OLDER ADULT NCLEX ACTUAL TEST
PAPER QUESTIONS AND SOLUTIONS
COMPLETE STUDY GUIDE
●● According to the U.S. Census Bureau, the fastest-growing group
within the older population is:
A. 65 to 70
B. 70 to 75
C. 75 to 80
D. 85 and older.
Answer: D. 85 and older.
• The fastest-growing group within the older adult population is 85 years
and older. According to the U.S. Census Bureau, an individual who was
65 years of age in 2009 could expect to live 19.2 more years, for a total
of 84.2 years. Individuals aged 85 years in 2009 could expect to live an
average of 6.3 more years, for a total of 91.3 years.
●● The nurse is explaining services provided in assisted living to a
couple considering a move to long-term housing for older adults. The
nurse explains that assisted living includes:
,A. 24-hour protective oversight.
B. Medications administered by staff personnel.
C. Client responsibility for preparation of own medications.
D. Expectation that clients are independent in all care areas.
Answer: A. 24-hour protective oversight.
• Assisted living includes 24-hou oversight for clients. The clients must
be mobile; they may require some assistance. All meals and snacks are
provided. They may request assistance with bathing hygiene.
Housekeeping and laundry services are provided. They may require
occasional assistance with dressing. The client should self-administer
medication or may receive personal monitoring of medication
administration.
●● According to the National Resource Center on Nutrition, Physical
Activity and Aging, it is estimated that between _____ of older residents
living in long-term care facilities are malnourished.
A. 10% and 15%
B. 20% and 25%
C. 35% and 50%
D. 55% and 70%
Answer: C. 35% and 50%
,• The National Resource Center on Nutrition, Physical Activity and
Aging (2012) stages that between 35% and 50% of older residents living
in long-term care facilities are malnourished and approximately 65% of
older adults in hospitals may be malnourished. His data underscores the
problems of maintaining good nutrition.
●● The most widely accepted form of exercise among older adults is
reported to be:
A. Swimming
B. Running
C. Strength-training
D. Walking
Answer: D. Walking
• Walking, which can be done in both community settings and health
care facilities, is broadly reported as the most widely accepted form of
exercise among older adults: Other popular activities for older adults
include swimming, weight-bearing, and aquatic exercises. Weight-
bearing and muscle-building exercises help to maintain functional
mobility promote independence and prevent falls. Weight-bearing
exercises are shown to be highly effective in reducing bone wasting
associated with osteoporosis.
●● An effective method for older adults to feel engaged in the
community is through:
, A. Volunteering
B. Downsizing
C. Retirement
D. Gardening
Answer: D. Walking
• Walking, which can be done in both community settings and health
care facilities, is broadly reported as the most widely accepted form of
exercise among older adults: Other popular activities for older adults
include swimming, weight-bearing, and aquatic exercises. Weight-
bearing and muscle-building exercises help to maintain functional
mobility promote independence and prevent falls. Weight-bearing
exercises are shown to be highly effective in reducing bone wasting
associated with osteoporosis.
●● The nurse councils the older adult about the benefits of regular
physical activity. What are the educational points to use when promoting
strength training? (Select all that apply.)
A. Strength training can improve balance.
B. Strength training can increase the risk of falls.
C. Strength training can strengthen bones.
D. Strength training can reduce the incidence of acute illness.
PAPER QUESTIONS AND SOLUTIONS
COMPLETE STUDY GUIDE
●● According to the U.S. Census Bureau, the fastest-growing group
within the older population is:
A. 65 to 70
B. 70 to 75
C. 75 to 80
D. 85 and older.
Answer: D. 85 and older.
• The fastest-growing group within the older adult population is 85 years
and older. According to the U.S. Census Bureau, an individual who was
65 years of age in 2009 could expect to live 19.2 more years, for a total
of 84.2 years. Individuals aged 85 years in 2009 could expect to live an
average of 6.3 more years, for a total of 91.3 years.
●● The nurse is explaining services provided in assisted living to a
couple considering a move to long-term housing for older adults. The
nurse explains that assisted living includes:
,A. 24-hour protective oversight.
B. Medications administered by staff personnel.
C. Client responsibility for preparation of own medications.
D. Expectation that clients are independent in all care areas.
Answer: A. 24-hour protective oversight.
• Assisted living includes 24-hou oversight for clients. The clients must
be mobile; they may require some assistance. All meals and snacks are
provided. They may request assistance with bathing hygiene.
Housekeeping and laundry services are provided. They may require
occasional assistance with dressing. The client should self-administer
medication or may receive personal monitoring of medication
administration.
●● According to the National Resource Center on Nutrition, Physical
Activity and Aging, it is estimated that between _____ of older residents
living in long-term care facilities are malnourished.
A. 10% and 15%
B. 20% and 25%
C. 35% and 50%
D. 55% and 70%
Answer: C. 35% and 50%
,• The National Resource Center on Nutrition, Physical Activity and
Aging (2012) stages that between 35% and 50% of older residents living
in long-term care facilities are malnourished and approximately 65% of
older adults in hospitals may be malnourished. His data underscores the
problems of maintaining good nutrition.
●● The most widely accepted form of exercise among older adults is
reported to be:
A. Swimming
B. Running
C. Strength-training
D. Walking
Answer: D. Walking
• Walking, which can be done in both community settings and health
care facilities, is broadly reported as the most widely accepted form of
exercise among older adults: Other popular activities for older adults
include swimming, weight-bearing, and aquatic exercises. Weight-
bearing and muscle-building exercises help to maintain functional
mobility promote independence and prevent falls. Weight-bearing
exercises are shown to be highly effective in reducing bone wasting
associated with osteoporosis.
●● An effective method for older adults to feel engaged in the
community is through:
, A. Volunteering
B. Downsizing
C. Retirement
D. Gardening
Answer: D. Walking
• Walking, which can be done in both community settings and health
care facilities, is broadly reported as the most widely accepted form of
exercise among older adults: Other popular activities for older adults
include swimming, weight-bearing, and aquatic exercises. Weight-
bearing and muscle-building exercises help to maintain functional
mobility promote independence and prevent falls. Weight-bearing
exercises are shown to be highly effective in reducing bone wasting
associated with osteoporosis.
●● The nurse councils the older adult about the benefits of regular
physical activity. What are the educational points to use when promoting
strength training? (Select all that apply.)
A. Strength training can improve balance.
B. Strength training can increase the risk of falls.
C. Strength training can strengthen bones.
D. Strength training can reduce the incidence of acute illness.
