GERONTOLOGY HESI FINAL EXAM BANK | COMPLETE QUESTIONS WITH 100%
RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
1. The nursing assessment of an older female elicits information that the
client is diagnosed with Raynaud's phenomenon. Which exposure should the
nurse instruct the client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise: C) Cold Climates
Rationale: Can cause prolonged painful vasoconstriction of the peripheral
extremities (especially hands) in client's with Raynaud's phenomenon.
2. 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 registered nurse (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: B)
Multiple medications can contribute to sundowner like symptoms
Rationale: Older clients may see a variety of healthcare providers which can
increase the change 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.
3. An older client with chronic kidney disease (CKD) has an arteriovenous
fistula (AV) in the left forearm for hemodialysis. After palpating the AV fistula,
,which finding is an indication that the AV fistula is functioning properly? a)
Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas: A) Enlarged Veins
Rationale: The mixing of arterial and venous blood in an AV fistula causes
the veins to enlarge, which facilitate cannulation for hemodialysis
4. The home health registered nurse (RN) is changing an older client's wet
to dry dressing. Which observation should the RN evaluate as a therapeutic
response with the removal of the dry dressing?
a) Debridement and removal of slough and eschar
b) Drainage of purulent exudate from the wound
c) Moist skin edges around the wound field
d) Presence of capillary growth in the wound: A) Debridement and removal
of slough and eschar
, Rationale: Wet to dry dressings begin with a wet packing inside of the
wound, and then a dry gauze is used to cover the wet packing to wick
drainage and bacteria away from the wound to promote healing. Removal
of dried dressing provides debridement by removing exudate, sloughing
tissue, and eschar.
5. Older clients are at highest risk for abuse and neglect due to which
factors?
(Select all that apply)
a) Needs are greater than the caretaker's ability
b) Client's declining strength
c) Fixed income
d) Longer life expectancy
e) Lack of exposure to technology and trends: A, B
Rationale: When needs are not being met due to lack of ability of the
caretaker, stress and feelings of failure of the care provider may be expressed
RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
1. The nursing assessment of an older female elicits information that the
client is diagnosed with Raynaud's phenomenon. Which exposure should the
nurse instruct the client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise: C) Cold Climates
Rationale: Can cause prolonged painful vasoconstriction of the peripheral
extremities (especially hands) in client's with Raynaud's phenomenon.
2. 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 registered nurse (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: B)
Multiple medications can contribute to sundowner like symptoms
Rationale: Older clients may see a variety of healthcare providers which can
increase the change 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.
3. An older client with chronic kidney disease (CKD) has an arteriovenous
fistula (AV) in the left forearm for hemodialysis. After palpating the AV fistula,
,which finding is an indication that the AV fistula is functioning properly? a)
Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas: A) Enlarged Veins
Rationale: The mixing of arterial and venous blood in an AV fistula causes
the veins to enlarge, which facilitate cannulation for hemodialysis
4. The home health registered nurse (RN) is changing an older client's wet
to dry dressing. Which observation should the RN evaluate as a therapeutic
response with the removal of the dry dressing?
a) Debridement and removal of slough and eschar
b) Drainage of purulent exudate from the wound
c) Moist skin edges around the wound field
d) Presence of capillary growth in the wound: A) Debridement and removal
of slough and eschar
, Rationale: Wet to dry dressings begin with a wet packing inside of the
wound, and then a dry gauze is used to cover the wet packing to wick
drainage and bacteria away from the wound to promote healing. Removal
of dried dressing provides debridement by removing exudate, sloughing
tissue, and eschar.
5. Older clients are at highest risk for abuse and neglect due to which
factors?
(Select all that apply)
a) Needs are greater than the caretaker's ability
b) Client's declining strength
c) Fixed income
d) Longer life expectancy
e) Lack of exposure to technology and trends: A, B
Rationale: When needs are not being met due to lack of ability of the
caretaker, stress and feelings of failure of the care provider may be expressed
