Gerontology HESI Practice Correct and Verified Answers Graded A

• | P a g e

Gerontology HESI Practice Correct and Verified Answers Graded A

• The registered nurse (RN) is reinforcing discharge instructions to the family of an

older client with failure to thrive. What information should the RN include to promote nutritional intake for the client? (Select all that apply).

• Minimize stress level by providing the client with a quiet environment during meals
• Provide food variations that the client can manage without assistance
• Assist the client with eating meals in bed in a semi-fowlers position
• Encourage fluid intake before meals to decrease dehydration
• Offer any type of food to the client as long as calories are consumed

Correct Answer: A, B

• The healthcare provider prescribes a new medication, atorvastatin (Lipitor), for an

older client who arrives at the clinic for an annual physical examination. What common side effect should the registered nurse (RN) advise the client to observe for with this medication?

• Constipation
• Headaches
• Muscle weakness
• Nausea and vomiting

Correct Answer: B

• When assessing an older client, which age-related changes in the cardiovascular

system should the registered nurse (RN) document? (Select all that apply.)

• Dyspnea
• Chest pain

• | P a g e

• Cardiac murmurs
• Widening pulse pressure
• Irregular heart rate

Correct Answer: C, D

• During the quarterly evaluations of the clients in the assisted living community, the

registered nurse (RN) assesses for findings of failure to thrive in the older population.Which findings should the RN document and report as manifestations related to failure to thrive? (Select all that apply.)

• Unintentional weight loss
• Increased weakness
• Increased amounts of sleep
• Irritation and agitation
• Seeking constant attention from caregiver

Correct Answer: A, B, C

• An older resident is newly admitted to an assisted living community. Which actions

should the registered nurse (RN) implement to provide the resident ways to maintain safe medication administration? (Select all that apply)

• Locked medication storage in the client's room
• Medication administration record (MAR)
• Payment forms for prescribed medications
• Delivery of adequate supply of medication
• List of findings indicating medication effectiveness

Correct Answer: A, B, D, E

• An older male client is seeking counseling about his recent sexual issues with his

partner. What issue should the registered nurse (RN) explore in this discussion?

• Certain medications may impact sexual function
• Normal aging affects sexual function in male clients
• Safe sex is not necessary with older sexually active elders

• | P a g e

• Sexual interest usually declines with aging in male clients

Correct Answer: A

• An older client who recently moved into an assisted living community refuses to eat

or join any activities. When evaluating the client further, what should the registered nurse (RN) focus on during the next examination?

• Anxiety
• Depression
• Exhaustion
• Confusion

Correct Answer: B

• An older male client asks the registered nurse (RN) how he can reduce his incidents

of hemorrhoidal flare ups. What information should the RN offer the client about how to prevent rectal discomfort? (Select all that apply).

• Increase fiber and liquids in the diet to help prevent constipation and straining
• Change exercise program to reflect less cardio-exercise and more weight training
• Use a therapeutic cushion for frequent repositioning for periods of prolonged sitting
• Take frequent warm sitz baths and do not use abrasive paper that can traumatize tissues
• Establish bowel habits by scheduling daily time to defecate when the client is not rushed

Correct Answer: A, C, D, E

• The registered nurse (RN) is caring for an elderly client with functional incontinence

who lives in an assisted living community. The client is alert and mildly confused and can self ambulate. Which nursing intervention should the RN implement?

• Offer assistance with toileting q2 hours
• Use protective disposal undergarment instead of underwear
• Ask if the client has attempted to void q2 hours
• Obtain a prescription for intermittent catherization

Correct Answer: A

• | P a g e

• 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 nausea and vomiting to the healthcare

provider

• Drink liquids 2 hours after meals instead of during meals

Correct Answer: C

• An older woman asks the registered nurse (RN) how she can decrease her chances

of getting cystitis. What information should the RN provide?

• Void and empty the bladder completely every 2 to 3 hours
• Take warm sitz baths with bubble bath to cleanse the vulva
• Decrease fluid volume intake to reduce urgency
• Test urine pH daily using over-the-counter (OTC) dipsticks

Correct Answer: A

• An older male client with Parkinson's disease (PD) is discharged home with

levodopa-carbidopa (Sinemet) and instructions to his wife for his care. Which statement best indicates to the registered nurse (RN) that the wife understands her husband's needs?

• "It is important to keep my husband in a chair or in bed as much as possible and prevent

him form falling."

• "I will notify the healthcare provider if my husband has increasing involuntary

movements of his extremities."

• "Since it is difficult for my husband to eat, we should stay in the house instead of going

out to dine."

• "I should expect that my husband will be incontinent of bowel and bladder as his

disease advances."

Correct Answer: B