Gerontology HESI Practice Correct and Verified Answers Graded A

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Gerontology HESI Practice Correct and Verified Answers Graded A

• An older client is transferred to a telemetry unit after placement of a pacemaker.

What action should the registered nurse (RN) take first?

• View incision site
• Obtain a blood pressure
• Establish telemetry monitoring
• Evaluate client for pain

Correct Answer: C. Establish telemetry monitoring.

• A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which

finding is most important for the registered nurse (RN) to report to the healthcare provider?

• Fever and chills
• Confusion and dehydration
• Crackles in the lung fields
• Nausea and vomiting

Correct Answer: B. Confusion and dehydration

• A frail elderly couple asks the registered nurse (RN) if they have to watch their salt

intake because food does not taste as good as it used to so they have to season most foods. What information should the RN offer the couple?

• Boredom may influence how the taste of food is perceived, and different seasonings can

stimulate taste.

• With age, an increase in sodium intake is needed to compensate for a decrease in renal

function.

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• Short-term memory loss and confusion may be the reason they want to over-season

their food.

• Taste buds often are dull due to atrophy so older clients should use other seasonings

instead of salt.Correct Answer: D. Taste buds often are dull due to atrophy so older clients should use other seasonings instead of salt.

• After taking a 10-day course of an antibiotic that was ineffective, a frail, elderly

client with chronic obstructive pulmonary disease (COPD) is admitted for pneumonia.The client has a long history of smoking and still smokes a pack of cigarettes a day.Which finding should the registered nurse (RN) report to the healthcare provider?

• Barrel chest with increased chest diameter
• Crackles and pulse oximetry level of 88%
• Low hemoglobin and hematocrit levels
• Arterial blood gases indicating respiratory acidosis

Correct Answer: B. Crackles and pulse oximetry level of 88%

• An older female client recently moved to an assisted living facility. The family

explains to the registered nurse (RN) that the client is unmanageable and always confused, disoriented and depressed. The client asks the RN repeatedly, "Where am I?". How should the RN respond?

• Explain that she is in a new home called an assisted living community
• Question the client about her perception of where she might be now.
• Distract the client with a scenario that she is on an outing with her family.
• Reassure the client not to worry because she will meet new friends.

Correct Answer: A. Explain that she is in a new home called an assisted living

community.

• A new resident in an assisted living facility is an older client who is experiencing

short-term memory loss and confusion. Which activity should the registered nurse (RN) schedule the client to do during the day?

• Arts and crafts
• Current events discussion group

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• Group sing-along
• Daily exercise group

Correct Answer: D. Daily exercise group

• The hospice nurse is completing a focused assessment of an older female client

with end stage Alzheimer's disease, who recently fractured her hip. What technique should the registered nurse (RN) use to determine the client's pain?

• Use the FACE pain scale
• Ask the client to rate pain on a scale of 1 to 10
• Observe for facial grimacing
• Review documentation of recent eating habits

Correct Answer: C. Observe for facial grimacing

• An older male client arrives at the clinic for an annual physical examination. While

the nurse assesses the client, the client states that he is having intimacy problems with his wife. Which information should the nurse provide to elicit more information from the client?

• Query client to clarify the client's idea of an intimacy problem.
• Discuss benign prostatic hypertrophy (BPH) and ejaculation.
• Explore the frequency that he experiences erectile dysfunction (ED)
• Determine if the client's wife is young enough to get pregnant

Correct Answer: A. Query client to clarify the client's idea of an intimacy problem.

• The registered nurse (RN) is caring for an older female client with a 20 year history of

rheumatoid arthritis (RA), who is admitted for carpel tunnel release. Which finding associated with RA should the RN document?

• Asymmetrical joint deformity
• Small joint involvement in fingers
• Crepitation or grating sensation in joints
• Weight bearing joint involvement

Correct Answer: B. Small joint involvement in fingers.

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• The registered nurse (RN) is re-enforcing discharge instructions with the family of

an older client who was recently admitted for an intestinal obstruction. Which statement indicates that the family understands the instructions?

• Increase protein and carbohydrates in the daily diet
• Limit activity to bed rest for the first week and increase mobility incrementally each week
• Report abdominal distention, constipation or any other nausea and vomiting to the

healthcare provider

• Drink liquids 2 hours after meals instead of during meals

Correct Answer: C. Report abdominal distention, constipation, or any nausea and

vomiting to the healthcare provider.

• Older clients are at highest risk for abuse and neglect due to which factors? (Select

all that apply.)

• Needs are greater than the caretaker's abilities
• Client's declining strength
• Fixed income
• Longer life expectancy
• Lack of exposure to technology and trends

Correct Answer: A. Needs are greater than the caretaker's abilities; B. Client's declining strength

• An older female client who has been taking hydrocodone/acetaminophen (Lortab)

q4 hours for chronic back pain for the past 5 years tells the registered nurse (RN) that she cannot live without her pain pills. When asked if she is addicted, the client states that she is not an addict because the healthcare provider prescribed the pain pills.Which coping mechanism should the RN determine the client is using about her addiction?

• Lack of knowledge about narcotic medications
• Rationalization to support narcotic use
• Transfer of blame to healthcare provider
• Justification of narcotic use due to chronic pain