NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
The client is receiving an I.V. infusion of 5% dextrose in normal saline running at 125 mL/hour. When hanging a new bag of fluid, the nurse notes swelling and hardness at the infusion site. The nurse should first:
Correct Answer: A
Rationale: Swelling and hardness indicate infiltration, requiring immediate discontinuation of the infusion to prevent tissue damage.
Question 2 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 3 of 5
A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess the client for which of the following? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Hypothyroidism slows metabolism, leading to decreased energy, fatigue, weight gain, hair loss, constipation, and heavy menstrual periods (menorrhagia). Rapid pulse is associated with hyperthyroidism, not hypothyroidism.
Question 4 of 5
What should the nurse assess in a client receiving anticonvulsant therapy?
Correct Answer: A
Rationale: Liver function is assessed due to the potential hepatotoxicity of anticonvulsant medications.
Question 5 of 5
Which assessment is critical for a client receiving thrombolytic therapy?
Correct Answer: B
Rationale: Blood pressure is critical to monitor during thrombolytic therapy to prevent hemorrhagic complications.