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OLDER ADULT NCLEX QUESTIONS 2026 |
GERONTOLOGICAL NURSING PRACTICE
EXAM | NCLEX-STYLE AGING CARE REVIEW
| VERIFIED ANSWERS WITH DETAILED
RATIONALES | HIGH-YIELD STUDY GUIDE
The nurse is setting up an education session with an
85-year-old patient who will be going home on
anticoagulant therapy. Which strategy would reflect
consideration of aging changes that may exist with
this patient?
A. Show a colorful video about anticoagulation
therapy.
B. Present all the information in one session just
before discharge.
C. Give the patient pamphlets about the
medications to read at home.
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D. Develop large-print handouts that reflect the
verbal information presented. - .....answer...D.
Develop large-print handouts that reflect the verbal
information presented.
Rationale: Option D addresses altered perception in
two ways. First, by using visual aids to reinforce
verbal instructions, one addresses the possibility of
decreased ability to hear high-frequency sounds. By
developing the handouts in large print, one
addresses the possibility of decreased visual acuity.
Option A does not allow discussion of the
information; furthermore, the text and print may be
small and difficult to read and understand.
When developing the plan of care for an older adult
who is hospitalized for an acute illness, the nurse
should
A. use a standardized geriatric nursing care plan.
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B. plan for likely long-term-care transfer to allow
additional time for recovery.
C. consider the preadmission functional abilities
when setting patient goals.
D. minimize activity level during hospitalization. -
.....answer...C. consider the preadmission functional
abilities when setting patient goals.
Rationale: The plan of care for older adults should
be individualized and based on the patients current
functional abilities. A standardized geriatric nursing
care plan is unlikely to address individual patient
needs and strengths. A patients need for discharge
to a long-term-care facility is variable. Activity level
should be designed to allow the patient to retain
functional abilities while hospitalized and also to
allow any additional rest needed for recovery from
the acute process.
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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.
Rationale: A 10-pound weight loss may be an
indication of elder neglect or depression and
requires further assessment by the nurse.
OLDER ADULT NCLEX QUESTIONS 2026 |
GERONTOLOGICAL NURSING PRACTICE
EXAM | NCLEX-STYLE AGING CARE REVIEW
| VERIFIED ANSWERS WITH DETAILED
RATIONALES | HIGH-YIELD STUDY GUIDE
The nurse is setting up an education session with an
85-year-old patient who will be going home on
anticoagulant therapy. Which strategy would reflect
consideration of aging changes that may exist with
this patient?
A. Show a colorful video about anticoagulation
therapy.
B. Present all the information in one session just
before discharge.
C. Give the patient pamphlets about the
medications to read at home.
,2|Page
D. Develop large-print handouts that reflect the
verbal information presented. - .....answer...D.
Develop large-print handouts that reflect the verbal
information presented.
Rationale: Option D addresses altered perception in
two ways. First, by using visual aids to reinforce
verbal instructions, one addresses the possibility of
decreased ability to hear high-frequency sounds. By
developing the handouts in large print, one
addresses the possibility of decreased visual acuity.
Option A does not allow discussion of the
information; furthermore, the text and print may be
small and difficult to read and understand.
When developing the plan of care for an older adult
who is hospitalized for an acute illness, the nurse
should
A. use a standardized geriatric nursing care plan.
,3|Page
B. plan for likely long-term-care transfer to allow
additional time for recovery.
C. consider the preadmission functional abilities
when setting patient goals.
D. minimize activity level during hospitalization. -
.....answer...C. consider the preadmission functional
abilities when setting patient goals.
Rationale: The plan of care for older adults should
be individualized and based on the patients current
functional abilities. A standardized geriatric nursing
care plan is unlikely to address individual patient
needs and strengths. A patients need for discharge
to a long-term-care facility is variable. Activity level
should be designed to allow the patient to retain
functional abilities while hospitalized and also to
allow any additional rest needed for recovery from
the acute process.
, 4|Page
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.
Rationale: A 10-pound weight loss may be an
indication of elder neglect or depression and
requires further assessment by the nurse.
