Care of Older Adult Exam 2026
Questions and Answers
Which of the following assessment findings would alert the nurse to possible elder
mistreatment (select all that apply)?
e) Agitation
f) Depression
g) Weight gain
h) Weight loss
i) Hypernatremia - Correct answer-e, f, h, i
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the
habit of arriving 20 minutes early for church in order to ensure that she gets a seat
near the end of a row and close to the exit so that she has ready access to the
restroom. Which of the following tasks of the chronically ill is the woman enacting
(select all that apply)?
j) Controlling symptoms
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,k) Preventing social isolation
l) Preventing and managing a crisis
m) Denying the reality of the problem
n) Adjusting to changes in the course of the disease - Correct answer-j, l
A nurse who is providing care for an 81-year-old female patient recognizes the
need to maximize the patient's mobility during her recovery from surgery. Which
of the following statements provides the best rationale for the nurse's actions?
e) Continued activity prevents deconditioning.
f) Pharmacokinetics are improved by patient mobility.
g) Lack of stimulation contributes to the development of cognitive deficits in older
adults.
h) Regularly scheduled physical rehabilitation provides an important sense of
purpose for older patients. - Correct answer-e
Examples of primary prevention strategies include:
a. colonoscopy at age 50
b. avoidance of tobacco products
c. intake of a diet low in saturated fat in a pt with high cholesterol
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,d. teaching the importance of exercise to a pt with hypertension - Correct answer-b
A characteristic of chronic illness is that it (select all):
a. has reversible pathologic changes
b. has a consistent, predictable clinical course
c. results in permanent deviation from the normal
d. is associated with many stable and unstable phases
e. always starts with an acute illness and then progresses slowly - Correct answer-
c, d
The home care nurse is visiting an older female client whose husband died 6
months ago. Which behavior by the client indicates ineffective coping?
a. neglecting her personal grooming
b. looking at old snapshots of her family
c. participating in a senior citizens' program
d. visiting her husband's grave once a month - Correct answer-a
The visiting nurse observes that the older male client is confined by his daughter in
law to his room. When the nurse suggests that he walk to the den and join the
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, family, he says, I'm in everyone's way; my daughter in law needs me to stay here.
The most important action for the nurse to take is to:
a. say nothing, because it is best for the nurse to remain neutral and wait to be
asked for help
b. Suggest to the client and daughter in law that they consider a nursing home for
the client
c. say to the daughter in law, confining your father in law to his room is inhuman
d. suggest appropriate resources to the client and daughter in law, such as respite
care and a senior citizen's center. - Correct answer-d
The home health nurse is visiting a client for the first time. While assessing the
client's medication, it is noted that there are at least 19 prescriptions and several
OTC medications that the client has been taking. Which intervention should the
nurse take first?
a. check for drug-drug interactions
b. determine whether there are any adverse side effects
c. determine whether there are medication duplications
d. call the prescribing physician and report any polypharmacy - Correct answer-c
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Questions and Answers
Which of the following assessment findings would alert the nurse to possible elder
mistreatment (select all that apply)?
e) Agitation
f) Depression
g) Weight gain
h) Weight loss
i) Hypernatremia - Correct answer-e, f, h, i
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the
habit of arriving 20 minutes early for church in order to ensure that she gets a seat
near the end of a row and close to the exit so that she has ready access to the
restroom. Which of the following tasks of the chronically ill is the woman enacting
(select all that apply)?
j) Controlling symptoms
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,k) Preventing social isolation
l) Preventing and managing a crisis
m) Denying the reality of the problem
n) Adjusting to changes in the course of the disease - Correct answer-j, l
A nurse who is providing care for an 81-year-old female patient recognizes the
need to maximize the patient's mobility during her recovery from surgery. Which
of the following statements provides the best rationale for the nurse's actions?
e) Continued activity prevents deconditioning.
f) Pharmacokinetics are improved by patient mobility.
g) Lack of stimulation contributes to the development of cognitive deficits in older
adults.
h) Regularly scheduled physical rehabilitation provides an important sense of
purpose for older patients. - Correct answer-e
Examples of primary prevention strategies include:
a. colonoscopy at age 50
b. avoidance of tobacco products
c. intake of a diet low in saturated fat in a pt with high cholesterol
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,d. teaching the importance of exercise to a pt with hypertension - Correct answer-b
A characteristic of chronic illness is that it (select all):
a. has reversible pathologic changes
b. has a consistent, predictable clinical course
c. results in permanent deviation from the normal
d. is associated with many stable and unstable phases
e. always starts with an acute illness and then progresses slowly - Correct answer-
c, d
The home care nurse is visiting an older female client whose husband died 6
months ago. Which behavior by the client indicates ineffective coping?
a. neglecting her personal grooming
b. looking at old snapshots of her family
c. participating in a senior citizens' program
d. visiting her husband's grave once a month - Correct answer-a
The visiting nurse observes that the older male client is confined by his daughter in
law to his room. When the nurse suggests that he walk to the den and join the
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, family, he says, I'm in everyone's way; my daughter in law needs me to stay here.
The most important action for the nurse to take is to:
a. say nothing, because it is best for the nurse to remain neutral and wait to be
asked for help
b. Suggest to the client and daughter in law that they consider a nursing home for
the client
c. say to the daughter in law, confining your father in law to his room is inhuman
d. suggest appropriate resources to the client and daughter in law, such as respite
care and a senior citizen's center. - Correct answer-d
The home health nurse is visiting a client for the first time. While assessing the
client's medication, it is noted that there are at least 19 prescriptions and several
OTC medications that the client has been taking. Which intervention should the
nurse take first?
a. check for drug-drug interactions
b. determine whether there are any adverse side effects
c. determine whether there are medication duplications
d. call the prescribing physician and report any polypharmacy - Correct answer-c
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