NCLEX-PN
NCLEX Questions on Older Adults Questions
Extract:
Question 1 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?
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.
Question 2 of 5
The nurse is caring for the 55-year-old client. Which statement by the client related to psychosocial changes should the nurse most definitely explore?
Correct Answer: D
Rationale: The client’s statement suggests empty nest syndrome, a psychosocial concern requiring further exploration. Graying hair is a normal physiological change, vision issues are physiological, and an active sexual life indicates a healthy relationship.
Question 3 of 5
The home health nurse suspects elder mistreatment of the 93-year-old client by the live-in caregiver. Which findings support the nurse’s conclusion? Select all that apply.
Correct Answer: A;B;C;E
Rationale: Urine burns (neglect), wrist bruises (physical abuse), unexplained expenditures (financial abuse), and caregiver alcohol use (abuser characteristic) support mistreatment. Increased talkativeness suggests comfort, not abuse.
Question 4 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 5 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?
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.