NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
The nurse is taking care of a client with a spinal cord injury. The extent of the client's injury is shown below. Which of the following findings is expected when assessing this client?
Correct Answer: C
Rationale: Incontinence is expected with spinal cord injuries due to disruption of neural control over bowel and bladder.
Question 2 of 5
A client is admitted to the surgical floor after having bowel surgery. The nurse observes that the client's urine output has decreased from 50 to 20 mL/hour. Which of the following is the most likely cause?
Correct Answer: B
Rationale: Opioid analgesics, commonly used post-surgery, can cause urinary retention by relaxing the bladder, reducing urine output. This is the most likely cause in this scenario.
Question 3 of 5
What would be the nurse's best response to the client's expressed feelings of isolation as a result of having hepatitis?
Correct Answer: D
Rationale: Encouraging the client to express feelings (
D) fosters therapeutic communication and addresses emotional needs. Dismissing feelings (A,
C) or assuming others' fears (
B) is non-therapeutic and unhelpful.
Question 4 of 5
A client who has been diagnosed with gastroesophageal reflux disease (GERD) complains of heartburn. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet?
Correct Answer: C
Rationale: Hot chocolate contains caffeine and fat, both of which can relax the lower esophageal sphincter and worsen GERD-related heartburn. The other options are less likely to trigger symptoms.
Question 5 of 5
A client with renal calculi has a stent placed. The nurse should teach:
Correct Answer: A
Rationale: Blood in urine may indicate stent issues, requiring medical attention.