NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
The nurse is assessing a client with Buerger's disease. The nurse should determine if the client is experiencing:
Correct Answer: B
Rationale: Buerger's disease is characterized by inflammation and fibrosis of arteries, veins, and nerves, leading to occlusion and ischemia. This distinguishes it from atherosclerosis (intimal thickening), Raynaud's (vasospasm), or acute arterial occlusion (pain, pallor, pulselessness).
Question 2 of 5
The physician has inserted a chest tube in a client with a pneumothorax. The nurse should evaluate the effectiveness of the chest tube:
Correct Answer: D
Rationale: A chest tube in pneumothorax removes air and fluid from the pleural space, restoring lung expansion. It is not used for oxygen, scar tissue, or antibiotics.
Question 3 of 5
A client with an ileal conduit should report:
Correct Answer: B
Rationale: Stoma bleeding is abnormal and may indicate trauma or infection.
Question 4 of 5
A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During preoperative teaching, the nurse is reinforcing information about the surgical procedure. Which of the following explanations is most accurate?
Correct Answer: B
Rationale: The Billroth II procedure involves anastomosis of the gastric stump to the jejunum, bypassing the duodenum. The other options are incorrect descriptions of the procedure.
Question 5 of 5
Which of the following is significant data to gather from a client who has been diagnosed with pneumonia? Select all that apply.
Correct Answer: A,C,E
Rationale: Breath sounds (
A) indicate lung involvement. Chest pain (
C) may signal pleurisy or complications. Nail bed color (E) reflects oxygenation. Bowel sounds and peripheral edema are less relevant to pneumonia assessment.