Samuel Merritt University NURSG 125
Gerontology HESI Practice exam with
question and answer
C
Terms in this set (50)
A frail, elderly client is admitted to the unit B. Confusion and dehydration
with a diagnosis of pneumonia. Which
finding is most important for the Rationale: Confusion and dehydration (B) are findings of
registered nurse (RN) to report to the inadequate oxygenation and perfusion in this frail elderly
healthcare client. (A), (C) and (D) are all common with pneumonia, but the
provider? most important finding is confusion and evidence of
dehydration, which require treatment for this frail elderly
client.
A. Fever and chills
B.Confusion and dehydration
C. Crackles in the lung fields
D.Nausea and vomiting
, A frail elderly couple asks the registered D. Taste buds are often dull due to atrophy so older clients
nurse (RN) if they have to watch their salt should use other seasonings instead of salt.
intake because food does not taste as good
as it used to so they have to season Rationale: Taste buds atrophy with normal aging, which
most foods. What information should the influences an older client's sensitivity to taste and is often
RN offer the couple? compensated for the use of stronger tasting seasonings. (A),
(B), and (C) are not normal aging processes related to taste.
A. Boredom may influence how the taste of
food is perceived, and different seasonings
can stimulate taste.
B. With age, an increase in sodium intake is
needed to compensate for a decrease in
renal function.
C. Short-term memory loss and confusion
may be the reason they want to over-
season their food.
D. Taste buds often are dull due to
atrophy so older clients should use other
seasonings instead of salt.
After taking a 10-day course of an antibiotic B. Crackles and pulse oximetry level of 88%
that was ineffective, a frail, elderly client
with chronic obstructive pulmonary disease Rationale: With pneumonia, crackles in the lungs and low O2
(COPD) is admitted for pneumonia. The saturation (B) can impact adequate oxygenation, which
client has a long history of smoking and still should be reported to the HCP. (A) occurs due to chronic
smokes a pack of cigarettes a day. hyperinflation of the lungs and is common in clients with
Which COPD. Anemia (C) is frequently identified in clients with
finding should the registered nurse (RN) COPD, and respiratory acidosis (D) due to CO2 retention
report to the healthcare provider? contributes to a lower blood pH.
A. Barrel chest with increased chest
diameter
B. Crackles and pulse oximetry level of 88%
C. Low hemoglobin and hematocrit levels
D. Arterial blood gases indicating
respiratory acidosis
An older female client recently moved to an A. Explain that she is in a new home called an assisted living
assisted living facility. The family explains community.
to the registered nurse (RN) that the client
is Rationale: Reality re-orientation (A) is the best response for a
unmanageable and always confused, client who is confused because the response is consistent and
disoriented and depressed. The client asks true. (B, C, and D) do not provide the client with feedback
the RN repeatedly, "Where am I?". How that is reality based.
should the RN respond?
A. Explain that she is in a new home called
an assisted living community
B. Question the client about her perception
of where she might be now.
C. Distract the client with a scenario that she
is on an outing with her family.
D. Reassure the client not to worry because
she will meet new friends.
Gerontology HESI Practice exam with
question and answer
C
Terms in this set (50)
A frail, elderly client is admitted to the unit B. Confusion and dehydration
with a diagnosis of pneumonia. Which
finding is most important for the Rationale: Confusion and dehydration (B) are findings of
registered nurse (RN) to report to the inadequate oxygenation and perfusion in this frail elderly
healthcare client. (A), (C) and (D) are all common with pneumonia, but the
provider? most important finding is confusion and evidence of
dehydration, which require treatment for this frail elderly
client.
A. Fever and chills
B.Confusion and dehydration
C. Crackles in the lung fields
D.Nausea and vomiting
, A frail elderly couple asks the registered D. Taste buds are often dull due to atrophy so older clients
nurse (RN) if they have to watch their salt should use other seasonings instead of salt.
intake because food does not taste as good
as it used to so they have to season Rationale: Taste buds atrophy with normal aging, which
most foods. What information should the influences an older client's sensitivity to taste and is often
RN offer the couple? compensated for the use of stronger tasting seasonings. (A),
(B), and (C) are not normal aging processes related to taste.
A. Boredom may influence how the taste of
food is perceived, and different seasonings
can stimulate taste.
B. With age, an increase in sodium intake is
needed to compensate for a decrease in
renal function.
C. Short-term memory loss and confusion
may be the reason they want to over-
season their food.
D. Taste buds often are dull due to
atrophy so older clients should use other
seasonings instead of salt.
After taking a 10-day course of an antibiotic B. Crackles and pulse oximetry level of 88%
that was ineffective, a frail, elderly client
with chronic obstructive pulmonary disease Rationale: With pneumonia, crackles in the lungs and low O2
(COPD) is admitted for pneumonia. The saturation (B) can impact adequate oxygenation, which
client has a long history of smoking and still should be reported to the HCP. (A) occurs due to chronic
smokes a pack of cigarettes a day. hyperinflation of the lungs and is common in clients with
Which COPD. Anemia (C) is frequently identified in clients with
finding should the registered nurse (RN) COPD, and respiratory acidosis (D) due to CO2 retention
report to the healthcare provider? contributes to a lower blood pH.
A. Barrel chest with increased chest
diameter
B. Crackles and pulse oximetry level of 88%
C. Low hemoglobin and hematocrit levels
D. Arterial blood gases indicating
respiratory acidosis
An older female client recently moved to an A. Explain that she is in a new home called an assisted living
assisted living facility. The family explains community.
to the registered nurse (RN) that the client
is Rationale: Reality re-orientation (A) is the best response for a
unmanageable and always confused, client who is confused because the response is consistent and
disoriented and depressed. The client asks true. (B, C, and D) do not provide the client with feedback
the RN repeatedly, "Where am I?". How that is reality based.
should the RN respond?
A. Explain that she is in a new home called
an assisted living community
B. Question the client about her perception
of where she might be now.
C. Distract the client with a scenario that she
is on an outing with her family.
D. Reassure the client not to worry because
she will meet new friends.
