Full Exam Prep for:
Gerontology HESI
** Multiple choice questions with detailed
Rationale
** Expert-Verified Explanation
** Questions with Verified Answer
** New Edition | Updated
** 100% Guaranteed Pass
** 100% Correct Answers | Graded A+
,The nursing assessment of an older female elicits C) Cold Climates
information that the client is diagnosed with Raynaud's
phenomenon. Which exposure should the nurse instruct Rationale: Can cause prolonged painful vasoconstriction of the peripheral
the client to avoid? extremities (especially hands) in client's with Raynaud's phenomenon.
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise
A family member brings their aging father to the clinic B) Multiple medications can contribute to sundowner like symptoms
because he has been alert and oriented during the day
but agitated and disoriented in the evening. The Rationale: Older clients may see a variety of healthcare providers which can
registered nurse (RN) reviews the client's list of current increase the change of polypharmacy that compounds the workload of metabolic
medications with the client and family. Which action pathways that may be less efficient due to the aging process. Multiple medication
taken by the RN is most important? interactions may contribute to sundowner like symptoms.
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
An older client with chronic kidney disease (CKD) has an A) Enlarged Veins
arteriovenous fistula (AV) in the left forearm for
hemodialysis. After palpating the AV fistula, which finding Rationale: The mixing of arterial and venous blood in an AV fistula causes the
is an indication that the AV fistula is functioning properly? veins to enlarge, which facilitate cannulation for hemodialysis
a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas
The home health registered nurse (RN) is changing an A) Debridement and removal of slough and eschar
older client's wet to dry dressing. Which observation
should the RN evaluate as a therapeutic response with Rationale: Wet to dry dressings begin with a wet packing inside of the wound,
the removal of the dry dressing? and then a dry gauze is used to cover the wet packing to wick drainage and
bacteria away from the wound to promote healing. Removal of dried dressing
a) Debridement and removal of slough and eschar provides debridement by removing exudate, sloughing tissue, 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
Older clients are at highest risk for abuse and neglect A, B
due to which factors? (Select all that apply)
Rationale: When needs are not being met due to lack of ability of the caretaker,
a) Needs are greater than the caretaker's ability stress and feelings of failure of the care provider may be expressed through
b) Client's declining strength neglect and abuse. Decline in strength increases the older client's vulnerability to
c) Fixed income resist or respond to elder abuse.
d) Longer life expectancy
e) Lack of exposure to technology and trends
A 64-year-old client is admitted to the hospital with a D) Provide a foot board
fractured right hip. One of the concerns following surgical
repair is to promote dorsiflexion. Which intervention Rationale: A footboard supports the feet in dorsiflexion and helps prevent foot
would a nurse implement? drop throughout the recovery.
a) Begin early ambulation
b) Monitor pain level
c) Provide PCA instructions
d) Provide a foot board
, During the quarterly evaluations of the clients in the A, B, C
assisted living community, the registered nurse (RN)
assesses for findings of failure to thrive in the older Rationale: Symptoms of failure to thrive in the older population include weight
population. Which findings should the RN document and loss, weakness, and excessive sleep, which should be documented and
report as manifestations related to failure to thrive? evaluated by a healthcare provider immediately.
(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
An older male client is admitted to the hospital with left- D) Coarse and fine crackles
sided heart failure (HF). Which finding should the
registered nurse (RN) document that is consistent with Rationale: In left-sided heart failure, the inadequacy of pumping blood into the
HF? aorta causes blood to back up into the pulmonary capillaries; this pushes
intravascular fluid into the alveoli, which is manifested as crackles or rales.
a) Ascites
b) Pitting edema
c) Jugular distention
d) Coarse and fine crackles
The registered nurse (RN) is reinforcing discharge A, B
instructions to the family of an older client with failure to
thrive. What information should the RN include to Rationale: These continue to promote independence and decrease stress for the
promote nutritional intake for the client? (Select all that client, which will increase the opportunity for nutritional intake.
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
An older female client who has been taking B) Rationalization to support narcotic use
hydrocodone/acetaminophen (Lortab) q4 hours for
chronic back pain for the past 5 years tells the registered Rationale: Client is using rationalization to maintain self-esteem when she is
nurse (RN) that she cannot live without her pain pills. questioned by stating that she is not addicted because she is taking a medication
When asked if she is addicted, the client states that she prescribed by a healthcare provider.
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
An older male client arrives at the clinic for an annual A) Query client to clarify the client's idea of an intimacy problem
physical examination. While the nurse assesses the
client, the client states that he is having intimacy Rationale: Clarification of the client's concern is needed to appropriately address
problems with his wife. Which information should the the specific concern about intimacy issues.
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
The home health registered nurse (RN) is assessing an B) Deep pink, red, or mottled skin
older client for a pressure ulcer. Which finding should the
RN observe the area for a Stage I pressure ulcer? Rationale: Temporary blanching of the area can las for over a minute due to poor
circulation. Deep pink, red, or mottled skin is a finding consistent with a Stage I
a) Superficial skin breakdown and flaking pressure ulcer.
b) Deep pink, red, or mottled skin
c) Subcutaneous damage or necrosis
d) Skin that blanches pink when pressed
Gerontology HESI
** Multiple choice questions with detailed
Rationale
** Expert-Verified Explanation
** Questions with Verified Answer
** New Edition | Updated
** 100% Guaranteed Pass
** 100% Correct Answers | Graded A+
,The nursing assessment of an older female elicits C) Cold Climates
information that the client is diagnosed with Raynaud's
phenomenon. Which exposure should the nurse instruct Rationale: Can cause prolonged painful vasoconstriction of the peripheral
the client to avoid? extremities (especially hands) in client's with Raynaud's phenomenon.
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise
A family member brings their aging father to the clinic B) Multiple medications can contribute to sundowner like symptoms
because he has been alert and oriented during the day
but agitated and disoriented in the evening. The Rationale: Older clients may see a variety of healthcare providers which can
registered nurse (RN) reviews the client's list of current increase the change of polypharmacy that compounds the workload of metabolic
medications with the client and family. Which action pathways that may be less efficient due to the aging process. Multiple medication
taken by the RN is most important? interactions may contribute to sundowner like symptoms.
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
An older client with chronic kidney disease (CKD) has an A) Enlarged Veins
arteriovenous fistula (AV) in the left forearm for
hemodialysis. After palpating the AV fistula, which finding Rationale: The mixing of arterial and venous blood in an AV fistula causes the
is an indication that the AV fistula is functioning properly? veins to enlarge, which facilitate cannulation for hemodialysis
a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas
The home health registered nurse (RN) is changing an A) Debridement and removal of slough and eschar
older client's wet to dry dressing. Which observation
should the RN evaluate as a therapeutic response with Rationale: Wet to dry dressings begin with a wet packing inside of the wound,
the removal of the dry dressing? and then a dry gauze is used to cover the wet packing to wick drainage and
bacteria away from the wound to promote healing. Removal of dried dressing
a) Debridement and removal of slough and eschar provides debridement by removing exudate, sloughing tissue, 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
Older clients are at highest risk for abuse and neglect A, B
due to which factors? (Select all that apply)
Rationale: When needs are not being met due to lack of ability of the caretaker,
a) Needs are greater than the caretaker's ability stress and feelings of failure of the care provider may be expressed through
b) Client's declining strength neglect and abuse. Decline in strength increases the older client's vulnerability to
c) Fixed income resist or respond to elder abuse.
d) Longer life expectancy
e) Lack of exposure to technology and trends
A 64-year-old client is admitted to the hospital with a D) Provide a foot board
fractured right hip. One of the concerns following surgical
repair is to promote dorsiflexion. Which intervention Rationale: A footboard supports the feet in dorsiflexion and helps prevent foot
would a nurse implement? drop throughout the recovery.
a) Begin early ambulation
b) Monitor pain level
c) Provide PCA instructions
d) Provide a foot board
, During the quarterly evaluations of the clients in the A, B, C
assisted living community, the registered nurse (RN)
assesses for findings of failure to thrive in the older Rationale: Symptoms of failure to thrive in the older population include weight
population. Which findings should the RN document and loss, weakness, and excessive sleep, which should be documented and
report as manifestations related to failure to thrive? evaluated by a healthcare provider immediately.
(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
An older male client is admitted to the hospital with left- D) Coarse and fine crackles
sided heart failure (HF). Which finding should the
registered nurse (RN) document that is consistent with Rationale: In left-sided heart failure, the inadequacy of pumping blood into the
HF? aorta causes blood to back up into the pulmonary capillaries; this pushes
intravascular fluid into the alveoli, which is manifested as crackles or rales.
a) Ascites
b) Pitting edema
c) Jugular distention
d) Coarse and fine crackles
The registered nurse (RN) is reinforcing discharge A, B
instructions to the family of an older client with failure to
thrive. What information should the RN include to Rationale: These continue to promote independence and decrease stress for the
promote nutritional intake for the client? (Select all that client, which will increase the opportunity for nutritional intake.
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
An older female client who has been taking B) Rationalization to support narcotic use
hydrocodone/acetaminophen (Lortab) q4 hours for
chronic back pain for the past 5 years tells the registered Rationale: Client is using rationalization to maintain self-esteem when she is
nurse (RN) that she cannot live without her pain pills. questioned by stating that she is not addicted because she is taking a medication
When asked if she is addicted, the client states that she prescribed by a healthcare provider.
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
An older male client arrives at the clinic for an annual A) Query client to clarify the client's idea of an intimacy problem
physical examination. While the nurse assesses the
client, the client states that he is having intimacy Rationale: Clarification of the client's concern is needed to appropriately address
problems with his wife. Which information should the the specific concern about intimacy issues.
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
The home health registered nurse (RN) is assessing an B) Deep pink, red, or mottled skin
older client for a pressure ulcer. Which finding should the
RN observe the area for a Stage I pressure ulcer? Rationale: Temporary blanching of the area can las for over a minute due to poor
circulation. Deep pink, red, or mottled skin is a finding consistent with a Stage I
a) Superficial skin breakdown and flaking pressure ulcer.
b) Deep pink, red, or mottled skin
c) Subcutaneous damage or necrosis
d) Skin that blanches pink when pressed
