OLDER ADULT SENSORY NCLEX
A client has been recently diagnosed with Alzheimer's disease. When teaching the family about the
prognosis, the nurse must explain that:
A. Diet and exercise can slow the process considerably
B. It usually progresses gradually with a deterioration of function
C. Many individuals can be cured if the diagnosis is made early
D. Few clients live more than 3 years after the diagnosis - answer-B. It usually progresses gradually with
a deterioration of function
A long-term care facility sponsors a discussion group on the administration of medications. The
participants have a number of questions concerning their medications. The nurse responds most
appropriately by saying:
A. "Don't worry about the medication's name if you can identify it by its color and shape."
B. "Unless you have severe side affects, don't worry about the minor changes in the way you feel."
C. "Feel free to ask your physician why you are receiving the medications that are prescribed for you."
D. "Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of your
medications." - answer-C. "Feel free to ask your physician why you are receiving the medications that
are prescribed for you."
Rationale: The nurse should encourage the older adult to question the physician and/or pharmacist
about all prescribed drugs and over-the-counter drugs. The older adult should be taught the names of all
drugs being taken, when and how to take them, and the desirable and undesirable effects of the drugs.
A nurse caring for older adults in an assistive living facility recognizes that a clients quality of life needs
are best determined by:
A. Excellent physical, social, and emotional nursing assessments
B. A working knowledge of this age-group's developmental needs
C. A therapeutic nurse-client relationship that facilitates communication
D. The client's need for complete physical, emotional, and cognitive care - answer-C. A therapeutic
nurse-client relationship that facilitates communication
A patient is taking delayed-release omeprazole (Prilosec) capsules for the treatment of gastroesophageal
reflux disease (GERD). Which statement will the nurse include in the teaching plan about this
medication?
A. "Take this medication once a day after breakfast."
B. "You will only have to be on this medication for 2 weeks for a life long treatment of the reflux
disease."
C. "The medication may be dissolved in a liquid for better absorption."
D. "The entire capsule should be taken whole, not crushed, chewed, or opened." - answer-D. "The
entire capsule should be taken whole, not crushed, chewed, or opened."
, An assisted living facility has provided its clients with an educational program on safe administration of
prescribed medications. Which statement made by an older-adult client reflects the best understanding
of safe self-administration of medications?
A. "I don't seem to have problems with side effects, but I'll let my doctor know if something happens."
B. "I'm lucky since my daughter is really good about keeping up with my medications."
C. "I'll be sure to read the inserts and ask the pharmacist if I don't understand something."
D. "It shouldn't be too hard to keep it straight since I don't have any really serious health issues." -
answer-C. "I'll be sure to read the inserts and ask the pharmacist if I don't understand something."
In performing a physical assessment for an older adult, the nurse anticipates finding which of the
following normal physiological changes of aging?
A. Increased perspiration
B. Increased airway resistance
C. Increased salivary secretions
D. Increased pitch discrimination - answer-B. Increased airway resistance
Rational: Normal physiological changes of aging include increased airway resistance in the older adult.
The older adult would be expected to have decreased perspiration and drier skin as they experience
glandular atrophy (oil, moisture, sweat glands) in the integumentary system. The older adult would be
expected to have a decrease in saliva. A normal physiological change of the older adult related to
hearing is a loss of acuity for high-frequency tones (presbycusis).
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.
D. Cognitive deterioration is an inevitable outcome of the human aging process. - answer-C. Reversible
systemic disorders are often implicated as a cause of delirium.
Rationale: Delirium is a potentially reversible cognitive impairment that is often due to a physiological
cause such as an electrolyte imbalance, cerebral anoxia, hypoglycemia, medications, tumors,
cerebrovascular infection, or hemorrhage.
Of the following, which describes dementia?
A. Quick onset, irreversible
B. Slow onset, chronic
C. Acute onset, reversible
D. Progressive, terminal - answer-B. Slow onset, chronic
One reason for medication problems in the elderly is that
1. Regular use of laxatives increases absorption of medications
A client has been recently diagnosed with Alzheimer's disease. When teaching the family about the
prognosis, the nurse must explain that:
A. Diet and exercise can slow the process considerably
B. It usually progresses gradually with a deterioration of function
C. Many individuals can be cured if the diagnosis is made early
D. Few clients live more than 3 years after the diagnosis - answer-B. It usually progresses gradually with
a deterioration of function
A long-term care facility sponsors a discussion group on the administration of medications. The
participants have a number of questions concerning their medications. The nurse responds most
appropriately by saying:
A. "Don't worry about the medication's name if you can identify it by its color and shape."
B. "Unless you have severe side affects, don't worry about the minor changes in the way you feel."
C. "Feel free to ask your physician why you are receiving the medications that are prescribed for you."
D. "Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of your
medications." - answer-C. "Feel free to ask your physician why you are receiving the medications that
are prescribed for you."
Rationale: The nurse should encourage the older adult to question the physician and/or pharmacist
about all prescribed drugs and over-the-counter drugs. The older adult should be taught the names of all
drugs being taken, when and how to take them, and the desirable and undesirable effects of the drugs.
A nurse caring for older adults in an assistive living facility recognizes that a clients quality of life needs
are best determined by:
A. Excellent physical, social, and emotional nursing assessments
B. A working knowledge of this age-group's developmental needs
C. A therapeutic nurse-client relationship that facilitates communication
D. The client's need for complete physical, emotional, and cognitive care - answer-C. A therapeutic
nurse-client relationship that facilitates communication
A patient is taking delayed-release omeprazole (Prilosec) capsules for the treatment of gastroesophageal
reflux disease (GERD). Which statement will the nurse include in the teaching plan about this
medication?
A. "Take this medication once a day after breakfast."
B. "You will only have to be on this medication for 2 weeks for a life long treatment of the reflux
disease."
C. "The medication may be dissolved in a liquid for better absorption."
D. "The entire capsule should be taken whole, not crushed, chewed, or opened." - answer-D. "The
entire capsule should be taken whole, not crushed, chewed, or opened."
, An assisted living facility has provided its clients with an educational program on safe administration of
prescribed medications. Which statement made by an older-adult client reflects the best understanding
of safe self-administration of medications?
A. "I don't seem to have problems with side effects, but I'll let my doctor know if something happens."
B. "I'm lucky since my daughter is really good about keeping up with my medications."
C. "I'll be sure to read the inserts and ask the pharmacist if I don't understand something."
D. "It shouldn't be too hard to keep it straight since I don't have any really serious health issues." -
answer-C. "I'll be sure to read the inserts and ask the pharmacist if I don't understand something."
In performing a physical assessment for an older adult, the nurse anticipates finding which of the
following normal physiological changes of aging?
A. Increased perspiration
B. Increased airway resistance
C. Increased salivary secretions
D. Increased pitch discrimination - answer-B. Increased airway resistance
Rational: Normal physiological changes of aging include increased airway resistance in the older adult.
The older adult would be expected to have decreased perspiration and drier skin as they experience
glandular atrophy (oil, moisture, sweat glands) in the integumentary system. The older adult would be
expected to have a decrease in saliva. A normal physiological change of the older adult related to
hearing is a loss of acuity for high-frequency tones (presbycusis).
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.
D. Cognitive deterioration is an inevitable outcome of the human aging process. - answer-C. Reversible
systemic disorders are often implicated as a cause of delirium.
Rationale: Delirium is a potentially reversible cognitive impairment that is often due to a physiological
cause such as an electrolyte imbalance, cerebral anoxia, hypoglycemia, medications, tumors,
cerebrovascular infection, or hemorrhage.
Of the following, which describes dementia?
A. Quick onset, irreversible
B. Slow onset, chronic
C. Acute onset, reversible
D. Progressive, terminal - answer-B. Slow onset, chronic
One reason for medication problems in the elderly is that
1. Regular use of laxatives increases absorption of medications
