NUR 2214 Final Exam – Nursing Care of
the Older Adult – 2026/2027 Edi on
Ques ons with Evidence-Based Verified
Answers
NUR 2214 – Nursing Care of the Older Adult (Prac ce Final Exam)
50 NCLEX-Style Ques ons (A–D with Answers & Ra onales)
1. Which physiological change is expected in normal aging?
A. Increased lung elas city
B. Decreased cardiac output with age
C. Increased renal func on
D. Increased bone density
Answer: B – Cardiac output decreases due to myocardial and vascular
changes.
2. The best indicator of dehydra on in an older adult is:
A. Elevated blood pressure
B. Dry mucous membranes
C. Increased urine output
D. Weight gain
Answer: B
,3. Which assessment finding suggests delirium rather than demen a?
A. Gradual memory loss
B. Sudden onset confusion
C. Long-term cogni ve decline
D. Stable personality changes
Answer: B
4. Priority nursing interven on for fall preven on is:
A. Bed rest
B. Restraints
C. Regular mobility assessment
D. Limi ng fluid intake
Answer: C
5. Which medica on class increases fall risk in older adults?
A. An hypertensives
B. An bio cs
C. Vitamins
D. Antacids
Answer: A
6. A hallmark sign of urinary tract infec on in older adults may be:
A. Fever always present
B. Acute confusion
C. Increased appe te
,D. Hypertension
Answer: B
7. Which interven on reduces pressure injury risk?
A. Reposi oning every 2 hours
B. Keeping skin dry only
C. Limi ng protein intake
D. Using ght bedding
Answer: A
8. The safest pain management approach in older adults is:
A. High-dose opioids first
B. Mul modal pain management
C. No pain medica on
D. Seda on only
Answer: B
9. Which lab change is common with aging?
A. Increased GFR
B. Decreased renal clearance
C. Increased crea nine clearance
D. Increased liver metabolism
Answer: B
, 10. Which symptom suggests hypoglycemia in an older adult?
A. Confusion
B. Hypertension
C. Fever
D. Dry skin
Answer: A
11. Which diet is most appropriate for cardiovascular health?
A. High sodium
B. DASH diet
C. High sugar diet
D. High fat diet
Answer: B
12. The leading cause of injury in older adults is:
A. Burns
B. Falls
C. Infec ons
D. Poisoning
Answer: B
13. Which hearing change is common in aging?
A. Conduc ve hearing loss only
B. Presbycusis
C. Sudden deafness
the Older Adult – 2026/2027 Edi on
Ques ons with Evidence-Based Verified
Answers
NUR 2214 – Nursing Care of the Older Adult (Prac ce Final Exam)
50 NCLEX-Style Ques ons (A–D with Answers & Ra onales)
1. Which physiological change is expected in normal aging?
A. Increased lung elas city
B. Decreased cardiac output with age
C. Increased renal func on
D. Increased bone density
Answer: B – Cardiac output decreases due to myocardial and vascular
changes.
2. The best indicator of dehydra on in an older adult is:
A. Elevated blood pressure
B. Dry mucous membranes
C. Increased urine output
D. Weight gain
Answer: B
,3. Which assessment finding suggests delirium rather than demen a?
A. Gradual memory loss
B. Sudden onset confusion
C. Long-term cogni ve decline
D. Stable personality changes
Answer: B
4. Priority nursing interven on for fall preven on is:
A. Bed rest
B. Restraints
C. Regular mobility assessment
D. Limi ng fluid intake
Answer: C
5. Which medica on class increases fall risk in older adults?
A. An hypertensives
B. An bio cs
C. Vitamins
D. Antacids
Answer: A
6. A hallmark sign of urinary tract infec on in older adults may be:
A. Fever always present
B. Acute confusion
C. Increased appe te
,D. Hypertension
Answer: B
7. Which interven on reduces pressure injury risk?
A. Reposi oning every 2 hours
B. Keeping skin dry only
C. Limi ng protein intake
D. Using ght bedding
Answer: A
8. The safest pain management approach in older adults is:
A. High-dose opioids first
B. Mul modal pain management
C. No pain medica on
D. Seda on only
Answer: B
9. Which lab change is common with aging?
A. Increased GFR
B. Decreased renal clearance
C. Increased crea nine clearance
D. Increased liver metabolism
Answer: B
, 10. Which symptom suggests hypoglycemia in an older adult?
A. Confusion
B. Hypertension
C. Fever
D. Dry skin
Answer: A
11. Which diet is most appropriate for cardiovascular health?
A. High sodium
B. DASH diet
C. High sugar diet
D. High fat diet
Answer: B
12. The leading cause of injury in older adults is:
A. Burns
B. Falls
C. Infec ons
D. Poisoning
Answer: B
13. Which hearing change is common in aging?
A. Conduc ve hearing loss only
B. Presbycusis
C. Sudden deafness
