Gerontology & Older-Adult Care

Most LPN/LVN graduates work with older adults — and the NCLEX-PN tests it heavily. These guides cut to what actually shows up on the exam: telling normal aging from a real problem, keeping medications safe, and preventing falls.

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Each guide covers only the older-adult content most commonly tested on the LPN/LVN exit exam and the NCLEX-PN — no fluff.

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Normal Age-Related Changes

What changes with normal aging in every body system — and how to tell expected aging from a warning sign. The single highest-yield older-adult concept, including orthostatic changes, sensory loss, and why infection can show up as confusion.

Normal vs. Red FlagOrthostaticSensory LossAtypical Presentation
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Polypharmacy & Medication Safety

Why older adults react differently to drugs, the Beers Criteria "avoid" list, anticholinergic burden, high-alert drugs that need extra monitoring, and the medication review that catches duplications and interactions.

Beers CriteriaAnticholinergicsStart Low, Go SlowDigoxin/Warfarin
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Falls: Risk & Prevention

Fall risk factors, the medications that cause falls, how to assess risk (Morse scale, orthostatic vitals), evidence-based prevention, why restraints are not the answer, and the correct post-fall nursing response.

Morse ScaleRisk FactorsPreventionPost-Fall
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Delirium, Dementia & Depression

The "3 D's" — how to tell them apart, the CAM, why delirium is a reversible emergency you can't miss, sundowning and pseudodementia, and the nursing care and safety priorities for each.

The 3 D'sCAMReversible vs. NotSundowning
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Restraints & Least-Restrictive Safety

What counts as a restraint, the alternatives you try first, the order and time-limit rules (no PRN, 1-hour face-to-face), safe application and monitoring, documentation, and when side rails become a restraint.

No PRN OrdersTime LimitsQuick-ReleaseSide Rails
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Elder Abuse & Neglect

The types of abuse, the warning signs, who's at risk, and the nurse's mandatory-reporting duty — report a reasonable suspicion to Adult Protective Services; you don't need proof.

Types & SignsMandated ReporterAPSSelf-Neglect
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Geriatric Assessment & Atypical Presentation

The function-first approach, atypical presentation (illness as confusion or a fall, not classic symptoms), ADLs vs IADLs (Katz & Lawton), cognitive and mood screening, and the key tools.

ADLs vs IADLsAtypical PresentationKatz/LawtonScreening Tools

Test Yourself

Put it into practice with our free Gerontology quiz — 28 NCLEX-PN style questions with detailed rationales. Pick how many you want and choose Tutor or Exam mode.

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