GERONTOLOGY HESI RN EXIT TEST BANK

GERONTOLOGY HESI RN EXIT TEST BANK

LATEST UPDATE 2023| QUESTIONS AND

CORRECT ANSWERS |AGRADE

• Which statement is true about rehab and restorative care for older adults? A

PERSONCAN LEARN SKILLS AND GAIN ABILITIES THAT ENABLE

FUNCTIONING

• An older adult is in the hospital because of HF and has become incontinent of

urine. Which EB resource should the nurse use to guide continence care for this pt? NURSINGSTANDARD PRACTICE PROTOCOL

• The nurse understands that stress incontinence occurs? AS A RESULT OF

INCEASEDINTRAABDOMINAL PRESSURE

• A large residual urine volume characterizes what type of incontinence? OVERLFOW

Which action should be included in all bladder-retraining programs? TOILETING AT

BEDTIME

• The nurse assess a male resident in a NH for urinary incontinence and

determines thathe is unaware of the problem. Which recommendation should the nurse implement? PROVIDE REGULAR TOILETING

• The nurse wants to begin helping a resident who is overweight and has

urinary incontinence with healthy bladder behavior skills. Which intervention should the nurseimplement? SCHEDULE VOIDING AT 2-4 HR

INTERVALS

• What is the most important aspect of care for the nurse to maintain when

assisting anolder pt with urinary incontinence? MAINTAINING AN

ATTITUDE THAT IS RESPECTFULABOUT RESLOVING THE PROBLEM

• An older woman tells the NP that she fears her family will place her in a NH

because shedeveloped stress incontinence. Which recommendation should the nurse implement? RECOMMEND EXERCISES TO STRENGTHEN THE

PELVIC FLOOR

• The nurse is caring for a pt who has recently had an indwelling catheter

placed. Thenurse should assess the pt for? A CHANGE IN MENTAL STATUS

• An older adult who is on bedrest after surgery is prescribed morphine for

pain. Whichof the following is the nurse’s priority for preventive care?

CONSTIPATION

• Which of the following statements is a true about elimination in older adults?

DEFACATION < 1 DAY IS NOT NECESSARILY CONSTIPATION 1 / 4

• Which option is part of the program that addresses bowel incontinence in an

older adultpt? ENSURING THAT A TOILET OR COMMODE IS READILYACCESSIBLE

TO THE PT

• Which is an important consideration about the skin of an older adult person?

THESKIN BECOMES MORE VULNERABLE TO DAMAGE

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• Which topical agent is safe to apply? LIGHT MINERAL OIL TO MOISTEN

SKINAFTER BATHING

• A 70 yr old woman complains of dry skin and asks for advice. Which advice

should thenurse offer to this woman for improving dry skin? KEEP BATH WATER

BETWEEN 90* AND 105*F

• The nurse monitors for which clinical indicator when the older

adult complains ofpruritus? COARSE SKIN

• Which infection control practice should the nurse implement when caring for

an olderadult who has active herpes zoster? COVER RUPTURED SKIN LESIONS

WITH A NONABSORBENT DRESSING

• The nurse is conducting an admission assessment on an older adult and notes

a smalllesion with a multicolor appearance. Which assessment approach should the nurse use? ABCD RULE (ASYMMETRY, BORDER, COLOR, DIAMETER)

• The nurse cares for an older man who has a malignant melanoma. Which

intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future? INSTRUCT HIM TO WEAR

SUN- PROTECTIVE CLOTHING ANDA HAT AT ALL TIMES

• Which of the following is a true statement about impaired skin integrity?

MUSCLEAND FAT CANNOT REGENERATE

• An older adult is vitamin deficient. Which of the following does the nurse

offer to theolder adult to provide the important missing vitamin for maintaining healthy skin and enhancing tissue repair? ORANGE SLICES

• An older adult woman complains of foot plain from a corn. After assessing her

feet, which intervention should the nurse implement to alleviate her from discomfort? CUT OUTAN OVAL CORN PAD TO MAKE A U SHAPE

• Which of the following statements is true about Medicare for older adults? 80%

OF MEDICARE’S ANNUAL EXPENDITURES ARE FOR INDIVIDUALS WITH

CHRONICILLNESS

• Acute illness is to chronic illness as to which of the following comparisons?

AN ER ISTO A NH

• An older female pt is dx with a chronic illness. Which principle should the nurse

applywhen answering her questions? CHRONIC ILLNESS IS UNENDING AND

COPING CAN BE INFLUENCED BY THE PERCEPTION OF UNCERTAINTY

• Over 50% of the population, aged 65 + yrs, suffers from which one of the

followingchronic health conditions? HTN AND ARTHRITIS 3 / 4

• Which older adult has the most characteristics associated with becoming frail?

MALE,HISPANIC AMERICAN, WITH HYPOPROTEINEMIA

• Which of the following describes the nurse’s role for an older pt with a chronic

illness? PROVIDE CARING TO HELP THE PT LIVE AT THE OPTIMAL LEVEL OF

HEALTH ANDWELLNESS

• Which of the following statements is the most suitable for establishing

goals when teaching an older adult with a chronic illness about potential changes in the health maintenance regimen? MANAGEMENT OF THE PT’S

CHRONIC DISEASE RESTS ONTHE PT AND THE CAREGIVER; THEREFORE, THE

GOALS SHOULD BE COLLABORATIVELY SET

• Compared with acute pain, the following is true of persistent pain? IT CAN

BRINGABOUT CHANGES IN LIFESTYLE

• The nurse admits an older male pt who had ABD surgery. On admission, VS

signs are:P-73, R-20, BP-136/84. He is receiving IV fluids but has not requested pain meds since surgery. 7 hrs later, his VS are: P-98, R-26, BP-164/90, and he denies pain. Which intervention should the nurse implement? ASK HIM ABOUT DISCOMFORT AT THE SURGICAL SITE. (USE OLD CART – onset, location, duration, characteristics, aggravation, relieving factors, and treatments previously used)

• An older female adult had hip replacement surgery 1 day ago, and the nurse

thinks thatthe woman also has dementia. Which pt assessment does the nurse use to determine that this woman is experiencing pain? HOLDS ABD TIGHTLY

• An older male adult who is Hispanic states he is not having pain, but he had

knee replacement surgery 2 days ago. Which is the best assessment tool as recommended by theHartford Institute for Geriatric Nursing from “Try This” for the nurse to apply for this man? FACES PAIN SCALE-REVISED The safest opioid analgesic choice for an older pt who has severe acute pain is which of thefollowing? MORPHINE SULFATE (MORPHINE)

• An older adult admitted for back surgery asks for opioid pain meds. The

nurse knowsthe pt asked for meds 15 min before it is due. Which recommendation should the nurse implement? ADMINISTER THE PAIN MEDS

AS PRESCRIBED

• The nurse administers an opioid analgesic to an older male postoperative pt

on a surgical unit. Which is the most important intervention for the nurse to implement beforeleaving the pt? INSTRUCT HIM TO ASK FOR HELP BEFORE

GETTING UP

POSITION THE PT COMFORTABLY

• The nurse plans the care of an older female resident of a NH who has experienced

a sudden deterioration in visual acuity. The nurse administers an opioid analgesic to an oldermale postoperative pt on a surgical unit. Which is the most important intervention for the nurse complete first? EXAMINE HER MOOD AND

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