Ignatavcius Gerontology HESI Questions with
Approved Answers Graded A+, Download to
get Perfect Score Updated
A 64-year-old is admitted to the hospital with a fractured right hip. One of the concerns following
surgical repair is to promote dorsiflexion. Which intervention would a nurse implement?
A) Begin early ambulation
B) Monitor pain level
C) provide PCA instructions
D) Provide a foot board - Correct Answers-D
A footboard supports the feet in dorsiflexion and helps prevent foot drop throughout the recovery. Early
ambulation and good body alignment may also reduce the possibility of foot drop however the
footboard is maintained throughout recovery
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 RN reviews the client's list of current
medications with the client and family. Which action taken by the RN is most important?
A)Medication review with family caregivers is the PN's responsibility
B) Multiple medications can contribute to sundowner like symptoms
C) Medication recall is the best way to evaluate the client's memory
D) Reviewing medication actions is a component of effective client care - Correct Answers-B
Older clients may see a variety of healthcare providers which can increase the chance of polypharmacy
that compounds the workload of metabolic pathways that may be less efficient due to the aging
process. Multiple medication interactions may contribute to sundowner like symptoms; reviewing
medication actions and interactions provides the information that may indicate polypharmacy leading to
sundowner syndromes.
A frail elderly couple ask the RN if they have to watch their salt intake because food does not taste as
good as it used to so they have to season most foods. What information should the RN offer the couple?
,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 -
Correct Answers-D
Taste buds atrophy with normal aging, which influences an older client's sensitivity to taste and is often
compensated for with the use of stronger tasting seasonings
A frail elderly woman visits the healthcare provider because she has been getting out of breath easily
when walking long distance. Which pulmonary function change should the registered nurse (RN) expect
to commonly occur with aging?
A) Decreased residual volume
B) Mild respiratory acidosis
C) Reduced vital capacity
D) Increased alveoli function - Correct Answers-C
With aging, a frail elder is likely to have a reduced vital capacity due to the loss of elasticity of the lung
tissue. With reduced elasticity, residual volume increases.
A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is most
important for the RN to report to the healthcare provider?
A) Fever and chills
B) Confusion and dehydration
C) Crackles in lung fields
D) Nausea and vomiting - Correct Answers-B
Confusion and dehydration are findings of inadequate oxygenation and perfusion in this frail elderly
client
A new resident in an assisted living facility is an older client who is experiencing short-term memory loss
and confusion. Which activity should the registered nurse (RN) schedule the client to do during the day?
, A) Arts and crafts
B) Current events discussion group
C) Group sing-along
D) Daily exercise group - Correct Answers-D
A daily exercise group allows the client to mirror the leader and minimizes the client's stress to
remember
After a recent total hip replacement, an older female client, who transferred to a rehabilitation facility
placement, asks the RN if she broke her hip because she is old. How should the RN best respond?
A) Hip fractures can occur in any age group and require strength conditioning
B) With aging, everything tends to break down more easily the older one gets
C) Older people tend to look down instead of ahead, increasing the risk of falls
D) Older women commonly lose bone calcium which increases the risk of fracture - Correct Answers-
D
The best response is to provide the client with an explanation based on aging and demineralization of
the bone in older females, especially after menopause
After a transurethral resection of the prostate (TURP), an older man returns to the medical surgical floor
with a 3-way indwelling urinary catheter. The RN observes the catheter's tubing for drainage when the
client states that he needs to void. What should the RN implement based on this finding?
A) Irrigate the bladder through the catheter port
B) Remove the indwelling catheter
C) Explain that urgency is expected
D) Notify the healthcare provider of the symptom - Correct Answers-A
The feeling of urgency can be caused by blood clots that can occlude drainage of the catheter, which is a
common occurrence in the first 72 hours after a TURP. The urgency is an indication that the client's
catheter is not emptying, and the RN should irrigate catheter to relieve the symptoms caused by a clot.
Approved Answers Graded A+, Download to
get Perfect Score Updated
A 64-year-old is admitted to the hospital with a fractured right hip. One of the concerns following
surgical repair is to promote dorsiflexion. Which intervention would a nurse implement?
A) Begin early ambulation
B) Monitor pain level
C) provide PCA instructions
D) Provide a foot board - Correct Answers-D
A footboard supports the feet in dorsiflexion and helps prevent foot drop throughout the recovery. Early
ambulation and good body alignment may also reduce the possibility of foot drop however the
footboard is maintained throughout recovery
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 RN reviews the client's list of current
medications with the client and family. Which action taken by the RN is most important?
A)Medication review with family caregivers is the PN's responsibility
B) Multiple medications can contribute to sundowner like symptoms
C) Medication recall is the best way to evaluate the client's memory
D) Reviewing medication actions is a component of effective client care - Correct Answers-B
Older clients may see a variety of healthcare providers which can increase the chance of polypharmacy
that compounds the workload of metabolic pathways that may be less efficient due to the aging
process. Multiple medication interactions may contribute to sundowner like symptoms; reviewing
medication actions and interactions provides the information that may indicate polypharmacy leading to
sundowner syndromes.
A frail elderly couple ask the RN if they have to watch their salt intake because food does not taste as
good as it used to so they have to season most foods. What information should the RN offer the couple?
,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 -
Correct Answers-D
Taste buds atrophy with normal aging, which influences an older client's sensitivity to taste and is often
compensated for with the use of stronger tasting seasonings
A frail elderly woman visits the healthcare provider because she has been getting out of breath easily
when walking long distance. Which pulmonary function change should the registered nurse (RN) expect
to commonly occur with aging?
A) Decreased residual volume
B) Mild respiratory acidosis
C) Reduced vital capacity
D) Increased alveoli function - Correct Answers-C
With aging, a frail elder is likely to have a reduced vital capacity due to the loss of elasticity of the lung
tissue. With reduced elasticity, residual volume increases.
A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is most
important for the RN to report to the healthcare provider?
A) Fever and chills
B) Confusion and dehydration
C) Crackles in lung fields
D) Nausea and vomiting - Correct Answers-B
Confusion and dehydration are findings of inadequate oxygenation and perfusion in this frail elderly
client
A new resident in an assisted living facility is an older client who is experiencing short-term memory loss
and confusion. Which activity should the registered nurse (RN) schedule the client to do during the day?
, A) Arts and crafts
B) Current events discussion group
C) Group sing-along
D) Daily exercise group - Correct Answers-D
A daily exercise group allows the client to mirror the leader and minimizes the client's stress to
remember
After a recent total hip replacement, an older female client, who transferred to a rehabilitation facility
placement, asks the RN if she broke her hip because she is old. How should the RN best respond?
A) Hip fractures can occur in any age group and require strength conditioning
B) With aging, everything tends to break down more easily the older one gets
C) Older people tend to look down instead of ahead, increasing the risk of falls
D) Older women commonly lose bone calcium which increases the risk of fracture - Correct Answers-
D
The best response is to provide the client with an explanation based on aging and demineralization of
the bone in older females, especially after menopause
After a transurethral resection of the prostate (TURP), an older man returns to the medical surgical floor
with a 3-way indwelling urinary catheter. The RN observes the catheter's tubing for drainage when the
client states that he needs to void. What should the RN implement based on this finding?
A) Irrigate the bladder through the catheter port
B) Remove the indwelling catheter
C) Explain that urgency is expected
D) Notify the healthcare provider of the symptom - Correct Answers-A
The feeling of urgency can be caused by blood clots that can occlude drainage of the catheter, which is a
common occurrence in the first 72 hours after a TURP. The urgency is an indication that the client's
catheter is not emptying, and the RN should irrigate catheter to relieve the symptoms caused by a clot.
