NCLEX Questions for Geriatrics
2026 Exam All Answers and
Illustrations Given
Following an appointment with the primary care provider, the nurse is
teaching an independent living older adult about a newly prescribed
medications. Which factor is most likely to interfere with the
effectiveness of this process?A) The patient wears a hearing aidB) The
patient has a history of hypothyroidismC) The nurse provided written
handoutsD) The nurse is in a hurry - ANSWER ✔✔D) The nurse is in
a hurry
,Older adults and their families or significant others should be given
complete information about the prescribed medications and the proper
method for taking them. If possible, nurses should select a time when
the older adult's anxiety level is low, because the individual will be more
likely to remember the important points when calm. If the directions are
complex, extra time may be necessary to ensure that they are
understood completely. Commonly, older persons fail to ask questions
because they are afraid of being judged as ignorant or bothersome. If
the nurse seems hurried, the older person may not feel comfortable
asking necessary questions.
Why are older adults more likely to experience adverse drug reactions?
(Select all that apply
)A) Because of the number of medications they take daily
B) Because of physiologic changes in metabolism and excretion
C) Because of higher percentage of body fluid
D) Because of cognitive changes
E) Because of interaction with foods, OTC preparations, and herbal
supplements
F) Because of decreased sense of taste - ANSWER ✔✔A) Because
of the number of medications they take daily
,B) Because of physiologic changes in metabolism and excretion
D) Because of cognitive changes
Factors that increase the risk for medication-related problems in older
adults include use of multiple medications, herbal and OTC medications,
physiologic changes related to aging, cognitive and sensory changes,
drug-testing methodology, knowledge deficits, and financial concerns.
What should you instruct the independent living older person to do?
A) Take most medications with milk or antacids to avoid stomach upset
B) Avoid drinking alcohol if taking acetaminophen (Tylenol)
C) Keep daily medications in the kitchen cabinet near the sink
D) Save prescription drugs in case the care provider orders them again -
ANSWER ✔✔B) Avoid drinking alcohol if taking acetaminophen
(Tylenol)Excessive use of acetaminophen (Tylenol) can damage the
kidneys, and if the patient uses alcohol heavily, it can also damage the
liver.
The nurse is caring for an elderly patient recently admitted to the
medical/surgical floor. With which written medication order would the
nurse feel comfortable complying?
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STATEMENT. ALL RIGHTS RESERVED
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, A) MSO₄ 25 mg PO q4h PRN for pain
B) Acetaminophen 500 mg PO q4h PRN for pain
C) Levothyroxine 100 µg PO qDay for hypothyroidism
D) Digoxin 0.25 mg PO qDay, hold for HR<60 for dysrhythmia -
ANSWER ✔✔B) Acetaminophen 500 mg PO q4h PRN for painThe
nurse should ensure each medication order has the full name of the
medication (not an abbreviation), the dose (without do-not-use
abbreviations such as µg), dosing interval (such as qDay and PRN) and
any exclusions (such as for heart rate less than [not "
The nurse works in a long term care facility that also employs medication
assistants. Which medications are appropriate to delegate to the
medication assistant? (Select all that apply)
A) IV antibiotics to a patient with cellulitis of the lower leg
B) Albuterol nebulizer to the patient with chronic obstructive pulmonary
disease
C) PO furosemide (Lasix) to the patient in left-sided heart failure
D) Subcutaneous insulin injection to the patient with a sliding scale for
insulin administration
2026 Exam All Answers and
Illustrations Given
Following an appointment with the primary care provider, the nurse is
teaching an independent living older adult about a newly prescribed
medications. Which factor is most likely to interfere with the
effectiveness of this process?A) The patient wears a hearing aidB) The
patient has a history of hypothyroidismC) The nurse provided written
handoutsD) The nurse is in a hurry - ANSWER ✔✔D) The nurse is in
a hurry
,Older adults and their families or significant others should be given
complete information about the prescribed medications and the proper
method for taking them. If possible, nurses should select a time when
the older adult's anxiety level is low, because the individual will be more
likely to remember the important points when calm. If the directions are
complex, extra time may be necessary to ensure that they are
understood completely. Commonly, older persons fail to ask questions
because they are afraid of being judged as ignorant or bothersome. If
the nurse seems hurried, the older person may not feel comfortable
asking necessary questions.
Why are older adults more likely to experience adverse drug reactions?
(Select all that apply
)A) Because of the number of medications they take daily
B) Because of physiologic changes in metabolism and excretion
C) Because of higher percentage of body fluid
D) Because of cognitive changes
E) Because of interaction with foods, OTC preparations, and herbal
supplements
F) Because of decreased sense of taste - ANSWER ✔✔A) Because
of the number of medications they take daily
,B) Because of physiologic changes in metabolism and excretion
D) Because of cognitive changes
Factors that increase the risk for medication-related problems in older
adults include use of multiple medications, herbal and OTC medications,
physiologic changes related to aging, cognitive and sensory changes,
drug-testing methodology, knowledge deficits, and financial concerns.
What should you instruct the independent living older person to do?
A) Take most medications with milk or antacids to avoid stomach upset
B) Avoid drinking alcohol if taking acetaminophen (Tylenol)
C) Keep daily medications in the kitchen cabinet near the sink
D) Save prescription drugs in case the care provider orders them again -
ANSWER ✔✔B) Avoid drinking alcohol if taking acetaminophen
(Tylenol)Excessive use of acetaminophen (Tylenol) can damage the
kidneys, and if the patient uses alcohol heavily, it can also damage the
liver.
The nurse is caring for an elderly patient recently admitted to the
medical/surgical floor. With which written medication order would the
nurse feel comfortable complying?
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, A) MSO₄ 25 mg PO q4h PRN for pain
B) Acetaminophen 500 mg PO q4h PRN for pain
C) Levothyroxine 100 µg PO qDay for hypothyroidism
D) Digoxin 0.25 mg PO qDay, hold for HR<60 for dysrhythmia -
ANSWER ✔✔B) Acetaminophen 500 mg PO q4h PRN for painThe
nurse should ensure each medication order has the full name of the
medication (not an abbreviation), the dose (without do-not-use
abbreviations such as µg), dosing interval (such as qDay and PRN) and
any exclusions (such as for heart rate less than [not "
The nurse works in a long term care facility that also employs medication
assistants. Which medications are appropriate to delegate to the
medication assistant? (Select all that apply)
A) IV antibiotics to a patient with cellulitis of the lower leg
B) Albuterol nebulizer to the patient with chronic obstructive pulmonary
disease
C) PO furosemide (Lasix) to the patient in left-sided heart failure
D) Subcutaneous insulin injection to the patient with a sliding scale for
insulin administration
