NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 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 2 of 5
Palpation of the skin provides the nurse useful information regarding:
Correct Answer: D
Rationale: Palpation assesses skin turgor, indicating hydration status. Bruising and color are visually assessed, and hair distribution is observed, not palpated.
Question 3 of 5
A client with an ileal conduit asks how to reduce pouch odor. The nurse suggests:
Correct Answer: A
Rationale: Odor-producing foods like broccoli should be avoided to minimize pouch odor.
Question 4 of 5
A client who has been treated for chronic open-angle glaucoma (COAG) for 5 years asks the nurse, 'How does glaucoma damage my eyesight?' The nurse's reply should be based on the knowledge that COAG:
Correct Answer: B
Rationale: Chronic open-angle glaucoma causes increased intraocular pressure, which damages the optic nerve over time, leading to vision loss.
Question 5 of 5
Which of the following represents the most appropriate nursing intervention for a client with pruritus caused by cancer or the treatment?
Correct Answer: D
Rationale: Medicated cool baths soothe the skin and reduce pruritus, a common symptom in cancer patients, without the systemic effects of antihistamines or steroids.