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OLDER ADULT NURSING EXAM QUESTIONS AND CORRECT ANSWERS 2025 | REAL EXAM PREP | GRADED A+

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Prepare for your Older Adult Nursing exam with this comprehensive study resource featuring exam-focused questions and correct answers. This material is designed to support your review of important older adult and gerontological nursing concepts, including aging processes, health assessment, common conditions, patient safety, nursing interventions, medications, and care planning. A useful resource for nursing students preparing for Older Adult Nursing tests, quizzes, exams, and final assessments. Review key concepts, practice answering exam-style questions, and strengthen your overall exam preparation with an organized question-and-answer format.

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OLDER ADULT REAL EXAM QUESTIONS AND
CORRECT ANSWERS 2025//GRADED A+

The nurse is caring for an 84-year-old man admitted with a diagnosis of severe
Alzheimer dementia. In the admission assessment, the nurse notes that the client
can no longer recognize familiar objects such as his glasses and toothbrush. The
best term to describe this situation is:

similarities and differences in these exams and how they prepare students for their respective careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness
education prepares

1. Amnesia

2. Aphasia

3. Apraxia

4. Agnosia - (answer)Correct

4. Agnosia



Agnosia is the term used to describe the loss of sensory ability to recognize
familiar sounds and objects, as well as loved ones or even parts of the affected
individual's body. Amnesia is the term for the impairment of memory both recent
and remote. Aphasia is the term for the loss of language ability, which progresses
with the disease. Apraxia is the term for the loss of purposeful movement in the
absence of motor or sensory impairment. The individual is unable to perform
purposeful tasks such as walking or putting clothing on properly.



An 80-year-old client who lives at home has dementia of the Alzheimer type,
stage 1. The client is irritable and forgetful. The home care nurse concludes that
this client:



1. Must be supervised closely at all times

, 2. Needs a home health aide to assist with activities of daily living

3. Should be allowed to function independently if therapeutically possible

4. Ought to be responsible for carrying out daily self-care activities without
assistance - (answer)Correct

3. Should be allowed to function independently if therapeutically possible



Priority should be given to providing nursing care to maintain an optimal level of
safe function for as long as possible. Close supervision is usually not necessary
during the early stages of dementia. Constant supervision can be destructive to
self-esteem. A home health aide is usually not necessary during the early stages of
dementia. The client may or may not be capable of performing all daily self-care
activities.

similarities and differences in these exams and how they prepare students for their respective careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness
education prepares

What should the nurse include in the plan of care for a client with dementia of the
Alzheimer type, stage 2 (moderate dementia)?

1. Discuss recent current events.

2. Teach the client new social skills.

3. Maintain a daily routine of living.

4. Encourage the client to talk about past experiences. - (answer)Correct

3. Maintain a daily routine of living.



The client with this disorder will be most comfortable with a familiar and
repetitive daily routine because it will produce less anxiety. Cognitive changes
probably make a discussion of current events unrealistic. It probably is beyond the

, client's capability to develop new social skills. Memory impairment may make
talking about past events impossible.



A 54-year-old man has demonstrated increasing forgetfulness, irritability, and
antisocial behavior. After the man is found disoriented and semi-naked while
walking down a street, the diagnosis of dementia of the Alzheimer type is made.
The client expresses fear and anxiety when he is admitted to a long-term care
facility. What is the best nursing intervention in light of the client's diagnosis?

1. Exploring with him the reasons for his concerns

2. Reassuring him with the frequent presence of staff members

3. Providing him with a written schedule of planned interactions

4. Explaining to him why the admission to the facility is necessary -
(answer)Correct

2. Reassuring him with the frequent presence of staff members

similarities and differences in these exams and how they prepare students for their respective careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness
education prepares

The client needs constant reassurance because forgetfulness blocks previous
explanations; the frequent presence of staff members serves as a support system.
This client will be unable to explain the reasons for his concerns. The client will
not be able to decode a written schedule; he needs continual reassurance. This
client will not remember the explanation from one moment to the next.



An 84-year-old woman is admitted to the hospital with a diagnosis of dementia of
the Alzheimer type. The nurse knows that this disorder is a:

1. Problem that first emerges in the third decade of life

2. Nonorganic disorder that occurs in the later years of life

, 3. Cognitive problem that is a slow and relentless deterioration of the mind

4. Disorder that is easily diagnosed through laboratory and psychological tests -
(answer)Correct

3. Cognitive problem that is a slow and relentless deterioration of the mind

similarities and differences in these exams and how they prepare students for their respective careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness
education prepares

Dementia of the Alzheimer's type accounts for 80% of dementias in older adults;
it may be due to a neurotransmitter deficiency and is characterized by a steady
decline in intellectual function, including memory deficits, disorientation, and
decreased cognitive ability. More than 90% of people with dementia of the
Alzheimer type are older than 50 years. It is an organic, not functional, disorder.
Dementia of the Alzheimer type is difficult to diagnose and often is made when
other causes of the dementia have been ruled out.



What is the priority nursing intervention for a forgetful, disoriented client with
the diagnosis of dementia of the Alzheimer type?

1. Restricting gross motor activity

2. Preventing further deterioration

3. Keeping the client oriented to time

4. Managing the client's unsafe behaviors - (answer)Correct

4. Managing the client's unsafe behaviors



Clients with Alzheimer disease require external controls to minimize the danger of
injury due to lack of judgment. The staff should not prevent all gross motor
activity; the client needs to use the muscles, or atrophy will occur. Further
deterioration usually cannot be prevented in this disorder with nursing

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