N128 Adaptive Quizzing Exam Actual Exam
N128 ADAPTIVE QUIZZING EXAM ACTUAL EXAM NEWEST 2025/2026
WITH COMPLETE QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+||BRAND NEW VERSION!
Which characteristic of a therapeutic milieu would the nurse consider important
for a confused older adult with socially aggressive behavior?
Sets limits
Has variety
Is group oriented
Allows freedom of expression
Sets limits
Rationale:
The therapeutic milieu characteristic would be to set limits. Because clients with
socially aggressive behavior have poor control, these individuals require a
therapeutic environment in which appropriate limits for behavior are set for them.
Variety will increase anxiety. The daily routine should be structured and repetitive.
A group-oriented environment is too stimulating for a person with socially
aggressive behavior. Freedom of expression may result in injury to the client or
others, because the client may be unable to control impulses.
Which intervention would the nurse include when developing a plan of care for an
older client with dementia?
Explain to the client the details of the regimen.
Demonstrate interest in the client's various likes and dislikes.
Be firm when dealing with the client's attitudes and behaviors.
Provide consistency in carrying out nursing activities for the client.
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, N128 Adaptive Quizzing Exam Actual Exam
Provide consistency in carrying out nursing activities for the client.
Rationale:
The nurse would include providing consistency in carrying out nursing activities for
the client. Familiarity with situations and continuity add to the client's sense of
security and foster trust in the relationship. Detailed explanations will be
forgotten; instructions should be simple and to the point and given when needed
for clients with dementia. Although demonstrating interest in the client's likes and
dislikes helps individualize care, in a client with dementia likes and dislikes may be
hard to remember.
Which initial nursing intervention would the nurse take for an older adult with
delirium who begins acting out while in the dayroom?
Instructing the client to be quiet
Allowing the client to act out until fatigue sets in
Guiding the client from the room by gently holding the client's arm
Giving the client one simple direction at a time in a firm, low-pitched voice
Giving the client one simple direction at a time in a firm, low-pitched voice
Rationale:
Clients with delirium typically respond to simple directions stated one at a time in
a firm, low-pitched voice. 'Be quiet' is a nontherapeutic order; furthermore, it is
demeaning to the client. Allowing the client to act out until fatigue sets in will not
help the client gain control and might be frightening to other clients in the
dayroom. Guiding the client from the room by gently holding the client's arm is
done only after giving simple directions and attempting to calm the client has
failed. Touch should also be used cautiously in clients who have delirium because
the client may misinterpret the gesture as aggressive.
Which gerontologic assessment findings of the auditory system are related to the
inner ear? Select all that apply. One, some, or all responses may be correct.
2|Page
, N128 Adaptive Quizzing Exam Actual Exam
Hair cell degeneration
Reduced blood supply to the cochlea
Atrophic changes of the tympanic membrane
Decline in the ability to filter out unwanted sounds
Less effective vestibular apparatus in the semicircular canals
Hair cell degeneration
Reduced blood supply to the cochlea
Less effective vestibular apparatus in the semicircular canals
Rationale:
Hair cell degeneration, reduced blood supply to the cochlea, and less effective
vestibular apparatus in the semicircular canals are assessment findings related to
the inner ear. Atrophic changes of the tympanic membrane is an assessment
finding associated with the middle ear. A decline in an ability to filter out
unwanted sounds is an assessment finding related to the brain.
Which action would the nurse take when caring for an older adult with a history of
recent memory loss?
Instruct the client to move slowly when changing positions.
Remind the client to look where he or she places the feet while walking.
Adjust the daily schedule to accommodate sleep pattern.
Employ electronic devices that provide alerts.
Employ electronic devices that provide alerts.
Rationale:
Providing electronic devices that give alerts can help an older adult who has
developed recent memory loss. Adjusting the daily schedule can aid older adults
who have changes in their sleep pattern. Instructing the client to move slowly
when changing positions can prevent dizziness and falls caused by orthostatic
3|Page
, N128 Adaptive Quizzing Exam Actual Exam
blood pressure changes or altered balance/coordination. Reminding the client to
check where the feet are placed can help older adults with a decreased sensory
perception of touch.
The nurse is caring for an older adult who was admitted to the hospital to be
treated for dehydration. While the nurse is providing discharge teaching, the client
asks what to do about itchy, dry skin. Which response by the nurse is appropriate?
'Wear plenty of warm clothes to keep moisture in the skin.'
'Use a moisturizer on the skin daily to help reduce itching.'
'Take hot tub baths only twice a week to reduce drying of the skin.'
'Expose the skin to the air to help reduce the sensation of itching.'
'Use a moisturizer on the skin daily to help reduce itching.'
Rationale:
Lubricating the skin with a moisturizer effectively relieves dryness and, thus, the
pruritis (itching). Wearing warm clothing will not lubricate the skin or relieve
pruritis. Warm or cool, not hot, tub baths will reduce itching. Exposing the skin to
the air causes further drying and will not relieve pruritis.
The nurse is preparing to teach a community health program for senior citizens.
Which physical findings would the nurse include that are typical in older adults?
Increased skin elasticity and an increase in testosterone production
Impaired fat digestion and an increase in pepsin production
Increased blood pressure and decreased cardiac output
An increase in body warmth and some swallowing difficulties
Increased blood pressure and decreased cardiac output
Rationale:
With aging, narrowing of the arteries causes some increase in the systolic and
diastolic blood pressures. Decreases occur in diastolic pressure, diastolic filling,
and beta-adrenergic stimulation; increases occur in arterial pressure, systolic
4|Page
N128 ADAPTIVE QUIZZING EXAM ACTUAL EXAM NEWEST 2025/2026
WITH COMPLETE QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+||BRAND NEW VERSION!
Which characteristic of a therapeutic milieu would the nurse consider important
for a confused older adult with socially aggressive behavior?
Sets limits
Has variety
Is group oriented
Allows freedom of expression
Sets limits
Rationale:
The therapeutic milieu characteristic would be to set limits. Because clients with
socially aggressive behavior have poor control, these individuals require a
therapeutic environment in which appropriate limits for behavior are set for them.
Variety will increase anxiety. The daily routine should be structured and repetitive.
A group-oriented environment is too stimulating for a person with socially
aggressive behavior. Freedom of expression may result in injury to the client or
others, because the client may be unable to control impulses.
Which intervention would the nurse include when developing a plan of care for an
older client with dementia?
Explain to the client the details of the regimen.
Demonstrate interest in the client's various likes and dislikes.
Be firm when dealing with the client's attitudes and behaviors.
Provide consistency in carrying out nursing activities for the client.
1|Page
, N128 Adaptive Quizzing Exam Actual Exam
Provide consistency in carrying out nursing activities for the client.
Rationale:
The nurse would include providing consistency in carrying out nursing activities for
the client. Familiarity with situations and continuity add to the client's sense of
security and foster trust in the relationship. Detailed explanations will be
forgotten; instructions should be simple and to the point and given when needed
for clients with dementia. Although demonstrating interest in the client's likes and
dislikes helps individualize care, in a client with dementia likes and dislikes may be
hard to remember.
Which initial nursing intervention would the nurse take for an older adult with
delirium who begins acting out while in the dayroom?
Instructing the client to be quiet
Allowing the client to act out until fatigue sets in
Guiding the client from the room by gently holding the client's arm
Giving the client one simple direction at a time in a firm, low-pitched voice
Giving the client one simple direction at a time in a firm, low-pitched voice
Rationale:
Clients with delirium typically respond to simple directions stated one at a time in
a firm, low-pitched voice. 'Be quiet' is a nontherapeutic order; furthermore, it is
demeaning to the client. Allowing the client to act out until fatigue sets in will not
help the client gain control and might be frightening to other clients in the
dayroom. Guiding the client from the room by gently holding the client's arm is
done only after giving simple directions and attempting to calm the client has
failed. Touch should also be used cautiously in clients who have delirium because
the client may misinterpret the gesture as aggressive.
Which gerontologic assessment findings of the auditory system are related to the
inner ear? Select all that apply. One, some, or all responses may be correct.
2|Page
, N128 Adaptive Quizzing Exam Actual Exam
Hair cell degeneration
Reduced blood supply to the cochlea
Atrophic changes of the tympanic membrane
Decline in the ability to filter out unwanted sounds
Less effective vestibular apparatus in the semicircular canals
Hair cell degeneration
Reduced blood supply to the cochlea
Less effective vestibular apparatus in the semicircular canals
Rationale:
Hair cell degeneration, reduced blood supply to the cochlea, and less effective
vestibular apparatus in the semicircular canals are assessment findings related to
the inner ear. Atrophic changes of the tympanic membrane is an assessment
finding associated with the middle ear. A decline in an ability to filter out
unwanted sounds is an assessment finding related to the brain.
Which action would the nurse take when caring for an older adult with a history of
recent memory loss?
Instruct the client to move slowly when changing positions.
Remind the client to look where he or she places the feet while walking.
Adjust the daily schedule to accommodate sleep pattern.
Employ electronic devices that provide alerts.
Employ electronic devices that provide alerts.
Rationale:
Providing electronic devices that give alerts can help an older adult who has
developed recent memory loss. Adjusting the daily schedule can aid older adults
who have changes in their sleep pattern. Instructing the client to move slowly
when changing positions can prevent dizziness and falls caused by orthostatic
3|Page
, N128 Adaptive Quizzing Exam Actual Exam
blood pressure changes or altered balance/coordination. Reminding the client to
check where the feet are placed can help older adults with a decreased sensory
perception of touch.
The nurse is caring for an older adult who was admitted to the hospital to be
treated for dehydration. While the nurse is providing discharge teaching, the client
asks what to do about itchy, dry skin. Which response by the nurse is appropriate?
'Wear plenty of warm clothes to keep moisture in the skin.'
'Use a moisturizer on the skin daily to help reduce itching.'
'Take hot tub baths only twice a week to reduce drying of the skin.'
'Expose the skin to the air to help reduce the sensation of itching.'
'Use a moisturizer on the skin daily to help reduce itching.'
Rationale:
Lubricating the skin with a moisturizer effectively relieves dryness and, thus, the
pruritis (itching). Wearing warm clothing will not lubricate the skin or relieve
pruritis. Warm or cool, not hot, tub baths will reduce itching. Exposing the skin to
the air causes further drying and will not relieve pruritis.
The nurse is preparing to teach a community health program for senior citizens.
Which physical findings would the nurse include that are typical in older adults?
Increased skin elasticity and an increase in testosterone production
Impaired fat digestion and an increase in pepsin production
Increased blood pressure and decreased cardiac output
An increase in body warmth and some swallowing difficulties
Increased blood pressure and decreased cardiac output
Rationale:
With aging, narrowing of the arteries causes some increase in the systolic and
diastolic blood pressures. Decreases occur in diastolic pressure, diastolic filling,
and beta-adrenergic stimulation; increases occur in arterial pressure, systolic
4|Page
