Complete Question Bank

NCLEX PN· Medical Surgical · Care of Older Adults NCLEX Questions

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is assessing the older adult. Which tool should the nurse select to identify the client's needs and care deficits?

A. Katz Index of Activities of Daily Living
B. Maslow's Hierarchy of Needs
C. Mini Mental State Exam (MMSE)
D. Erikson's Developmental Tasks

Expert Explanatory Rationale

Correct Answer: Katz Index of Activities of Daily Living

Question 2 of 5

The 66-year-old client recently retired after working 30 years as a bank manager. Which statement to the nurse during a clinic visit best suggests that the client is achieving the developmental stage of 'integrity versus despair'?

A. Now that I have some free time, I want to treat my wife to a trip to Hawaii.'
B. I seem to be staying in bed longer and longer each day. There isn't a reason to get up now.'
C. I am noticing the little aches and pains more; before I was just too busy to notice them.'
D. I get calls a few times a week for advice; my coworkers still value my suggestions.'

Expert Explanatory Rationale

Correct Answer: I get calls a few times a week for advice; my coworkers still value my suggestions.'

Question 3 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

Expert Explanatory Rationale

Correct Answer: Thank the NA for providing it for the client's fidgeting

Question 4 of 5

The 70-year-old client, hospitalized with chest pain, has been functioning independently at home. During the night, the client is found wandering in the hallway and states, 'I can't find my kitchen. I need a glass of milk.' What is the nurse's best interpretation of the client's behavior?

A. The client most likely had a stroke
B. The stress of being in unfamiliar surroundings has caused the client's confusion
C. The decline in mental status, especially at night, is a normal part of aging
D. This is an insidious change, and it likely means the client has early dementia

Expert Explanatory Rationale

Correct Answer: The stress of being in unfamiliar surroundings has caused the client's confusion

Question 5 of 5

The nurse is assessing the chest of the normally healthy adult male client without chest abnormalities. Which chest curvature illustrated should the nurse expect to observe?

A. Illustration A
B. Illustration B
C. Illustration C
D. Illustration D

Expert Explanatory Rationale

Correct Answer: Illustration C

Ready to Guarantee Your Result?

Start Your NCLEX PN Preparation Journey Today

Access over 300,000 verified practice questions, comprehensive subject diagnostic exams, and timed clinical simulations engineered for success.

Browse Other Nursing Exams