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NCLEX PN· Medical Surgical · NCLEX Questions on Older Adults

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for the 94-year-old hospitalized client of the Muslim faith who is near death. Which nursing action is most inappropriate?

A. Spraying perfume in the client's room

B. Placing the client supine facing Mecca

C. Offering grief counseling to family members

D. Checking records for wishes of organ donation

Expert Explanatory Rationale

Correct Answer: Offering grief counseling to family members

Question 2 of 5

The nurse is teaching newly hired NAs in a long term care facility. What information about skin care for older adults should the nurse emphasize?

A. Avoid skin products purchased for the resident by family that contain alcohol

B. Apply perfumed skin lots after the resident's bath when the skin is still moist

C. When taking residents outdoors, apply sunscreen with a sun protection factor of 8

D. Apply a strong detergent to clothing with food stains before sending to laundry

Expert Explanatory Rationale

Correct Answer: Avoid skin products purchased for the resident by family that contain alcohol

Question 3 of 5

The nurse is reviewing a laboratory report for a 61-year-old client. Which finding is most important for the nurse to address with the HCP?

A. Total cholesterol 180 mg/dL; was 140 at age 50

B. Erythrocyte sedimentation rate (ESR) increased

C. Alkaline phosphatase increased

D. AST, ALT, and serum bilirubin increased

Expert Explanatory Rationale

Correct Answer: AST, ALT, and serum bilirubin increased

Question 4 of 5

The older adult client is experiencing relocation stress after being admitted to a nursing home. Which intervention is best for the nurse to implement?

A. Ask family members to explore placing the client in another nursing home

B. Change the client's room every week until a compatible roommate is found

C. Place the client's favorite items, such as a family picture, at the client's bedside

D. Ask that family members avoid talking to the client about being in the nursing home

Expert Explanatory Rationale

Correct Answer: Place the client's favorite items, such as a family picture, at the client's bedside

Question 5 of 5

Pre-hospital admission medications for the older adult client include warfarin and atenolol. Which statement made by the client should prompt the nurse to initiate a referral to a social worker?

A. I crush my medications and take them with applesauce because they are hard to swallow.'

B. I stopped taking my blood pressure pill; I can't afford it, and my blood pressure is normal.'

C. I feel more alert after starting to take ginkgo, but I forgot to ask my doctor if it were okay.'

D. I have my daughter set up my medications for two weeks at a time in a medication bar.'

Expert Explanatory Rationale

Correct Answer: I stopped taking my blood pressure pill; I can't afford it, and my blood pressure is normal.'

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