Geriatric Nursing Exam Questions &
Answers 2026 – Older Adult Assessment,
Safety, and NCLEX Practice Test Graded A+
Latest Updated
A nurse is visiting an older adult client who is recovering from a total hip replacement at home.
The client is extremely restless, crying, and indicates they are experiencing incision site pain
rated as 9 on a scale of 1 to 10. Their caregiver, who was sleeping on the couch when the nurse
arrived, yells, "Hey, I gave you your pill an hour ago. Quit complaining." Which of the following
nursing actions is the priority?
Assess for potential medication misuse
Reposition the client
Administer pa
Assess for potential medication misuse
Assess for potential medication misuse is correct. The first action the nurse should take when
using the nursing process is to assess the client’s current condition and situation. By gathering
data privately from the client, assessing vital signs, talking to the caretaker, and verifying the
number of pills remaining in the client’s bottle, the nurse can then follow up with the provider if
abuse is suspected. The nurse should recognize that a form of physical abuse is medication
misuse. Clients may appear, especially with the use of analgesics, as undermedicated and in
pain, or overly-medicated and extremely sedated.
A nurse is assessing an older adult client diagnosed with osteopenia 2 years ago. Which of the
following current findings indicates this condition has deteriorated?
Kyphosis
Bouchard's nodes
Crepitus
Boutonniere deformity
Kyphosis
Kyphosis is correct and suggests the client has developed weakness, compression, or fractures
of the spine, indicating the condition has likely evolved due to increased bone thinning and
deterioration.
, A nurse is caring for an older adult client in the emergency department who is experiencing
nausea and indigestion. Which of the following assessment findings requires an immediate
intervention?
Edema of lower extremities
Heart rate 60/min
Murmur
Left shoulder pain
Left shoulder pain
Common manifestations of a heart attack are nausea, sweating, pain that radiates to the left
arm or shoulder, and shortness of breath. In an older adult experiencing a heart attack,
epigastric discomfort, confusion, and weakness may occur without any chest discomfort.
A nurse is obtaining a health history from an older adult client. Which of the following actions
by the nurse promotes the establishment of trust and rapport?
The nurse keeps their eyes on the form being completed.
The nurse stands while the client is seated.
The nurse avoids interrupting the client.
The nurse avoids providing feedback.
The nurse avoids interrupting the client.
Allow the client to tell their story, avoiding interrupting whenever possible. Interruptions can
make the client feel rushed or cause them to leave out vital parts of their history. Research has
shown clients who have a good rapport and relationship with their medical team are more likely
to follow recommended treatment, leading to improved health outcomes.
A nurse is performing an eye assessment of an older adult client and identifies a corneal
ulceration. Which of the following conditions most likely contributed to this finding?
Entropion
Dry eye
Arcus senilis
Ectropion
Entropion
Answers 2026 – Older Adult Assessment,
Safety, and NCLEX Practice Test Graded A+
Latest Updated
A nurse is visiting an older adult client who is recovering from a total hip replacement at home.
The client is extremely restless, crying, and indicates they are experiencing incision site pain
rated as 9 on a scale of 1 to 10. Their caregiver, who was sleeping on the couch when the nurse
arrived, yells, "Hey, I gave you your pill an hour ago. Quit complaining." Which of the following
nursing actions is the priority?
Assess for potential medication misuse
Reposition the client
Administer pa
Assess for potential medication misuse
Assess for potential medication misuse is correct. The first action the nurse should take when
using the nursing process is to assess the client’s current condition and situation. By gathering
data privately from the client, assessing vital signs, talking to the caretaker, and verifying the
number of pills remaining in the client’s bottle, the nurse can then follow up with the provider if
abuse is suspected. The nurse should recognize that a form of physical abuse is medication
misuse. Clients may appear, especially with the use of analgesics, as undermedicated and in
pain, or overly-medicated and extremely sedated.
A nurse is assessing an older adult client diagnosed with osteopenia 2 years ago. Which of the
following current findings indicates this condition has deteriorated?
Kyphosis
Bouchard's nodes
Crepitus
Boutonniere deformity
Kyphosis
Kyphosis is correct and suggests the client has developed weakness, compression, or fractures
of the spine, indicating the condition has likely evolved due to increased bone thinning and
deterioration.
, A nurse is caring for an older adult client in the emergency department who is experiencing
nausea and indigestion. Which of the following assessment findings requires an immediate
intervention?
Edema of lower extremities
Heart rate 60/min
Murmur
Left shoulder pain
Left shoulder pain
Common manifestations of a heart attack are nausea, sweating, pain that radiates to the left
arm or shoulder, and shortness of breath. In an older adult experiencing a heart attack,
epigastric discomfort, confusion, and weakness may occur without any chest discomfort.
A nurse is obtaining a health history from an older adult client. Which of the following actions
by the nurse promotes the establishment of trust and rapport?
The nurse keeps their eyes on the form being completed.
The nurse stands while the client is seated.
The nurse avoids interrupting the client.
The nurse avoids providing feedback.
The nurse avoids interrupting the client.
Allow the client to tell their story, avoiding interrupting whenever possible. Interruptions can
make the client feel rushed or cause them to leave out vital parts of their history. Research has
shown clients who have a good rapport and relationship with their medical team are more likely
to follow recommended treatment, leading to improved health outcomes.
A nurse is performing an eye assessment of an older adult client and identifies a corneal
ulceration. Which of the following conditions most likely contributed to this finding?
Entropion
Dry eye
Arcus senilis
Ectropion
Entropion
