Questions 107

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Health Care of the Older Adult NCLEX Questions

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Question 1 of 5

Which of the following lipid abnormalities is a risk factor for the development of atherosclerosis and peripheral vascular disease?

Correct Answer: C

Rationale: High levels of low-density lipoprotein (LDL) cholesterol contribute to atherosclerosis by depositing cholesterol in arterial walls, leading to plaque formation and PVD. Low triglycerides, high HDL, or low LDL are protective or neutral, not risk factors.

Question 2 of 5

The nurse teaches the client how to instill nose drops. Which of the following techniques is correct?

Correct Answer: B

Rationale: Blowing the nose gently before instilling nose drops clears the nasal passages, allowing better medication absorption. Sterile technique is not typically required for home use. Using a new dropper each time is impractical. The head should be tilted back, not forward, after administration to allow the drops to spread.

Question 3 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 4 of 5

A client in hospice care is nearing death. Which of the following is an expected physical change the nurse should prepare the family for?

Correct Answer: B

Rationale: Cool, mottled extremities are an expected sign of impending death due to decreased circulation, and preparing the family helps reduce distress.

Question 5 of 5

The physician orders continuous I.V. nitroglycerin infusion for the client with myocardial infarction. Essential nursing actions include which of the following?

Correct Answer: A

Rationale: An infusion pump ensures accurate delivery of nitroglycerin, which requires precise titration. BP monitoring should be more frequent (e.g., every 15-30 minutes), and urine output and potassium levels are not primary concerns.

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