HESI GERIATRICS EXAM TEST BANKQUESTIONS WITH 100% CORRECT ANSWERS UPDATED
2024
The home health nurse visits an elderly female client who had a brain attack three months ago
and is now able to ambulate with the assistance of the quad cane. Which assessment finding
has the greatest implications for this clients care? - (ANSWER)The nurse notes that there are
numerous scatter rugs throughout the house. Scatter rugs pose a safety hazard because the
client can trip on them when ambulating, so this finding has the greatest significance in
planning this client's care
The nurse is digitally removing a fecal impaction for a client. The nurse should stop the
procedure and take corrective action if which client reaction is noted? - (ANSWER)Pulse rate
decreases from 78 to 52 beats/min.
#@$#%^&^*
Parasympathetic reactions can occur as a result of digital stimulation of the anal sphincter, &(*
which should be stopped if the client experiences a vagal response, such as bradycardia
The nurse is providing passive range of motion exercises to the hip and knee for a client who is
unconscious. After supporting the client's knee with one hand, what action should the nurse
take next? - (ANSWER)Cradle the client's heel.
Passive ROM exercise for the hip and knee is provided by supporting the joints of the knee and
ankle and gently moving the limb in a slow, smooth, firm but gentle manner, followed by
bending the knee and moving it toward the chest as far as it will go. Bed should be raised to a
comfortable working level first
A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy
takes gabapentin (neurontin) and ibuprofen daily. If step 2 of the WHO pain relief ladder is
prescribed, which drug protocol should be implemented? - (ANSWER)Continue gabapentin
*step 1 drugs are nonopioid analgesics
*step 2 and 3 are narcotics and should be given around the clock rather than by the clients PRN
requests
, HESI GERIATRICS EXAM TEST BANKQUESTIONS WITH 100% CORRECT ANSWERS UPDATED
2024
The nurse is preparing to irrigate a client's indwelling urinary catheter using an open technique.
What action should the nurse take after applying gloves? - (ANSWER)Draw up the irrigating
solution into the syringe.
To irrigate an indwelling urinary catheter, the nurse should first apply gloves, then draw up the
irrigating solution into the syringe. The syringe is then attached to the catheter and the fluid
instilled, using aseptic technique. Once the irrigating solution is instilled, the client's catheter
should be secured to the drainage tubing. The urinary drainage bag can be emptied whenever
intake and output measurement is indicated, and the instilled irrigating fluid can be subtracted
from the output at that time.
#@$#%^&^*
&(*
Which client care requires the nurse to wear barrier gloves as required by the protocol for
standard precautions? - (ANSWER)Emptying the urinary catheter drainage bag for a client with
Alzheimer's disease
*possible contact with body secretions, excretions, or broken skin is an indication for wearing
barrier gloves. Emptying a urine drainage bag requires the use of gloves.
What action should the nurse implement to prevent the formation of a sacral ulcer for a client
who is immobile? - (ANSWER)Position prone with a small pillow below the diaphragm
*this maintains alignment and provides the best pressure relief over the sacral bony
prominence
What intervention should the nurse include in the plan of care for a client who is being treated
with an Unna's paste boot for leg ulcers due to chronic venous insufficiency? - (ANSWER)Check
capillary refill of toes on lower extremity with Unna's paste boot
2024
The home health nurse visits an elderly female client who had a brain attack three months ago
and is now able to ambulate with the assistance of the quad cane. Which assessment finding
has the greatest implications for this clients care? - (ANSWER)The nurse notes that there are
numerous scatter rugs throughout the house. Scatter rugs pose a safety hazard because the
client can trip on them when ambulating, so this finding has the greatest significance in
planning this client's care
The nurse is digitally removing a fecal impaction for a client. The nurse should stop the
procedure and take corrective action if which client reaction is noted? - (ANSWER)Pulse rate
decreases from 78 to 52 beats/min.
#@$#%^&^*
Parasympathetic reactions can occur as a result of digital stimulation of the anal sphincter, &(*
which should be stopped if the client experiences a vagal response, such as bradycardia
The nurse is providing passive range of motion exercises to the hip and knee for a client who is
unconscious. After supporting the client's knee with one hand, what action should the nurse
take next? - (ANSWER)Cradle the client's heel.
Passive ROM exercise for the hip and knee is provided by supporting the joints of the knee and
ankle and gently moving the limb in a slow, smooth, firm but gentle manner, followed by
bending the knee and moving it toward the chest as far as it will go. Bed should be raised to a
comfortable working level first
A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy
takes gabapentin (neurontin) and ibuprofen daily. If step 2 of the WHO pain relief ladder is
prescribed, which drug protocol should be implemented? - (ANSWER)Continue gabapentin
*step 1 drugs are nonopioid analgesics
*step 2 and 3 are narcotics and should be given around the clock rather than by the clients PRN
requests
, HESI GERIATRICS EXAM TEST BANKQUESTIONS WITH 100% CORRECT ANSWERS UPDATED
2024
The nurse is preparing to irrigate a client's indwelling urinary catheter using an open technique.
What action should the nurse take after applying gloves? - (ANSWER)Draw up the irrigating
solution into the syringe.
To irrigate an indwelling urinary catheter, the nurse should first apply gloves, then draw up the
irrigating solution into the syringe. The syringe is then attached to the catheter and the fluid
instilled, using aseptic technique. Once the irrigating solution is instilled, the client's catheter
should be secured to the drainage tubing. The urinary drainage bag can be emptied whenever
intake and output measurement is indicated, and the instilled irrigating fluid can be subtracted
from the output at that time.
#@$#%^&^*
&(*
Which client care requires the nurse to wear barrier gloves as required by the protocol for
standard precautions? - (ANSWER)Emptying the urinary catheter drainage bag for a client with
Alzheimer's disease
*possible contact with body secretions, excretions, or broken skin is an indication for wearing
barrier gloves. Emptying a urine drainage bag requires the use of gloves.
What action should the nurse implement to prevent the formation of a sacral ulcer for a client
who is immobile? - (ANSWER)Position prone with a small pillow below the diaphragm
*this maintains alignment and provides the best pressure relief over the sacral bony
prominence
What intervention should the nurse include in the plan of care for a client who is being treated
with an Unna's paste boot for leg ulcers due to chronic venous insufficiency? - (ANSWER)Check
capillary refill of toes on lower extremity with Unna's paste boot
