Gerontology Practice Exam Questions HESI Correct and Verified Answers Graded A

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Gerontology Practice Exam Questions HESI Correct and Verified Answers Graded A

• An older male client with heart failure (HF) reports chronic constipation and wants

to retrain his bowel. Which information should the nurse offer the client for establishing regular bowel habits?

• Add whole grain foods and fibrous vegetables to diet.
• Drink water and fluids up to 3,000 mL daily.
• Use a stool softener or glycerin suppository PRN.
• Plan daily exercise based on fatigue level.

Correct Answer: 1

• A frail older couple asks the nurse 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 nurse 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.

• 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.

Correct Answer: 4

• 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 nurse schedule the client to do during the day?

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• Arts and crafts.
• Current events discussion group.
• Group sing-along.
• Daily exercise group.

Correct Answer: 4

• 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: 1, 2

• An older male client is admitted for emergency treatment of acute closed-angle

glaucoma. The nurse begins administering the prescribed miotic medications and glycerin therapy. Which intervention is most important for the nurse to maintain during the client's therapy?

• Maintain lighting control in the room during therapy.
• Monitor intake and output every 2 hours for 24 hours.
• Place an eye patch over the affected eye during sleep.
• Administer the eye drops at the scheduled intervals.

Correct Answer: 2

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

should the nurse implement to provide the resident with 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.

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• Delivery of adequate supply of medication.
• List of findings indicating medication effectiveness.

Correct Answer: 1, 2, 4, 5

• 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?

• Enlarged veins.
• Redness around the site.
• Decreased pulses below fistula.
• Marked ecchymotic areas.

Correct Answer: 1

• The nurse 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 nurse document?

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

Correct Answer: 2

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

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

• Dyspnea.
• Chest pain.
• Cardiac murmurs.
• Widening pulse pressure.
• Irregular heart rate.

Correct Answer: 3, 4

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

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

• Explain that she is in a new home called an assisted living community.
• Question the client about her preception 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: 1

• 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 nurse focus on during the next examination?

• Anxiety.
• Depression.
• Exhaustion.
• Confusion.

Correct Answer: 2

• 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?

• Alcohol consumption.
• Warm climates.
• Cold climates.
• Active exercise.

Correct Answer: 3

• The nurse is caring for an older adult client with functional incontinence who lives

in an assisted living community. The client is alert, mildly confused, and can self- ambulate. Which nursing intervention should the nurse implement?

• Offer assistance with toileting every two hours.