NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 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 2 of 5
Which instructions should the nurse include when developing a teaching plan for a client being discharged from the hospital on anticoagulant therapy after having deep vein thrombosis (DVT)? Select all that apply.
Correct Answer: A,B,D,F
Rationale: Rationales:
A) Monitoring urine for bleeding is essential on anticoagulants.
B) Daily walking promotes circulation, preventing DVT recurrence.
D) Foot/leg exercises and movement during flights reduce stasis. F) Avoiding bumps prevents bruising/bleeding due to anticoagulant therapy.
C) Garlic and ginger may increase bleeding risk, not decrease it. E) Prevention is vague and not a specific instruction.
Question 3 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 4 of 5
An awake postoperative client received an intravenous regional nerve block (Bier block) in the arm that is now casted and elevated on a pillow. What action should the nurse encourage the client to avoid until sensation returns?
Correct Answer: A
Rationale: Without sensation, holding the arm close to the face risks injury, as the client may not feel pressure or positioning issues. The other actions are safe or unrelated.
Question 5 of 5
A client with Parkinson's disease is prescribed levodopa (L-dopa) therapy. Improvement in which of the following indicates effective therapy?
Correct Answer: B
Rationale: Levodopa reduces muscle rigidity, a hallmark symptom of Parkinson's, indicating effective therapy. Mood, appetite, and alertness are not primary targets of levodopa.