NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse teaches the client how to instill nose drops. Which of the following techniques is correct?
Correct Answer: B
Rationale: Blowing the nose gently before instilling nose drops clears the nasal passages, allowing better medication absorption. Sterile technique is not typically required for home use. Using a new dropper each time is impractical. The head should be tilted back, not forward, after administration to allow the drops to spread.
Question 3 of 5
The nurse is teaching the client about deep-breathing techniques. Which of the following client statements indicates the need for additional education?
Correct Answer: D
Rationale: Taking four deep breaths before coughing is incorrect, as the client should perform deep breaths and cough in a sequence, typically 2-3 breaths followed by a cough, to prevent atelectasis effectively.
Question 4 of 5
The client with Hodgkin's disease undergoes an excisional cervical lymph node biopsy under local anesthesia. After the procedure, which does the nurse assess first?
Correct Answer: C
Rationale: After a cervical lymph node biopsy, the nurse should first assess the airway, as swelling or hematoma in the neck could compromise breathing. Vital signs, incision, and neurologic signs are assessed next.
Question 5 of 5
A client scheduled for a cholecystectomy expresses fear about postoperative pain. Which nursing action is most appropriate?
Correct Answer: B
Rationale: Teaching the client about pain management options, such as PCA or oral analgesics, empowers them to understand and cope with postoperative pain, reducing anxiety. Administering analgesics may not be ordered preoperatively, and reassurance without education is inadequate.