early adulthood nclex questions

An older client confides to the visiting nurse the fear of falling while going to the bathroom at night. Which statement indicates an understanding of the visual changes affecting the older client?

"Keep a red light on in the bathroom at night."

The nurse is caring for an older client who is reminiscing about past life experiences in a positive manner. The nurse plans care with the understanding that this behavior indicates which?

A normal psychosocial response

The nurse is providing information to unlicensed assistive personnel (UAP) regarding caring for the older adult. The nurse tells the UAPs that which situation portrays ageism?

Advising older adults to forgo aggressive treatment

In planning care for older clients in a long-term care facility, the nurse recalls that which is accurate regarding sexuality and the older client?

Although responses may be slower, sexual ability is present in later years of life.

The nurse should plan which to encourage rebreak in the client who is a resident in a long-term care facility?

Choosing his social activities

An older client is taking multiple medications for a variety of health problems. The nurse should monitor the results of which most important laboratory test(s) when evaluating adverse effects of medication therapy in the older adult?

Creatinine

The nurse is collecting data from an older adult client. Which indicates a potential complication associated with the skin of this client?

Crusting

An older client has been prescribed digoxin (Lanoxin). The nurse understands that which age-related change would place the client at risk for digoxin toxicity?

Decreased lean body mass and glomerular filtration rate

A client who has been seen in the clinic has been diagnosed with endometriosis and asks the nurse to describe this condition. The nurse bases the response on what information?

Endometriosis is the presence of tissue outside the uterus that resembles the endometrium.

The nurse should implement which activity to promote reminiscence among older clients?

Having storytelling hours

The nurse prepares to discharge a client who is experiencing family-related stress. Which goal does the nurse include to help the client achieve the primary developmental task?

Help the client resume her familial role.

The nurse is told by an older woman that she has begun to be incontinent of urine at night and now drinks no fluids after 6:00 pm. The nurse's response should be guided by which knowledge?

Incontinence at any age deserves urological attention.

An older client is at risk for falls. When developing an individualized plan of care for this client, the nurse recalls that which concept is least relevant to maintenance of balance for the older client?

Older clients cannot think quickly enough to respond to emergencies.

Which data would indicate a potential complication associated with age-related changes in the musculoskeletal system?

Overall sclerotic lesions

The nurse caring for the older adult client understands that dosages of many medications are reduced in this population because of which fact?

Serum albumin levels are decreased.

The nurse assigned to care for an older adult client places an extra blanket in the client's room. The nurse understands that the older adult is less able to regulate hot and cold body changes because of alterations in the activity of which gland?

Sweat glands

A nursing instructor asks a nursing student about the reason for the reduction of anesthetic medication dosage in the older person. Which statement is an appropriate response?

The increase of fatty tissue allows anesthetic agents, which have an affinity for fatty tissue, to concentrate in body fat."

The nurse has gathered data regarding an older client. The nurse understands that which indicator of fluid imbalance is not reliable for a client in this age group?

Thirst

The nurse is working with an older client and family about discharge following hospitalization. When initiating discussions with the group, the nurse understands that older persons usually prefer which?

To live independently, but close to their children

The nurse is providing an education class to healthy older adults. Which exercise will best promote health maintenance?

Walking three to five times a week for 30 minutes

The nurse-midwife is conducting a session on the process of fertilization with a group of nursing students. The nurse-midwife asks a nursing student to identify the structure in which fertilization of an ovum takes place. The student answers correctly by identifying which location?

Fallopian tube

The nurse is collecting data from a client who is suspected of having mittelschmerz. Which finding should the nurse expect to note on data collection of the client?

Sharp pain located on the right side of the pelvis

When the nurse is collecting data from the older adult, which findings should be considered normal physiological changes? Select all that apply.

Decline in visual acuity Increased susceptibility to urinary tract infections Increased incidence of awakening after sleep onset

The nurse working in a long-term care facility is approached by the son of a resident, who wants his 78-year-old father to have a heating pad because "his feet are always cold at night." The nurse should incorporate which concept when formulating a response to the family member?

Older adults often have slower neurological response times and are therefore more at risk for burns.