NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
A client has driven himself to the emergency department. He is 50 years old, has a history of hypertension, and informs the nurse that his father died from a heart attack at age 60. The client is presently complaining of indigestion. The nurse connects him to an electrocardiogram monitor and begins administering oxygen at 2 L/minute per nasal cannula. The nurse's next action would be to:
Correct Answer: A
Rationale: Indigestion in a client with cardiac risk factors may indicate an MI. Calling the physician promptly ensures rapid evaluation and intervention, such as ECG or medications.
Question 2 of 5
A client with rheumatoid arthritis tells the nurse, 'I know it is important to exercise my joints so that I won't lose mobility, but my joints are so stiff and painful that exercising is difficult.' Which of the following responses by the nurse would be most appropriate?
Correct Answer: D
Rationale: Warm baths or showers can reduce joint stiffness and pain, making exercise more tolerable and effective for maintaining mobility.
Question 3 of 5
Captopril (Capoten), furosemide (Lasix), and metoprolol (Toprol XL) are ordered for a client with systolic heart failure. The client's blood pressure is 136/82 and the heart rate is 65. Prior to medication administration at 9 a.m., the nurse reviews the following lab tests (see chart). Which of the following should the nurse do first?
Correct Answer: B
Rationale: The potassium level of 6.8 mEq/L indicates hyperkalemia, a risk with captopril (an ACE inhibitor). Calling the physician is the priority to address this critical lab value.
Question 4 of 5
The physician has inserted a chest tube in a client with a pneumothorax. The nurse should evaluate the effectiveness of the chest tube:
Correct Answer: D
Rationale: A chest tube in pneumothorax removes air and fluid from the pleural space, restoring lung expansion. It is not used for oxygen, scar tissue, or antibiotics.
Question 5 of 5
Palpation of the skin provides the nurse useful information regarding:
Correct Answer: D
Rationale: Palpation assesses skin turgor, indicating hydration status. Bruising and color are visually assessed, and hair distribution is observed, not palpated.