HESI GERONTOLOGY 2020 TEST BANK
1.
Male resident of a nursing home requests a new room b/c he does not likethe view in
his present room. What action should the nurse take?
Show the client the rooms that are available.
2. The nurse is visiting an older client who is homebound. Which findingabout
the client’s nutritional status requires additional follow-up?
Ate approximately 1200 calories daily for the past 2 weeks.
3. An elderly client with degenerative joint disease asks about using the rubber jar
openers that are available. The nurse’s response should be onwhich information
about assistive devices?
They decrease the risk for joint trauma.
4. The nurse is caring for an older client who is admitted due to a change in mental
status after 2 days of nausea and vomiting. The client’s home medications include
subcutaneous insulin, a daily antihypertensive, and adaily diuretic. Which
intervention should the nurse implement first?
Obtain capillary glucose level
5. An older female who is complaining of pain in her arm and back is broughtto the
emergency department by her son who states she fell out of her chair. The nurse
notes that the client has been in the ED five times in the last for a variety of
superficial injuries. Which nursing action has the highest priority?
Take mom to private room and ask if someone is hurting her
6. A nurse is caring for an older Vietnamese client who has terminal lungcancer.
The family members want to stay in the room, perform cultural
, rituals, and serve ethnic foods until the client dies. What action should thenurse take?
Provide privacy and comfort for all family members
7. A post-menopausal female client with osteopenia tells the nurse that shehas
increased her physical activity and hopes to participate in a charity walkathon.
How should the nurse respond?
Affirm the benefits of increasing her weight bearing activity.
8. The nurse is preparing to discharge an older woman to her home who wasadmitted
last week due to malnutrition and dehydration. The nurse suspects that the client is
being abused by her caregiver at home. Which intervention should the nurse
implement?
Notify adult protective services.
9. The clinic nurse receives a telephone call from the daughter of an older female
client. The daughter reports that her mother has a cough and hasbecome confused
and short of breath, but only has a temperature of 99.4F. What action should the
nurse take?
a. Reassure the daughter that these are common signs of upperrespiratory
tract congestion.
b. Advise the daughter to monitor her mother’s temperature and call ifit continues
to rise higher.
c. Tell the daughter to keep her mother well hydrated and encouragerest for the
next 48 hours.
d. Explain to the daughter that she needs to bring her mother for
immediate medical evaluation.
10. The unlicensed assistive personal (UAP) reports to the charge nurse that an older
resident of the extended care facility, who has limited mobility, has not had a
bowel movement in 5 days. Which action should the nursetake first?
a. Check bowel sounds and abdominal tenderness
1.
Male resident of a nursing home requests a new room b/c he does not likethe view in
his present room. What action should the nurse take?
Show the client the rooms that are available.
2. The nurse is visiting an older client who is homebound. Which findingabout
the client’s nutritional status requires additional follow-up?
Ate approximately 1200 calories daily for the past 2 weeks.
3. An elderly client with degenerative joint disease asks about using the rubber jar
openers that are available. The nurse’s response should be onwhich information
about assistive devices?
They decrease the risk for joint trauma.
4. The nurse is caring for an older client who is admitted due to a change in mental
status after 2 days of nausea and vomiting. The client’s home medications include
subcutaneous insulin, a daily antihypertensive, and adaily diuretic. Which
intervention should the nurse implement first?
Obtain capillary glucose level
5. An older female who is complaining of pain in her arm and back is broughtto the
emergency department by her son who states she fell out of her chair. The nurse
notes that the client has been in the ED five times in the last for a variety of
superficial injuries. Which nursing action has the highest priority?
Take mom to private room and ask if someone is hurting her
6. A nurse is caring for an older Vietnamese client who has terminal lungcancer.
The family members want to stay in the room, perform cultural
, rituals, and serve ethnic foods until the client dies. What action should thenurse take?
Provide privacy and comfort for all family members
7. A post-menopausal female client with osteopenia tells the nurse that shehas
increased her physical activity and hopes to participate in a charity walkathon.
How should the nurse respond?
Affirm the benefits of increasing her weight bearing activity.
8. The nurse is preparing to discharge an older woman to her home who wasadmitted
last week due to malnutrition and dehydration. The nurse suspects that the client is
being abused by her caregiver at home. Which intervention should the nurse
implement?
Notify adult protective services.
9. The clinic nurse receives a telephone call from the daughter of an older female
client. The daughter reports that her mother has a cough and hasbecome confused
and short of breath, but only has a temperature of 99.4F. What action should the
nurse take?
a. Reassure the daughter that these are common signs of upperrespiratory
tract congestion.
b. Advise the daughter to monitor her mother’s temperature and call ifit continues
to rise higher.
c. Tell the daughter to keep her mother well hydrated and encouragerest for the
next 48 hours.
d. Explain to the daughter that she needs to bring her mother for
immediate medical evaluation.
10. The unlicensed assistive personal (UAP) reports to the charge nurse that an older
resident of the extended care facility, who has limited mobility, has not had a
bowel movement in 5 days. Which action should the nursetake first?
a. Check bowel sounds and abdominal tenderness
