2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED ANSWERS
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1. ADL - ANSWER ✔ activity of daily living: fundamental tasks of daily
living (bathing, dressin
2. IADL - ANSWER ✔ Instrumental Activities of Daily Living: more
complex: manage finances, shopping, cooking, cleaning
3. ageism - ANSWER ✔ discrimination and prejudice leveled against people
based on their age
4. senescence - ANSWER ✔ the process of deterioration with aging- natural
5. sarcopenia - ANSWER ✔ muscle mass strength and decrease with aging
6. falls - ANSWER ✔ any unintentional loss of balance that leads to failure of
postural stability, a sudden and unexpected change in position that usually
results in landing on the floor
,7. FITT - ANSWER ✔ exercise recommendations: Frequency, intensity, type,
time
8. fraility - ANSWER ✔ a state of reduced physiologic reserve with increased
vulnerability to stressors in older adults
9. 5 features of fraility - ANSWER ✔ 3/5 need to be considered frail
Exhaustion
Weakness
Slowness
Inactivity
Weight loss
10.The nurse is performing an assessment on an older adult client. Which
assessment data would indicate a potential complication associated with the
skin?
A. Crusting
B. Wrinkling
C. Deepening of expression lines
D. Thinning and loss of elasticity in the skin - ANSWER ✔ A. Crusting
Wrinkling, deepening of expression lines, and thinning and loss of elasticity
in the skin are are considered normal changes of aging. Crusting is
concerning for a pathological condition.
11.A patient's documentation indicates he has a stage III pressure ulcer on his
right hip. What should the nurse expect to find on assessment of the patient's
right hip?
A. Exposed bone, tendon, or muscle
B. An abrasion, blister, or shallow crater
C. Deep crater through subcutaneous tissue to fascia
, D. Persistent redness (or bluish color in darker skin tones) - ANSWER ✔
C. Deep crater through subcutaneous tissue to fascia
12.A 50-year-old client confides to the nurse that she is experiencing pain
during sexual intercourse. The nurse recommends which of the following for
the client?
A. Consume alcohol to reduce inhibitors
B. Tell the partner that sex is no longer desired
C. Use vaginal lubricant
D. Reduce sexual contact to once a month - ANSWER ✔ C. Use vaginal
lubricant
Older women and those experiencing menopause may have decreased
vaginal secretions. This can cause dry entry which can be painful and
irritating. A lubricant can replace normal sections. It is not appropriate to
advise the client to tell their partner sex is no longer desired, and reducing
sex does not fix the problem.
13.What should the nurse teach the client to do to PREVENT stress
incontinence? Select all that apply:
A. Use techniques that strengthen the sphincter and structural supports of
the bladder; Kegel exercises
B. Avoid dietary irritants; caffeine, alcohol, smoking
C. Not to laugh when in social gatherings
D. Carry an extra incontinence pad when away from home
E. Obtain a fluid intake of 500 mL/day - ANSWER ✔ A. Use techniques
that strengthen the sphincter and structural supports of the bladder;
Kegel exercises
B. Avoid dietary irritants; caffeine, alcohol, smoking
Carrying an extra incontinence pad could be helpful but it does not help to
PREVENT incontinence. Establishing a voiding schedule may be more
helpful in the management. Restricting fluids should not be recommended.
, 14.. A quality care nurse assesses the care given by a hospice. Which of the
following statements by the client best reflects dignified end-of-life care?
A) "I'm glad that my family is making all the decisions; it's too
much for me."
B) "I'm not ready to die yet; I've got a few more in me."
C) "It is fine sharing a room; I like the company."
D) "They listened to me and stopped the therapy." - ANSWER ✔
D
15.The nurse is working with clients diagnosed with cancer and their families to
identify ways to deal with difficult issues. Which reason would the nurse
identify as supporting why a diagnosis of malignant melanoma may be
extremely difficult for clients to accept? - ANSWER ✔ It is a type of skin
cancer that is highly metastatic, making it more deadly.
16.A 78-year-old resident with a diagnosis of melanoma is experiencing anxiety
related to the appearance of the large and highly visible lesion on the right
cheek. Which intervention would be most appropriate for the nurse to
implement to help decrease the resident's anxiety? - ANSWER ✔ Resolve to
interact with and touch the resident no differently than other residents.
17.A 78-year-old client has been diagnosed by his geriatrician as being in the
third stage of Alzheimer's disease. Which findings would support this
assessment? - ANSWER ✔ The client's wife and children have recently
noticed a change in memory and judgment with the client getting easily
flustered in social situations.
18.Despite the fact that the client is now receiving palliative care because of the
progression of congestive heart failure (CHF), a nurse views the care that