NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
The client with cirrhosis receives 100 mL of 25% serum albumin I.V. Which finding would best indicate that the albumin is having its desired effect?
Correct Answer: D
Rationale: Albumin increases oncotic pressure, reducing ascites and improving respiratory function. Increased ease of breathing (
D) indicates effectiveness. Urine output (
A), serum albumin (
B), and anorexia (
C) are less direct indicators.
Question 2 of 5
A client who has had an above-the-knee amputation is to have a dressing change 45 minutes after arriving in the postanesthesia recovery unit. The nurse should:
Correct Answer: C
Rationale: Excessive bleeding requires the surgeon's evaluation to prevent complications.
Question 3 of 5
Which of the following clients with burns will most likely require an endotracheal or tracheostomy tube?
Correct Answer: B
Rationale: Thermal burns to the head, face, and airway can cause swelling and obstruction, leading to hypoxia and requiring airway management like endotracheal intubation or tracheostomy.
Question 4 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 5 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.