NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
The nurse is taking care of a client with Clostridium difficile (C. difficile). The nurse should do which of the following to prevent the spread of infection? Select all that apply.
Correct Answer: D,E
Rationale:
To prevent the spread of C. difficile, washing hands with soap and water (
D) is essential as alcohol-based sanitizers are ineffective against its spores, and wearing a protective gown (E) prevents contamination. A respirator (
A) is unnecessary, sterile gloves (
B) are not required (clean gloves suffice), and alcohol sanitizer (
C) is ineffective. CN: Safety and infection control; CL: Create
Question 2 of 5
The client's blood urea nitrogen (BUN) concentration is elevated in acute renal failure. What is the likely cause of this finding?
Correct Answer: D
Rationale: Reduced renal blood flow impairs urea excretion, causing elevated BUN levels in acute renal failure.
Question 3 of 5
Galactorrhea is caused by overproduction of which hormone?
Correct Answer: A
Rationale: Galactorrhea (inappropriate breast milk production) is caused by excess prolactin, often due to a prolactin-secreting pituitary adenoma.
Question 4 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 5 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.