NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
A client is admitted to the surgical floor after having bowel surgery. The nurse observes that the client's urine output has decreased from 50 to 20 mL/hour. Which of the following is the most likely cause?
Correct Answer: B
Rationale: Opioid analgesics, commonly used post-surgery, can cause urinary retention by relaxing the bladder, reducing urine output. This is the most likely cause in this scenario.
Question 2 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 3 of 5
A client who has had an above-the-knee amputation is to have a dressing change 45 minutes after arriving in the postanesthesia recovery unit. The nurse should:
Correct Answer: C
Rationale: Excessive bleeding requires the surgeon's evaluation to prevent complications.
Question 4 of 5
A client with acute renal failure is prescribed a low-potassium diet. Which food should be avoided?
Correct Answer: A
Rationale: Bananas are high in potassium, unsuitable for a low-potassium diet.
Question 5 of 5
A client scheduled for a cholecystectomy expresses fear about postoperative pain. Which nursing action is most appropriate?
Correct Answer: B
Rationale: Teaching the client about pain management options, such as PCA or oral analgesics, empowers them to understand and cope with postoperative pain, reducing anxiety. Administering analgesics may not be ordered preoperatively, and reassurance without education is inadequate.