OLDER ADULT FINAL EXAM QUESTIONS AND ANSWERS |
OLDER ADULT FINAL EXAM STUDY GUIDE & PRACTICE TEST
2026/2027
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly. - correct answer ✔✔The nurse is
planning care with an older adult who is at risk for falling because of postural hypotension. Which of the
following will be most effective in preventing falls in this client?
a) Complete a fall diary.
b) Attach a sensor to the client that will alarm when client attempts to get up.
c) Encourage a family member to stay with the client.
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
c) notify Adult Protective Services of the patient's discharge. - correct answer ✔✔A gerontological nurse
is monitoring signs of suspected abuse in an 89-year-old patient who was admitted from home. When
planning for the patient's discharge, the nurse's first action is to:
a) delay discharge by informing the provider of the suspected abuse.
b) enlist the help of family members with transitioning the patient home.
c) notify Adult Protective Services of the patient's discharge.
d) restrict the family members' access to the patient prior to discharge.
B. The patient has lost 10 pounds (4.5 kg) during the last month. - correct answer ✔✔Which information
obtained by the home health nurse when making a visit to an 88-year-old with mild forgetfulness is of
the most concern?
A. The patient's son uses a marked pillbox to set up the patient's medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
C. The patient is cared for by a daughter during the day and stays with a son at night.
D. The patient tells the nurse that a close friend recently died.
C. Reversible systemic disorders are often implicated as a cause of delirium. - correct answer ✔✔In
reviewing changes in the older adult, the nurse recognizes that which of the following statements related
to cognitive functioning in the older client is true?
A. Delirium is usually easily distinguished from irreversible dementia.
B. Therapeutic drug intoxication is a common cause of senile dementia.
C. Reversible systemic disorders are often implicated as a cause of delirium.
D. Cognitive deterioration is an inevitable outcome of the human aging process.
B. An undiagnosed infection
C. Dehydration - correct answer ✔✔An elderly woman wakes up confused and disoriented. She is
normally lucid and alert. What should the nurse look for? Select all that apply.
A. This is a normal finding of aging.
B. An undiagnosed infection.
C. Dehydration
D. Alzheimer's Disease
, A. Tremor
B. Rigidity
C. Bradykinesia - correct answer ✔✔What are the classic clinical manifestations of Parkinson's Disease?
Select all that apply.
A. Tremor
B. Rigidity
C. Bradykinesia
D. Cough
E. Fatigue
D. Encourage regular exercise. - correct answer ✔✔Which of the following interventions should be taken
to help an older client to prevent osteoporosis?
A. Decrease dietary calcium intake.
B. Increase sedentary lifestyles
C. Increase dietary protein intake.
D. Encourage regular exercise.
b) I normally sleep with three pillows but last night I had to sleep with four. - correct answer ✔✔A 75-
year-old patient with a history of CHF, hypertension, and diabetes is waiting on a visit from their
homecare nurse. When speaking with his/her client, what statement by the patient would the nurse
want to investigate first?
a) My last three blood sugars have been under 105 mg/dl.
b) I normally sleep with three pillows but last night I had to sleep with four.
c) Yesterday I went to the bathroom a lot yesterday but I haven't at all this afternoon
d) My son hasn't come to visit me; I don't think he cares about me anymore.
c) "I drink hot chocolate before bedtime." - correct answer ✔✔The nurse is performing an assessment
on an older client who is having difficulty sleeping at night. Which statement by the client indicates the
need for further teaching regarding measures to improve sleep?
a) "I swim three times a week."
b) "I have stopped smoking cigars."
c) "I drink hot chocolate before bedtime."
d) "I read for 40 minutes before bedtime."
b) Determine whether there are medication duplications. - correct answer ✔✔The home health nurse is
visiting a client for the first time. While assessing the client's medication history, it is noted that there are
19 prescriptions and several over-the-counter medications that the client has been taking. Which
intervention should the nurse take first?
a) Check for medication interactions.
b) Determine whether there are medication duplications.
c) Call the prescribing health care provider (HCP) and report polypharmacy.
d) Determine whether a family member supervises medication administration.
OLDER ADULT FINAL EXAM STUDY GUIDE & PRACTICE TEST
2026/2027
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly. - correct answer ✔✔The nurse is
planning care with an older adult who is at risk for falling because of postural hypotension. Which of the
following will be most effective in preventing falls in this client?
a) Complete a fall diary.
b) Attach a sensor to the client that will alarm when client attempts to get up.
c) Encourage a family member to stay with the client.
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
c) notify Adult Protective Services of the patient's discharge. - correct answer ✔✔A gerontological nurse
is monitoring signs of suspected abuse in an 89-year-old patient who was admitted from home. When
planning for the patient's discharge, the nurse's first action is to:
a) delay discharge by informing the provider of the suspected abuse.
b) enlist the help of family members with transitioning the patient home.
c) notify Adult Protective Services of the patient's discharge.
d) restrict the family members' access to the patient prior to discharge.
B. The patient has lost 10 pounds (4.5 kg) during the last month. - correct answer ✔✔Which information
obtained by the home health nurse when making a visit to an 88-year-old with mild forgetfulness is of
the most concern?
A. The patient's son uses a marked pillbox to set up the patient's medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
C. The patient is cared for by a daughter during the day and stays with a son at night.
D. The patient tells the nurse that a close friend recently died.
C. Reversible systemic disorders are often implicated as a cause of delirium. - correct answer ✔✔In
reviewing changes in the older adult, the nurse recognizes that which of the following statements related
to cognitive functioning in the older client is true?
A. Delirium is usually easily distinguished from irreversible dementia.
B. Therapeutic drug intoxication is a common cause of senile dementia.
C. Reversible systemic disorders are often implicated as a cause of delirium.
D. Cognitive deterioration is an inevitable outcome of the human aging process.
B. An undiagnosed infection
C. Dehydration - correct answer ✔✔An elderly woman wakes up confused and disoriented. She is
normally lucid and alert. What should the nurse look for? Select all that apply.
A. This is a normal finding of aging.
B. An undiagnosed infection.
C. Dehydration
D. Alzheimer's Disease
, A. Tremor
B. Rigidity
C. Bradykinesia - correct answer ✔✔What are the classic clinical manifestations of Parkinson's Disease?
Select all that apply.
A. Tremor
B. Rigidity
C. Bradykinesia
D. Cough
E. Fatigue
D. Encourage regular exercise. - correct answer ✔✔Which of the following interventions should be taken
to help an older client to prevent osteoporosis?
A. Decrease dietary calcium intake.
B. Increase sedentary lifestyles
C. Increase dietary protein intake.
D. Encourage regular exercise.
b) I normally sleep with three pillows but last night I had to sleep with four. - correct answer ✔✔A 75-
year-old patient with a history of CHF, hypertension, and diabetes is waiting on a visit from their
homecare nurse. When speaking with his/her client, what statement by the patient would the nurse
want to investigate first?
a) My last three blood sugars have been under 105 mg/dl.
b) I normally sleep with three pillows but last night I had to sleep with four.
c) Yesterday I went to the bathroom a lot yesterday but I haven't at all this afternoon
d) My son hasn't come to visit me; I don't think he cares about me anymore.
c) "I drink hot chocolate before bedtime." - correct answer ✔✔The nurse is performing an assessment
on an older client who is having difficulty sleeping at night. Which statement by the client indicates the
need for further teaching regarding measures to improve sleep?
a) "I swim three times a week."
b) "I have stopped smoking cigars."
c) "I drink hot chocolate before bedtime."
d) "I read for 40 minutes before bedtime."
b) Determine whether there are medication duplications. - correct answer ✔✔The home health nurse is
visiting a client for the first time. While assessing the client's medication history, it is noted that there are
19 prescriptions and several over-the-counter medications that the client has been taking. Which
intervention should the nurse take first?
a) Check for medication interactions.
b) Determine whether there are medication duplications.
c) Call the prescribing health care provider (HCP) and report polypharmacy.
d) Determine whether a family member supervises medication administration.
