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HESI PN GERONTOLOGY PRACTICE EXAM

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HESI PN GERONTOLOGY PRACTICE EXAM

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A. Minimize stress level by providing the client a quiet environment during meals.
B. Provide food variations that the client can manage without assistance.


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The practical nurse (PN) is reinforcing discharge instructions to the family
of an older client with failure to thrive. What information should the PN
include to promote nutritional intake for the client? (Select all that apply.)




Add whole grain foods and fibrous vegetables to diet.


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, An older male client with heart failure (HF) complains of chronic
constipation and wants to retrain his bowel. Which information should the
practical nurse (PN) offer the client in establishing regular bowel habits




Coarse and fine crackles.


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An older male client is admitted to the hospital with left sided heart failure
(HF). Which finding should the practical nurse document that is consistent
of HF?




1. Crush the medication into a powder or fine granules.
2. Dissolve each crushed medication in a medicine cup.
3. Flush the feeding tube of feeding solution.
4.Administer each medication separately.
5. Flush GT to clear the medication from the tubing.
6. Reconnect the gastric feeding tube.


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The practical nurse (PN) is giving medications through a gastric tube (GT)
to an older client who is a resident in a long-term care facility. The PN
interrupts the continuous GT feeding. In which sequence should the PN
implement these actions for administration of crushed medications? (Place
in the order from the first to last step)




Lift the client when turning instead of sliding.


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, The home health practical nurse (PN) is reinforcing instructions to the the
family about how to prevent pressure ulcers for their older family member
who is bedridden. Which measure should the PN discuss?




Depression.


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An older client who recently moved into an assisted living community
refuses to eat or join any activities. When evaluating the client further, what
should the practical nurse (PN) focus on during the next examination?




Administer morphine 4 mg IM q2 hour PRN pain.


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The practical nurse (PN) is assigned the care of an older client who returns
to the unit after surgery for closed angle glaucoma. Which intervention in
the plan of care should the PN bring to the attention of the charge nurse?




Report abdominal distention, constipation, or any nausea and vomiting to the health
care provider.


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