geriatrics HESI/final exam
Your older female patient is complaining because she is having frequent UTIs. Which
normal age-related change is most likely to be a contributing factor?
ch. 3 - ANS Decreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.)
ch. 3 - ANS 1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
What are patients who have had Parkinson disease for 10 years likely to exhibit?
(Select all that apply.)
ch. 3 - ANS 1 Rigidity and tremors when at rest
3 Dementia
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment
would the nurse expect to be ordered?
ch.3 - ANS Antibiotics
What should the nurse explain when discussing expected changes in the female
reproductive system to an older adult?
ch. 3 - ANS Production of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal and
needs to be reported?
ch. 3 - ANS A dark, elevated patch that bleeds when touched
The nurse encourages the patient to maintain a steady weight in the recommended
range to decrease risk of which common endocrine disease observed in older adults?
ch. 3 - ANS Diabetes mellitus
What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 - ANS One 30-minute walk, 3 to 5 times a week
The nurse recognizes that regular dental visits are:
, ch.4 - ANS Recommended on a yearly basis for all older adults, even those with
dentures.
An older adult does not follow through with health recommendations from the primary
health care provider. The older adult does not take prescribed medications or keep
medical appointments. Which patient problem should the LPN/LVN anticipate seeing on
the care plan?
ch. 4 - ANS Nonadherence with the treatment plan
Which immunizations should older adults receive on a yearly basis? (Select all that
apply.)
ch. 4 - ANS Influenza vaccine
When attempting to help an older adult improve his or her health maintenance
practices, the nurse will need to assess which factors? (Select all that apply.)
ch.4 - ANS Cultural beliefs
Socioeconomic status
Religious beliefs
Educational level
Your patient tells you she understands that she is at greater risk of certain diseases
because of her Hispanic American heritage. Based on what you have learned, which
disorder(s) might she be at greater risk for? (Select all that apply.)
ch.4 - ANS Obesity
Stomach cancer
Diabetes mellitus
Cervical cancer
Which interventions would be appropriate when teaching a patient with presbycusis?
(Select all that apply.)
ch. 5 - ANS Use visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse
are most likely to enhance communication with the patient? (Select all that apply.)
ch. 5 - ANS Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
Your older female patient is complaining because she is having frequent UTIs. Which
normal age-related change is most likely to be a contributing factor?
ch. 3 - ANS Decreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.)
ch. 3 - ANS 1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
What are patients who have had Parkinson disease for 10 years likely to exhibit?
(Select all that apply.)
ch. 3 - ANS 1 Rigidity and tremors when at rest
3 Dementia
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment
would the nurse expect to be ordered?
ch.3 - ANS Antibiotics
What should the nurse explain when discussing expected changes in the female
reproductive system to an older adult?
ch. 3 - ANS Production of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal and
needs to be reported?
ch. 3 - ANS A dark, elevated patch that bleeds when touched
The nurse encourages the patient to maintain a steady weight in the recommended
range to decrease risk of which common endocrine disease observed in older adults?
ch. 3 - ANS Diabetes mellitus
What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 - ANS One 30-minute walk, 3 to 5 times a week
The nurse recognizes that regular dental visits are:
, ch.4 - ANS Recommended on a yearly basis for all older adults, even those with
dentures.
An older adult does not follow through with health recommendations from the primary
health care provider. The older adult does not take prescribed medications or keep
medical appointments. Which patient problem should the LPN/LVN anticipate seeing on
the care plan?
ch. 4 - ANS Nonadherence with the treatment plan
Which immunizations should older adults receive on a yearly basis? (Select all that
apply.)
ch. 4 - ANS Influenza vaccine
When attempting to help an older adult improve his or her health maintenance
practices, the nurse will need to assess which factors? (Select all that apply.)
ch.4 - ANS Cultural beliefs
Socioeconomic status
Religious beliefs
Educational level
Your patient tells you she understands that she is at greater risk of certain diseases
because of her Hispanic American heritage. Based on what you have learned, which
disorder(s) might she be at greater risk for? (Select all that apply.)
ch.4 - ANS Obesity
Stomach cancer
Diabetes mellitus
Cervical cancer
Which interventions would be appropriate when teaching a patient with presbycusis?
(Select all that apply.)
ch. 5 - ANS Use visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse
are most likely to enhance communication with the patient? (Select all that apply.)
ch. 5 - ANS Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
