NCLEX-PN
Care of Older Adults NCLEX Questions Questions
Extract:
Question 1 of 5
The 83-year-old tells the nurse, 'I’m not taking my medication because it’s too expensive and I really don’t need it anymore.' Before responding to the client, the nurse should consider that the most common reason for older clients to discontinue their medications is which of the following?
Correct Answer: C
Rationale: Fear of outliving resources is a common reason older adults stop medications, reflecting financial concerns. Lack of information, taste changes, and seeking attention are less common.
Question 2 of 5
The nurse is caring for the 50-year-old client who reports having difficulty falling asleep. Which recommendations should the nurse make to this client? Select all that apply.
Correct Answer: B;C;E
Rationale: Avoiding exercise near bedtime, maintaining a consistent bedtime, and avoiding large/spicy meals promote sleep. Alcohol and TV in bed can disrupt sleep.
Question 3 of 5
The nurse is assessing a healthy middle-aged adult. Which finding should the nurse expect?
Correct Answer: C
Rationale: The nurse should expect a middle-aged adult to perform mental tasks like serial 7s. A 20-pound weight gain is excessive, absent tactile fremitus suggests pneumothorax, and heart enlargement indicates a medical issue, not a normal finding.
Question 4 of 5
The nurse is evaluating the older adult client’s hydration status. Which information should the nurse include? Select all that apply.
Correct Answer: A;B;D;E
Rationale: Urine color, BUN/creatinine, specific gravity, and 24-hour intake/output assess hydration. WBC count evaluates infection, not hydration.
Question 5 of 5
The nurse is assessing the chest of the normally healthy adult male client without chest abnormalities. Which chest curvature illustrated should the nurse expect to observe?
Correct Answer: C
Rationale: The normal adult chest has an anteroposterior-to-lateral ratio of approximately 1:2 and a costal angle less than 90 degrees. Illustration A is pectus excavatum, B is pectus carinatum, and D is barrel chest associated with COPD.