NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Question 1 of 5
A client with a history of systemic lupus erythematosus was admitted with a severe viral respiratory tract infection and diffuse petechiae. Based on these data, it is most important that the nurse further evaluate the client's recent:
Correct Answer: D
Rationale: Systemic lupus erythematosus (SLE) can cause thrombocytopenia, and diffuse petechiae suggest a low platelet count. Heavy menstrual bleeding is a common manifestation of thrombocytopenia in women and should be evaluated to assess the extent of bleeding and guide treatment. Food, fluid intake, and fatigue are less directly related to the petechiae.
Question 2 of 5
Which of the following lipid abnormalities is a risk factor for the development of atherosclerosis and peripheral vascular disease?
Correct Answer: C
Rationale: High levels of low-density lipoprotein (LDL) cholesterol contribute to atherosclerosis by depositing cholesterol in arterial walls, leading to plaque formation and PVD. Low triglycerides, high HDL, or low LDL are protective or neutral, not risk factors.
Question 3 of 5
In addition to nausea and severe flank pain, a female client with renal calculi has pain in the groin and bladder. The nurse should assess the client further for six years of:
Correct Answer: B
Rationale: Groin and bladder pain in renal calculi often indicate referred pain from the stone's movement or irritation along the urinary tract.
Question 4 of 5
What should the nurse assess in a client receiving anticonvulsant therapy?
Correct Answer: A
Rationale: Liver function is assessed due to the potential hepatotoxicity of anticonvulsant medications.
Question 5 of 5
A client in hospice care is nearing death. Which of the following is an expected physical change the nurse should prepare the family for?
Correct Answer: B
Rationale: Cool, mottled extremities are an expected sign of impending death due to decreased circulation, and preparing the family helps reduce distress.