10/18/24, 3:56 PM
GERONTOLOGIC - HESI : PN Exam with complete solution
Terms in this set (73)
The client has end-stage Alzheimer c. To allow the client to die with as much comfort and dignity as possible
disease and is admitted into hospice care.
Which focus does the nurse expect to
note in the plan of care?
Rationale:
a. To provide maximum treatment to keep The philosophy of hospice care is to allow the client in the end stages of life to die
the client alive with dignity and to be as comfortable as possible. Clients on hospice care are not
provided lifesaving measures; the goal of palliative care is to allow clients to have a
b. To focus on caring interventions and peaceful death focusing on caring interventions and symptom management.
symptom management
c. To allow the client to die with as much
comfort and dignity as
possible
d. To rehabilitate the patient by offering
physical and occupational therapies
1/27
,10/18/24, 3:56 PM
The practical nurse (PN) prepares to a. Administer the eye drops first and then the ointment.
administer eye drops and eye ointment to
the client with a left eye infection. Which
nursing intervention is the most effective
for administering the medications? Rationale:
When eye drops and eye ointment are scheduled for the same time, the eye drops
a. Administer the eye drops first and then should be administered first, followed by the ointment 3 to 5 minutes later.
the ointment.
b. Administer the ointment and immediately
follow with the eye drops.
c. Administer the ointment, wait 5 minutes,
and then administer the eye drops.
d. Administer the eye drops, wait 15
minutes, and then administer the ointment.
The hospitalized client with end-stage c. Keep the client as comfortable as possible.
renal disease has expressed verbal and
written wishes not to be resuscitated.
Which action should the practical nurse
(PN) take? Rationale:
Clients have the right to make decisions regarding their care, up to and including
a. Bring the crash cart into the room. resuscitative measures. The practical PN must respect the client’s wishes by keeping
him comfortable.
b. Ask the client to validate end-of-life
wishes.
c. Keep the client as comfortable as
possible.
d. Ask the family if they want the client
resuscitated.
An older adult client diagnosed with c. Increased ability to solve simple problems
Alzheimer disease has been receiving
donepezil for the past 6 weeks. Which
change would indicate that the
medication has been effective? Rationale:
Donepezil is used to improve cognitive functioning in those suffering from Alzheimer
a. Increased muscle strength and tone disease. Improvement in cognitive functioning is most clearly assessed when the
client exhibits increased memory, attention, reasoning, and problem solving.
b. Fewer episodes of urinary incontinence
c. Increased ability to solve simple
problems
d. Increased feelings of well-being
2/27
, 10/18/24, 3:56 PM
The practical nurse (PN) teaches the client d. When drawing up insulin in the same syringe, the client drew up the regular insulin
how to administer regular and NPH first then the NPH insulin.
insulins and requests a return
demonstration from the client. Which
action by the client indicates
understanding of the medication Rationale:
instruction? When preparing a mixture of regular and NPH insulin, the regular insulin should be
drawn up first. NPH and regular insulin can be mixed. Regular insulin should be
a. The client drew up NPH and regular drawn up first to avoid contamination.
insulin in separate syringes. (clear, then cloudy)
b. The client drew up the insulin using clean
technique.
c. The client drew up NPH insulin first, then
the regular insulin.
d. When drawing up insulin in the same
syringe, the client drew up the regular
insulin first then the NPH insulin.
The nurse has reinforced instructions for a a. Broiled fish, green beans, and an apple
low-fat diet prescribed for an older adult
to prevent cardiovascular disease. Which
meal selection best indicates the adult
understands the instructions? Rationale:
The best selection for an older adult client who will be eating a low-fat diet is broiled
a. Broiled fish, green beans, and an apple fish, green beans, and an apple. The other meal items are too high in fat.
b. Grilled steak, baked beans, and a salad
c. Pork chops, macaroni and cheese, and
grapes
d. A green salad, with grilled chicken and
ranch dressing
When caring for a client on digoxin c. Low serum potassium level
therapy, the practical nurse (PN) knows to
be alert for digoxin toxicity. Which finding
would predispose this client to
developing digoxin toxicity? Rationale:
Hypokalemia predisposes the client on digoxin to digitalis toxicity, usually presenting
a. Low serum magnesium level as abdominal pain, anorexia, nausea, vomiting, visual disturbances, bradycardia, and
atrioventricular (AV) dissociation. Assessment of the serum potassium level with
b. High serum magnesium level prompt correction of hypokalemia is an important intervention for the client taking
digoxin.
c. Low serum potassium level
d. High serum potassium level
3/27
GERONTOLOGIC - HESI : PN Exam with complete solution
Terms in this set (73)
The client has end-stage Alzheimer c. To allow the client to die with as much comfort and dignity as possible
disease and is admitted into hospice care.
Which focus does the nurse expect to
note in the plan of care?
Rationale:
a. To provide maximum treatment to keep The philosophy of hospice care is to allow the client in the end stages of life to die
the client alive with dignity and to be as comfortable as possible. Clients on hospice care are not
provided lifesaving measures; the goal of palliative care is to allow clients to have a
b. To focus on caring interventions and peaceful death focusing on caring interventions and symptom management.
symptom management
c. To allow the client to die with as much
comfort and dignity as
possible
d. To rehabilitate the patient by offering
physical and occupational therapies
1/27
,10/18/24, 3:56 PM
The practical nurse (PN) prepares to a. Administer the eye drops first and then the ointment.
administer eye drops and eye ointment to
the client with a left eye infection. Which
nursing intervention is the most effective
for administering the medications? Rationale:
When eye drops and eye ointment are scheduled for the same time, the eye drops
a. Administer the eye drops first and then should be administered first, followed by the ointment 3 to 5 minutes later.
the ointment.
b. Administer the ointment and immediately
follow with the eye drops.
c. Administer the ointment, wait 5 minutes,
and then administer the eye drops.
d. Administer the eye drops, wait 15
minutes, and then administer the ointment.
The hospitalized client with end-stage c. Keep the client as comfortable as possible.
renal disease has expressed verbal and
written wishes not to be resuscitated.
Which action should the practical nurse
(PN) take? Rationale:
Clients have the right to make decisions regarding their care, up to and including
a. Bring the crash cart into the room. resuscitative measures. The practical PN must respect the client’s wishes by keeping
him comfortable.
b. Ask the client to validate end-of-life
wishes.
c. Keep the client as comfortable as
possible.
d. Ask the family if they want the client
resuscitated.
An older adult client diagnosed with c. Increased ability to solve simple problems
Alzheimer disease has been receiving
donepezil for the past 6 weeks. Which
change would indicate that the
medication has been effective? Rationale:
Donepezil is used to improve cognitive functioning in those suffering from Alzheimer
a. Increased muscle strength and tone disease. Improvement in cognitive functioning is most clearly assessed when the
client exhibits increased memory, attention, reasoning, and problem solving.
b. Fewer episodes of urinary incontinence
c. Increased ability to solve simple
problems
d. Increased feelings of well-being
2/27
, 10/18/24, 3:56 PM
The practical nurse (PN) teaches the client d. When drawing up insulin in the same syringe, the client drew up the regular insulin
how to administer regular and NPH first then the NPH insulin.
insulins and requests a return
demonstration from the client. Which
action by the client indicates
understanding of the medication Rationale:
instruction? When preparing a mixture of regular and NPH insulin, the regular insulin should be
drawn up first. NPH and regular insulin can be mixed. Regular insulin should be
a. The client drew up NPH and regular drawn up first to avoid contamination.
insulin in separate syringes. (clear, then cloudy)
b. The client drew up the insulin using clean
technique.
c. The client drew up NPH insulin first, then
the regular insulin.
d. When drawing up insulin in the same
syringe, the client drew up the regular
insulin first then the NPH insulin.
The nurse has reinforced instructions for a a. Broiled fish, green beans, and an apple
low-fat diet prescribed for an older adult
to prevent cardiovascular disease. Which
meal selection best indicates the adult
understands the instructions? Rationale:
The best selection for an older adult client who will be eating a low-fat diet is broiled
a. Broiled fish, green beans, and an apple fish, green beans, and an apple. The other meal items are too high in fat.
b. Grilled steak, baked beans, and a salad
c. Pork chops, macaroni and cheese, and
grapes
d. A green salad, with grilled chicken and
ranch dressing
When caring for a client on digoxin c. Low serum potassium level
therapy, the practical nurse (PN) knows to
be alert for digoxin toxicity. Which finding
would predispose this client to
developing digoxin toxicity? Rationale:
Hypokalemia predisposes the client on digoxin to digitalis toxicity, usually presenting
a. Low serum magnesium level as abdominal pain, anorexia, nausea, vomiting, visual disturbances, bradycardia, and
atrioventricular (AV) dissociation. Assessment of the serum potassium level with
b. High serum magnesium level prompt correction of hypokalemia is an important intervention for the client taking
digoxin.
c. Low serum potassium level
d. High serum potassium level
3/27
