Care of Older Adults NCLEX Questions

Extract:

Question 1 of 5

The experienced nurse is observing the new nurse recommend screening tests to the 80-year-old female client. Which recommendation made by the new nurse should the experienced nurse correct?

Correct Answer: C

Rationale: Pneumococcal vaccine is given at 65 and every 10 years, not annually. Hearing screens, colonoscopies, and mammograms are correctly recommended.

Question 2 of 5

The nurse educator is planning teaching for other nurses after noting that some nurses need additional education on insulin types and how to use the new insulin injection pens. When planning teaching, which question by the educator best reflects consideration that the nurses are adult learners?

A. Does anyone want to volunteer to prepare a poster board and help with handouts?' B. What do you need to learn about insulin, and what teaching method would you prefer?' C. Can you attend a presentation if I post various times during the day and evening shift?' D. What don’t you understand about the information in the policy and procedure manual?'

Correct Answer: B

Rationale: Adult learners are independent and benefit from identifying their own learning needs and preferred methods. Asking about specific needs and teaching preferences supports this, unlike posters, presentations, or implying misunderstanding.

Question 3 of 5

The nurse is caring for the 87-year-old hospitalized client. The nurse should assess for which age-related changes to best protect the client from friction injury?

A. Increased tissue vascularity B. Increase in subcutaneous tissue C. Increased rate of cellular replacement D. Loss of skin thickness and elasticity

Correct Answer: D

Rationale: Loss of skin thickness and elasticity increases friction injury risk due to a thinner epidermis and reduced strength. Vascularity, subcutaneous tissue, and cellular replacement decrease with aging.

Question 4 of 5

The nurse is assessing the 88-year-old client. Which finding should the nurse associate with the normal aging process?

A. Arm muscle strength 4 on a 0 to 5 scale B. Multiple fractures to the thoracic spine C. Ulnar deviation of the left hand fingers D. Slight pain in the right and left heel

Correct Answer: A

Rationale: Muscle strength of 4/5 is normal with aging. Fractures, ulnar deviation (rheumatoid arthritis), and heel pain (bone spurs) are not normal aging changes.

Question 5 of 5

The nurse is evaluating the older adult client’s hydration status. Which information should the nurse include? Select all that apply.

A. Urine color B. Serum blood urea nitrogen (BUN) and creatinine C. Serum white blood cell (WBC) and differential count D. Urine specific gravity E. 24-hour fluid intake and urine output

Correct Answer: A;B;D;E

Rationale: Urine color, BUN/creatinine, specific gravity, and 24-hour intake/output assess hydration. WBC count evaluates infection, not hydration.

Care of Older Adults NCLEX Questions | Nurselytic

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