NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
A client with a fracture develops compartment syndrome. Which of the following signs should alert the nurse to impending organ failure?
Correct Answer: D
Rationale: Dark, scanty urine indicates renal failure, a potential complication of compartment syndrome due to myoglobin release.
Question 2 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 3 of 5
The client's blood urea nitrogen (BUN) concentration is elevated in acute renal failure. What is the likely cause of this finding?
Correct Answer: D
Rationale: Reduced renal blood flow impairs urea excretion, causing elevated BUN levels in acute renal failure.
Question 4 of 5
Which of the following conditions is the most significant risk factor for the development of type 2 diabetes mellitus?
Correct Answer: C
Rationale: Obesity is the most significant risk factor for type 2 diabetes due to its impact on insulin resistance.
Question 5 of 5
During the induction stage for treatment of leukemia, the nurse should remove which items that the family has brought into the room?
Correct Answer: C
Rationale: During leukemia induction therapy, the client is immunocompromised, and scented items like a lavender sachet may harbor bacteria or cause allergic reactions. A Bible, picture, and hairbrush (if clean) are safe and support emotional well-being.