Questions for geriatrics, NEWEST ACTUAL EXAM
GERIATRICS NCLEX QUESTIONS, OLDER ADULT NCLEX
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A 70-year-old client asks the nurse to explain to her about hypertension. An
appropriate response by the nurse as to why older clients often have hypertension
is due to:
A. Myocardial muscle damage
B. Reduction in physical activity
C. Ingestion of foods high in sodium
D. Accumulation of plaque on arterial walls - Correct Answer-D. Accumulation of
plaque on arterial walls
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.
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Questions for geriatrics, NEWEST ACTUAL EXAM
D. Cognitive deterioration is an inevitable outcome of the human aging process. -
Correct 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.
Which of the following interventions should be taken to help an older client to
prevent osteoporosis?
A. Decrease dietary calcium intake.
B. Increase sedentary lifestyles
C. Increase dietary protein intake.
D. Encourage regular exercise. - Correct Answer-D. Encourage regular exercise.
Rationale: Key word in question is prevent
Weight-bearing exercises helps to fight off degeneration of bone in osteoporosis
Which of the following statements accurately reflects data that the nurse should
use in planning care to meet the needs of the older adult?
A. 50% of older adults have two chronic health problems.
B. Cancer is the most common cause of death among older adults.
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Questions for geriatrics, NEWEST ACTUAL EXAM
C. Nutritional needs for both younger and older adults are essentially the same.
D. Adults older than 65 years of age are the greatest users of prescription
medications. - Correct Answer-D. Adults older than 65 years of age are the
greatest users of prescription medications.
Rationale: Approximately two thirds of older adults use prescription and
nonprescription drugs with one third of all prescriptions being written for older
adults
The nurse is aware that the majority of older adults:
A. Live alone
B. Live in institutional settings
C. Are unable to care for themselves
D. Are actively involved in their community - Correct Answer-D. Are actively
involved in their community
The nurse works with elderly clients in a wellness screening clinic on a weekly
basis. Which of the following statements made by the nurse is the most
therapeutic regarding their mobility?
A. "Your shoulder pain is normal for your age."
B. "Continue to exercise your joints regularly to your tolerance level."
C. "Why don't you begin walking 3 to 4 miles a day, and we'll evaluate how you
feel next week."
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Questions for geriatrics, NEWEST ACTUAL EXAM
D. "Don't worry about taking that combination of medications since your doctor
has prescribed them." - Correct Answer-B. "Continue to exercise your joints
regularly to your tolerance level."
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." - Correct 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.
The nurse is setting up an education session with an 85-year-old patient who will
be going home on anticoagulant therapy. Which strategy would reflect
consideration of aging changes that may exist with this patient?
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