NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
A client post-ureteroscopy reports burning on urination. The nurse should:
Correct Answer: A
Rationale: Burning is common post-ureteroscopy; fluids dilute urine, reducing irritation.
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
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.
Question 4 of 5
What would be the nurse's best response to the client's expressed feelings of isolation as a result of having hepatitis?
Correct Answer: D
Rationale: Encouraging the client to express feelings (
D) promotes therapeutic communication and understanding. Dismissing feelings (A,
C) or assuming others' fears (
B) is non-therapeutic.
Question 5 of 5
The nurse is assigning clients for the evening shift. Which of the following clients are appropriate for the nurse to assign to a licensed practical nurse to provide client care? Select all that apply.
Correct Answer: B,D
Rationale: Licensed practical nurses (LPNs) can provide care for stable clients with predictable outcomes, such as a client post-inguinal hernia repair (
B) or a client with diverticulitis needing medication teaching (
D). Clients requiring TPN monitoring (
A), Cantor tube insertion (
C), or managing an acute exacerbation of ulcerative colitis (E) require more complex assessments or interventions typically performed by a registered nurse. CN: Management of care; CL: Synthesize