Geriatrics Hesi/Final Exam Questions With Correct Answers Rated A+

GERIATRICS HESI/FINAL EXAM QUESTIONS WITH CORRECT ANSWERS RATED A+ Your older female patient is complaining because she is having frequent UTIs. Which normal age-related change is most likely to be a contributing factor? ch. 3 Decreased bladder muscle tone Which are normal age-related changes? (Select all that apply.) ch. 3 1 Decreased visual acuity 4 Increased gastric pH 8 Decreased serum albumin 10 Decreased rate of peristalsis What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all that apply.) ch. 3 1 Rigidity and tremors when at rest 3 Dementia An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment would the nurse expect to be ordered? ch.3 Antibiotics What should the nurse explain when discussing expected changes in the female reproductive system to an older adult? ch. 3 Production of vaginal secretions decreases The nurse performs a skin assessment of an older adult. Which finding is abnormal and needs to be reported? ch. 3 A dark, elevated patch that bleeds when touched The nurse encourages the patient to maintain a steady weight in the recommended range to decrease risk of which common endocrine disease observed in older adults? ch. 3 Diabetes mellitus What is the activity that best promotes health maintenance for the typical older adult? ch. 4 One 30-minute walk, 3 to 5 times a week The nurse recognizes that regular dental visits are: ch.4 Recommended on a yearly basis for all older adults, even those with dentures. An older adult does not follow through with health recommendations from the primary health care provider. The older adult does not take prescribed medications or keep medical appointments. Which patient problem should the LPN/LVN anticipate seeing on the care plan? ch. 4 Nonadherence with the treatment plan Which immunizations should older adults receive on a yearly basis? (Select all that apply.) ch. 4 Influenza vaccine When attempting to help an older adult improve his or her health maintenance practices, the nurse will need to assess which factors? (Select all that apply.) ch.4 Cultural beliefs Socioeconomic status Religious beliefs Educational level Your patient tells you she understands that she is at greater risk of certain diseases because of her Hispanic American heritage. Based on what you have learned, which disorder(s) might she be at greater risk for? (Select all that apply.) ch.4 Obesity Stomach cancer Diabetes mellitus Cervical cancer Which interventions would be appropriate when teaching a patient with presbycusis? (Select all that apply.) ch. 5 Use visual cues or written materials. Repeat information. Face the patient when talking. Speak without food or drink in your mouth. The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse are most likely to enhance communication with the patient? (Select all that apply.) ch. 5 Identify yourself; remind the person who you are. Use pictures and gestures in addition to words. Be patient, and avoid interrupting. A nurse is caring for an older adult who is upset about having to move into a skilled nursing facility. Which communication technique used by the nurse is most effective at establishing an empathetic climate? ch. 5 Open-ended responses A nurse is discharging an older adult patient from a rehabilitation facility after a left hip replacement. The nurse providing discharge teaching knows that older adults are most responsive to what type of information? ch. 5 When the information is relevant to their lives An older adult who resides in a long-term care facility has been refusing food and fluids for the past 2 days. He repeatedly says, "Leave me alone!" What is the best initial nursing intervention? ch. 6 Assess to identify changes in physical or emotional status. An older woman recently moved to the United States from the Middle East. She does not like to drink cow's milk or eat most cheeses. What is a culturally acceptable food that would best help meet the need for calcium? ch.6 Yogurt An older man who lives alone is placed on a sodium restricted diet because of heart failure. He asks you to help him make good diet choices. Which foods should he avoid? (Select all that apply.) ch. 6 Canned tomato soup Deli bologna or ham Frozen spaghetti dinner