- | P a g e
Gerontology HESI Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- 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?
a) Lack of knowledge about narcotic medications
b) Rationalization to support narcotic use
c) Transfer of blame to healthcare provider
d) Justification of narcotic use due to chronic pain
Correct Answer: B) Rationalization to support narcotic use
- 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).
a) Minimize stress level by providing the client with a quiet environment during meals
b) Provide food variations that the client can manage without assistance
c) Assist the client with eating meals in bed in a semi Fowler's position
d) Encourage fluid intake before meals to decrease dehydration
e) Offer any type of food to the client as long as calories are consumed
Correct Answer: A, B
- An older male client is admitted to the hospital with left-sided heart failure (HF).
Which finding should the registered nurse (RN) document that is consistent with HF?
- | P a g e
a) Ascites
b) Pitting edema
c) Jugular distention
d) Coarse and fine crackles
Correct Answer: D) Coarse and fine crackles
- 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).
a) Unintentional weight loss
b) Increased weakness
c) Increased amounts of sleep
d) Irritation and agitation
e) Seeking constant attention for caregiver
Correct Answer: A, B, C
- A 64-year-old client is admitted to the hospital with a fractured right hip. One of the
concerns following surgical repair is to promote dorsiflexion. Which intervention would a nurse implement?
a) Begin early ambulation
b) Monitor pain level
c) Provide PCA instructions
d) Provide a foot board
Correct Answer: D) Provide a foot board
- Older clients are at highest risk for abuse and neglect due to which factors? (Select
all that apply)
a) Needs are greater than the caretaker's ability
b) Client's declining strength
c) Fixed income
- | P a g e
d) Longer life expectancy
e) Lack of exposure to technology and trends
Correct Answer: A, B
- The home health registered nurse (RN) is changing an older client's wet to dry
dressing. Which observation should the RN evaluate as a therapeutic response with the removal of the dry dressing?
a) Debridement and removal of slough and eschar
b) Drainage of purulent exudate from the wound
c) Moist skin edges around the wound field
d) Presence of capillary growth in the wound
Correct Answer: A) Debridement and removal of slough and eschar
- An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV)
in the left forearm for hemodialysis. After palpating the AV fistula, which finding is an indication that the AV fistula is functioning properly?
a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas
Correct Answer: A) Enlarged Veins
- A family member brings their aging father to the clinic because he has been alert
and oriented during the day but agitated and disoriented in the evening. The registered nurse (RN) reviews the client's list of current medications with the client and family.Which action taken by the RN is most important?
a) Medication review with family caregivers is the PN's responsibility
b) Multiple medications can contribute to sundowner like symptoms
c) Medication recall is the best way to evaluate the client's memory
d) Reviewing medication actions is a component of effective client care
Correct Answer: B) Multiple medications can contribute to sundowner like symptoms
- | P a g e
- The nursing assessment of an older female elicits information that the client is
diagnosed with Raynaud's phenomenon. Which exposure should the nurse instruct the client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise
Correct Answer: C) Cold Climates
- 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?
a) Query client to clarify the client's idea of an intimacy problem
b) Discuss benign prostatic hypertrophy (BPH) and ejaculation
c) Explore frequency that he experiences erectile dysfunction (ED)
d) 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 home health registered nurse (RN) is assessing an older client for a pressure
ulcer. Which finding should the RN observe the area for a Stage I pressure ulcer?
a) Superficial skin breakdown and flaking
b) Deep pink, red, or mottled skin
c) Subcutaneous damage or necrosis
d) Skin that blanches pink when pressed
Correct Answer: B) Deep pink, red, or mottled skin
- After a recent total hip replacement, an older female client, who transferred to a
rehabilitation facility placement, asks the registered nurse (RN) if she broke her hip because she is old. How should the RN best respond?
