NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 of 5
Which of the following is an expected outcome of pursed-lip breathing for clients with emphysema?
Correct Answer: D
Rationale: Pursed-lip breathing prolongs exhalation, reducing air trapping and promoting CO2 elimination in emphysema. It does not directly increase oxygen intake or strengthen muscles.
Question 2 of 5
Which of the following should the nurse include in the discharge plan for a client with multiple sclerosis who has an impaired peripheral sensation?
Correct Answer: A,C,D,E
Rationale: Testing bath water temperature (
A), avoiding hot water bottles/heating pads (
C), daily skin inspection (
D), and wearing warm clothing (E) prevent injury due to impaired sensation. Avoiding kitchen activities entirely is overly restrictive.
Question 3 of 5
The nurse is assigning clients for the evening shift. Which of the following clients are appropriate for the nurse to assign to a licensed practical nurse to provide client care? Select all that apply.
Correct Answer: B,D
Rationale: Licensed practical nurses (LPNs) can provide care for stable clients with predictable outcomes, such as a client post-inguinal hernia repair (
B) or a client with diverticulitis needing medication teaching (
D). Clients requiring TPN monitoring (
A), Cantor tube insertion (
C), or managing an acute exacerbation of ulcerative colitis (E) require more complex assessments or interventions typically performed by a registered nurse. CN: Management of care; CL: Synthesize
Question 4 of 5
A client has driven himself to the emergency department. He is 50 years old, has a history of hypertension, and informs the nurse that his father died from a heart attack at age 60. The client is presently complaining of indigestion. The nurse connects him to an electrocardiogram monitor and begins administering oxygen at 2 L/minute per nasal cannula. The nurse's next action would be to:
Correct Answer: A
Rationale: Indigestion in a client with cardiac risk factors may indicate an MI. Calling the physician promptly ensures rapid evaluation and intervention, such as ECG or medications.
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.