Older Adult NCLEX Questions and Answers Graded A+
The nurse is setting up an education session unlikely to address individual patient needs and
with an 85-year-old patient who will be going strengths. A patients need for discharge to a
home on anticoagulant therapy. Which strategy long-term-care facility is variable. Activity level
would reflect consideration of aging changes that should be designed to allow the patient to retain
may exist with this patient? functional abilities while hospitalized and also to
allow any additional rest needed for recovery
A. Show a colorful video about anticoagulation from the acute process.
therapy.
B. Present all the information in one session just
before discharge. Which information obtained by the home health
C. Give the patient pamphlets about the nurse when making a visit to an 88-year-old with
medications to read at home. mild forgetfulness is of the most concern?
D. Develop large-print handouts that reflect the
verbal information presented. - ANSWER - A. The patient's son uses a marked pillbox to set
D. Develop large-print handouts that reflect the up the patient's medications weekly.
verbal information presented. B. The patient has lost 10 pounds (4.5 kg) during
the last month.
Rationale: Option D addresses altered C. The patient is cared for by a daughter during
perception in two ways. First, by using visual aids the day and stays with a son at night.
to reinforce verbal instructions, one addresses D. The patient tells the nurse that a close friend
the possibility of decreased ability to hear high- recently died. - ANSWER -B. The patient
frequency sounds. By developing the handouts has lost 10 pounds (4.5 kg) during the last month.
in large print, one addresses the possibility of
decreased visual acuity. Option A does not allow Rationale: A 10-pound weight loss may be an
discussion of the information; furthermore, the indication of elder neglect or depression and
text and print may be small and difficult to read requires further assessment by the nurse.
and understand.
A 70-year-old client asks the nurse to explain to
When developing the plan of care for an older her about hypertension. An appropriate response
adult who is hospitalized for an acute illness, the by the nurse as to why older clients often have
nurse should hypertension is due to:
A. use a standardized geriatric nursing care plan. A. Myocardial muscle damage
B. plan for likely long-term-care transfer to allow B. Reduction in physical activity
additional time for recovery. C. Ingestion of foods high in sodium
C. consider the preadmission functional abilities D. Accumulation of plaque on arterial walls -
when setting patient goals. ANSWER -D. Accumulation of plaque on
D. minimize activity level during hospitalization. - arterial walls
ANSWER -C. consider the preadmission
functional abilities when setting patient goals.
In reviewing changes in the older adult, the nurse
Rationale: The plan of care for older adults recognizes that which of the following statements
should be individualized and based on the related to cognitive functioning in the older client
patients current functional abilities. A is true?
standardized geriatric nursing care plan is
1/9
, Older Adult NCLEX Questions and Answers Graded A+
A. Delirium is usually easily distinguished from D. Adults older than 65 years of age are the
irreversible dementia. greatest users of prescription medications. -
B. Therapeutic drug intoxication is a common ANSWER -D. Adults older than 65 years of
cause of senile dementia. age are the greatest users of prescription
C. Reversible systemic disorders are often medications.
implicated as a cause of delirium.
D. Cognitive deterioration is an inevitable Rationale: Approximately two thirds of older
outcome of the human aging process. - adults use prescription and nonprescription drugs
ANSWER -C. Reversible systemic with one third of all prescriptions being written for
disorders are often implicated as a cause of older adults
delirium.
Rationale: Delirium is a potentially reversible The nurse is aware that the majority of older
cognitive impairment that is often due to a adults:
physiological cause such as an electrolyte
imbalance, cerebral anoxia, hypoglycemia, A. Live alone
medications, tumors, cerebrovascular infection, B. Live in institutional settings
or hemorrhage. C. Are unable to care for themselves
D. Are actively involved in their community -
ANSWER -D. Are actively involved in their
Which of the following interventions should be community
taken to help an older client to prevent
osteoporosis?
The nurse works with elderly clients in a wellness
A. Decrease dietary calcium intake. screening clinic on a weekly basis. Which of the
B. Increase sedentary lifestyles following statements made by the nurse is the
C. Increase dietary protein intake. most therapeutic regarding their mobility?
D. Encourage regular exercise. -
ANSWER -D. Encourage regular exercise. A. "Your shoulder pain is normal for your age."
B. "Continue to exercise your joints regularly to
Rationale: Key word in question is prevent your tolerance level."
Weight-bearing exercises helps to fight off C. "Why don't you begin walking 3 to 4 miles a
degeneration of bone in osteoporosis day, and we'll evaluate how you feel next week."
D. "Don't worry about taking that combination of
medications since your doctor has prescribed
Which of the following statements accurately them." - ANSWER -B. "Continue to exercise
reflects data that the nurse should use in your joints regularly to your tolerance level."
planning care to meet the needs of the older
adult?
A long-term care facility sponsors a discussion
A. 50% of older adults have two chronic health group on the administration of medications. The
problems. participants have a number of questions
B. Cancer is the most common cause of death concerning their medications. The nurse
among older adults. responds most appropriately by saying:
C. Nutritional needs for both younger and older
adults are essentially the same. A. "Don't worry about the medication's name if
2/9
The nurse is setting up an education session unlikely to address individual patient needs and
with an 85-year-old patient who will be going strengths. A patients need for discharge to a
home on anticoagulant therapy. Which strategy long-term-care facility is variable. Activity level
would reflect consideration of aging changes that should be designed to allow the patient to retain
may exist with this patient? functional abilities while hospitalized and also to
allow any additional rest needed for recovery
A. Show a colorful video about anticoagulation from the acute process.
therapy.
B. Present all the information in one session just
before discharge. Which information obtained by the home health
C. Give the patient pamphlets about the nurse when making a visit to an 88-year-old with
medications to read at home. mild forgetfulness is of the most concern?
D. Develop large-print handouts that reflect the
verbal information presented. - ANSWER - A. The patient's son uses a marked pillbox to set
D. Develop large-print handouts that reflect the up the patient's medications weekly.
verbal information presented. B. The patient has lost 10 pounds (4.5 kg) during
the last month.
Rationale: Option D addresses altered C. The patient is cared for by a daughter during
perception in two ways. First, by using visual aids the day and stays with a son at night.
to reinforce verbal instructions, one addresses D. The patient tells the nurse that a close friend
the possibility of decreased ability to hear high- recently died. - ANSWER -B. The patient
frequency sounds. By developing the handouts has lost 10 pounds (4.5 kg) during the last month.
in large print, one addresses the possibility of
decreased visual acuity. Option A does not allow Rationale: A 10-pound weight loss may be an
discussion of the information; furthermore, the indication of elder neglect or depression and
text and print may be small and difficult to read requires further assessment by the nurse.
and understand.
A 70-year-old client asks the nurse to explain to
When developing the plan of care for an older her about hypertension. An appropriate response
adult who is hospitalized for an acute illness, the by the nurse as to why older clients often have
nurse should hypertension is due to:
A. use a standardized geriatric nursing care plan. A. Myocardial muscle damage
B. plan for likely long-term-care transfer to allow B. Reduction in physical activity
additional time for recovery. C. Ingestion of foods high in sodium
C. consider the preadmission functional abilities D. Accumulation of plaque on arterial walls -
when setting patient goals. ANSWER -D. Accumulation of plaque on
D. minimize activity level during hospitalization. - arterial walls
ANSWER -C. consider the preadmission
functional abilities when setting patient goals.
In reviewing changes in the older adult, the nurse
Rationale: The plan of care for older adults recognizes that which of the following statements
should be individualized and based on the related to cognitive functioning in the older client
patients current functional abilities. A is true?
standardized geriatric nursing care plan is
1/9
, Older Adult NCLEX Questions and Answers Graded A+
A. Delirium is usually easily distinguished from D. Adults older than 65 years of age are the
irreversible dementia. greatest users of prescription medications. -
B. Therapeutic drug intoxication is a common ANSWER -D. Adults older than 65 years of
cause of senile dementia. age are the greatest users of prescription
C. Reversible systemic disorders are often medications.
implicated as a cause of delirium.
D. Cognitive deterioration is an inevitable Rationale: Approximately two thirds of older
outcome of the human aging process. - adults use prescription and nonprescription drugs
ANSWER -C. Reversible systemic with one third of all prescriptions being written for
disorders are often implicated as a cause of older adults
delirium.
Rationale: Delirium is a potentially reversible The nurse is aware that the majority of older
cognitive impairment that is often due to a adults:
physiological cause such as an electrolyte
imbalance, cerebral anoxia, hypoglycemia, A. Live alone
medications, tumors, cerebrovascular infection, B. Live in institutional settings
or hemorrhage. C. Are unable to care for themselves
D. Are actively involved in their community -
ANSWER -D. Are actively involved in their
Which of the following interventions should be community
taken to help an older client to prevent
osteoporosis?
The nurse works with elderly clients in a wellness
A. Decrease dietary calcium intake. screening clinic on a weekly basis. Which of the
B. Increase sedentary lifestyles following statements made by the nurse is the
C. Increase dietary protein intake. most therapeutic regarding their mobility?
D. Encourage regular exercise. -
ANSWER -D. Encourage regular exercise. A. "Your shoulder pain is normal for your age."
B. "Continue to exercise your joints regularly to
Rationale: Key word in question is prevent your tolerance level."
Weight-bearing exercises helps to fight off C. "Why don't you begin walking 3 to 4 miles a
degeneration of bone in osteoporosis day, and we'll evaluate how you feel next week."
D. "Don't worry about taking that combination of
medications since your doctor has prescribed
Which of the following statements accurately them." - ANSWER -B. "Continue to exercise
reflects data that the nurse should use in your joints regularly to your tolerance level."
planning care to meet the needs of the older
adult?
A long-term care facility sponsors a discussion
A. 50% of older adults have two chronic health group on the administration of medications. The
problems. participants have a number of questions
B. Cancer is the most common cause of death concerning their medications. The nurse
among older adults. responds most appropriately by saying:
C. Nutritional needs for both younger and older
adults are essentially the same. A. "Don't worry about the medication's name if
2/9
