2024 GERIATRICS NCLEX EXAM
QUESTIONS WITH CORRECT
ANSWERS
Which statement is true regarding falls in the elderly?
A. Most falls occur in the garage.
B. Hip fractures resulting from falls are a leading cause of placement in long-
term care facilities.
C. Fall risk decreases with addition of medications.
D. Sedatives reduce the risk of falls. - CORRECT-ANSWERSB. Hip fractures
resulting from falls are a leading cause of placement in long-term care
facilities.
Appropriate nursing care for a patient with urinary incontinence is to:
A. insert an indwelling Foley catheter.
B. order oxybutynin chloride (Ditropan).
C. encourage fluids to decrease the urine concentration so it is less irritating.
D. recommend herbal approaches to reduce incontinence. - CORRECT-
ANSWERSC. encourage fluids to decrease the urine concentration so it is less
irritating.
A patient has been diagnosed as having dementia. Which symptom should
the LPN/LVN expect?
A. Patient tends to confabulate.
B. Patient tends to have flight of ideas.
C. Patient's speech tends to be slurred.
D. Patient tends to be oriented to time, place, and person. - CORRECT-
ANSWERSA. Patient tends to confabulate.
The LPN/LVN reads on a patient's chart that the patient is exhibiting the
sundowning phenomenon. Which behavior should the nurse expect?
A. On sunny days, the patient is disoriented.
B. On cloudy days, the patient is disoriented.
C. The patient becomes disoriented in the evening.
D. The patient is very disoriented in the morning only. - CORRECT-
ANSWERSC. The patient becomes disoriented in the evening.
The patient with dementia presents to the clinic for a routine examination.
The patient's daughter, who is her full-time caregiver, states to the nurse, "I
just don't know how much longer I can go on caring for Mom full time. My
, kids feel neglected, my marriage is suffering, and I feel so run down." What
is the best response by the nurse?
A. "You must stay strong for your mother. You are all she has."
B."Your mother's dementia will improve once we correct the cause."
C. "You should discuss the many medications available for treating and
reversing dementia."
D. "As your mother's condition continues to deteriorate, we should discuss
alternative care resources." - CORRECT-ANSWERSD. "As your mother's
condition continues to deteriorate, we should discuss alternative care
resources."
The nurse administers an emergent dose of intravenous (IV) haloperidol to a
patient with delirium who is combative and is putting herself and others at
risk. Which priority instruction should she give the unlicensed assistive
personnel immediately?
A. "Please get a telemetry monitor and attach it to this patient."
B. "Let's put a bed alarm under the patient's sheets right away."
C. "Move everything away from the patient's bed, including the patient's
phone and bedside table.
D. "Please apply restraints to the patient's wrists and ankles and secure
them to the immobile parts of the bed." - CORRECT-ANSWERSA. "Please get
a telemetry monitor and attach it to this patient."
The nurse is caring for a patient recently diagnosed with AD. The nurse
knows this patient's symptoms are caused by which changes in the brain?
(select all that apply)
A. Neurofibrillary tangles
B. Development of gumma
C. Formation of aneurysms
D. Neuron loss in frontal and temporal lobes
E. Decreased production of neurotransmitters - CORRECT-ANSWERSA.
Neurofibrillary tangles
D. Neuron loss in frontal and temporal lobes
E. Decreased production of neurotransmitters
The nurse is planning care for a patient with early AD. Interventions for
which patient problems are appropriate for this patient's care plan? (select
all that apply)
A. Pain
B. Airway patency issues
C. Nutritional deficiencies
D. Reduced cardiac output
E. Caregiver stress and fatigue - CORRECT-ANSWERSC. nutritional
deficiencies
E. caregiver stress and fatigue
QUESTIONS WITH CORRECT
ANSWERS
Which statement is true regarding falls in the elderly?
A. Most falls occur in the garage.
B. Hip fractures resulting from falls are a leading cause of placement in long-
term care facilities.
C. Fall risk decreases with addition of medications.
D. Sedatives reduce the risk of falls. - CORRECT-ANSWERSB. Hip fractures
resulting from falls are a leading cause of placement in long-term care
facilities.
Appropriate nursing care for a patient with urinary incontinence is to:
A. insert an indwelling Foley catheter.
B. order oxybutynin chloride (Ditropan).
C. encourage fluids to decrease the urine concentration so it is less irritating.
D. recommend herbal approaches to reduce incontinence. - CORRECT-
ANSWERSC. encourage fluids to decrease the urine concentration so it is less
irritating.
A patient has been diagnosed as having dementia. Which symptom should
the LPN/LVN expect?
A. Patient tends to confabulate.
B. Patient tends to have flight of ideas.
C. Patient's speech tends to be slurred.
D. Patient tends to be oriented to time, place, and person. - CORRECT-
ANSWERSA. Patient tends to confabulate.
The LPN/LVN reads on a patient's chart that the patient is exhibiting the
sundowning phenomenon. Which behavior should the nurse expect?
A. On sunny days, the patient is disoriented.
B. On cloudy days, the patient is disoriented.
C. The patient becomes disoriented in the evening.
D. The patient is very disoriented in the morning only. - CORRECT-
ANSWERSC. The patient becomes disoriented in the evening.
The patient with dementia presents to the clinic for a routine examination.
The patient's daughter, who is her full-time caregiver, states to the nurse, "I
just don't know how much longer I can go on caring for Mom full time. My
, kids feel neglected, my marriage is suffering, and I feel so run down." What
is the best response by the nurse?
A. "You must stay strong for your mother. You are all she has."
B."Your mother's dementia will improve once we correct the cause."
C. "You should discuss the many medications available for treating and
reversing dementia."
D. "As your mother's condition continues to deteriorate, we should discuss
alternative care resources." - CORRECT-ANSWERSD. "As your mother's
condition continues to deteriorate, we should discuss alternative care
resources."
The nurse administers an emergent dose of intravenous (IV) haloperidol to a
patient with delirium who is combative and is putting herself and others at
risk. Which priority instruction should she give the unlicensed assistive
personnel immediately?
A. "Please get a telemetry monitor and attach it to this patient."
B. "Let's put a bed alarm under the patient's sheets right away."
C. "Move everything away from the patient's bed, including the patient's
phone and bedside table.
D. "Please apply restraints to the patient's wrists and ankles and secure
them to the immobile parts of the bed." - CORRECT-ANSWERSA. "Please get
a telemetry monitor and attach it to this patient."
The nurse is caring for a patient recently diagnosed with AD. The nurse
knows this patient's symptoms are caused by which changes in the brain?
(select all that apply)
A. Neurofibrillary tangles
B. Development of gumma
C. Formation of aneurysms
D. Neuron loss in frontal and temporal lobes
E. Decreased production of neurotransmitters - CORRECT-ANSWERSA.
Neurofibrillary tangles
D. Neuron loss in frontal and temporal lobes
E. Decreased production of neurotransmitters
The nurse is planning care for a patient with early AD. Interventions for
which patient problems are appropriate for this patient's care plan? (select
all that apply)
A. Pain
B. Airway patency issues
C. Nutritional deficiencies
D. Reduced cardiac output
E. Caregiver stress and fatigue - CORRECT-ANSWERSC. nutritional
deficiencies
E. caregiver stress and fatigue
