delirium, depression, urinary incontinence, medication safety, polypharmacy, elder abuse, sensory impairments, pressure injury prevention, chronic disease management, immunizations, cancer prevention, hospice care, palliative care, retirement adaptation, sexuality in aging, community health, and functional assessment of older adults. The detailed rationales help students strengthen clinical judgment, prioritization, delegation, and patient-centered care skills while reinforcing key gerontological concepts. The content aligns with evidence-based principles presented in leading nursing and gerontology references, including Lewis's Medical-Surgical Nursing, Brunner & Suddarth's Textbook of Medical-Surgical Nursing, Eliopoulos' Gerontological Nursing, Potter and Perry's Fundamentals of Nursing, and Health Promotion Throughout the Life Span by Edelman and Kudzma. Concepts reflected throughout the document are consistent with recommendations from the Centers for Disease Control and Prevention (CDC), National Institute on Aging (NIA), American Geriatrics Society (AGS), and World Health Organization (WHO) regarding healthy aging, chronic disease prevention, fall prevention, cognitive health, and quality of life in older populations. Special emphasis is placed on NCLEX-tested priority concepts such as medication administration in older adults, functional ability assessment, fall-risk reduction, dementia management, communication strategies, nutritional support, skin integrity maintenance, psychosocial adaptation, and safe discharge planning. The scenario-based questions and evidence-supported rationales provide valuable preparation for both academic examinations and real-world clinical practice. This resource is highly relevant for NCLEX-RN candidates, NCLEX-PN candidates, Associate Degree Nursing (ADN) students, Bachelor of Science in Nursing (BSN) students, Practical Nursing students, Gerontological Nursing students, Medical-Surgical Nursing students, Community Health Nursing students, Long-Term Care Nursing students, Registered Nurses seeking certification review, Nurse Educators, and healthcare professionals working with aging populations. It serves as an excellent revision tool for examination preparation, competency validation, clinical rotations, and continuing professional development in geriatric care. Keywords: older adult NCLEX, gerontological nursing, geriatric nursing, NCLEX practice questions, NCLEX rationales, nursing exam preparation, healthy aging, ego integrity versus despair, Erikson theory, dementia nursing, Alzheimer's disease, delirium, depression in older adults, cognitive assessment, MMSE, long-term care, assisted living, retirement communities, elder abuse, fall prevention, osteoporosis prevention, urinary incontinence, medication safety, polypharmacy, pressure ulcer prevention, skin integrity, nutrition in older adults, malnutrition, mobility promotion, exercise for seniors, chronic disease management, sensory changes in aging, hearing loss, vision changes, discharge planning, hospice care, palliative care, community health nursing, functional assessment, older adult health promotion, age-related physiological changes, nursing school exams, NCLEX-RN review, NCLEX-PN review, evidence-based geriatric care, nursing leadership, patient safety, geriatric assessment, successful aging

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Institution
Care Of The Older Adult
Course
Care of the older adult

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Chapter 24 Older Adult NCLEX
2026 Exam Questions with
100% Correct Answers | Latest
Update



Characteristic behaviors of older adults who have successfully met

Erikson's ego integrity versus despair developmental task include:




A. Fear of death.

B. Feelings that life has been lived in vain.

,C. Identity is related to career and work only.


D. Honest acceptance of the life that has passed. - ANSWER ✔✔D.

Honest acceptance of the life that has passed.




• Ego integrity versus despair is the developmental stage of older adults.

The quality associated with successful passage of this stage is integrity,

defined as an honest acceptance of the life that has passed and the

stage of life that is currently being lived. Individuals who have reached

this stage are said to be at peace with themselves. The inability to reach

this stage leads to fear of death and despair that life has been lived in

vain. Ego differentiation, which is a part of the developmental stage of

ego integrity, involves achieving an identity apart from work.

According to the U.S. Census Bureau, the fastest-growing group within

the older population is:




A. 65 to 70

B. 70 to 75

C. 75 to 80


D. 85 and older. - ANSWER ✔✔D. 85 and older.

,• The fastest-growing group within the older adult population is 85 years

and older. According to the U.S. Census Bureau, an individual who was

65 years of age in 2009 could expect to live 19.2 more years, for a total

of 84.2 years. Individuals aged 85 years in 2009 could expect to live an

average of 6.3 more years, for a total of 91.3 years.

The nurse is explaining services provided in assisted living to a couple

considering a move to long-term housing for older adults. The nurse

explains that assisted living includes:




A. 24-hour protective oversight.

B. Medications administered by staff personnel.

C. Client responsibility for preparation of own medications.

D. Expectation that clients are independent in all care areas. -

ANSWER ✔✔A. 24-hour protective oversight.




• Assisted living includes 24-hou oversight for clients. The clients must

be mobile; they may require some assistance. All meals and snacks are

provided. They may request assistance with bathing hygiene.


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
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, Housekeeping and laundry services are provided. They may require

occasional assistance with dressing. The client should self-administer

medication or may receive personal monitoring of medication

administration.

According to the National Resource Center on Nutrition, Physical Activity

and Aging, it is estimated that between _____ of older residents living in

long-term care facilities are malnourished.




A. 10% and 15%

B. 20% and 25%

C. 35% and 50%


D. 55% and 70% - ANSWER ✔✔C. 35% and 50%




• The National Resource Center on Nutrition, Physical Activity and Aging

(2012) stages that between 35% and 50% of older residents living in

long-term care facilities are malnourished and approximately 65% of

older adults in hospitals may be malnourished. His data underscores the

problems of maintaining good nutrition.

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Institution
Care of the older adult
Course
Care of the older adult

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