NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
The nurse is teaching a client who has been diagnosed with tuberculosis how to avoid spreading the disease to family members. Which statement(s) by the client indicate(s) that he has understood the nurse's instructions? Select all that apply.
Correct Answer: B,D,E
Rationale: Covering the mouth when sneezing (
B), using tissues for coughing and disposing of them (
D), and using regular utensils (E) prevent tuberculosis spread. Disposing of clothing is unnecessary. Isolation is only needed until the client is non-infectious (after 2–3 weeks of treatment).
Question 2 of 5
Which of the following is an assessment finding associated with internal bleeding with disseminated intravascular coagulation?
Correct Answer: C
Rationale: Internal bleeding in DIC can cause blood accumulation in the abdominal cavity, leading to increasing abdominal girth. Bradycardia and hypertension are not typical, and petechiae are associated with cutaneous bleeding.
Question 3 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 4 of 5
The nurse is preparing an educational program on breast cancer for women at an African American community center. What information is important for the nurse to consider for the discussion?
Correct Answer: C
Rationale: Breast cancer incidence and outcomes can vary significantly across socioeconomic levels due to differences in access to healthcare, screening, and education. This is critical for tailoring an effective educational program. African American women do not have the lowest rate of breast cancer, and they are often diagnosed at later stages, not early.
Question 5 of 5
A client with an ileal conduit asks how to reduce pouch odor. The nurse suggests:
Correct Answer: A
Rationale: Odor-producing foods like broccoli should be avoided to minimize pouch odor.