N421 EXAM 1 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2025/2026
What factors significantly influence current population trends? Select all that apply.
a. Decreasing birth rates.
b. Increasing infant mortality rates.
c. Increasing life spans.
d. Improved disease control - a, c, and d
Which behavior reflects culturally competent/congruent care?
a. Providing all patients the same hospital meals.
b. Waiting for family members to act as interpreters.
c. Seeking out meaning of disease from the patient's perspective.
d. Treating all patients of one ethnicity the same. - c. Seeking out meaning of disease from the
patient's perspective.
An older client is being discharged to live with adult children who need to work during the day.
What referral information would be beneficial for the client and family members?
a. Acute rehab unit
b. Retirement community
c. Skilled nursing facility
d. Home health services - d. Home health services
Which of the following is not a consequence of impaired mobility?
a. Skin breakdown
b. Reduced muscle mass
c. Increased socialization
,d. Feeling helpless - c. Increased socialization
Frailty is a predominant factor for poor health outcomes.
a. True
b. False - a. True
An older adult visiting the community clinic has been identified as a fall risk. According to the
Steadi Algorithm, the nurse will conduct the following assessment.
a. Hearing screening
b. Measure orthostatic blood pressure
c. Assessment of Vitamin D levels
d. Complete cardiac exam - b. Measure orthostatic blood pressure
The family of an older client asks the nurse if the client qualifies for Medicaid to help with
hospital bills. What information should the nurse provide to the family?
a. Eligibility for Medicaid is based upon annual income level
b. Medicaid is available to individuals once they have the ability to retire.
c. Medicaid is intended to assist only low-income individuals over the age of 65.
d. Eligibility for Medicaid begins when entering a long-term care facility. - a. Eligibility for
Medicaid is based upon annual income level
An older client who is still physically active complains of progressive inability to maintain the
home. The client wants to research other living options and has significant financial resources.
What should the nurse recommend to help meet the client's living needs?
a. Adult day care
b. Retirement community
c. Skilled-nursing facility
, d. Assisted Living Community - b. Retirement community
Steffanacci and Riddle identify which one of the following as contributing to happiness in later
lie?
a. Limited socialization
b. Avoiding alcohol
c. Finding purpose
d. Decreasing activities - c. Finding purpose
The Fulmer SPICES instrument assesses which common geriatric syndromes? Select all that
apply
a. Sleep
b. Skin injuries
c. Falls
d. Infection - a, b, and c
S- Sleep disorders
P- Problems w/ eating or feeding
I- Incontinence
C- Confusion
E- Evidence of falls
S- Skin breakdown
TRUE or FALSE: A definition of healthy/successful aging that is based on physical health is
inclusive of almost all older adults? - FALSE
The nurse is evaluating the neurological features of an older adult patient. Which findings would
alert the nurse that the patient may have delirium?
What factors significantly influence current population trends? Select all that apply.
a. Decreasing birth rates.
b. Increasing infant mortality rates.
c. Increasing life spans.
d. Improved disease control - a, c, and d
Which behavior reflects culturally competent/congruent care?
a. Providing all patients the same hospital meals.
b. Waiting for family members to act as interpreters.
c. Seeking out meaning of disease from the patient's perspective.
d. Treating all patients of one ethnicity the same. - c. Seeking out meaning of disease from the
patient's perspective.
An older client is being discharged to live with adult children who need to work during the day.
What referral information would be beneficial for the client and family members?
a. Acute rehab unit
b. Retirement community
c. Skilled nursing facility
d. Home health services - d. Home health services
Which of the following is not a consequence of impaired mobility?
a. Skin breakdown
b. Reduced muscle mass
c. Increased socialization
,d. Feeling helpless - c. Increased socialization
Frailty is a predominant factor for poor health outcomes.
a. True
b. False - a. True
An older adult visiting the community clinic has been identified as a fall risk. According to the
Steadi Algorithm, the nurse will conduct the following assessment.
a. Hearing screening
b. Measure orthostatic blood pressure
c. Assessment of Vitamin D levels
d. Complete cardiac exam - b. Measure orthostatic blood pressure
The family of an older client asks the nurse if the client qualifies for Medicaid to help with
hospital bills. What information should the nurse provide to the family?
a. Eligibility for Medicaid is based upon annual income level
b. Medicaid is available to individuals once they have the ability to retire.
c. Medicaid is intended to assist only low-income individuals over the age of 65.
d. Eligibility for Medicaid begins when entering a long-term care facility. - a. Eligibility for
Medicaid is based upon annual income level
An older client who is still physically active complains of progressive inability to maintain the
home. The client wants to research other living options and has significant financial resources.
What should the nurse recommend to help meet the client's living needs?
a. Adult day care
b. Retirement community
c. Skilled-nursing facility
, d. Assisted Living Community - b. Retirement community
Steffanacci and Riddle identify which one of the following as contributing to happiness in later
lie?
a. Limited socialization
b. Avoiding alcohol
c. Finding purpose
d. Decreasing activities - c. Finding purpose
The Fulmer SPICES instrument assesses which common geriatric syndromes? Select all that
apply
a. Sleep
b. Skin injuries
c. Falls
d. Infection - a, b, and c
S- Sleep disorders
P- Problems w/ eating or feeding
I- Incontinence
C- Confusion
E- Evidence of falls
S- Skin breakdown
TRUE or FALSE: A definition of healthy/successful aging that is based on physical health is
inclusive of almost all older adults? - FALSE
The nurse is evaluating the neurological features of an older adult patient. Which findings would
alert the nurse that the patient may have delirium?
