Older Adult Nclex questions & correct answers
The anurse ais asetting aup aan aeducation asession awith aan a85-year-old apatient awho awill abe agoing
ahome aon aanticoagulant atherapy. aWhich astrategy awould areflect aconsideration aof aaging achanges
athat amay aexist awith athis apatient? a
A. aShow aa acolorful avideo aabout aanticoagulation atherapy. a
B. aPresent aall athe ainformation ain aone asession ajust abefore adischarge. a
aC. aGive athe apatient apamphlets aabout athe amedications ato aread aat ahome. a
D. aDevelop alarge-print ahandouts athat areflect athe averbal ainformation apresented. a- aCorrect a
aAnswer a- aD. aDevelop alarge-print ahandouts athat areflect athe averbal ainformation apresented. a
Rationale: aOption aD aaddresses aaltered aperception ain atwo aways. aFirst, aby ausing avisual aaids ato
areinforce averbal ainstructions, aone aaddresses athe apossibility aof adecreased aability ato ahear ahigh-
frequency asounds. aBy adeveloping athe ahandouts ain alarge aprint, aone aaddresses athe apossibility aof
adecreased avisual aacuity. aOption aA adoes anot aallow adiscussion aof athe ainformation; afurthermore,
athe atext aand aprint amay abe asmall aand adifficult ato aread aand aunderstand.
When adeveloping athe aplan aof acare afor aan aolder aadult awho ais ahospitalized afor aan aacute aillness,
athe anurse ashould a
A. ause aa astandardized ageriatric anursing acare aplan. a
B. aplan afor alikely along-term-care atransfer ato aallow aadditional atime afor arecovery. a
aC. aconsider athe apreadmission afunctional aabilities awhen asetting apatient agoals. a
D. aminimize aactivity alevel aduring ahospitalization. a- aCorrect a aAnswer a- aC. aconsider athe
apreadmission afunctional aabilities awhen asetting apatient agoals. a
,Rationale: aThe aplan aof acare afor aolder aadults ashould abe aindividualized aand abased aon athe apatients
acurrent afunctional aabilities. aA astandardized ageriatric anursing acare aplan ais aunlikely ato aaddress
aindividual apatient aneeds aand astrengths. aA apatients aneed afor adischarge ato aa along-term-care
afacility ais avariable. aActivity alevel ashould abe adesigned ato aallow athe apatient ato aretain afunctional
aabilities awhile ahospitalized aand aalso ato aallow aany aadditional arest aneeded afor arecovery afrom athe
aacute aprocess.
Which ainformation aobtained aby athe ahome ahealth anurse awhen amaking aa avisit ato aan a88-year-old
awith amild aforgetfulness ais aof athe amost aconcern? a
A. aThe apatient's ason auses aa amarked apillbox ato aset aup athe apatient's amedications aweekly. a
B. aThe apatient ahas alost a10 apounds a(4.5 akg) aduring athe alast amonth. a
C. aThe apatient ais acared afor aby aa adaughter aduring athe aday aand astays awith aa ason aat anight. a
aD. aThe apatient atells athe anurse athat aa aclose afriend arecently adied. a- aCorrect a aAnswer a- aB. aThe
apatient ahas alost a10 apounds a(4.5 akg) aduring athe alast amonth. a
Rationale: aA a10-pound aweight aloss amay abe aan aindication aof aelder aneglect aor adepression aand
arequires afurther aassessment aby athe anurse.
A a70-year-old aclient aasks athe anurse ato aexplain ato aher aabout ahypertension. aAn aappropriate
aresponse aby athe anurse aas ato awhy aolder aclients aoften ahave ahypertension ais adue ato: a
A. aMyocardial amuscle adamage a
B. aReduction ain aphysical aactivity a
C. aIngestion aof afoods ahigh ain asodium a
aD. aAccumulation aof aplaque aon aarterial awalls a- aCorrect a aAnswer a- aD. aAccumulation aof aplaque
aon aarterial awalls
In areviewing achanges ain athe aolder aadult, athe anurse arecognizes athat awhich aof athe afollowing
astatements arelated ato acognitive afunctioning ain athe aolder aclient ais atrue? a
A. aDelirium ais ausually aeasily adistinguished afrom airreversible adementia. a
B. aTherapeutic adrug aintoxication ais aa acommon acause aof asenile adementia. a
, C. aReversible asystemic adisorders aare aoften aimplicated aas aa acause aof adelirium. a
aD. aCognitive adeterioration ais aan ainevitable aoutcome aof athe ahuman aaging aprocess. a- aCorrect a
aAnswer a- aC. aReversible asystemic adisorders aare aoften aimplicated aas aa acause aof adelirium. a
Rationale: aDelirium ais aa apotentially areversible acognitive aimpairment athat ais aoften adue ato aa
aphysiological acause asuch aas aan aelectrolyte aimbalance, acerebral aanoxia, ahypoglycemia,
amedications, atumors, acerebrovascular ainfection, aor ahemorrhage.
Which aof athe afollowing ainterventions ashould abe ataken ato ahelp aan aolder aclient ato aprevent
aosteoporosis? a
A. aDecrease adietary acalcium aintake. a
B. aIncrease asedentary alifestyles a
C. aIncrease adietary aprotein aintake. a
aD. aEncourage aregular aexercise. a- aCorrect a aAnswer a- aD. aEncourage aregular aexercise. a
Rationale: aKey aword ain aquestion ais aprevent
Weight-bearing aexercises ahelps ato afight aoff adegeneration aof abone ain aosteoporosis
Which aof athe afollowing astatements aaccurately areflects adata athat athe anurse ashould ause ain
aplanning acare ato ameet athe aneeds aof athe aolder aadult? a
A. a50% aof aolder aadults ahave atwo achronic ahealth aproblems. a
B. aCancer ais athe amost acommon acause aof adeath aamong aolder aadults. a
C. aNutritional aneeds afor aboth ayounger aand aolder aadults aare aessentially athe asame. a
aD. aAdults aolder athan a65 ayears aof aage aare athe agreatest ausers aof aprescription amedications. a-
aCorrect a aAnswer a- aD. aAdults aolder athan a65 ayears aof aage aare athe agreatest ausers aof aprescription
amedications. a
Rationale: aApproximately atwo athirds aof aolder aadults ause aprescription aand anonprescription adrugs
awith aone athird aof aall aprescriptions abeing awritten afor aolder aadults
The anurse ais asetting aup aan aeducation asession awith aan a85-year-old apatient awho awill abe agoing
ahome aon aanticoagulant atherapy. aWhich astrategy awould areflect aconsideration aof aaging achanges
athat amay aexist awith athis apatient? a
A. aShow aa acolorful avideo aabout aanticoagulation atherapy. a
B. aPresent aall athe ainformation ain aone asession ajust abefore adischarge. a
aC. aGive athe apatient apamphlets aabout athe amedications ato aread aat ahome. a
D. aDevelop alarge-print ahandouts athat areflect athe averbal ainformation apresented. a- aCorrect a
aAnswer a- aD. aDevelop alarge-print ahandouts athat areflect athe averbal ainformation apresented. a
Rationale: aOption aD aaddresses aaltered aperception ain atwo aways. aFirst, aby ausing avisual aaids ato
areinforce averbal ainstructions, aone aaddresses athe apossibility aof adecreased aability ato ahear ahigh-
frequency asounds. aBy adeveloping athe ahandouts ain alarge aprint, aone aaddresses athe apossibility aof
adecreased avisual aacuity. aOption aA adoes anot aallow adiscussion aof athe ainformation; afurthermore,
athe atext aand aprint amay abe asmall aand adifficult ato aread aand aunderstand.
When adeveloping athe aplan aof acare afor aan aolder aadult awho ais ahospitalized afor aan aacute aillness,
athe anurse ashould a
A. ause aa astandardized ageriatric anursing acare aplan. a
B. aplan afor alikely along-term-care atransfer ato aallow aadditional atime afor arecovery. a
aC. aconsider athe apreadmission afunctional aabilities awhen asetting apatient agoals. a
D. aminimize aactivity alevel aduring ahospitalization. a- aCorrect a aAnswer a- aC. aconsider athe
apreadmission afunctional aabilities awhen asetting apatient agoals. a
,Rationale: aThe aplan aof acare afor aolder aadults ashould abe aindividualized aand abased aon athe apatients
acurrent afunctional aabilities. aA astandardized ageriatric anursing acare aplan ais aunlikely ato aaddress
aindividual apatient aneeds aand astrengths. aA apatients aneed afor adischarge ato aa along-term-care
afacility ais avariable. aActivity alevel ashould abe adesigned ato aallow athe apatient ato aretain afunctional
aabilities awhile ahospitalized aand aalso ato aallow aany aadditional arest aneeded afor arecovery afrom athe
aacute aprocess.
Which ainformation aobtained aby athe ahome ahealth anurse awhen amaking aa avisit ato aan a88-year-old
awith amild aforgetfulness ais aof athe amost aconcern? a
A. aThe apatient's ason auses aa amarked apillbox ato aset aup athe apatient's amedications aweekly. a
B. aThe apatient ahas alost a10 apounds a(4.5 akg) aduring athe alast amonth. a
C. aThe apatient ais acared afor aby aa adaughter aduring athe aday aand astays awith aa ason aat anight. a
aD. aThe apatient atells athe anurse athat aa aclose afriend arecently adied. a- aCorrect a aAnswer a- aB. aThe
apatient ahas alost a10 apounds a(4.5 akg) aduring athe alast amonth. a
Rationale: aA a10-pound aweight aloss amay abe aan aindication aof aelder aneglect aor adepression aand
arequires afurther aassessment aby athe anurse.
A a70-year-old aclient aasks athe anurse ato aexplain ato aher aabout ahypertension. aAn aappropriate
aresponse aby athe anurse aas ato awhy aolder aclients aoften ahave ahypertension ais adue ato: a
A. aMyocardial amuscle adamage a
B. aReduction ain aphysical aactivity a
C. aIngestion aof afoods ahigh ain asodium a
aD. aAccumulation aof aplaque aon aarterial awalls a- aCorrect a aAnswer a- aD. aAccumulation aof aplaque
aon aarterial awalls
In areviewing achanges ain athe aolder aadult, athe anurse arecognizes athat awhich aof athe afollowing
astatements arelated ato acognitive afunctioning ain athe aolder aclient ais atrue? a
A. aDelirium ais ausually aeasily adistinguished afrom airreversible adementia. a
B. aTherapeutic adrug aintoxication ais aa acommon acause aof asenile adementia. a
, C. aReversible asystemic adisorders aare aoften aimplicated aas aa acause aof adelirium. a
aD. aCognitive adeterioration ais aan ainevitable aoutcome aof athe ahuman aaging aprocess. a- aCorrect a
aAnswer a- aC. aReversible asystemic adisorders aare aoften aimplicated aas aa acause aof adelirium. a
Rationale: aDelirium ais aa apotentially areversible acognitive aimpairment athat ais aoften adue ato aa
aphysiological acause asuch aas aan aelectrolyte aimbalance, acerebral aanoxia, ahypoglycemia,
amedications, atumors, acerebrovascular ainfection, aor ahemorrhage.
Which aof athe afollowing ainterventions ashould abe ataken ato ahelp aan aolder aclient ato aprevent
aosteoporosis? a
A. aDecrease adietary acalcium aintake. a
B. aIncrease asedentary alifestyles a
C. aIncrease adietary aprotein aintake. a
aD. aEncourage aregular aexercise. a- aCorrect a aAnswer a- aD. aEncourage aregular aexercise. a
Rationale: aKey aword ain aquestion ais aprevent
Weight-bearing aexercises ahelps ato afight aoff adegeneration aof abone ain aosteoporosis
Which aof athe afollowing astatements aaccurately areflects adata athat athe anurse ashould ause ain
aplanning acare ato ameet athe aneeds aof athe aolder aadult? a
A. a50% aof aolder aadults ahave atwo achronic ahealth aproblems. a
B. aCancer ais athe amost acommon acause aof adeath aamong aolder aadults. a
C. aNutritional aneeds afor aboth ayounger aand aolder aadults aare aessentially athe asame. a
aD. aAdults aolder athan a65 ayears aof aage aare athe agreatest ausers aof aprescription amedications. a-
aCorrect a aAnswer a- aD. aAdults aolder athan a65 ayears aof aage aare athe agreatest ausers aof aprescription
amedications. a
Rationale: aApproximately atwo athirds aof aolder aadults ause aprescription aand anonprescription adrugs
awith aone athird aof aall aprescriptions abeing awritten afor aolder aadults
