NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
A client arrives from surgery to the postanesthesia care unit. Which of the following respiratory assessments should the nurse complete first?
Correct Answer: A
Rationale: Oxygen saturation is the first respiratory assessment in the PACU, as it quickly indicates oxygenation status and guides further interventions if hypoxia is detected.
Question 2 of 5
The client with cirrhosis receives 100 mL of 25% serum albumin I.V. Which finding would best indicate that the albumin is having its desired effect?
Correct Answer: D
Rationale: Albumin increases oncotic pressure, reducing ascites and improving respiratory function. Increased ease of breathing (
D) indicates effectiveness. Urine output (
A), serum albumin (
B), and anorexia (
C) are less direct indicators.
Question 3 of 5
Which of the following clients with burns will most likely require an endotracheal or tracheostomy tube?
Correct Answer: B
Rationale: Thermal burns to the head, face, and airway can cause swelling and obstruction, leading to hypoxia and requiring airway management like endotracheal intubation or tracheostomy.
Question 4 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 5 of 5
Essential hypertension would be diagnosed in a 40-year-old male whose blood pressure readings were consistently at or above which of the following?
Correct Answer: C
Rationale: Essential hypertension is diagnosed with consistent blood pressure readings at or above 140/90 mm Hg, per standard guidelines.