CARE OF OLDER ADULTS NCLEX COMPREHENSIVE EXAM SCRIPT COMPLETE
QUESTIONS VERIFIED SOLUTIONS
CARE OF Older Adults Nclex Questions
Comprehensive Examination TEST Questions and
Answers Verified Solutions Latest Update 2026/2027
Question:
● 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. 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.
Question:
● 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.
Question:
● A 70-year-old client asks the nurse to explain to her about hypertension. An appropriate response
by the nurse as to why older clients often have hypertension is due to: A. Myocardial muscle
damage B. Reduction in physical activity C. Ingestion of foods high in sodium D. Accumulation of
plaque on arterial walls
, Answer:
D. Accumulation of plaque on arterial walls
Question:
● 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. Rationale: Delirium is
a potentially reversible cognitive impairment that is often due to a physiological cause such as an
electrolyte imbalance, cerebral anoxia, hypoglycemia, medications, tumors, cerebrovascular
infection, or hemorrhage.
Question:
● 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. Rationale: Key word in question is prevent Weight-bearing exercises
helps to fight off degeneration of bone in osteoporosis
Question:
● Which of the following statements accurately reflects data that the nurse should use in planning
care to meet the needs of the older adult? A. 50% of older adults have two chronic health problems.
B. Cancer is the most common cause of death among older adults. C. Nutritional needs for both
younger and older adults are essentially the same. D. Adults older than 65 years of age are the
greatest users of prescription medications.
Answer:
D. Adults older than 65 years of age are the greatest users of prescription medications. Rationale:
Approximately two thirds of older adults use prescription and nonprescription drugs with one third
QUESTIONS VERIFIED SOLUTIONS
CARE OF Older Adults Nclex Questions
Comprehensive Examination TEST Questions and
Answers Verified Solutions Latest Update 2026/2027
Question:
● 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. 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.
Question:
● 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.
Question:
● A 70-year-old client asks the nurse to explain to her about hypertension. An appropriate response
by the nurse as to why older clients often have hypertension is due to: A. Myocardial muscle
damage B. Reduction in physical activity C. Ingestion of foods high in sodium D. Accumulation of
plaque on arterial walls
, Answer:
D. Accumulation of plaque on arterial walls
Question:
● 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. Rationale: Delirium is
a potentially reversible cognitive impairment that is often due to a physiological cause such as an
electrolyte imbalance, cerebral anoxia, hypoglycemia, medications, tumors, cerebrovascular
infection, or hemorrhage.
Question:
● 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. Rationale: Key word in question is prevent Weight-bearing exercises
helps to fight off degeneration of bone in osteoporosis
Question:
● Which of the following statements accurately reflects data that the nurse should use in planning
care to meet the needs of the older adult? A. 50% of older adults have two chronic health problems.
B. Cancer is the most common cause of death among older adults. C. Nutritional needs for both
younger and older adults are essentially the same. D. Adults older than 65 years of age are the
greatest users of prescription medications.
Answer:
D. Adults older than 65 years of age are the greatest users of prescription medications. Rationale:
Approximately two thirds of older adults use prescription and nonprescription drugs with one third
