OLDER ADULT NCLEX TEST QUESTIONS WITH VERIFIED
ANSWERS 100% PASS
1. The nurse is setting up an education session with D. Develop
an 85-year-old patient who will be going home on large-print hand-
anticoagulant therapy. Which strategy would reflect outs that reflect
consideration of aging changes that may exist with the verbal informa-
this patient? tion presented.
A. Show a colorful video about anticoagulation thera- Rationale: Option
py. D addresses al-
B. Present all the information in one session just be- tered perception in
fore discharge. two ways. First, by
C. Give the patient pamphlets about the medications using visual aids
to read at home. to reinforce ver-
D. Develop large-print handouts that reflect the verbal bal instructions,
information presented. one addresses the
possibility of de-
creased ability to
hear high-frequen-
cy sounds. By de-
veloping the hand-
outs in large
print, one address-
es the possibility
of decreased visu-
al acuity. Option A
does not allow dis-
cussion of the in-
formation; further-
more, the text and
print may be small
and difficult to read
and understand.
2. When developing the plan of care for an older adult C. consider
who is hospitalized for an acute illness, the nurse the preadmission
should functional abilities
when setting pa-
A. use a standardized geriatric nursing care plan. tient goals.
B. plan for likely long-term-care transfer to allow addi-
tional time for recovery. Rationale: The
, OLDER ADULT NCLEX TEST QUESTIONS WITH VERIFIED
ANSWERS 100% PASS
C. consider the preadmission functional abilities plan of care
when setting patient goals. for older adults
D. minimize activity level during hospitalization. should be in-
dividualized and
based on the pa-
tients current func-
tional abilities. A
standardized geri-
atric nursing care
plan is unlikely
to address individ-
ual patient needs
and strengths. A
patients need for
discharge to a
long-term-care fa-
cility is vari-
able. Activity lev-
el should be de-
signed to allow the
patient to retain
functional abilities
while hospitalized
and also to allow
any additional rest
needed for recov-
ery from the acute
process.
3. Which information obtained by the home health nurse B. The patient has
when making a visit to an 88-year-old with mild forget- lost 10 pounds
fulness is of the most concern? (4.5 kg) during the
last month.
A. The patient's son uses a marked pillbox to set up
the patient's medications weekly. Rationale: A
B. The patient has lost 10 pounds (4.5 kg) during the 10-pound weight
last month. loss may be an
C. The patient is cared for by a daughter during the day indication of el-
and stays with a son at night. der neglect or de-
, OLDER ADULT NCLEX TEST QUESTIONS WITH VERIFIED
ANSWERS 100% PASS
D. The patient tells the nurse that a close friend pression and re-
re- cently died. quires further as-
sessment by the
nurse.
4. A 70-year-old client asks the nurse to explain to her D. Accumulation of
about hypertension. An appropriate response by the plaque on arterial
nurse as to why older clients often have hypertension walls
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
5. In reviewing changes in the older adult, the nurse rec- C. Reversible sys-
ognizes that which of the following statements related temic disorders
to cognitive functioning in the older client is true? are often implicat-
ed as a cause of
A. Delirium is usually easily distinguished from irre- delirium.
versible dementia.
B. Therapeutic drug intoxication is a common cause Rationale: Deliri-
of senile dementia. um is a po-
C. Reversible systemic disorders are often implicated tentially reversible
as a cause of delirium. cognitive impair-
D. Cognitive deterioration is an inevitable outcome ment that is of-
of the human aging process. ten due to a phys-
iological cause
such as an elec-
trolyte imbalance,
cerebral anox-
ia, hypoglycemia,
medications, tu-
mors, cerebrovas-
cular infection, or
hemorrhage.
6. Which of the following interventions should be taken D. Encourage reg-
to help an older client to prevent osteoporosis? ular exercise.
ANSWERS 100% PASS
1. The nurse is setting up an education session with D. Develop
an 85-year-old patient who will be going home on large-print hand-
anticoagulant therapy. Which strategy would reflect outs that reflect
consideration of aging changes that may exist with the verbal informa-
this patient? tion presented.
A. Show a colorful video about anticoagulation thera- Rationale: Option
py. D addresses al-
B. Present all the information in one session just be- tered perception in
fore discharge. two ways. First, by
C. Give the patient pamphlets about the medications using visual aids
to read at home. to reinforce ver-
D. Develop large-print handouts that reflect the verbal bal instructions,
information presented. one addresses the
possibility of de-
creased ability to
hear high-frequen-
cy sounds. By de-
veloping the hand-
outs in large
print, one address-
es the possibility
of decreased visu-
al acuity. Option A
does not allow dis-
cussion of the in-
formation; further-
more, the text and
print may be small
and difficult to read
and understand.
2. When developing the plan of care for an older adult C. consider
who is hospitalized for an acute illness, the nurse the preadmission
should functional abilities
when setting pa-
A. use a standardized geriatric nursing care plan. tient goals.
B. plan for likely long-term-care transfer to allow addi-
tional time for recovery. Rationale: The
, OLDER ADULT NCLEX TEST QUESTIONS WITH VERIFIED
ANSWERS 100% PASS
C. consider the preadmission functional abilities plan of care
when setting patient goals. for older adults
D. minimize activity level during hospitalization. should be in-
dividualized and
based on the pa-
tients current func-
tional abilities. A
standardized geri-
atric nursing care
plan is unlikely
to address individ-
ual patient needs
and strengths. A
patients need for
discharge to a
long-term-care fa-
cility is vari-
able. Activity lev-
el should be de-
signed to allow the
patient to retain
functional abilities
while hospitalized
and also to allow
any additional rest
needed for recov-
ery from the acute
process.
3. Which information obtained by the home health nurse B. The patient has
when making a visit to an 88-year-old with mild forget- lost 10 pounds
fulness is of the most concern? (4.5 kg) during the
last month.
A. The patient's son uses a marked pillbox to set up
the patient's medications weekly. Rationale: A
B. The patient has lost 10 pounds (4.5 kg) during the 10-pound weight
last month. loss may be an
C. The patient is cared for by a daughter during the day indication of el-
and stays with a son at night. der neglect or de-
, OLDER ADULT NCLEX TEST QUESTIONS WITH VERIFIED
ANSWERS 100% PASS
D. The patient tells the nurse that a close friend pression and re-
re- cently died. quires further as-
sessment by the
nurse.
4. A 70-year-old client asks the nurse to explain to her D. Accumulation of
about hypertension. An appropriate response by the plaque on arterial
nurse as to why older clients often have hypertension walls
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
5. In reviewing changes in the older adult, the nurse rec- C. Reversible sys-
ognizes that which of the following statements related temic disorders
to cognitive functioning in the older client is true? are often implicat-
ed as a cause of
A. Delirium is usually easily distinguished from irre- delirium.
versible dementia.
B. Therapeutic drug intoxication is a common cause Rationale: Deliri-
of senile dementia. um is a po-
C. Reversible systemic disorders are often implicated tentially reversible
as a cause of delirium. cognitive impair-
D. Cognitive deterioration is an inevitable outcome ment that is of-
of the human aging process. ten due to a phys-
iological cause
such as an elec-
trolyte imbalance,
cerebral anox-
ia, hypoglycemia,
medications, tu-
mors, cerebrovas-
cular infection, or
hemorrhage.
6. Which of the following interventions should be taken D. Encourage reg-
to help an older client to prevent osteoporosis? ular exercise.
