HESI RN Gerontology Practice Questions Correct and Verified Answers Graded A

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HESI RN Gerontology Practice Questions Correct and Verified Answers Graded A

• The HCP 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 RN advise the client to observe for with this medication?

• Constipation
• Headaches
• Muscle weakness
• Nausea and vomiting

Correct Answer: B. Headaches

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

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

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

Correct Answer:

• Cardiac murmurs
• Widening pulse pressure

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

RN assesses for findings of failure to thrive in the older population. Which findings

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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:

• Unintentional weight loss
• Increased weakness
• Increased amounts of sleep

• 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:

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

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• An older male client asks the 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 or 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:

• Increase fiber and liquids in the diet to help prevent constipation and straining.
• Use a therapeutic cushion or 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

• 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 RN focus on during the next examination?

• Anxiety
• Depression
• Exhaustion
• Confusion

Correct Answer: B. Depression

• The 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.

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• Assist the client with eating meals in bed in a semi-Fowler's 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:

• Minimize stress level by providing the client with a quiet environment during meals.
• Provide food variations that the client can manage without assistance.

• The 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 disposable undergarment instead of underwear.
• Ask if the client has attempted to void Q2 hours.
• Obtain a prescription for intermittent catheterization.

Correct Answer: A. Offer assistance with toileting Q2 hours.

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

partner. What issue should the 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.
• Sexual interest usually declines with aging in male clients.

Correct Answer: A. Certain medications may impact sexual function.

• The RN is reinforcing discharge instructions with the family of an older client who

was recently admitted for an intestinal obstruction. What statement indicates that the family understands the instructions?