NCLEX 2025 Practice Questions for geriatrics

NCLEX 2025 Practice Questions for geriatrics Leave the first rating Terms in this set (17) Science MedicineNursing Save The healthcare provider is examining the electrocardiogram (EKG) of a patient and notes the PR interval is 6 small boxes in length. What is the significance of this finding?

a) Stress is causing increased

sympathetic stimulation

b) This should be documented as an

expected finding.

c) There may be some scar tissue in

one of the ventricles.

d) There may be a delay in the

conduction through the AV node.

d) There may be a delay in the conduction through

the AV node.The PR interval reflects the time it takes for the atria to depolarize and for the action potential to travel through the AV node and to His-Purkinje system.Each small box on the EKG graph paper equals 0.04 seconds.The normal PR interval is 0.12 - 0.20, point, 20 seconds, which is 3 to 5 small boxes.This patient's PR interval is longer than normal, which is an indication of a delay in impulse conduction through the AV node.

The nurse is performing an assessment on an older adult client.Which assessment data would indicate a potential complication associated with the skin?

a) Crusting

b) Wrinkling

c) Deepening of expression lines

d) Thinning and loss of elasticity in

the skin

a) Crusting

The normal physiological changes that occur in the skin of older adults include thinning of the skin, loss of elasticity, deepening of expression lines, and wrinkling. Crusting noted on the skin would indicate a potential complication.

• Geriatric Nursing Exam Questions Test-Taking

Strategy: Note the subject , a potential

complication. Think about the normal physiological changes that occur in the aging process to direct you to the correct option.To get access to over 400 Questions with correct answers email [email protected]. you can follow the

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The home health nurse is visiting a client for the first time. While assessing the client's medication history, it is noted that there are 19 prescriptions and several over-the- counter medications that the client has been taking. Which intervention should the nurse take first?

a) Check for medication interactions.

b) Determine whether there are

medication duplications.

c) Call the prescribing health care

provider (HCP) and report polypharmacy.

d) Determine whether a family

member supervises medication administration

c) Call the prescribing health care provider (HCP)

and report polypharmacy.Polypharmacy is a concern in the older client.Duplication of medications needs to be identified before medication interactions can be determined because the nurse needs to know what the client is taking. Asking about medication administration supervision may be part of the assessment but is not a first action. The phone call to the HCP is the intervention after all other information has been collected.

- Test-Taking Strategy: Note the strategic word first

. Also note that the nurse is visiting the client for the first time. Options A, C, and D should be done after possible medication duplication has been identified.

A visiting nurse who observes that the older male client is confined by his daughter-in-law to his room.When the nurse suggests that he walk to the den and join the family, he says, "I'm in everyone's way; my daughter-in-law needs me to stay here." Which is the most important action for the nurse to take?

a) Say to the daughter-in-law,

"Confining your father-in-law to his room is inhumane."

b) Suggest to the client and

daughter-in-law that they consider a nursing home for the client.

c) Say nothing, because it is best for

the nurse to remain neutral and wait to be asked for help.

d) Suggest appropriate resources to

the client and daughter-in-law, such as respite care and a senior citizens' center.

d) Suggest appropriate resources to the client and

daughter-in-law, such as respite care and a senior citizens' center.Assisting clients and families to become aware of available community support systems is a role and responsibility of the nurse. Observing that the client has begun to be confined to his room makes it necessary for the nurse to intervene legally and ethically, so option C is not appropriate and is passive in terms of advocacy. Option B suggests committing the client to a nursing home and is a premature action on the nurse's part. Although the data provided tell the nurse that this client requires nursing care, the nurse does not know the extent of the nursing care required. Option A is incorrect and judgmental.

- Test-Taking Strategy: Note the strategic words

most important. Using principles related to the ethical and legal responsibility of the nurse and knowledge of the nurse's role will direct you to the correct option. Option A is a nontherapeutic statement, option B is a premature action, and option C avoids the situation.