Musculoskeletal Aging
Neurological Changes
Fall Risk & Safety
Assessment & Testing
NCLEX PRIORITY
100

This condition refers to age-related loss of muscle mass.

What is sarcopenia?

100

This change causes slower response to stimuli.

What is decreased reflexes?

100

This CDC program helps prevent falls.

What is STEADI?

100

This test checks for orthostatic hypotension.

 What is lying to standing BP measurement?


100

Priority patient: elderly with slow gait OR patient with sudden inability to walk?

What is sudden inability to walk?

200

This hormone decrease contributes to osteoporosis in postmenopausal women.

What is estrogen?

200

Loss of ability to recognize objects is called this.

What is agnosia?

200

Taking ≥12 seconds on this test indicates fall risk.

What is the TUG test?

200

Drop of ≥20 mmHg systolic indicates this condition.

What is orthostatic hypotension?

200

First action: patient dizzy when standing.

What is assess orthostatic vital signs?

300

This spinal curvature is commonly seen in older adults.

What is kyphosis?

300

This condition causes evening confusion in elderly patients.

What is sundowning?

300

Failure to hold this position for 10 seconds indicates risk.

What is tandem stand?

300

This system helps maintain balance with vision and vestibular input.

What is the somatosensory system?

300

Most concerning finding: mild weakness OR new confusion?

What is new confusion?

400

This condition is considered abnormal, not a normal aging change.

What is a pathological fracture?

400

Loss of ability to perform purposeful movements.

What is apraxia?

400

This medication guideline helps reduce fall risk in elderly.

What is Beers Criteria?

400

This is the MOST important priority during assessment.

What is safety?

400

Best intervention: educate later OR prevent fall now?

What is prevent fall now?

500

Priority nursing concern for a patient with decreased bone density.

What is risk for fractures?

500

Priority risk related to slowed neurological processing.

What is increased fall risk?

500

Priority intervention for a cluttered room.

What is clear pathways to prevent falls?

500

Why nurses allow extra response time in elderly patients.

What is slowed neurological processing?

500

Which system failure MOST increases fall risk?

What is balance system (visual, vestibular, somatosensory)?