NCLEX-RN
Health Care of the Older Adult NCLEX Questions
Extract:
Question 1 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 2 of 5
The nurse is assessing a client with chronic hepatitis B who is receiving Lamivudine (Epivir). What information is most important to communicate to the physician?
Correct Answer: A
Rationale: A 3 kg weight loss in 2 days (
A) is significant and may indicate worsening liver function or dehydration, requiring urgent attention. Nausea (
B), low-grade fever (
C), and fatigue (
D) are common but less critical symptoms.
Question 3 of 5
The nurse observes a constant gentle bubbling in the water-seal column of a water-seal chest drainage system. This observation should prompt the nurse to do which of the following?
Correct Answer: B
Rationale: Constant gentle bubbling in the water-seal column suggests an air leak; checking connectors identifies the source. Expected bubbling is intermittent. Adjusting suction or draining water is inappropriate.
Question 4 of 5
Which of the following is significant data to gather from a client who has been diagnosed with pneumonia? Select all that apply.
Correct Answer: A,C,E
Rationale: Breath sounds (
A) indicate lung involvement. Chest pain (
C) may signal pleurisy or complications. Nail bed color (E) reflects oxygenation. Bowel sounds and peripheral edema are less relevant to pneumonia assessment.
Question 5 of 5
Which of the following conditions is the most significant risk factor for the development of type 2 diabetes mellitus?
Correct Answer: C
Rationale: Obesity is the most significant risk factor for type 2 diabetes due to its impact on insulin resistance.