GERIATRICS NCLEX PRACTICE QUESTIONS WITH 100% CORRECTLY SOLVED ANSWERS & DETAILED RATIONALES.

GERIATRICS NCLEX PRACTICE QUESTIONS WITH 100%
CORRECTLY SOLVED ANSWERS & DETAILED
RATIONALES.

1) The healthcare provider is caring for a patient with a diagnosis of hypomagnesemia and
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a QT interval of 0.50 seconds. Which of these, if noted on the cardiac monitor, is an
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indication the patient's condition is worsening?
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A) Premature ventricular contractions t t




B) Narrow QRS complexes t t




C) An R-R interval of 1 second
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D) A polymorphic ventricular tachycardia -- Correct Answer ✔✔ d) A
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polymorphic ventricular tachycardia t t




An R-R interval of 1111 second translates to a heart rate of 60606060 beats per
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minute, which is a normal finding. t t t t t




Narrow QRS complexes are associated with a variety of tachycardias, but is not
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expected in this situation. t t t




The patient's history of hypomagnesemia and prolonged QT interval puts the
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patient at risk of developing torsade’s de pointes, a polymorphic ventricular
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tachycardia that can potentially degenerate into a ventricular fibrillation.
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2) A patient with a diagnosis of Wolff-Parkinson-White syndrome is undergoing a
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catheter ablation procedure. When caring for the patient after the procedure, which is
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the priority intervention?
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A) Assist the patient to the bathroom to void t t t t t t t

, B) Auscultate apical pulse for a full minute every hour t t t t t t t t




C) Monitor insertion site and distal pulses t t t t t




D) Assess level of consciousness -- Correct Answer ✔✔ c) Monitor insertion site
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and distal pulses t t




The extremity where the catheter was inserted will be immobilized initially, so the
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patient will not be allowed out of bed to use the bathroom.
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The patient will be on a cardiac monitor so auscultation of the apical pulse for one
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minute is not a priority. t t t t




Because the catheter may cause trauma to the vessels, the healthcare provider will
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monitor for hematoma formation and interference of circulation distal to the
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insertion site. t




3) The nurse is performing an assessment on an older client who is having difficulty
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sleeping at night. Which statement by the client indicates the need for further teaching
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regarding measures to improve sleep?
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A) "I swim three times a week."
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B) "I have stopped smoking cigars."
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C) "I drink hot chocolate before bedtime."
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D) "I read for 40 minutes before bedtime." -- Correct Answer ✔✔ c) "I drink hot
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chocolate before bedtime." t t




Many nonpharmacological sleep aids can be used to influence sleep. However, the
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client should avoid caffeinated beverages and stimulants such as tea, cola, and
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chocolate. The client should exercise regularly, because exercise promotes sleep
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by burning off tension that accumulates during the day. A 20-to 30-minute walk,
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swim, or bicycle ride three times a week is helpful. The client should sleep on a bed
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with a firm mattress. Smoking and alcohol should be avoided. The client should
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avoid large meals; peanuts, beans, fruit, raw vegetables, and other foods that
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produce gas; and snacks that are high in fat because they are difficult to digest.
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- Test-Taking Strategy: Note the strategic words need for further teaching . These
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words indicate a negative event query and ask you to select an option that is an
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