NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 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 2 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 3 of 5
After the nurse has administered droperidol (Inapsine), care is taken to move the client slowly based on the knowledge of droperidol's effect on the:
Correct Answer: C
Rationale: Droperidol can cause hypotension and orthostatic changes, affecting the cardiovascular system. Slow movement prevents dizziness or falls due to these effects.
Question 4 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 5 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.