NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
The nurse notices that a client with Parkinson's disease is coughing frequently when eating. Which one of the following interventions should the nurse consider?
Correct Answer: C
Rationale: Thickening liquids reduces aspiration risk in Parkinson's patients with dysphagia, as coughing indicates swallowing difficulty. Hyperextending the neck or a clear liquid diet increases aspiration risk, and chin tuck is less universally effective.
Question 2 of 5
A client with Parkinson's disease is prescribed levodopa (L-dopa) therapy. Improvement in which of the following indicates effective therapy?
Correct Answer: B
Rationale: Levodopa reduces muscle rigidity, a hallmark symptom of Parkinson's, indicating effective therapy. Mood, appetite, and alertness are not primary targets of levodopa.
Question 3 of 5
The nurse should teach the client with asthma that which of the following is one of the most common precipitating factors of an acute asthma attack?
Correct Answer: B
Rationale: Viral respiratory infections are a leading trigger of acute asthma attacks due to airway inflammation.
Toxins, smoke, and cold exercise are also triggers but less common.
Question 4 of 5
Which finding indicates effective hemodialysis?
Correct Answer: A
Rationale: Decreased BUN indicates effective removal of waste products.
Question 5 of 5
Which of the following clients with burns will most likely require an endotracheal or tracheostomy tube?
Correct Answer: B
Rationale: Thermal burns to the head, face, and airway can cause swelling and obstruction, leading to hypoxia and requiring airway management like endotracheal intubation or tracheostomy.