NCLEX-PN
Care of Older Adults NCLEX Questions Questions
Extract:
Question 1 of 5
While attending a health fair, the 62-year-old female is found to have many risk factors for osteoporosis. The nurse at the booth recommends that she contact her HCP about scheduling a DEXA (dual-energy x-ray absorptiometry) scan. Which risk factors influenced the nurse’s recommendation? Select all that apply.
Correct Answer: A;B;E
Rationale: Hyperthyroidism, postmenopausal status, and being a 62-year-old female are risk factors for osteoporosis, warranting a DEXA scan. Being overweight and African American are not major risk factors.
Question 2 of 5
While attending a health fair, the 62-year-old female is found to have many risk factors for osteoporosis. The nurse at the booth recommends that she contact her HCP about scheduling a DEXA (dual-energy x-ray absorptiometry) scan. Which risk factors influenced the nurse’s recommendation? Select all that apply.
Correct Answer: A;B;E
Rationale: Hyperthyroidism, postmenopausal status, and being a 62-year-old female are risk factors for osteoporosis, warranting a DEXA scan. Being overweight and African American are not major risk factors.
Question 3 of 5
The nurse observes the NA providing a stuffed animal to the hospitalized older adult client who is experiencing delirium. Which action by the nurse is most appropriate?
Correct Answer: D
Rationale: A stuffed animal can occupy a delirious client’s hands, preventing line removal, and may be comforting. Thanking the NA is appropriate; other actions are unnecessary or punitive.
Question 4 of 5
The 73-year-old client receiving palliative care comments to the nurse, 'I am such a feeble old man. My life is such a waste, and I hate having my wife see me like this. just wish I could die now.' Which statement is the nurse’s best interpretation of the client’s comments?
Correct Answer: D
Rationale: The client’s contempt for self and desire to die reflect despair in Erikson’s integrity versus despair stage. No shame or anxiety is evident, and Havighurst’s tasks involve positive adjustments.
Question 5 of 5
The nurse is assessing the chest of the normally healthy adult male client without chest abnormalities. Which chest curvature illustrated should the nurse expect to observe?
Correct Answer: C
Rationale: The normal adult chest has an anteroposterior-to-lateral ratio of approximately 1:2 and a costal angle less than 90 degrees. Illustration A is pectus excavatum, B is pectus carinatum, and D is barrel chest associated with COPD.