NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During preoperative teaching, the nurse is reinforcing information about the surgical procedure. Which of the following explanations is most accurate?
Correct Answer: B
Rationale: The Billroth II procedure involves anastomosis of the gastric stump to the jejunum, bypassing the duodenum. The other options are incorrect descriptions of the procedure.
Question 2 of 5
The nurse is preparing an educational program on breast cancer for women at an African American community center. What information is important for the nurse to consider for the discussion?
Correct Answer: C
Rationale: Breast cancer incidence and outcomes can vary significantly across socioeconomic levels due to differences in access to healthcare, screening, and education. This is critical for tailoring an effective educational program. African American women do not have the lowest rate of breast cancer, and they are often diagnosed at later stages, not early.
Question 3 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 4 of 5
Which of the following is an assessment finding associated with internal bleeding with disseminated intravascular coagulation?
Correct Answer: C
Rationale: Internal bleeding in DIC can cause blood accumulation in the abdominal cavity, leading to increasing abdominal girth. Bradycardia and hypertension are not typical, and petechiae are associated with cutaneous bleeding.
Question 5 of 5
Which of the following should the nurse include when preparing a client for magnetic resonance imaging (MRI) to evaluate a ruptured disc?
Correct Answer: C
Rationale: Checking for claustrophobia is essential, as MRI can be distressing for claustrophobic clients.