HESI Management & Gerontology Practice TEST Correct and Verified Answers Graded A.

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HESI Management & Gerontology Practice TEST Correct and Verified Answers Graded A.

• Question: The practical nurse (PN) is assisting the nurse manager in developing a

client's plan of care. Which method should the PN consider as the best source in determining the client's needs?

• Health history of the client and extended family.
• The client's participation in developing the plan of care.
• The healthcare provider's input regarding the client's care.
• Summary from previous health care records.

Correct Answer: B) The client's participation in developing the plan of care.

• Question: The practical nurse (PN) who is managing the staff for a unit in an

assisted living community receives a call from one of the nursing staff who is unable to come to work today. There are no other nursing staff available to cover the shift.Which action should the PN take first?

• Restrict new admissions to the assisted living community until the next day.
• Ask family to visit their resident who may be at the highest risk during the shift.
• Use ancillary staff to assist at the unit desk until a nursing personnel can come.
• Call the staff to determine the reason for calling in without additional notice.

Correct Answer: A) Restrict new admissions to the assisted living community until the next day.

• Question: The practical nurse (PN) notifies the nurse manager that a resident was

found on the floor when the PN entered the room to give medications. After a complete assessment of the client, the health care provider and the family are notified. The nurse manager reminds the PN to complete an incident report. What information should the PN provide in the incident?

• The client's risk for falls contributed to the fall to floor.

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• The client fell out of bed trying to go to the bathroom.
• The client was found lying on the floor next to the bed.
• The client stumbled on shoes by the bed and fell down.

Correct Answer: C) The client was found lying on the floor next to the bed.

• Question: The practical nurse (PN) is caring for a client who has cirrhosis with

pruritus. Which task can the PN assign to the unlicensed assistive personnel (UAP)?

• Rub warm lotion to soothe the skin.
• Assess skin for open areas from scratching.
• Evaluate the client's intake and output of fluid.
• Educate the client about diet options to decrease symptoms.

Correct Answer: A) Rub warm lotion to soothe the skin.

5. Question: The practical nurse (PN) supervises unlicensed assistive personnel

(UAPs) during the implementation of standards of practice for isolation precautions.Which organization's publication should the PN reference to identify these standards and guidelines?

• The Joint Commission (TJC).
• Center for Disease Control (CDC).
• Occupational Safety and Health Administration (OSHA).
• Health Care Facilities Accreditation Program (HFAP).

Correct Answer: B) Center for Disease Control (CDC).

• Question: The practical nurse (PN) is evaluating a new client's risk for osteoporosis

who has recently moved into an assisted living community. Which task should the PN assign to the unlicensed assistive personnel (UAP)?

• Take weekly height and weight measurements.
• Review medical record for disease history and compare findings.
• Perform full range of motion (ROM) of all extremities.
• Inspect and palpate the client's vertebral column from neck to hip.

Correct Answer: A) Take weekly height and weight measurements.

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• Question: The primary care practical nurse (PN) is working with a newly employed

PN to prioritize several unit procedures. When the primary PN evaluates the decision, which selection indicates that the newly employed PN has identified the priority task?

• Managing time for all client care during the shift.
• Completing care for clients scheduled for discharge.
• Obtaining needed supplies for each client's room.
• Evaluating clients who are unstable or most critical.

Correct Answer: D) Evaluating clients who are unstable or most critical.

• Question: The practical nurse (PN) working in an assisted-living community reviews

the guidelines for completing new resident paperwork. What amount of time is required to complete the initial comprehensive plan of care by the interdisciplinary team?

• 24 hours.
• 72 hours.
• 7 days.
• 14 days.

Correct Answer: C) 7 days.

• Question: The practical nurse (PN) is documenting weekly nutritional status on all

the clients in the assisted living community. Which activity can the PN assign to the unlicensed assistive personnel (UAP)?

• Review the clients' diet from the past week.
• Evaluate the clients' skin for irritation or breakdown.
• Obtain an individual height and weight for each client.
• Document nutritional findings in the clients' charts.

Correct Answer: C) Obtain an individual height and weight for each client.

• Question: An older male client refuses to take medication, stating that it burns his

stomach. Which action should the practical nurse implement?

• Crush the medication and mix it in the client's food.

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• Insist that the client take the medication as prescribed.
• Circle and initial the dose time missed to show non-administration.
• Document the reason for refusal and report to the charge nurse.

Correct Answer: D) Document the reason for refusal and report to the charge nurse.

• Question: A client receives a preoperative sedative before going to surgery. One of

the family members asks the practical nurse (PN) to explain the surgical procedure that the client is going to have today. Who should the PN direct the family member to further discuss their question?

• The preoperative nurse who is preparing the client for the surgery.
• The surgical circulating nurse who is assisting in surgery.
• The healthcare provider who is performing the surgery.
• The anesthesiologist who is assisting during surgery.

Correct Answer: C) The healthcare provider who is performing the surgery.

• Question: The practical nurse (PN) observes the unlicensed assistive personnel

(UAP) for principles of body mechanics while moving an immobile client. Which observed action indicates that the UAP is using proper body mechanics?

• Positioning the client as close as possible to the UAP's body.
• Leaning forward at the waist while turning a client in the bed.
• Pulling the upper extremities of the client for added leverage.
• Assisting a total care client into a chair without additional assistance.

Correct Answer: A) Positioning the client as close as possible to the UAP's body.

• Question: The practical nurse (PN) is caring for a frail elderly client who is

recovering on the skilled nursing facility unit for dehydration and confusion. Which task should the PN assign to the unlicensed assistive personnel (UAP)?

• Assist client to use urinal or bedpan while in bed.
• Evaluate the client for orthostatic hypotension.
• Assist the incontinent client to the bathroom toilet.
• Direct UAP to have family assist client to toilet.