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NCLEX Practice Questions for geriatrics Exam with complete solution

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NCLEX Practice Questions for geriatrics Exam with complete solution

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CBSP - Certified Biological Safety Professional

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10/18/24, 4:14 PM




NCLEX Practice Questions for geriatrics Exam with
complete solution

Terms in this set (16)


c) "I drink hot chocolate before bedtime."


The nurse is performing an assessment on Many nonpharmacological sleep aids can be used to influence sleep. However, the
an older client who is having difficulty client should avoid caffeinated beverages and stimulants such as tea, cola, and
sleeping at night. Which statement by the chocolate. The client should exercise regularly, because exercise promotes sleep by
client indicates the need for further burning off tension that accumulates during the day. A 20-to 30-minute walk, swim,
teaching regarding measures to improve or bicycle ride three times a week is helpful. The client should sleep on a bed with a
sleep? firm mattress. Smoking and alcohol should be avoided. The client should avoid large
meals; peanuts, beans, fruit, raw vegetables, and other foods that produce gas; and
a) "I swim three times a week." snacks that are high in fat because they are difficult to digest.
b) "I have stopped smoking cigars."
c) "I drink hot chocolate before bedtime." - Test-Taking Strategy: Note the strategic words need for further teaching . These
d) "I read for 40 minutes before bedtime." words indicate a negative event query and ask you to select an option that is an
incorrect statement. Options A, B, and D are positive statements indicating that the
client understands the methods of improving sleep.




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, 10/18/24, 4:14 PM
A visiting nurse who observes that the d) Suggest appropriate resources to the client and daughter-in-law, such as respite
older male client is confined by his care and a senior citizens' center.
daughter-in-law to his room. When the
nurse suggests that he walk to the den and Assisting clients and families to become aware of available community support
join the family, he says, "I'm in everyone's systems is a role and responsibility of the nurse. Observing that the client has begun
way; my daughter-in-law needs me to stay to be confined to his room makes it necessary for the nurse to intervene legally and
here." Which is the most important action ethically, so option C is not appropriate and is passive in terms of advocacy. Option
for the nurse to take? B suggests committing the client to a nursing home and is a premature action on the
nurse's part. Although the data provided tell the nurse that this client requires nursing
a) Say to the daughter-in-law, "Confining care, the nurse does not know the extent of the nursing care required. Option A is
your father-in-law to his room is inhumane." incorrect and judgmental.


b) Suggest to the client and daughter-in- - Test-Taking Strategy: Note the strategic words most important. Using principles
law that they consider a nursing home for related to the ethical and legal responsibility of the nurse and knowledge of the
the client. nurse's role will direct you to the correct option. Option A is a nontherapeutic
statement, option B is a premature action, and option C avoids the situation.
c) Say nothing, because it is best for the
nurse to remain neutral and wait to be
asked for help.


d) Suggest appropriate resources to the
client and daughter-in-law, such as respite
care and a senior citizens' center.

The nurse is performing an assessment on a) Crusting
an older adult client. Which assessment
data would indicate a potential The normal physiological changes that occur in the skin of older adults include
complication associated with the skin? thinning of the skin, loss of elasticity, deepening of expression lines, and wrinkling.
Crusting noted on the skin would indicate a potential complication.
a) Crusting
b) Wrinkling - Geriatric Nursing Exam Questions Test-Taking Strategy: Note the subject , a
c) Deepening of expression lines potential complication. Think about the normal physiological changes that occur in
d) Thinning and loss of elasticity in the skin the aging process to direct you to the correct option.




The home health nurse is visiting a client for c) Call the prescribing health care provider (HCP) and report polypharmacy.
the first time. While assessing the client's
medication history, it is noted that there are Polypharmacy is a concern in the older client. Duplication of medications needs to
19 prescriptions and several over-the- be identified before medication interactions can be determined because the nurse
counter medications that the client has needs to know what the client is taking. Asking about medication administration
been taking. Which intervention should the supervision may be part of the assessment but is not a first action. The phone call to
nurse take first? the HCP is the intervention after all other information has been collected.


a) Check for medication interactions. - Test-Taking Strategy: Note the strategic word first . Also note that the nurse is
visiting the client for the first time. Options A, C, and D should be done after possible
b) Determine whether there are medication medication duplication has been identified.
duplications.


c) Call the prescribing health care provider
(HCP) and report polypharmacy.


d) Determine whether a family member
supervises medication administration



NCLEX Practice Questions for geriatrics

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