NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
A client who has been diagnosed with renal calculi reports that the pain is intermittent and less colicky. Which of the following nursing actions is most important at this time?
Correct Answer: B
Rationale: Straining urine is critical when pain becomes intermittent, indicating possible stone passage, to confirm stone expulsion and guide treatment.
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 small airplane crashes in a neighborhood of 10 houses. One of the victims appears to have a cervical spine injury. What should first-aid for this victim should be selected that apply.
Correct Answer: A,B,E
Rationale: For a suspected cervical spine injury, the airway should be opened with the jaw-thrust maneuver, the spine immobilized, and a cervical collar applied to prevent further injury. Logrolling or elevating feet could exacerbate the injury.
Question 4 of 5
Which of the following should the nurse include in the discharge plan for a client with multiple sclerosis who has an impaired peripheral sensation?
Correct Answer: A,C,D,E
Rationale: Testing bath water temperature (
A), avoiding hot water bottles/heating pads (
C), daily skin inspection (
D), and wearing warm clothing (E) prevent injury due to impaired sensation. Avoiding kitchen activities entirely is overly restrictive.
Question 5 of 5
A client is admitted to the hospital with peripheral vascular disease (PVD) of the lower extremities. He is scheduled for an amputation of the left leg. The client says, 'I've really tried to manage my condition well.' Which of the following routines should the nurse evaluate as having been appropriate for him?
Correct Answer: B
Rationale: Walking slowly but steadily for 30 minutes twice a day promotes collateral circulation and maintains muscle strength in PVD, an appropriate self-management strategy. Elevating legs above the heart is contraindicated in arterial insufficiency, minimizing activity worsens ischemia, and antiembolism stockings are more suited for venous issues.