10/18/24, 3:56 PM
Gerontology HESI Practice Exam with complete solution
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 registered Rationale: Confusion and dehydration (B) are findings of inadequate oxygenation
nurse (RN) to report to the healthcare and perfusion in this frail elderly client. (A), (C) and (D) are all common with
provider? pneumonia, but the 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 should use other
nurse (RN) if they have to watch their salt 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 influences an older client's
most foods. What information should the sensitivity to taste and is often compensated for the use of stronger tasting
RN offer the couple? 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.
Gerontology HESI Practice
1/15
, 10/18/24, 3:56 PM
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 saturation (B) can
(COPD) is admitted for pneumonia. The impact adequate oxygenation, which should be reported to the HCP. (A) occurs due
client has a long history of smoking and still to chronic hyperinflation of the lungs and is common in clients with COPD. Anemia
smokes a pack of cigarettes a day. Which (C) is frequently identified in clients with COPD, and respiratory acidosis (D) due to
finding should the registered nurse (RN) CO2 retention contributes to a lower blood pH.
report to the healthcare provider?
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 A. Explain that she is in a new home called an assisted living community.
an assisted living facility. The family
explains to the registered nurse (RN) that Rationale: Reality re-orientation (A) is the best response for a client who is confused
the client is unmanageable and always because the response is consistent and true. (B, C, and D) do not provide the client
confused, disoriented and depressed. The with feedback that is reality based.
client asks the RN repeatedly, "Where am
I?". How 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.
A new resident in an assisted living facility D. Daily exercise group
is an older client who is experiencing
short-term memory loss and confusion. Rationale: A daily exercise group (D) allows the client to mirror the leader and
Which activity should the registered nurse minimizes the client's stress to remember. (A), (C), and a current events discussion
(RN) schedule the client to do during the group (B) are thought-provoking activities that require attention to detail and short-
day? term memory to participate in the group activity which may be stressful and
A. Arts and crafts frustrating to the resident who has difficulty remembering sequence of the details.
B. Current events discussion group
C. Group sing-along
D. Daily exercise group
2/15
Gerontology HESI Practice Exam with complete solution
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 registered Rationale: Confusion and dehydration (B) are findings of inadequate oxygenation
nurse (RN) to report to the healthcare and perfusion in this frail elderly client. (A), (C) and (D) are all common with
provider? pneumonia, but the 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 should use other
nurse (RN) if they have to watch their salt 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 influences an older client's
most foods. What information should the sensitivity to taste and is often compensated for the use of stronger tasting
RN offer the couple? 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.
Gerontology HESI Practice
1/15
, 10/18/24, 3:56 PM
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 saturation (B) can
(COPD) is admitted for pneumonia. The impact adequate oxygenation, which should be reported to the HCP. (A) occurs due
client has a long history of smoking and still to chronic hyperinflation of the lungs and is common in clients with COPD. Anemia
smokes a pack of cigarettes a day. Which (C) is frequently identified in clients with COPD, and respiratory acidosis (D) due to
finding should the registered nurse (RN) CO2 retention contributes to a lower blood pH.
report to the healthcare provider?
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 A. Explain that she is in a new home called an assisted living community.
an assisted living facility. The family
explains to the registered nurse (RN) that Rationale: Reality re-orientation (A) is the best response for a client who is confused
the client is unmanageable and always because the response is consistent and true. (B, C, and D) do not provide the client
confused, disoriented and depressed. The with feedback that is reality based.
client asks the RN repeatedly, "Where am
I?". How 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.
A new resident in an assisted living facility D. Daily exercise group
is an older client who is experiencing
short-term memory loss and confusion. Rationale: A daily exercise group (D) allows the client to mirror the leader and
Which activity should the registered nurse minimizes the client's stress to remember. (A), (C), and a current events discussion
(RN) schedule the client to do during the group (B) are thought-provoking activities that require attention to detail and short-
day? term memory to participate in the group activity which may be stressful and
A. Arts and crafts frustrating to the resident who has difficulty remembering sequence of the details.
B. Current events discussion group
C. Group sing-along
D. Daily exercise group
2/15
