Geriatric Exam 1 NCLEX Practice Questions
and Answers 100% Correct
an adult daughter is concerned about her 85 year old mother's disinterest in activities since
retiring from a full-time teaching position. which theory of aging should the nurse use to help
explain this older person's behavior?
a. developmental
b. disengagement
c. activity
d. continuity Correct Ans-b.
1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The
nurse states to a colleague, "This client has been smoking for years and isn't going to stop now."
Which negative stereotype of aging does the nurse's statement most reflect?
1. Old people are expected to be sick.
2. Old people are set in their ways.
3. Old people do not value health promotion education.
4. Old people are a drain on societal resources. Correct Ans-Answer: 3
,Explanation:
1. Many older adults have chronic disease but function well.
2. Often people characterize the elderly in a negative way, believing that after a certain age,
things cannot be changed. Older people can learn new things and take up new hobbies they can
enjoy and give life meaning and pleasure.
3. Although it may not be possible to reverse all the damage, it is never too late to stop smoking
cigarettes. People who quit smoking at an older age enjoy better health outcomes.
4. Older people contribute greatly to society by volunteering, helping with grandchildren,
mentoring others, and continue working.
2) The nurse is planning to conduct education for older adult clients regarding preventative
health screenings. Which type of screening does the nurse anticipate educating this population
on?
1. Glaucoma
2. Nutrition
3. An annual mammogram
4. Prostate-specific antigen Correct Ans-Answer: 3
Explanation:
1. A glaucoma screening is recommended annually for those at risk for glaucoma.
2. Nutritional assessment and counseling are encouraged for those with diabetes or renal disease.
,3. The nurse will discuss the importance of annual mammograms. Older women are the fastest
growing population in the United States.
4. A prostate-specific antigen is recommended yearly for men under the age of 70.
3) While completing an admission assessment, the nurse learns that a female adult patient has
smoked a pack of cigarettes daily for 20 years and works at a chemical plant. From this
information, what is this patient most at risk for?
1. Decline in muscle mass
2. Nutritional deficiencies
3. Depression and social isolation
4. Occupational hazard shortening life expectancy Correct Ans-Answer: 4
Explanation:
1. While muscle mass does naturally decline in older adults, there is no indication that she is not
physically active.
2. In older adults, adequate nutrition can be a concern, yet there is no indication that she is not
adequately nourished.
3. In older adults, depression and social isolation are a risk, yet there is no indication that she is
not socially active.
4. Exposure to occupational risk factors has been known to affect life expectancy in men and will
have the same effect on women given similar circumstances
, 4) The nurse is caring for an older adult with a chronic disease. Which is reflective of a tertiary
intervention to help slow down the progression of the client's illness?
1. Assess the client's mobility
2. Integrate physical therapy
3. Discuss injury-prevention measures within the home
4. Obtain a referral for occupational therapy Correct Ans-Answer: 2
Explanation:
1. Assessment of the client's mobility is reflective of secondary prevention.
2. The integration of physical therapy for a client with chronic disease reflects a tertiary
intervention to promote restoration and prevent or slow down further debilitation.
3. Discussing injury prevention is health promotion or primary prevention.
4. Obtaining a referral for an occupational therapist reflects a secondary measure of prevention in
which there is an early diagnosis and prompt treatment.
5) The nurse is caring for an older client with heart disease that is experiencing fatigue. Which
will the nurse initially implement to enhance the overall quality of life and functional ability of
the client?1. Assess the need for assistive devices
2. Provide education on health screenings
and Answers 100% Correct
an adult daughter is concerned about her 85 year old mother's disinterest in activities since
retiring from a full-time teaching position. which theory of aging should the nurse use to help
explain this older person's behavior?
a. developmental
b. disengagement
c. activity
d. continuity Correct Ans-b.
1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The
nurse states to a colleague, "This client has been smoking for years and isn't going to stop now."
Which negative stereotype of aging does the nurse's statement most reflect?
1. Old people are expected to be sick.
2. Old people are set in their ways.
3. Old people do not value health promotion education.
4. Old people are a drain on societal resources. Correct Ans-Answer: 3
,Explanation:
1. Many older adults have chronic disease but function well.
2. Often people characterize the elderly in a negative way, believing that after a certain age,
things cannot be changed. Older people can learn new things and take up new hobbies they can
enjoy and give life meaning and pleasure.
3. Although it may not be possible to reverse all the damage, it is never too late to stop smoking
cigarettes. People who quit smoking at an older age enjoy better health outcomes.
4. Older people contribute greatly to society by volunteering, helping with grandchildren,
mentoring others, and continue working.
2) The nurse is planning to conduct education for older adult clients regarding preventative
health screenings. Which type of screening does the nurse anticipate educating this population
on?
1. Glaucoma
2. Nutrition
3. An annual mammogram
4. Prostate-specific antigen Correct Ans-Answer: 3
Explanation:
1. A glaucoma screening is recommended annually for those at risk for glaucoma.
2. Nutritional assessment and counseling are encouraged for those with diabetes or renal disease.
,3. The nurse will discuss the importance of annual mammograms. Older women are the fastest
growing population in the United States.
4. A prostate-specific antigen is recommended yearly for men under the age of 70.
3) While completing an admission assessment, the nurse learns that a female adult patient has
smoked a pack of cigarettes daily for 20 years and works at a chemical plant. From this
information, what is this patient most at risk for?
1. Decline in muscle mass
2. Nutritional deficiencies
3. Depression and social isolation
4. Occupational hazard shortening life expectancy Correct Ans-Answer: 4
Explanation:
1. While muscle mass does naturally decline in older adults, there is no indication that she is not
physically active.
2. In older adults, adequate nutrition can be a concern, yet there is no indication that she is not
adequately nourished.
3. In older adults, depression and social isolation are a risk, yet there is no indication that she is
not socially active.
4. Exposure to occupational risk factors has been known to affect life expectancy in men and will
have the same effect on women given similar circumstances
, 4) The nurse is caring for an older adult with a chronic disease. Which is reflective of a tertiary
intervention to help slow down the progression of the client's illness?
1. Assess the client's mobility
2. Integrate physical therapy
3. Discuss injury-prevention measures within the home
4. Obtain a referral for occupational therapy Correct Ans-Answer: 2
Explanation:
1. Assessment of the client's mobility is reflective of secondary prevention.
2. The integration of physical therapy for a client with chronic disease reflects a tertiary
intervention to promote restoration and prevent or slow down further debilitation.
3. Discussing injury prevention is health promotion or primary prevention.
4. Obtaining a referral for an occupational therapist reflects a secondary measure of prevention in
which there is an early diagnosis and prompt treatment.
5) The nurse is caring for an older client with heart disease that is experiencing fatigue. Which
will the nurse initially implement to enhance the overall quality of life and functional ability of
the client?1. Assess the need for assistive devices
2. Provide education on health screenings
