NCLEX Questions on Older Adults

Extract:

Question 1 of 5

The 62-year-old client is diagnosed with osteoporosis. Which medication, if taken by the client, should the nurse identify as posing a secondary risk factor for the client’s osteoporosis?

Correct Answer: D

Rationale: Long-term corticosteroid use, like budesonide, is a risk factor for osteoporosis. Aspirin, escitalopram, and multivitamins (with calcium/vitamin
D) do not contribute to bone loss.

Question 2 of 5

The nurse is caring for the hospitalized 60-year-old client of Korean American ethnicity. Which statement, if made by the client, correctly reflects the Korean American culture and should alert the nurse that intervention is needed?

A. Since 60 is considered old age, I retired as expected. I’m now worried about insurance.' B. Value is on youth and beauty; so little attention is paid to problems of the elderly.' C. Fathers are expected to continue to contribute financially even for their adult children.' D. Grandchildren are raised by the grandparents until school age, so we have a full house.'

Correct Answer: A

Rationale: In Korean American culture, 60 is considered old age, and retirement is expected, but this client’s concern about insurance requires a social worker consult for coverage options. Other statements reflect different cultural norms or lack specific cultural ties.

Question 3 of 5

The nurse is caring for the chronically ill middle-aged adult who has had numerous hospitalizations. Which behaviors may interfere with the client’s achievement of the developmental task associated with middle adulthood? Select all that apply.

A. Writes thank-you notes to friends B. Stays at home and refuses visitors C. Self-absorbed in own psychological needs D. Attempts to perform own personal cares E. Continually relays feelings of inadequacy

Correct Answer: B;C;E

Rationale: Staying home, self-absorption, and feelings of inadequacy interfere with maintaining social relationships and generativity. Thank-you notes and self-care support generativity.

Question 4 of 5

The nurse is caring for the older adult client. The nurse should identify that the client is at risk for developing skin breakdown when making which observations? Select all that apply.

A. A nursing assistant applies a perfumed lotion to the client’s skin B. Two nursing assistants are elevating the client’s heels off the bed C. A family member brings the client’s favorite custard from home D. The nurse applies an alcohol-based hand wash to the client’s hands E. The nurse is directing the client to push with the heels to move up in bed

Correct Answer: A;D;E

Rationale: Perfumed lotion, alcohol-based wash, and heel friction increase skin breakdown risk. Elevating heels and nutrition reduce risk.

Question 5 of 5

The nurse is admitting the older adult client to a nursing home. Which is the nurse’s best approach when obtaining information during the admission interview?

A. Direct questions to the family member accompanying the client B. Speak clearly and slowly to the client using high-pitched vocal tones C. Take the client and family members to a private room without distractions D. Speak to the client loudly about familiar topics before asking questions

Correct Answer: C

Rationale: A private, distraction-free room respects confidentiality and aids focus. Directing questions to family, high-pitched tones, or loud familiar topics are inappropriate.

NCLEX Questions on Older Adults | Nurselytic

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