GERIATRICS NCLEX QUESTIONS WITH FULLY SOLVED AND
UPDATED ANSWERS.
1) Which statement is true regarding falls in the elderly?
t t t t t t t t
A. Most falls occur in the garage. t t t t t
B. Hip fractures resulting from falls are a leading cause of placement in long-
t t t t t t t t t t t t
term care facilities. t t
C. Fall risk decreases with addition of medications.
t t t t t t
D. Sedatives reduce the risk of falls. -- Correct Answer ✔✔ B. Hip fractures
t t t t t t t t t t t t t
resulting from falls are a leading cause of placement in long-term care
t t t t t t t t t t t t
facilities.
2) __________ is the intentional infliction of physical or emotional discomfort or the
t t t t t t t t t t t t
deprivation of basic needs necessary for comfort or survival. -- Correct Answer
t t t t t t t t t t t t
✔✔ Abuset
3) ________ is the use of multiple medications, often inappropriately and excessively,
t t t t t t t t t t
at the same time. -- Correct Answer ✔✔ polypharmacy
t t t t t t t t t
4) Appropriate nursing care for a patient with urinary incontinence is to:
t t t t t t t t t t
A. insert an indwelling Foley catheter. t t t t
B. order oxybutynin chloride (Ditropan). t t t
C. encourage fluids to decrease the urine concentration so it is less irritating.
t t t t t t t t t t t
D. recommend herbal approaches to reduce incontinence. -- Correct Answer t t t t t t t t t
✔✔ C. encourage fluids to decrease the urine concentration so it is less
t t t t t t t t t t t t t
irritating.
, 5) A nursing intervention for a patient with constipation is to:
t t t t t t t t t
A. avoid the urge to defecate. t t t t
B. limit fluid intake. t t
C. give prune juice with a noncarbonated drink.
t t t t t t
D. encourage bran cereal or whole-grain breads. -- Correct Answer ✔✔ D. t t t t t t t t t t t
encourage bran cereal or whole-grain breads t t t t t
6) A patient with dysphagia is:
t t t t
A. fed only for pleasure. t t t
B. at low risk for nutritional deficits.
t t t t t
C. at higher risk for pneumonia.
t t t t t
D. able to drink thin liquids. -- Correct Answer ✔✔ C. at a higher risk for
t t t t t t t t t t t t t t t
pneumonia
7) Age-related eye changes may include: t t t t
A. increased visual accommodation. t t
B. macular degeneration. t t
C. non-preventable blindness as a result of glaucoma. t t t t t t
D. decreased ability of pupil to respond to light changes. -- Correct Answer t t t t t t t t t t t t
✔✔ B. macular degeneration
t t t
8) Nurses' knowledge of sexuality in the older adult population should include:
t t t t t t t t t t
A. Chronic illness may affect the ability to participate in sexual activity.
t t t t t t t t t t t
B. Sexual response time is unchanged. t t t t
C. Ability to achieve orgasm declines. t t t t
D. Dryness of the vaginal walls is associated with pelvic inflammatory disease. --
t t t t t t t t t t t t
Correct Answer ✔✔ A. Chronic illness may affect the ability to participate
t t t t t t t t t t t t
in sexual activity.
t t
9) What is the initial nursing intervention in preventing polypharmacy?
t t t t t t t t
A. Obtain a thorough medication history. t t t t t
B. Discontinue all herbal preparations. t t t
C. Refer the patient to a geriatric practitioner. t t t t t t
D. Consult a pharmacist to review all medications. -- Correct Answer ✔✔ A.
t t t t t t t t t t t t
Obtain a thorough medication history t t t t
UPDATED ANSWERS.
1) Which statement is true regarding falls in the elderly?
t t t t t t t t
A. Most falls occur in the garage. t t t t t
B. Hip fractures resulting from falls are a leading cause of placement in long-
t t t t t t t t t t t t
term care facilities. t t
C. Fall risk decreases with addition of medications.
t t t t t t
D. Sedatives reduce the risk of falls. -- Correct Answer ✔✔ B. Hip fractures
t t t t t t t t t t t t t
resulting from falls are a leading cause of placement in long-term care
t t t t t t t t t t t t
facilities.
2) __________ is the intentional infliction of physical or emotional discomfort or the
t t t t t t t t t t t t
deprivation of basic needs necessary for comfort or survival. -- Correct Answer
t t t t t t t t t t t t
✔✔ Abuset
3) ________ is the use of multiple medications, often inappropriately and excessively,
t t t t t t t t t t
at the same time. -- Correct Answer ✔✔ polypharmacy
t t t t t t t t t
4) Appropriate nursing care for a patient with urinary incontinence is to:
t t t t t t t t t t
A. insert an indwelling Foley catheter. t t t t
B. order oxybutynin chloride (Ditropan). t t t
C. encourage fluids to decrease the urine concentration so it is less irritating.
t t t t t t t t t t t
D. recommend herbal approaches to reduce incontinence. -- Correct Answer t t t t t t t t t
✔✔ C. encourage fluids to decrease the urine concentration so it is less
t t t t t t t t t t t t t
irritating.
, 5) A nursing intervention for a patient with constipation is to:
t t t t t t t t t
A. avoid the urge to defecate. t t t t
B. limit fluid intake. t t
C. give prune juice with a noncarbonated drink.
t t t t t t
D. encourage bran cereal or whole-grain breads. -- Correct Answer ✔✔ D. t t t t t t t t t t t
encourage bran cereal or whole-grain breads t t t t t
6) A patient with dysphagia is:
t t t t
A. fed only for pleasure. t t t
B. at low risk for nutritional deficits.
t t t t t
C. at higher risk for pneumonia.
t t t t t
D. able to drink thin liquids. -- Correct Answer ✔✔ C. at a higher risk for
t t t t t t t t t t t t t t t
pneumonia
7) Age-related eye changes may include: t t t t
A. increased visual accommodation. t t
B. macular degeneration. t t
C. non-preventable blindness as a result of glaucoma. t t t t t t
D. decreased ability of pupil to respond to light changes. -- Correct Answer t t t t t t t t t t t t
✔✔ B. macular degeneration
t t t
8) Nurses' knowledge of sexuality in the older adult population should include:
t t t t t t t t t t
A. Chronic illness may affect the ability to participate in sexual activity.
t t t t t t t t t t t
B. Sexual response time is unchanged. t t t t
C. Ability to achieve orgasm declines. t t t t
D. Dryness of the vaginal walls is associated with pelvic inflammatory disease. --
t t t t t t t t t t t t
Correct Answer ✔✔ A. Chronic illness may affect the ability to participate
t t t t t t t t t t t t
in sexual activity.
t t
9) What is the initial nursing intervention in preventing polypharmacy?
t t t t t t t t
A. Obtain a thorough medication history. t t t t t
B. Discontinue all herbal preparations. t t t
C. Refer the patient to a geriatric practitioner. t t t t t t
D. Consult a pharmacist to review all medications. -- Correct Answer ✔✔ A.
t t t t t t t t t t t t
Obtain a thorough medication history t t t t