Geri Exam NCLEX Questions and
Answers (Graded A)
A factor that contributes to the development of hypothermia in older adults is decreased -
ANSWER - Sensory perception of cold
Which manifestation(s) indicate(s) serious heat-related problems? Select all that apply
question.. - ANSWER - Vomiting
Profound Weakness
Mental Changes
Throbbing Headache
The nurse should instruct the nursing assistant who is caring for a client who is receiving
antihypertensive medication to - ANSWER - Allow them to stand up slowly from sitting or lying
position
The nurse is aware that the best predictor of an older adult falling is - ANSWER - A history of
previous falls
Your team is developing a fall reduction program on your unit. Which of the following would be
important to remember when developing such a program? (select all that apply)... - ANSWER - -
Patient assessment for fall risk factors upon admission and any change in patient condition
-Identification and removal of environmental hazards
-Encourage patient participation in supervised group exercise program
-Perform regular medication reviews
Hearing aids are worn by many older people. Which statement regarding hearing aids is false? -
ANSWER - Most people easily adjust to hearing aid use
Why should the nurse use care when assessing pain level in older adults? (Select all that apply)
- ANSWER - -Chronic pain is more common with aging
-Cognitive changes may alter the ability to report and describe pain
, -Behavioral changes may be indicators of pain
Which condition which is least likely to be reversible? - ANSWER - Dementia
An older woman was widowed about a year ago. What would normal expected behavior at this
stage of grieving include? - ANSWER - Improved energy, interest in new activities and goals.
How do roles change as a person ages? (Select all that apply) - ANSWER - -Relocation to new
environment may separate friends/family and possessions
-Loss of roles with death of spouse or family members
-Retirement brings loss pf previous profession/roles or status
What is the most appropriate intervention to use for an older adult who always stays in how or
her room? - ANSWER - Spend one-on-one time discussing the older adult's concerns
The nurse explains to a family member that the most appropriate environment for a person
suffering from dementia is one that has - ANSWER - Common and familiar objects
What is the most appropriate intervention for an older adult with dementia resisting efforts to
reposition or ambulate - ANSWER - Assess the person using the PAINAD Scale
How is positive self-esteem promoted in older adults? (Select all that apply) - ANSWER - -
Strong personal values
-Good health and wealth
The nurse should asses for changes in behavior that are likely to indicate depression such as
(Select all that apply) - ANSWER - -Increased alcohol consumption
-Changes in daily routines
-Agitation and irritability
-Isolation and withdrawal
Answers (Graded A)
A factor that contributes to the development of hypothermia in older adults is decreased -
ANSWER - Sensory perception of cold
Which manifestation(s) indicate(s) serious heat-related problems? Select all that apply
question.. - ANSWER - Vomiting
Profound Weakness
Mental Changes
Throbbing Headache
The nurse should instruct the nursing assistant who is caring for a client who is receiving
antihypertensive medication to - ANSWER - Allow them to stand up slowly from sitting or lying
position
The nurse is aware that the best predictor of an older adult falling is - ANSWER - A history of
previous falls
Your team is developing a fall reduction program on your unit. Which of the following would be
important to remember when developing such a program? (select all that apply)... - ANSWER - -
Patient assessment for fall risk factors upon admission and any change in patient condition
-Identification and removal of environmental hazards
-Encourage patient participation in supervised group exercise program
-Perform regular medication reviews
Hearing aids are worn by many older people. Which statement regarding hearing aids is false? -
ANSWER - Most people easily adjust to hearing aid use
Why should the nurse use care when assessing pain level in older adults? (Select all that apply)
- ANSWER - -Chronic pain is more common with aging
-Cognitive changes may alter the ability to report and describe pain
, -Behavioral changes may be indicators of pain
Which condition which is least likely to be reversible? - ANSWER - Dementia
An older woman was widowed about a year ago. What would normal expected behavior at this
stage of grieving include? - ANSWER - Improved energy, interest in new activities and goals.
How do roles change as a person ages? (Select all that apply) - ANSWER - -Relocation to new
environment may separate friends/family and possessions
-Loss of roles with death of spouse or family members
-Retirement brings loss pf previous profession/roles or status
What is the most appropriate intervention to use for an older adult who always stays in how or
her room? - ANSWER - Spend one-on-one time discussing the older adult's concerns
The nurse explains to a family member that the most appropriate environment for a person
suffering from dementia is one that has - ANSWER - Common and familiar objects
What is the most appropriate intervention for an older adult with dementia resisting efforts to
reposition or ambulate - ANSWER - Assess the person using the PAINAD Scale
How is positive self-esteem promoted in older adults? (Select all that apply) - ANSWER - -
Strong personal values
-Good health and wealth
The nurse should asses for changes in behavior that are likely to indicate depression such as
(Select all that apply) - ANSWER - -Increased alcohol consumption
-Changes in daily routines
-Agitation and irritability
-Isolation and withdrawal
