OLDER ADULT NCLEX QUESTIONS AND
ANSWERS WITH ACCURATE
RATIONALES(PASSED).
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
A 76-year-old adult female is brought to a neighborhood
client after being found wandering around the local park.
The client appears disheveled and reports being hungry.
Which of the following assessment and interview findings
would cause the nurse to suspect elder abuse? (Select all
that apply.)
A. Falls asleep in the examination room
B. Repeatedly states, "Don't hurt me."
,C. Chafing around wrists and ankles
D. Bruises in various stages of healing - correct answer -
B. Repeatedly states, "Don't hurt me."
C. Chafing around wrists and ankles
D. Bruises in various stages of healing
A client has been recently diagnosed with Alzheimer's
disease. When teaching the family about the prognosis,
the nurse must explain that:
A. Diet and exercise can slow the process considerably
B. It usually progresses gradually with a deterioration of
function
C. Many individuals can be cured if the diagnosis is made
early
D. Few clients live more than 3 years after the diagnosis
- correct answer - B. It usually progresses gradually with
a deterioration of function
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.
A nurse caring for older adults in an assistive living
facility recognizes that a clients quality of life needs are
best determined by:
A. Excellent physical, social, and emotional nursing
assessments
ANSWERS WITH ACCURATE
RATIONALES(PASSED).
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
A 76-year-old adult female is brought to a neighborhood
client after being found wandering around the local park.
The client appears disheveled and reports being hungry.
Which of the following assessment and interview findings
would cause the nurse to suspect elder abuse? (Select all
that apply.)
A. Falls asleep in the examination room
B. Repeatedly states, "Don't hurt me."
,C. Chafing around wrists and ankles
D. Bruises in various stages of healing - correct answer -
B. Repeatedly states, "Don't hurt me."
C. Chafing around wrists and ankles
D. Bruises in various stages of healing
A client has been recently diagnosed with Alzheimer's
disease. When teaching the family about the prognosis,
the nurse must explain that:
A. Diet and exercise can slow the process considerably
B. It usually progresses gradually with a deterioration of
function
C. Many individuals can be cured if the diagnosis is made
early
D. Few clients live more than 3 years after the diagnosis
- correct answer - B. It usually progresses gradually with
a deterioration of function
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.
A nurse caring for older adults in an assistive living
facility recognizes that a clients quality of life needs are
best determined by:
A. Excellent physical, social, and emotional nursing
assessments
