HESI PN GERONTOLOGY QUIZE AMD
CORRECT ANSWERS.
A male client is seen in the clinic for benign prostatic hypertrophy (BPH).
Which intervention is essential for the practical nurse (PN) to include in the
client's visit?
a. Reeducate the client about limiting fluid intake.
b. Reassure the client that his BPH is a non-life-threatening condition.
c. Assess the client for urinary hesitancy and weak or split urinary stream.
d. Inform the client that there may be a genetic predisposition for male
family members. - CorreCt Answers -c. Assess the client for urinary
hesitancy and weak or split urinary stream.
A client with a dysrhythmia is at risk for fall injury due to syncope caused
by a reduction in cardiac output. The client's plan of care should emphasize
ways to keep the client safe, such as assisting the client with ambulation.
The client will not need to avoid microwaves and blood transfusions are not
common with pacemaker insertion. Anticoagulants are not necessarily
associated with pacemaker insertion or with third-degree heart block.
The hospitalized client with end-stage renal disease has expressed verbal
and written wishes not to be resuscitated. Which action should the practical
nurse (PN) take?
a. Bring the crash cart into the room.
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. - CorreCt Answers -c.
Keep the client as comfortable as possible.
Clients have the right to make decisions regarding their care, up to and
including resuscitative measures. The practical PN must respect the client's
wishes by keeping him comfortable.
An older adult has undergone a prostatectomy due to prostate cancer. He
asks the nurse "Will the operation change my love life? I am widowed, but I
have been dating someone seriously." How should the nurse respond to this
question?
a. "Your new friend will likely not be interested in a sexual relationship."
b. "What concerns do you have about sexuality in your new relationship?"
c. "You should wait until after you have healed to think about your
relationship."
d. "You should have asked your family their opinion about dating someone
new." - CorreCt Answers -b. "What concerns do you have about sexuality in
your new relationship?"
Using the steps of the nursing process, and the keys to effective
communication, use data collection to determine the client's concerns first.
It is ageist to state that the older adult is not interested in sexual relations.
Telling the client not to think about his new relationship is inappropriate,
because the client voiced a concern that should be addressed. It is
inappropriate to discuss the family's concerns when the client has not
mentioned them.
,An older adult client has bruises resembling handprints encircling both
arms, but claims this injury was sustained when she slipped in water. The
nurse also notes the client becomes very withdrawn when the son visits,
and that the client is emaciated. Which action is most appropriate?
a. Contact the local law enforcement agency.
b. Ask the son if he was the one who injured his mother.
c. Ask the client why she is attempting to cover for her son.
d. Ask the older adult if she is willing to press charges against the son. -
CorreCt Answers -a. Contact the local law enforcement agency.
These findings correlate with elder abuse and neglect. The nurse is legally
obliged to report all cases of suspected elder abuse to the appropriate law
enforcement agency. It is not appropriate for the nurse to confront the son.
Older adults may "cover for" their abuser due to fear of abandonment or
reprisal. In many areas, the older adult does not have to press charges
against the abuser, charges are filed against the abuser by the state.
The practical nurse (PN) delivers a food tray to an older adult Jewish
person who has requested a kosher diet. The PN checks the tray and notes
that it contains bacon, eggs, toast, oatmeal, and coffee. Which action should
the PN take?
a. Deliver the tray to the client.
b. Ask the client if he wants this tray.
c. Call the dietary department and request a new tray.
d. Remove the bacon and then deliver the tray to the client. - CorreCt
Answers -c. Call the dietary department and request a new tray.
, Pork is prohibited in a kosher diet. The practical nurse (PN) should request
a new tray that follows kosher dietary guidelines for the client. Simply
removing the bacon is not satisfactory, as the bacon could have come into
contact with other items on the tray.
The nurse is assisting with planning care for a group of older adult clients
who are interested in disease prevention with immunizations. Which advice
is best for the nurse to provide to this group?
a. Make sure you get the influenza vaccine every year.
b. Make sure you get the pneumonia vaccine every year.
c. Make sure you get the tetanus/diphtheria/pertussis vaccine every year.
d. If you did not get chicken pox as a child, get the shingles vaccine every
year. - CorreCt Answers -a. Make sure you get the influenza vaccine every
year.
All adults, but especially older adults, need an influenza vaccine (flu shot)
yearly. The other vaccines are important for older adults, but are not
required yearly.
An older client who resides in a long-term care facility is hearing-impaired.
How should the practical nurse (PN) modify interventions for this client?
a. Turn off the client's television and speak very loudly.
b. Communicate in writing whenever it is possible.
c. Speak very slowly while exaggerating each word.
CORRECT ANSWERS.
A male client is seen in the clinic for benign prostatic hypertrophy (BPH).
Which intervention is essential for the practical nurse (PN) to include in the
client's visit?
a. Reeducate the client about limiting fluid intake.
b. Reassure the client that his BPH is a non-life-threatening condition.
c. Assess the client for urinary hesitancy and weak or split urinary stream.
d. Inform the client that there may be a genetic predisposition for male
family members. - CorreCt Answers -c. Assess the client for urinary
hesitancy and weak or split urinary stream.
A client with a dysrhythmia is at risk for fall injury due to syncope caused
by a reduction in cardiac output. The client's plan of care should emphasize
ways to keep the client safe, such as assisting the client with ambulation.
The client will not need to avoid microwaves and blood transfusions are not
common with pacemaker insertion. Anticoagulants are not necessarily
associated with pacemaker insertion or with third-degree heart block.
The hospitalized client with end-stage renal disease has expressed verbal
and written wishes not to be resuscitated. Which action should the practical
nurse (PN) take?
a. Bring the crash cart into the room.
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. - CorreCt Answers -c.
Keep the client as comfortable as possible.
Clients have the right to make decisions regarding their care, up to and
including resuscitative measures. The practical PN must respect the client's
wishes by keeping him comfortable.
An older adult has undergone a prostatectomy due to prostate cancer. He
asks the nurse "Will the operation change my love life? I am widowed, but I
have been dating someone seriously." How should the nurse respond to this
question?
a. "Your new friend will likely not be interested in a sexual relationship."
b. "What concerns do you have about sexuality in your new relationship?"
c. "You should wait until after you have healed to think about your
relationship."
d. "You should have asked your family their opinion about dating someone
new." - CorreCt Answers -b. "What concerns do you have about sexuality in
your new relationship?"
Using the steps of the nursing process, and the keys to effective
communication, use data collection to determine the client's concerns first.
It is ageist to state that the older adult is not interested in sexual relations.
Telling the client not to think about his new relationship is inappropriate,
because the client voiced a concern that should be addressed. It is
inappropriate to discuss the family's concerns when the client has not
mentioned them.
,An older adult client has bruises resembling handprints encircling both
arms, but claims this injury was sustained when she slipped in water. The
nurse also notes the client becomes very withdrawn when the son visits,
and that the client is emaciated. Which action is most appropriate?
a. Contact the local law enforcement agency.
b. Ask the son if he was the one who injured his mother.
c. Ask the client why she is attempting to cover for her son.
d. Ask the older adult if she is willing to press charges against the son. -
CorreCt Answers -a. Contact the local law enforcement agency.
These findings correlate with elder abuse and neglect. The nurse is legally
obliged to report all cases of suspected elder abuse to the appropriate law
enforcement agency. It is not appropriate for the nurse to confront the son.
Older adults may "cover for" their abuser due to fear of abandonment or
reprisal. In many areas, the older adult does not have to press charges
against the abuser, charges are filed against the abuser by the state.
The practical nurse (PN) delivers a food tray to an older adult Jewish
person who has requested a kosher diet. The PN checks the tray and notes
that it contains bacon, eggs, toast, oatmeal, and coffee. Which action should
the PN take?
a. Deliver the tray to the client.
b. Ask the client if he wants this tray.
c. Call the dietary department and request a new tray.
d. Remove the bacon and then deliver the tray to the client. - CorreCt
Answers -c. Call the dietary department and request a new tray.
, Pork is prohibited in a kosher diet. The practical nurse (PN) should request
a new tray that follows kosher dietary guidelines for the client. Simply
removing the bacon is not satisfactory, as the bacon could have come into
contact with other items on the tray.
The nurse is assisting with planning care for a group of older adult clients
who are interested in disease prevention with immunizations. Which advice
is best for the nurse to provide to this group?
a. Make sure you get the influenza vaccine every year.
b. Make sure you get the pneumonia vaccine every year.
c. Make sure you get the tetanus/diphtheria/pertussis vaccine every year.
d. If you did not get chicken pox as a child, get the shingles vaccine every
year. - CorreCt Answers -a. Make sure you get the influenza vaccine every
year.
All adults, but especially older adults, need an influenza vaccine (flu shot)
yearly. The other vaccines are important for older adults, but are not
required yearly.
An older client who resides in a long-term care facility is hearing-impaired.
How should the practical nurse (PN) modify interventions for this client?
a. Turn off the client's television and speak very loudly.
b. Communicate in writing whenever it is possible.
c. Speak very slowly while exaggerating each word.
