1
NEW CARE OF OLDER ADULT PRACTICE
QUESTIONS AND ANSWERS TESTED AND
APPROVED ACTUAL EXAM LATEST 2025/2026
The visiting nurse observes that the older male client is confined by his daughter in law to his
room. When the nurse suggests that he walk to the den and join the family, he says, I'm in
everyone's way; my daughter in law needs me to stay here. The most important action for the
nurse to take is to:
a. say nothing, because it is best for the nurse to remain neutral and wait to be asked for help
b. Suggest to the client and daughter in law that they consider a nursing home for the client
c. say to the daughter in law, confining your father in law to his room is inhuman
d. suggest appropriate resources to the client and daughter in law, such as respite care and a
senior citizen's center. -- ANSWER-- d
The home health nurse is visiting a client for the first time. While assessing the client's
medication, it is noted that there are at least 19 prescriptions and several OTC medications
that the client has been taking. Which intervention should the nurse take first?
a. check for drug-drug interactions
b. determine whether there are any adverse side effects
c. determine whether there are medication duplications
d. call the prescribing physician and report any polypharmacy
-- ANSWER-- c
,2
Which of the following are normal age related physiological changes? Select all that apply a.
increased heart rate
b. decline in visual acuity
c. decreased respiratory rate
d. decline in long term memory
e. increased susceptibility to urinary tract infections
f. increased incidence of awakening after sleep onset
-- ANSWER-- b, e, f
The nurse performs a comprehensive geriatric assessment of a patient who is being assessed
for admission to an assisted living facility. Which question is the most important for the nurse
to ask?
a. "Have you had any recent infections?"
b. "How frequently do you see a doctor?"
c. "Do you have a history of heart disease?"
d. "Are you able to prepare your own meals?" -- ANSWER--ANS: D
The patient's functional abilities, rather than the presence of an acute or chronic illness, are
more useful in determining how well the patient might adapt to an assisted living situation.
The other questions will also provide helpful information but are not as useful in providing a
basis for determining patient needs or for developing interventions for the older patient.
,3
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the habit of
arriving 20 minutes early for church in order to ensure that she gets a seat near the end of a
row and close to the exit so that she has ready access to the restroom. Which of the following
tasks of the chronically ill is the woman enacting (select all that apply)?
j) Controlling symptoms
k) Preventing social isolation
l) Preventing and managing a crisis
m) Denying the reality of the problem
n) Adjusting to changes in the course of the disease
-- ANSWER-- j, l
Which of the following assessment findings would alert the nurse to possible elder
mistreatment (select all that apply)?
e) Agitation
f) Depression
g) Weight gain
h) Weight loss
i) Hypernatremia
-- ANSWER-- e, f, h, i
, 4
A nurse who is providing care for an 81-year-old female patient recognizes the need to
maximize the patient's mobility during her recovery from surgery. Which of the following
statements provides the best rationale for the nurse's actions?
e) Continued activity prevents deconditioning.
f) Pharmacokinetics are improved by patient mobility.
g) Lack of stimulation contributes to the development of cognitive deficits in older adults.
h) Regularly scheduled physical rehabilitation provides an important sense of purpose for
older patients. -- ANSWER-- e
Examples of primary prevention strategies include:
a. colonoscopy at age 50
b. avoidance of tobacco products
c. intake of a diet low in saturated fat in a pt with high cholesterol
d. teaching the importance of exercise to a pt with hypertension
-- ANSWER--b
A characteristic of chronic illness is that it (select all):
a. has reversible pathologic changes
b. has a consistent, predictable clinical course
c. results in permanent deviation from the normal
NEW CARE OF OLDER ADULT PRACTICE
QUESTIONS AND ANSWERS TESTED AND
APPROVED ACTUAL EXAM LATEST 2025/2026
The visiting nurse observes that the older male client is confined by his daughter in law to his
room. When the nurse suggests that he walk to the den and join the family, he says, I'm in
everyone's way; my daughter in law needs me to stay here. The most important action for the
nurse to take is to:
a. say nothing, because it is best for the nurse to remain neutral and wait to be asked for help
b. Suggest to the client and daughter in law that they consider a nursing home for the client
c. say to the daughter in law, confining your father in law to his room is inhuman
d. suggest appropriate resources to the client and daughter in law, such as respite care and a
senior citizen's center. -- ANSWER-- d
The home health nurse is visiting a client for the first time. While assessing the client's
medication, it is noted that there are at least 19 prescriptions and several OTC medications
that the client has been taking. Which intervention should the nurse take first?
a. check for drug-drug interactions
b. determine whether there are any adverse side effects
c. determine whether there are medication duplications
d. call the prescribing physician and report any polypharmacy
-- ANSWER-- c
,2
Which of the following are normal age related physiological changes? Select all that apply a.
increased heart rate
b. decline in visual acuity
c. decreased respiratory rate
d. decline in long term memory
e. increased susceptibility to urinary tract infections
f. increased incidence of awakening after sleep onset
-- ANSWER-- b, e, f
The nurse performs a comprehensive geriatric assessment of a patient who is being assessed
for admission to an assisted living facility. Which question is the most important for the nurse
to ask?
a. "Have you had any recent infections?"
b. "How frequently do you see a doctor?"
c. "Do you have a history of heart disease?"
d. "Are you able to prepare your own meals?" -- ANSWER--ANS: D
The patient's functional abilities, rather than the presence of an acute or chronic illness, are
more useful in determining how well the patient might adapt to an assisted living situation.
The other questions will also provide helpful information but are not as useful in providing a
basis for determining patient needs or for developing interventions for the older patient.
,3
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the habit of
arriving 20 minutes early for church in order to ensure that she gets a seat near the end of a
row and close to the exit so that she has ready access to the restroom. Which of the following
tasks of the chronically ill is the woman enacting (select all that apply)?
j) Controlling symptoms
k) Preventing social isolation
l) Preventing and managing a crisis
m) Denying the reality of the problem
n) Adjusting to changes in the course of the disease
-- ANSWER-- j, l
Which of the following assessment findings would alert the nurse to possible elder
mistreatment (select all that apply)?
e) Agitation
f) Depression
g) Weight gain
h) Weight loss
i) Hypernatremia
-- ANSWER-- e, f, h, i
, 4
A nurse who is providing care for an 81-year-old female patient recognizes the need to
maximize the patient's mobility during her recovery from surgery. Which of the following
statements provides the best rationale for the nurse's actions?
e) Continued activity prevents deconditioning.
f) Pharmacokinetics are improved by patient mobility.
g) Lack of stimulation contributes to the development of cognitive deficits in older adults.
h) Regularly scheduled physical rehabilitation provides an important sense of purpose for
older patients. -- ANSWER-- e
Examples of primary prevention strategies include:
a. colonoscopy at age 50
b. avoidance of tobacco products
c. intake of a diet low in saturated fat in a pt with high cholesterol
d. teaching the importance of exercise to a pt with hypertension
-- ANSWER--b
A characteristic of chronic illness is that it (select all):
a. has reversible pathologic changes
b. has a consistent, predictable clinical course
c. results in permanent deviation from the normal
