CARE OF THE OLDER ADULT PRE-ASSESSMENT QUESTIONS
AND ANSWERS | CARE OF THE OLDER ADULT PRE-
ASSESSMENT STUDY GUIDE & PRACTICE TEST 2026/2027
1. Which element is part of psychosocial well-being for an older adult? - correct answer ✔✔Engagement
with others
2. How should a nurse greet Estelle Bartlett, a petite, widowed elder, on the first home visit? - correct
answer ✔✔"Mrs. Bartlett, I'm your nurse Clara Jones."
3. What might be an important aspect of an individualized care plan for an older adult with a low income
and who is depressed, lives in a community, is treated with an antidepressant, and has favorite pastimes
of reading, cooking, and spending time with grandchildren? - correct answer ✔✔A library card
6. An 85-year-old widow, living alone, tripped over her beloved dog and broke her leg.
Which action should the home-care nurse recommend regarding the dog? - correct answer ✔✔Find out
the elder's ideas
7. What is an effective way to communicate with an older adult living with dementia? - correct answer
✔✔Approach in a nonthreatening manner
8. Older women experience bone loss, which makes them more susceptible to hip fracture.
How should an environment change for an older woman after a hip-fracture repair? - correct answer
✔✔Have the older woman's toilet seat raised
11. The assessment of which factor in the home environment is required for a client with mobility
problems? - correct answer ✔✔Presence of stairs or other obstacles
15. Which question included in the assessment questionnaire will help the nurse to teach appropriate
coping skills to the client with prostate cancer? - correct answer ✔✔"What do you do to reduce stress?"
16. Which statement of the client helps the nurse to reach the conclusion that a client is experiencing a
midlife crisis? - correct answer ✔✔"I feel I have not achieved anything great in my life. What can I do to
make my life meaningful?"
17. A spiritual African American older patient has terminal HIV.
Why might this patient require careful assessment and monitoring for pain, based on knowledge of
spiritual beliefs common in African American communities? - correct answer ✔✔The patient may
understate pain levels because of a belief that the illness is God's plan.
18. Which assessment tool can be used to determine activities of daily living (ADL) independence in
older adults? - correct answer ✔✔The Katz index
, 19. Functional incontinence refers to problems from factors external to the lower urinary tract.
Which is the least likely item to contribute to incontinence? - correct answer ✔✔Environmental barriers
20. How often is tetanus vaccination recommended for older adults? - correct answer ✔✔Every 10 years
22. Which factor best describes the cornerstone of an individualized plan of care for an older adult? -
correct answer ✔✔Comprehensive assessment
23. What is the most important discussion of the interdisciplinary team at regularly scheduled meetings?
- correct answer ✔✔Risk reduction assessments
26. What is the primary reason for having an older adult bring all medications to every office visit,
including prescription and nonprescription medicines, vitamins, and herbal supplements? - correct
answer ✔✔So the health provider can reduce potential polypharmacy in the older adult
27. Which medications should the nurse cautiously review from the Beer's List of medications when
documenting the patient's drug profile? - correct answer ✔✔Benzodiazepines
29. Which statement from a nurse would indicate good judgment when considering common myths
regarding physical restraint use? - correct answer ✔✔Risk of falls exists when restraints are used.
31. A 75-year-old resident in an assisted living facility is at risk for fluid volume deficit.
Which nursing actions would ensure the most accurate monitoring of the resident's fluid status in a co-
created plan of care?
Select all that apply - correct answer ✔✔Measure and record fluid intake and output.
Ask the resident to weigh each day at the same time.
33. Agnes is a 77-year-old woman who lost her spouse last year and has congestive heart failure. She has
moved in with her son. Her son brought her to the ER saying she is short of breath. He does not know
how long she has been in the state, nor does he know the medication she should be on.
What is the nursing priority in this scenario? - correct answer ✔✔Admit and stabilize the patient
35. Research indicates more than 90% of the deaths occur in older adults 65 and older due to lack of
appropriate immunizations.
On which annual vaccination should the nurse counsel the patient? - correct answer ✔✔Influenza
36. What are common risk factors that contribute to functional decline in the older adult population?
Select all that apply - correct answer ✔✔Physical inactivity
Tobacco use
AND ANSWERS | CARE OF THE OLDER ADULT PRE-
ASSESSMENT STUDY GUIDE & PRACTICE TEST 2026/2027
1. Which element is part of psychosocial well-being for an older adult? - correct answer ✔✔Engagement
with others
2. How should a nurse greet Estelle Bartlett, a petite, widowed elder, on the first home visit? - correct
answer ✔✔"Mrs. Bartlett, I'm your nurse Clara Jones."
3. What might be an important aspect of an individualized care plan for an older adult with a low income
and who is depressed, lives in a community, is treated with an antidepressant, and has favorite pastimes
of reading, cooking, and spending time with grandchildren? - correct answer ✔✔A library card
6. An 85-year-old widow, living alone, tripped over her beloved dog and broke her leg.
Which action should the home-care nurse recommend regarding the dog? - correct answer ✔✔Find out
the elder's ideas
7. What is an effective way to communicate with an older adult living with dementia? - correct answer
✔✔Approach in a nonthreatening manner
8. Older women experience bone loss, which makes them more susceptible to hip fracture.
How should an environment change for an older woman after a hip-fracture repair? - correct answer
✔✔Have the older woman's toilet seat raised
11. The assessment of which factor in the home environment is required for a client with mobility
problems? - correct answer ✔✔Presence of stairs or other obstacles
15. Which question included in the assessment questionnaire will help the nurse to teach appropriate
coping skills to the client with prostate cancer? - correct answer ✔✔"What do you do to reduce stress?"
16. Which statement of the client helps the nurse to reach the conclusion that a client is experiencing a
midlife crisis? - correct answer ✔✔"I feel I have not achieved anything great in my life. What can I do to
make my life meaningful?"
17. A spiritual African American older patient has terminal HIV.
Why might this patient require careful assessment and monitoring for pain, based on knowledge of
spiritual beliefs common in African American communities? - correct answer ✔✔The patient may
understate pain levels because of a belief that the illness is God's plan.
18. Which assessment tool can be used to determine activities of daily living (ADL) independence in
older adults? - correct answer ✔✔The Katz index
, 19. Functional incontinence refers to problems from factors external to the lower urinary tract.
Which is the least likely item to contribute to incontinence? - correct answer ✔✔Environmental barriers
20. How often is tetanus vaccination recommended for older adults? - correct answer ✔✔Every 10 years
22. Which factor best describes the cornerstone of an individualized plan of care for an older adult? -
correct answer ✔✔Comprehensive assessment
23. What is the most important discussion of the interdisciplinary team at regularly scheduled meetings?
- correct answer ✔✔Risk reduction assessments
26. What is the primary reason for having an older adult bring all medications to every office visit,
including prescription and nonprescription medicines, vitamins, and herbal supplements? - correct
answer ✔✔So the health provider can reduce potential polypharmacy in the older adult
27. Which medications should the nurse cautiously review from the Beer's List of medications when
documenting the patient's drug profile? - correct answer ✔✔Benzodiazepines
29. Which statement from a nurse would indicate good judgment when considering common myths
regarding physical restraint use? - correct answer ✔✔Risk of falls exists when restraints are used.
31. A 75-year-old resident in an assisted living facility is at risk for fluid volume deficit.
Which nursing actions would ensure the most accurate monitoring of the resident's fluid status in a co-
created plan of care?
Select all that apply - correct answer ✔✔Measure and record fluid intake and output.
Ask the resident to weigh each day at the same time.
33. Agnes is a 77-year-old woman who lost her spouse last year and has congestive heart failure. She has
moved in with her son. Her son brought her to the ER saying she is short of breath. He does not know
how long she has been in the state, nor does he know the medication she should be on.
What is the nursing priority in this scenario? - correct answer ✔✔Admit and stabilize the patient
35. Research indicates more than 90% of the deaths occur in older adults 65 and older due to lack of
appropriate immunizations.
On which annual vaccination should the nurse counsel the patient? - correct answer ✔✔Influenza
36. What are common risk factors that contribute to functional decline in the older adult population?
Select all that apply - correct answer ✔✔Physical inactivity
Tobacco use
