NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
Prior to being transported to the surgery suite, the nurse asks the client whether he has any allergies. The client responds, 'Doesn't anyone communicate with anyone? I have been asked that question over and over!' What is the nurse's best response?
Correct Answer: D
Rationale: Explaining that repeated allergy checks are for safety and verification reassures the client while clarifying the purpose of the question. This response addresses the client's frustration and emphasizes the importance of the process.
Question 2 of 5
After the nurse has administered droperidol (Inapsine), care is taken to move the client slowly based on the knowledge of droperidol's effect on the:
Correct Answer: C
Rationale: Droperidol can cause hypotension and orthostatic changes, affecting the cardiovascular system. Slow movement prevents dizziness or falls due to these effects.
Question 3 of 5
A client arrives from surgery to the postanesthesia care unit. Which of the following respiratory assessments should the nurse complete first?
Correct Answer: A
Rationale: Oxygen saturation is the first respiratory assessment in the PACU, as it quickly indicates oxygenation status and guides further interventions if hypoxia is detected.
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 is admitted to the surgical floor after having bowel surgery. The nurse observes that the client's urine output has decreased from 50 to 20 mL/hour. Which of the following is the most likely cause?
Correct Answer: B
Rationale: Opioid analgesics, commonly used post-surgery, can cause urinary retention by relaxing the bladder, reducing urine output. This is the most likely cause in this scenario.