Aging NCLEX questions EXAM 1 Graded A

Aging (NCLEX questions) EXAM 1 Graded A+

A nurse is caring for an older adult client. The nurse should recognize the client is at risk for which of the following physiological changes? (select all that apply)

• decreased gastric motility
• decreased skin elasticity
• increased pain threshold
• increased metabolic rate
• increased cardiac output - answera, b, c

A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (select all that apply)

• more difficulty seeing due to a greater sensitivity to glare
• decreased cough reflex
• decreased bladder capacity
• decreased systolic blood pressure
• dehydration of interveterbal discs - answera, b, c, e

A nurse is obtaining a history on an older adult. Which finding will the nurse most typically find?

• lives in a nursing home
• lives with a spouse
• lives divorced
• lives alone - answerb.

A nurse is developing a plan of care for an older adult. Which information will the nurse consider?

• Should be standardized because more geriatric patients have the same needs
• needs to be individualized to the patient's unique needs
• focuses on the disabilities that all aging persons face
• must be based on chronological age alone - answerb.

Which information from a co-worker on a gerontological unit will cause the nurse to intervene?

• most older people have dependent functioning
• most older people have strengths we should focus on
• most older people should be involved in care decisions
• most older people should be encouraged to have independence - answera.

A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with nurse's suspicions?

• flea bites and lice infestation
• left at a grocery store
• refuses to take a bath
• cuts and bruises - answera.

A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?

• provide several topics of discussion at once to promote independence and making choices

• avoid uncomfortable silences after questions by helping patients complete their statements
• ask patients to recall past experiences that correspond with their interests
• speak in a high pitch to help patients hear better - answerc.

An older patient has fallen and suffered a hip fracture. As a consequence, the patient's family is concerned about the patient's ability to care for self, especially during this convalescence. What should the nurse do?

• stress that older patients usually ask for help when needed
• inform the family that placement in a nursing center is a permanent solution
• tell the family to enroll the patient in a ceramics class to maintain quality of life
• provide information and answer questions as family members make choices among care options
• answerd.

A nurse is caring for an older adult. Which goal is priority?

• adjusting to career
• adjusting to divorce
• adjusting to retirement
• adjusting to grandchildren - answerc.

A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?

• oily skin
• faster nail growth
• decreased elasticity
• increased facial hair in men - answerc.

An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?

• notify the health care provider immediately to rule out cranial nerve damage
• schedule the patient for an appointment at a smell and taste disorders clinic
• perform testing on the vestibulocochlear nerve and a hearing test
• explain to the patient that diminished senses are normal findings - answerd.

T or F: 65-75 y/o are the fastest growing age group in the U.S? - answerF; 85 yo and up is fastest growing group

T or F: Most older people live in institutions - answerF; only 5% live in nursing homes and most live with spouses, near children, etc.

Most want to stay in home and communities

T or F: Confusion is a normal part of aging - answerF; can be caused by Alzheimer's or other things can lead to confusion

Most of these that cause confusion can be cured

T or F: Older adults should exercise strenuously - answerF; strengthen heart, lung, muscle strength

Lessen bone osteoporosis and active but not strenuous

T or F: The risk of heart disease in the aged relates primarily to men - answerF; risk of heart