NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 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 2 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.
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
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
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.