NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
The nurse should teach the client with asthma that which of the following is one of the most common precipitating factors of an acute asthma attack?
Correct Answer: B
Rationale: Viral respiratory infections are a leading trigger of acute asthma attacks due to airway inflammation.
Toxins, smoke, and cold exercise are also triggers but less common.
Question 4 of 5
A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out the I.V. line. Which nursing intervention protects the client without increasing her increased intracranial pressure (ICP)?
Correct Answer: B
Rationale: Soft mitten restraints prevent the client from pulling out the I.V. without restricting circulation or increasing ICP, unlike jacket or wrist restraints, which can cause agitation or pressure. Tucking arms under a drawsheet is unsafe and ineffective.
Question 5 of 5
A 36-year-old female is scheduled to receive external radiation therapy and a cesium implant for cancer of the cervix. Which of the following statements would be most accurate to include in the teaching plan about the potential effects of radiation therapy on sexuality?
Correct Answer: B
Rationale: Vaginal dryness is a common side effect of cervical radiation due to mucosal changes, and should be included in the teaching plan to prepare the client.