NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
The nurse should teach the client with Addison's disease that the adverse effect of bronze-colored skin is thought to be caused by which of the following?
Correct Answer: D
Rationale: Bronze-colored skin in Addison's disease results from increased ACTH, which stimulates melanin production.
Question 2 of 5
Which assessment is critical for a client receiving thrombolytic therapy?
Correct Answer: B
Rationale: Blood pressure is critical to monitor during thrombolytic therapy to prevent hemorrhagic complications.
Question 3 of 5
A client is admitted to the emergency department with a headache, weakness, and slight confusion. The physician diagnoses carbon monoxide poisoning. What should the nurse do first?
Correct Answer: C
Rationale: Administering 100% oxygen displaces carbon monoxide from hemoglobin, the priority in poisoning. Gastric lavage, temperature maintenance, and psychiatric referrals are secondary.
Question 4 of 5
The nurse is assessing a client with acute diverticulitis. Which symptom requires immediate reporting to the physician?
Correct Answer: B
Rationale: A temperature of 101°F (38.3°
C) in acute diverticulitis may indicate worsening infection or abscess, requiring immediate reporting. Mild pain, formed stools, and nausea are less urgent unless escalating. CN: Physiological adaptation; CL: Analyze
Question 5 of 5
During cardiopulmonary resuscitation (CPR), the xiphoid process at the lower end of the sternum should not be compressed when performing cardiac compressions. Which of the following organs would be most likely at risk for injury with compression over the xiphoid process?
Correct Answer: B
Rationale: Compressing the xiphoid process risks liver injury, as it lies directly beneath, potentially causing laceration or hemorrhage.