GERI FINAL EXAM HESI PRACTICE EXAM | QUESTIONS AND
ANSWERS| 2024|
The practical nurse (PN) is assigned the care of an older client with venous stasis
ulcers. A primary foal in the client's plan of care is to decrease swelling in the
extremities. What should the PN do to meet this goal? - Elevate the legs of the pillow
An older women asks the practical nurse (PN0 how she can decrease her chances of
getting cystitis. What information should the PN provide? - Void and empty bladder
completely q2 to 3 hours
The home health practical nurse (PN) is changing an older client's wet to dry dressing.
Which observation should the PN evaluate as a therapeutic response with the removal
of the dry dressing? - Debridement and removal of slough and eschar
The home health practical nurse (PN) visits an older woman with heart failure (HF) who
is on complete bed rest. Which intervention is most important for the practical nurse
(PN) to suggest to the client to prevent complications related to immobility? - Perform
leg exercises while in bed.
The practical nurse (PN) is caring for an older female with Raynaud's phenomenon.
Which exposure should the PN instruct the client to avoid? - Cold climates
The practical nurse (PN) is giving medications through a gastric tube (GT) to an older
client who is a resident in a long-term care facility. The PN interrupts the continuous GT
feeding. In which sequence should the PN impalement these actions for administration
of crushed medications? - 1. Crush the medication into a power or fine granules
2. Dissolve each crushed medication in a medicine cup
3. Flush the feeding tube of feeding solution
4. Administer each medication separately
5. Flush GT to clear medication from the tubing
6. Reconnect the gastric feeding tube
A family member brings their aging father to the clinic because he has been alert and
oriented during the day but agitated and disoriented in the evening. The registered
nurse (RN) reviews the client's list of current medications with the client and family.
Which action taken by the RN is most important? - Multiple medications can contribute
to sundowner-like symptoms
, The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older
client who arrives at the clinic for an annual physical examination. What common side
effect should the practical nurse (PN) advise the client to observe for with this
medication? - headaches
An older client is transferred to a telemetry unit after placement of a pacemaker. What
action should the practical nurse (PN) take first ? - Establish telemetry monitoring.
Older clients are at highest risk for abuse and neglect due to which factors? (select all
that apply.) - A.Needs are greater than the caretaker's abilities.
B. Client's declining strength.
The hospice nurse is completing a focused assessment of an older female client with
end stage Alzheimer disease who recently fractured her hip. What technique should the
practical nurse (PN) use to determine the client's pain? - Observe for facial grimacing.
An older male client who is a new resident in an assisted living community is having
difficulty going to sleep since his arrival. Which intervention should the practical nurse
(PN) implement first? - Ask the client what has helped him in the past.
An older client who is a new resident is an assisted living facility is having short-term
memory loss and confusion. Which activity should the practical nurse (PN) schedule the
client to do during the day? - Daily exercise group.
An older female client is recently transferred to a rehabilitation facility after a total hip
replacement and asks the practical nurse (PN) if she broke her hip because she is old.
How should the PN best respond? - Older women commonly lose bone calcium which
increases the risk of fracture.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in
the left forearm for hemodialysis. After palpating the AV fistula, which finding is an
indication that the AV fistula is functioning properly? - Enlarged veins.
An older female client who is 3 days postoperative for a right hip repair is admitted to
the rehabilitation center for strengthening in activities of daily living (ADL). The practical
nurse (PN) is mobilizing the client to go to physical therapy (PT). Which action should
the PN implement first? - Direct client to use the overhead trapeze.
The home health practical nurse (PN) visits an older female client with an illegal conduit
who has been experiencing chronic urinary tract infections (UTI). Which intervention
should the PN recommend the client do to manage the frequency of UTIs? - Attach a
larger drainage bag while sleeping.
A frail elderly client with chronic obstructive pulmonary disease (COPD) is admitted for
pneumonia after taking a 10 day course of an antibiotic that was ineffective. The client
has a long history of smoking and still smokes a pack of cigarettes a day. Which finding
ANSWERS| 2024|
The practical nurse (PN) is assigned the care of an older client with venous stasis
ulcers. A primary foal in the client's plan of care is to decrease swelling in the
extremities. What should the PN do to meet this goal? - Elevate the legs of the pillow
An older women asks the practical nurse (PN0 how she can decrease her chances of
getting cystitis. What information should the PN provide? - Void and empty bladder
completely q2 to 3 hours
The home health practical nurse (PN) is changing an older client's wet to dry dressing.
Which observation should the PN evaluate as a therapeutic response with the removal
of the dry dressing? - Debridement and removal of slough and eschar
The home health practical nurse (PN) visits an older woman with heart failure (HF) who
is on complete bed rest. Which intervention is most important for the practical nurse
(PN) to suggest to the client to prevent complications related to immobility? - Perform
leg exercises while in bed.
The practical nurse (PN) is caring for an older female with Raynaud's phenomenon.
Which exposure should the PN instruct the client to avoid? - Cold climates
The practical nurse (PN) is giving medications through a gastric tube (GT) to an older
client who is a resident in a long-term care facility. The PN interrupts the continuous GT
feeding. In which sequence should the PN impalement these actions for administration
of crushed medications? - 1. Crush the medication into a power or fine granules
2. Dissolve each crushed medication in a medicine cup
3. Flush the feeding tube of feeding solution
4. Administer each medication separately
5. Flush GT to clear medication from the tubing
6. Reconnect the gastric feeding tube
A family member brings their aging father to the clinic because he has been alert and
oriented during the day but agitated and disoriented in the evening. The registered
nurse (RN) reviews the client's list of current medications with the client and family.
Which action taken by the RN is most important? - Multiple medications can contribute
to sundowner-like symptoms
, The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older
client who arrives at the clinic for an annual physical examination. What common side
effect should the practical nurse (PN) advise the client to observe for with this
medication? - headaches
An older client is transferred to a telemetry unit after placement of a pacemaker. What
action should the practical nurse (PN) take first ? - Establish telemetry monitoring.
Older clients are at highest risk for abuse and neglect due to which factors? (select all
that apply.) - A.Needs are greater than the caretaker's abilities.
B. Client's declining strength.
The hospice nurse is completing a focused assessment of an older female client with
end stage Alzheimer disease who recently fractured her hip. What technique should the
practical nurse (PN) use to determine the client's pain? - Observe for facial grimacing.
An older male client who is a new resident in an assisted living community is having
difficulty going to sleep since his arrival. Which intervention should the practical nurse
(PN) implement first? - Ask the client what has helped him in the past.
An older client who is a new resident is an assisted living facility is having short-term
memory loss and confusion. Which activity should the practical nurse (PN) schedule the
client to do during the day? - Daily exercise group.
An older female client is recently transferred to a rehabilitation facility after a total hip
replacement and asks the practical nurse (PN) if she broke her hip because she is old.
How should the PN best respond? - Older women commonly lose bone calcium which
increases the risk of fracture.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in
the left forearm for hemodialysis. After palpating the AV fistula, which finding is an
indication that the AV fistula is functioning properly? - Enlarged veins.
An older female client who is 3 days postoperative for a right hip repair is admitted to
the rehabilitation center for strengthening in activities of daily living (ADL). The practical
nurse (PN) is mobilizing the client to go to physical therapy (PT). Which action should
the PN implement first? - Direct client to use the overhead trapeze.
The home health practical nurse (PN) visits an older female client with an illegal conduit
who has been experiencing chronic urinary tract infections (UTI). Which intervention
should the PN recommend the client do to manage the frequency of UTIs? - Attach a
larger drainage bag while sleeping.
A frail elderly client with chronic obstructive pulmonary disease (COPD) is admitted for
pneumonia after taking a 10 day course of an antibiotic that was ineffective. The client
has a long history of smoking and still smokes a pack of cigarettes a day. Which finding
