NCLEX Geriatric Exam 1 Practice

These questions are part of the practice quiz. Start practicing

• What is the role of the hospital social worker in decision-making for incapacitated patients who lack decisional capacity?
• An older person with an independent lifestyle is hospitalized after a fall. Which information is most important when determining treatment decisions?
• A patient requires emergent surgery; the client's next of kin is not available immediately. Which action is appropriate?
• Why are higher antibiotic doses used for older adults with diabetes and a UTI?
• To reduce adverse drug events in older patients, which measure targets preparation errors?
• A blood transfusion requires a separate informed consent form. Which statement best reflects this requirement?
• When a family believes a resident’s rights have been violated, what is the best initial action for the nurse to take?
• During an incident review after a fall, which description would indicate a safety hazard requiring immediate intervention?
• What does the free radical theory propose as the cause of aging?
• A nurse who has completed HIPAA training should recognize which statement as true about patient privacy?
• Before beginning a cultural assessment with an older patient admitted for acute illness, which action should the nurse take first?
• If an older person has not been taking prescribed medications for several months, which aspect of the assessment should the nurse focus on to identify the reason for nonadherence?
• Which action by a nurse would require the charge nurse to intervene to protect patient privacy?
• Which finding indicates a normal aging change?
• Which of the following is a life trajectory event?
• The nurse recognizes that clients admitted to the unit are associated with nationwide demographic trends. Which statement supports this observation?
• Which action indicates that the Transcultural Nursing Society care standards are being implemented in a healthcare setting?
• An older adult without an advance directive requests no interventions should stop breathing during the night. Which type of order should the nurse discuss with the person and healthcare provider?
• Which action demonstrates the standard of care when a prescription dose is questioned?
• Which statement describes a Healthy People 2020 focus area applicable to older adults?
• In planning care for an 82-year-old Hispanic male, which of the following is NOT a potential conflict when considering the cultural-care triad?
• A patient uses antioxidants to slow aging; which biological theory is this associated with?
• In a predominantly Spanish-speaking community, what is the primary benefit of a nurse learning Spanish?
• A newly relocated certified nursing assistant from Eastern Europe may provide less-than-competent cultural care due to which facility practice?
• Which statement best describes the relationship between ethnocultural heritage and acculturation?
• During admission, a female patient who has smoked a pack daily for 20 years and works at a chemical plant is at greatest risk for which outcome?
• Which screening test is not recommended for cancer screening in older adults?
• What is the appropriate stance about personality changes in healthy older adults?
• Which statement best describes a frail older adult's presentation of weakness?
• For an older patient with a chronic disease, which action is a tertiary intervention to slow progression?
• An older adult recovering from a chronic illness asks about learning new information. Which observation would indicate that the person dispels the myth that older adults cannot learn new things?
• Which statement promotes healthy aging?
• When an older patient lacks capacity to consent for a blood transfusion due to confusion, which action is appropriate to obtain consent?
• Which of the following is NOT a frailty criterion?
• Which finding indicates heritage consistency?
• Which aging theory proposes that staying active and engaged is necessary for aging successfully?
• In frail older adults, an atypical illness presentation may include which symptom?
• Which item should be included when a resident from an assisted living facility is admitted to a hospital?
• Which scenario reflects the highest heritage consistency among elderly individuals?
• Which biological theory explains osteoarthritis in a former football player due to wear from use?
• During a physical assessment, a nurse notes an older adult has difficulty removing clothes. Which ADL should be evaluated to determine this person’s ability to perform daily activities?
• What is recommended when meeting a person for the first time to establish a respectful relationship with an older adult from a different culture?
• In a comprehensive geriatric assessment, which area should the nurse focus on to determine the patient's level of independence?
• To reduce cultural marginality for an older immigrant with limited English and no living family support, which action is most appropriate?
• For a deaf patient, which communication approach is most appropriate?
• Which statement best indicates understanding of the healthcare team's difficulty with cultural literacy?
• Which statement about using family members as interpreters is correct?
• An older homeless client experiences cardiac arrest and has no resuscitation orders. Which action should the nurse take first?
• Which statement about restraints is true?
• An older African American patient at risk for colon cancer should be screened using which method at the recommended interval?
• Which practice best supports protecting a nurse against a legal claim?
• An adult daughter says the parent has been asked repeatedly to complete an advance directive; however, he has neglected to do so. What should the nurse do first to facilitate this person completing an advance directive?
• For residents at risk for cardiac problems in a long-term care setting, which activity best represents secondary prevention?
• An older person takes several vitamin and nutritional supplements every day. Which aging theory is supported by this behavior?
• Which scenario best reflects cultural marginality?
• Without exercise, approximate muscle mass decline between ages 30 and 70 for women and men?
• The nurse on a care area focusing on tertiary prevention. Which goal is most consistent with this focus?
• Which negative stereotype of aging is reflected by the nurse's statement about a long-time smoker who isn't going to stop?
• A patient who refuses a treatment demonstrates which ethical principle in nursing?
• Which theory describes aging as due to cross-linked proteins from glucose binding to proteins?
• Which statement about guardianship for an incapacitated older adult is correct?
• Which statement best reflects a health belief based on the perceived importance of taking action to promote health?
• In planning modified care for an older patient with chronic renal failure, which intervention would NOT be part of modified care?
• During a conference with the family of a frail older patient, which issue is essential to address?
• Which social/psychological factor is associated with frailty in older adults?
• Which statement should a nursing program include about health concerns in seniors?
• Which statement is NOT a frailty characteristic?
• A resident of an assisted-living facility notes that many residents are women. What does this observation suggest about older men?
• An adult daughter is concerned about her 85-year-old mother’s disinterest in activities since retiring from a full-time teaching position. Which aging theory should the nurse use to explain this behavior?
• An older person has a blood pressure of 150/90. Which health screening should be recommended?
• A client of Jewish faith does not eat certain foods and fasts on religious holidays. Which intervention would help support the client's cultural practice?
• Which intervention can slow the age-related loss of muscle mass?
• A frail older resident in a long-term care setting becomes increasingly irritable and naps during the day. Which body system is most implicated in this behavioral change?
• Which finding most strongly suggests a language barrier during assessment?
• An older client with advanced dementia refuses a blood transfusion. Which action should the nurse take?
• Which statement about the minimal data set (MDS) is accurate regarding its use in long-term care facilities?
• Which statement reflects a demographic trend about activities of daily living (ADL) limitations among older adults with chronic illness?
• The cultural care triad includes which role pair?
• To meet the national standards for culturally and linguistically appropriate services in healthcare, which action is required?
• For a nursing education on care approaches, which description best contrasts modified care with palliative care?
• Which activity would be most consistent with health promotion for an older adult?
• Which statement identifies a component of a patient’s capacity to consent?
• An older person who relocated to the US recently has limited English and no living family support. Which action best reduces cultural marginality?
• A cognitively intact long-term care resident asks for assistance getting dressed. Shortly thereafter a taxi driver comes to pick up the resident. What action should the nurse take?
• Which item should be included in the admission process to provide culturally competent care?
• SPICES is used in geriatric assessment for which purpose?
• For a patient with limited English skills, which intervention would be appropriate?
• Which treatment is commonly used to manage anemia in a patient with end-stage renal disease?
• Which statement best reflects culturally competent care during admission when privacy and beliefs about gender are important?
• Which topic is NOT part of QSEN staff teaching for improving the quality of care in older residents?
• Prior to a procedure, a patient states uncertainty about recovery. Which question is a priority for the nurse to ask?
• In community education about cardiovascular disease, which statement about women is correct?
• When planning hospitalization for an assisted living facility resident, which item should be avoided to bring?
• What does cultural marginality refer to?
• Which nursing intervention will ensure that the nurse will provide culturally competent healthcare to an older patient?
• Which age-related change best explains a patient who complains of weight gain despite a healthy diet?
• After completing an assessment, the nurse supports an older client who wants to discuss advance directives with the family. What action is the nurse performing?
• Husband of a female patient from Islamic culture asks that only a female doctor examine his wife. How should the nurse respond?
• Which finding is NOT typically associated with frailty in older adults?
• Which practice is inappropriate for communicating with a patient who has limited English proficiency?
• Which aging theory describes withdrawal from social roles to maintain social equilibrium?
• Which statement about frailty criteria is correct?
• Which of the following is not a secondary prevention action for older adults?
• Placing posters printed in English and Spanish throughout the organization demonstrates which CLAS standard?
• During a heritage assessment, which question is most appropriate to understand the client's beliefs on healthcare expectations?
• Which colorectal cancer screening test is recommended annually?
• In long-term care, restraints are used only under which condition?
• Which item is appropriate to bring for comfort when admitted to hospital?
• During assessment, which indicator suggests a urinary tract infection in a frail older patient with cognitive impairment?
• An older person will not eat breakfast or take medication until the parish priest arrives. Which action demonstrates cultural sensitivity for the delay in eating?
• For which condition should lipid disorder screening be recommended?
• As part of developing cultural competency, which concept helps in understanding a patient’s background?
• For a patient receiving palliative care, which intervention is the highest priority?
• A frail older person admitted after a fall is incontinent because they cannot safely walk to the bathroom. Which action should the nurse take to improve safety and reduce incontinence episodes?
• An older patient expresses a desire to get better and return home. Which aspect of care is most important in this scenario?
• In a comprehensive geriatric assessment, which domain is most closely linked to independence in activities of daily living?
• Which aging theory posits that aging involves maintaining routines to preserve self-identity?
• Which scenario best reflects Jung's theory that focuses on difficulty accepting past accomplishments and failures?
• A language barrier is present and the patient recovering from surgery has not requested pain medication. Which intervention should be included in the care plan?
• What statements about muscle mass and aging is accurate?
• Which complication is commonly associated with hospitalization and frailty and is addressed by frequent assessment?
• A laboratory result from a non-resident was accidentally faxed to the care area. What should the nurse do with this information?
• During an activity in the recreation room the nurse notes a resident staring with a puzzled expression after instructions for a group activity are given. What should the nurse do to assist this resident?
• Which statement best describes planning for elder health promotion?
• A nurse plans education for preventative health screenings in older adults. Which screening would she anticipate discussing as part of annual preventive care?
• Which statement best demonstrates culturally competent care that considers disease risk across different groups?
• An older client with heart disease and fatigue: what should the nurse implement first to improve quality of life and functional ability?
• When involving a client's family in care planning, what must be obtained first?
• In Hospital Admission Risk Profile assessment, which area would indicate risk if the score is poor?
• Which of the following is true about planning for hospitalization for older adults in assisted living?
• The nurse is preparing to conduct a health history with an older client. Which action should the nurse take to ensure the accuracy and efficiency of the client's health history?
• Under HIPAA, patients must receive a privacy notice in which form?
• In a heritage assessment of an older patient from a non-English-speaking culture, which question would not be part of the assessment?
• Older adults with diabetes on high-dose antibiotic therapy should be monitored for which effect?
• What is the appropriate approach to transmitting patient information electronically to protect confidentiality?
• Older adults are at higher risk for adverse drug events. Which statement best explains this risk?
• A patient says, 'I am not taking this medication anymore, and I am tired of being here.' What is the best action for the nurse to take?
• Flexible sigmoidoscopy screening is recommended every 4 years. Which option reflects this interval?
• Which statement about frailty screening criteria is true?
• Which statement best describes the action a nurse should take to protect patient autonomy at the end of life when the patient wishes limited interventions?
• Which statement about palliative care is NOT correct?
• Which action aligns with health promotion planning for an older adult?
• Which tool measures general functional performance in mobility and self-care, medical status, and psychosocial factors?
• In an older patient with cancer, which laboratory finding supports concern for frailty?
• In planning interventions for an older frail patient with dementia who is admitted to a long-term care facility, which problem is considered priority?
• Which elderly patient profile demonstrates the strongest heritage consistency?
• With aging, fat is redistributed predominantly to which area, contributing to an apple-shaped body?
• Which finding best indicates a risk for frailty due to comorbidity burden?
• Which action is appropriate when a patient delays eating breakfast due to religious reasons?
• The Patient Self Determination Act requires that the patient clearly understands why a procedure is being recommended. This statement is:
• When planning care, which approach best reflects culturally competent practice?
• The nurse is presenting the health history interview and asks about the duration of the interview. Which duration is considered the minimum recommended for an accurate history?
• What is a core safety intervention to reduce medication errors in older adults?
• Which situation would be a priority for the nurse to intervene to protect patient privacy?
• An older person with end-stage renal disease desires to live as long as possible. Which intervention is most likely prescribed to help achieve this goal?
• In smoking cessation counseling for older adults, which statement reflects an evidence-based message?
• An older person with pneumonia develops acute renal failure. Which pharmacologic issue is most likely responsible for this new problem?
• During community health education on aging, which population segment is currently the fastest growing in the United States?
• In an older frail patient at risk for skin tears, which age-related change best contributes to this risk?
• For a patient with dementia in a long-term care facility, which intervention best addresses wandering risk?
• An older person who recently retired expresses delight in not having to get up and go to work every morning; which theory of aging does this illustrate?
• Which statement BEST describes QSEN's focus in nursing education related to evidence-based practice resources?
• Which statement best describes palliative care for older adults with serious illness?
• In ACE unit care organization, which approach best describes how patient care is organized?
• A frail older patient with diabetes has a urinary tract infection. Which statement would prompt further assessment for complications?
• Which assessment helps confirm orthostatic changes in an elderly patient presenting with dizziness?
• An older person is seen crying; which approach should the nurse use to comfort this person?
• Unplanned weight loss of at least how many pounds in one year is used as a frailty criterion?
• In an older patient with a chronic illness, which assessment finding best indicates they are on a trajectory toward frailty and dependence?
• Which of the following is a primary prevention action for older adults?
• When an older patient refuses influenza and pneumococcal vaccines because they feel 'too old', what response best promotes health promotion?
• Which statement about values in ethnocultural heritage is correct?
• The family of an older adult requiring end-of-life care is planning to care for the client at home. Which intervention should the nurse implement to meet the cultural needs of the client?
• An older patient in an acute care for the elderly (ACE) unit is being treated for atrial fibrillation with cardiomyopathy. What should be a priority in their care?
• When initiating a cultural assessment for an older patient, which step is essential to determine before selecting a culture-assessment tool?
• An older patient developing delirium after hospital admission for wound infection; what is the most likely cause?
• Which statement aligns with the Disengagement Theory of aging?
• How should the nurse respond to the family about hospitalization for pneumonia in an older patient?
• An older adult with multiple hospitalizations and a recent decline in mental status would benefit most from which intervention to improve overall health?
• A frail older patient is at risk for poor treatment outcomes in acute care due to which factor?
• Which theory emphasizes aging as a psychosocial process focusing on inner experience?
• Frailty criteria include which of the following?
• An older, frail patient with dementia experiences frequent combativeness; which nursing intervention best supports this patient's behavioral needs?
• Which statement about heart disease and aging is most accurate?
• Which statement reflects understanding of ethnocultural heritage?
• Ethnocultural heritage is defined as the extent to which a person's lifestyle and beliefs align with which culture?
• Which statement about aging and immunity is most accurate according to the theory?
• An infant of African origin, using an herbal paste for diaper rash. What should the nurse do to ensure cultural competence?
• Which statement best describes a core aspect of developing cultural competence in nursing practice?
• Which decision supports an older client’s autonomy?
• Which option most accurately describes the purpose of an advance directive?
• When planning a wellness program for older adults living in the community, which topic should receive the majority of information?
• Which statement would be most appropriate when a patient prefers care by a same-sex caregiver?
• The nurse notes that an older female patient refuses care offered by a male nursing assistant. Which outcome should the nurse assess in the patient?
• To understand the cultural-life trajectory of an older adult who was widowed at a young age and waited years to date, which question should the nurse ask?
• What term describes reduced organ reserve and the inability to restore homeostasis after minor stressors in aging?
• Which statement correctly describes the impact of cultural diversity in nursing on health care access?
• Which of the following actions best demonstrates cultural competence during admission?
• In an older person with chronic lung disease living at home, which observation indicates engagement in health improvement activities?
• Which factor is NOT a contributor to frailty in a patient with cardiovascular disease?
• Which aging theory emphasizes the focus shifts away from the external world toward inner experiences?
• When an older client requests time to pray, which action best supports their ritual?
• Which approach should be used to assess an older adult comprehensively?
• An older homeless patient who is admitted has no known family and is unresponsive with decision-making capacity uncertain. Which process is used to appoint a guardian to make healthcare decisions for the patient?
• Which symptom would indicate the need to address age-related cardiovascular changes during care planning?
• The nurse planning a program for community members about Healthy People 2020 areas applicable to older people. Which topic is NOT among the Healthy People 2020 areas applicable to older adults?
• Which action aligns with the Continuity Theory of Aging to promote ongoing engagement?
• Which type of prevention is most associated with early disease detection and prompt treatment?
• Which factor does the Hospital Admission Risk Profile use to determine risk?
• In a life-threatening emergency with no available surrogate, physicians may proceed under which concept?
• During a home visit for a frail older adult with repeated hospitalizations for heart failure, which action should the nurse take to reduce future hospitalizations?
• What term describes the purpose of a standard assessment used to determine needs for long-term care and funding in facilities?
• The cultural care triad consists of which members?
• Which life experience stands out as an event in your heritage? (NOT asked as part of ethnocultural heritage questions)
• Which client statement best indicates heritage consistency?
• What is the purpose of asking about a patient's life trajectory at admission?
• In demographic aging terms, the ‘old-old’ group typically refers to people aged:
• Which intervention is a primary prevention goal for skin integrity in an older adult at risk for breakdown?
• The best question to obtain information about life trajectory of an older client is which of the following?
• Which intervention is contraindicated in preventing the geriatric cascade due to iatrogenic effects?
• An older person states that "it's just a matter of time" before a knee and hip replacement will be needed. Which theory of aging is this describing?