NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
In addition to nausea and severe flank pain, a female client with renal calculi has pain in the groin and bladder. The nurse should assess the client further for six years of:
Correct Answer: B
Rationale: Groin and bladder pain in renal calculi often indicate referred pain from the stone's movement or irritation along the urinary tract.
Question 2 of 5
The client with an intestinal obstruction continues to have acute pain even though the nasoenteric tube is patent and draining. Which action by the nurse would be most appropriate?
Correct Answer: B
Rationale: Persistent acute pain despite a patent nasoenteric tube suggests a complication like peritonitis, indicated by a rigid abdomen, which requires immediate assessment. Reassurance, opioids, or repositioning may delay addressing a serious issue. CN: Physiological adaptation; CL: Synthesize
Question 3 of 5
Which foods should the nurse encourage a client with diverticulosis to incorporate into the diet? Select all that apply.
Correct Answer: A,B,D
Rationale: Bran cereal (
A), broccoli (
B), and navy beans (
D) are high-fiber foods that help prevent complications in diverticulosis by promoting regular bowel movements.
Tomato juice (
C) and cheese (E) are not high in fiber. CN: Physiological adaptation; CL: Create
Question 4 of 5
The nurse is assigning clients for the evening shift. Which of the following clients are appropriate for the nurse to assign to a licensed practical nurse to provide client care? Select all that apply.
Correct Answer: B,D
Rationale: Licensed practical nurses (LPNs) can provide care for stable clients with predictable outcomes, such as a client post-inguinal hernia repair (
B) or a client with diverticulitis needing medication teaching (
D). Clients requiring TPN monitoring (
A), Cantor tube insertion (
C), or managing an acute exacerbation of ulcerative colitis (E) require more complex assessments or interventions typically performed by a registered nurse. CN: Management of care; CL: Synthesize
Question 5 of 5
The nurse is taking care of a client with Clostridium difficile (C. difficile). The nurse should do which of the following to prevent the spread of infection? Select all that apply.
Correct Answer: D,E
Rationale:
To prevent the spread of C. difficile, washing hands with soap and water (
D) is essential as alcohol-based sanitizers are ineffective against its spores, and wearing a protective gown (E) prevents contamination. A respirator (
A) is unnecessary, sterile gloves (
B) are not required (clean gloves suffice), and alcohol sanitizer (
C) is ineffective. CN: Safety and infection control; CL: Create