OLDER ADULT REAL EXAM QUESTIONS AND
CORRECT ANSWERS 2025//GRADED A+
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. -
(answer)d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
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. -
(answer)c) notify Adult Protective Services of the patient's discharge.
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. - (answer)B. The
patient has lost 10 pounds (4.5 kg) during the last month.
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. -
(answer)C. Reversible systemic disorders are often implicated as a cause of
delirium.
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 - (answer)B. An undiagnosed infection
C. Dehydration
,What are the classic clinical manifestations of Parkinson's Disease? Select all that
apply.
A. Tremor
B. Rigidity
C. Bradykinesia
D. Cough
E. Fatigue - (answer)A. Tremor
B. Rigidity
C. Bradykinesia
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. - (answer)D. Encourage regular exercise.
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. -
(answer)b) I normally sleep with three pillows but last night I had to sleep with
four.
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." - (answer)c) "I drink hot chocolate
before bedtime."
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.
CORRECT ANSWERS 2025//GRADED A+
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. -
(answer)d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
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. -
(answer)c) notify Adult Protective Services of the patient's discharge.
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. - (answer)B. The
patient has lost 10 pounds (4.5 kg) during the last month.
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. -
(answer)C. Reversible systemic disorders are often implicated as a cause of
delirium.
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 - (answer)B. An undiagnosed infection
C. Dehydration
,What are the classic clinical manifestations of Parkinson's Disease? Select all that
apply.
A. Tremor
B. Rigidity
C. Bradykinesia
D. Cough
E. Fatigue - (answer)A. Tremor
B. Rigidity
C. Bradykinesia
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. - (answer)D. Encourage regular exercise.
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. -
(answer)b) I normally sleep with three pillows but last night I had to sleep with
four.
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." - (answer)c) "I drink hot chocolate
before bedtime."
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.
