NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
A client develops lymphedema after a left mastectomy with lymph node dissection. Which of the following should be included in the discharge teaching plan? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Preventing trauma (A,
C), elevating the arm (E), and performing exercises (F) reduce lymphedema risk and promote lymphatic drainage. Sunscreen (
B) is safe, and immobilization (
D) is not recommended.
Question 2 of 5
Which of the following represents the most appropriate nursing intervention for a client with pruritus caused by cancer or the treatment?
Correct Answer: D
Rationale: Medicated cool baths soothe the skin and reduce pruritus, a common symptom in cancer patients, without the systemic effects of antihistamines or steroids.
Question 3 of 5
A client's husband expresses concern that his dying wife keeps saying, 'I have to go to the store.' Which of the following statements by the nurse will be most effective in assisting the husband to understand the dying process?
Correct Answer: C
Rationale: Statements about leaving or going somewhere are common in dying clients, reflecting their subconscious preparation for death, and this explanation helps the husband understand the behavior.
Question 4 of 5
The nurse is aware that a 65-year-old widower whose only son is 500 miles away is at higher risk for psychosocial distress because the client:
Correct Answer: D
Rationale: Minimal social support, due to being widowed and geographically isolated from his son, increases the risk of psychosocial distress in this cancer client.
Question 5 of 5
A nurse is caring for a client with lung cancer who develops syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory finding should the nurse expect?
Correct Answer: A
Rationale: SIADH causes water retention, diluting serum sodium, so a low sodium level (128 mEq/L) is expected due to the inappropriate secretion of antidiuretic hormone.