NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
The nurse is assessing a client with chronic hepatitis B who is receiving Lamivudine (Epivir). What information is most important to communicate to the physician?
Correct Answer: A
Rationale: A 3 kg weight loss in 2 days (
A) is significant and may indicate worsening liver function or dehydration, requiring urgent attention. Nausea (
B), low-grade fever (
C), and fatigue (
D) are common but less critical symptoms.
Question 2 of 5
The nurse is teaching a client with osteoarthritis about assistive devices. Which device is most appropriate for ambulation?
Correct Answer: A
Rationale: A standard cane provides support and stability for clients with osteoarthritis during ambulation.
Question 3 of 5
A nurse is caring for a client with lung cancer who develops syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory finding should the nurse expect?
Correct Answer: A
Rationale: SIADH causes water retention, diluting serum sodium, so a low sodium level (128 mEq/L) is expected due to the inappropriate secretion of antidiuretic hormone.
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 with an ileal conduit should report:
Correct Answer: B
Rationale: Stoma bleeding is abnormal and may indicate trauma or infection.