Care of Older Adults NCLEX Questions

Extract:

Question 1 of 5

The unsteady 20S-year-old client persists in ambulating to the bathroom alone despite being reminded to call for assistance. The nurse concludes that, according to Havighurst’s developmental tasks, this behavior reflects which need of the client?

Correct Answer: B

Rationale: The client is attempting to perform self-care and to demonstrate the ability to be self-sufficient and independent from other adults. Adjusting to physiological changes is a developmental task of middle age. Industry and integrity are Erikson’s tasks, not Havighurst’s, and apply to different age groups.

Question 2 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 3 of 5

The nurse is interviewing a family member of the hospitalized 90-year-old client to assess for common problems associated with an increased risk for falling. Which questions should the nurse ask? Select all that apply.

A. Has your mother fallen within the past year?' B. Has your mother had her annual influenza vaccine?' C. When was the last time your mother took a pain pill?' D. Does your mother have any problems with urination?' E. Does your mother have difficulty falling asleep at night?'

Correct Answer: A;C;D;E

Rationale: Questions about past falls, pain medication, urination issues, and sleep disorders assess fall risk factors. Influenza vaccine is unrelated.

Question 4 of 5

The nurse observes the NA providing a stuffed animal to the hospitalized older adult client who is experiencing delirium. Which action by the nurse is most appropriate?

A. Reprimand the NA for treating the client like a child B. Remove the stuffed animal before anyone else sees it C. Report the NA’s action to the unit’s nurse manager D. Thank the NA for providing it for the client’s fidgeting

Correct Answer: D

Rationale: A stuffed animal can occupy a delirious client’s hands, preventing line removal, and may be comforting. Thanking the NA is appropriate; other actions are unnecessary or punitive.

Question 5 of 5

The nurse plans to teach the client progressive muscle relaxation. Prioritize the steps that the nurse should teach to correctly perform progressive muscle relaxation.

Order the Items

Source Container

Relax the feet, imagining the tension flowing out with each exhalation

Lie down in a quiet place where you are undisturbed

Contract the muscles of your feet first as you inhale and hold the contraction briefly

Relax your body, allowing it to feel heavy

Lie still for a few minutes after the contraction and relaxation of all muscles

Imagine the tension flowing out with each breath you take

Move up the body, contracting then relaxing each muscle

Correct Answer: B;D;F;C;A;G;E

Rationale:
Steps: 1) Lie in a quiet place to focus; 2) Relax body to feel heavy; 3) Imagine tension flowing out with breaths; 4) Contract feet muscles; 5) Relax feet; 6) Move up body; 7) Lie still to monitor relaxation.

Care of Older Adults NCLEX Questions | Nurselytic

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