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Gerontology Practice Quiz HESI Correct and Verified Answers Graded A
Question 1 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 practical nurse that the wife understands her husband's needs?Correct Answer: "I will notify the healthcare provider if my husband has increasing involuntary movements of his extremities." Question 2 The practical nurse (PN) is observing the skin of an older client. Which finding should the PN document as consistent with the normal aging process?
Correct Answer: Decreased elasticity in skin.
Question 3 Osteoporosis increases the risk for a hip fracture in older adults, and women are more likely to have osteoporosis than men. Women of which ethnic group have the highest risk for a hip fracture? (Arrange the highest risk first, on top, and lowest risk last, on bottom.)
Correct Answer: Caucasian, Asian, Hispanic, African American.
Question 4 The home health practical nurse (PN) is observing an older client for a pressure ulcer.Which finding should the PN observe the area for a Stage I pressure ulcer?
Correct Answer: Deep pink, red, or mottled skin.
Question 5 An older male client is admitted to the hospital with left sided heart failure (HF). Which finding should the practical nurse document that is consistent of HF?
Correct Answer: Coarse and fine crackles.
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Question 6 An older male client with heart failure (HF) complains of chronic constipation and wants to retrain his bowel. Which information should the practical nurse (PN) offer the client in establishing regular bowel habits?
Correct Answer: Add whole grain foods and fibrous vegetables to diet.
Question 7 Which age-related changes in the cardiovascular system should the practical nurse (PN) document when evaluating an older client? (Select all that apply.)
Correct Answer: Cardiac murmurs, widening pulse pressure.
Question 8 The practical nurse (PN) is taking the vital signs of an older male client who arrives at the clinic for an annual physical examination. The client states he really came for this visit because he is having intimacy problems with his wife. What information should the PN present to obtain more information from the client?Correct Answer: Explain that a decrease of testosterone levels can affect libido.Question 9 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 practical nurse (PN) focus on during the next examination?
Correct Answer: Depression.
Question 10 A frail elderly client with chronic obstructive pulmonary disease (COPD) is admitted for pneumonia after taking a 10 day course of an antibiotic that was ineffective. The client has a long history of smoking and still smokes a pack of cigarettes a day. Which finding should the practical nurse (PN) report to the charge nurse?
Correct Answer: Crackles and pulse oximetry level of 88%.
Question 11 The practical nurse (PN) is assigned the care of an older client with venous stasis ulcers. A primary goal in the client's plan of care is to decrease swelling in the extremities. What should the PN do to meet this goal?
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Correct Answer: Elevate the legs on pillows.
Question 12 The practical nurse (PN) 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?Correct Answer: Report abdominal distention, constipation, or any nausea and vomiting to the health care provider.Question 13 The practical nurse (PN) is caring for an older female with Raynaud's phenomenon. Which exposure should the PN instruct the client to avoid?
Correct Answer: Cold climates.
Question 14 Older clients are at highest risk for abuse and neglect due to which factors? (Select all that apply.) Correct Answer: Needs are greater than the caretaker's abilities, Client's declining strength.Question 15 A frail elderly couple ask the practical nurse (PN) 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 PN offer the couple?Correct Answer: Taste buds often are dull due to atrophy so older client should use other seasonings instead of salt.Question 16 An older female client who is a new resident at an assisted living facility can not remember how to get to her room. What action should the practical nurse (PN) implement?
Correct Answer: Show client how to follow hallway signs to her room.
Question 17 The home health practical nurse (PN) is visiting an older client with chronic hypertension.What evaluation is most important for the PN to complete with each visit?
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Correct Answer: Effectiveness of medication.
Question 18 The home health practical nurse (PN) visits an older woman with heart failure (HF) who is on complete bed rest. Which intervention is most important for the practical nurse (PN) to suggest to the client to prevent complications related to immobility?
Correct Answer: Perform leg exercises while in bed.
Question 19 The practical nurse (PN) is assigned the care of an older client who returns to the unit after surgery for closed angle glaucoma. Which intervention in the plan of care should the PN bring to the attention of the charge nurse?
Correct Answer: Administer morphine 4 mg IM q2 hour PRN pain.
Question 20 The home health practical nurse (PN) visits an older female client with an ileal conduit who has been experiencing chronic urinary tract infections (UTI). Which intervention should the PN recommend the client do to manage the frequency of UTIs?
Correct Answer: Attach a larger drainage bag while sleeping.
Question 21 An older man returns to the medical surgical floor with a 3-way indwelling urinary catheter after a transurethral resection of the prostate (TURP). The practical nurse (PN) observes the catheter's tubing for drainage when he states he needs to void. What should the PN implement based on this finding?
Correct Answer: Irrigate the bladder through the catheter port.
Question 22 The practical nurse (PN) is caring for an elderly 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 PN implement?
Correct Answer: Offer assistance with toileting q2 hours.
Question 23 An older female client who is 3 days postoperative for a right hip repair is admitted to the rehabilitation center for strengthening in activities of daily living (ADL). The practical nurse
