Gerontology HESI test WITH ANSWERS
The practical nurse is implementing a self-medication program for
an older resident who is newly admitted to an assisted living
community. Which actions should the PN implement to provide the
resident ways to maintain safe medication administration?
• Locked medication storage in the clients room
• Medication administration record(MAR)
• Delivery of adequate supply of medication
• List of findings indicating medication effectiveness
Which age-related changes in the cardiovascular system should the
practical nurse document when evaluating an older client?
• Cardiac Murmurs
• Widening pulse pressure
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 focus on during the
next examination?
depression
,The practical nurse is caring for an elderly client with functional
incontinence who lives in an assisted living community. The client is
alert, mildly confused, and can self ambulate. Which nursing
intervention should the PN implement?
• Offer assistance with toiling q2 hours.
The healthcare provider prescribes a new medication,
atrovastatin(Lipitor), for an older client who arrives at the clinic for
an annual physical examination. What common side effect should
the practical nurse advise the client to observe for with this
medication?
headaches
The practical nurse is re-enforcing discharge instructions with the
family of an older client who was recently admitted for an intestinal
obstruction. Which statement indicates that the family understands
the instructions?
Report abdominal distention, constipation or any nausea and
vomiting to the health care provider.
, An older male client asks the practical nurse how he can reduce his
incidents of hemorrhoidal flare ups. What information should the PN
offer the client to prevent rectal discomfort?
• Increase fiber and liquids in diet to help prevent constipation and
straining
• Use a therapeutic cushion or frequent repositioning for periods of
prolonged sitting.
• Take frequent warm sitz baths and use non abrasive tissue that can
tramatize tissues.
• Establish bowel habits by scheduling time where the client is not
rushed to defecate daily
An older male client is seeking counseling about his recent sexual
issues with his partner. What issue should the practical nurse
explore in this discussion?
• Certain medications may impact sexual function
During the quarterly evaluations of the clients in the assisted living
community, the practical nurse observes for findings of failure to
thrive in the gerian population. Which findings should the PN
document and report as manifestations related to failure to thrive?
• Unintentional weight loss
• Increased weakness
The practical nurse is implementing a self-medication program for
an older resident who is newly admitted to an assisted living
community. Which actions should the PN implement to provide the
resident ways to maintain safe medication administration?
• Locked medication storage in the clients room
• Medication administration record(MAR)
• Delivery of adequate supply of medication
• List of findings indicating medication effectiveness
Which age-related changes in the cardiovascular system should the
practical nurse document when evaluating an older client?
• Cardiac Murmurs
• Widening pulse pressure
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 focus on during the
next examination?
depression
,The practical nurse is caring for an elderly client with functional
incontinence who lives in an assisted living community. The client is
alert, mildly confused, and can self ambulate. Which nursing
intervention should the PN implement?
• Offer assistance with toiling q2 hours.
The healthcare provider prescribes a new medication,
atrovastatin(Lipitor), for an older client who arrives at the clinic for
an annual physical examination. What common side effect should
the practical nurse advise the client to observe for with this
medication?
headaches
The practical nurse is re-enforcing discharge instructions with the
family of an older client who was recently admitted for an intestinal
obstruction. Which statement indicates that the family understands
the instructions?
Report abdominal distention, constipation or any nausea and
vomiting to the health care provider.
, An older male client asks the practical nurse how he can reduce his
incidents of hemorrhoidal flare ups. What information should the PN
offer the client to prevent rectal discomfort?
• Increase fiber and liquids in diet to help prevent constipation and
straining
• Use a therapeutic cushion or frequent repositioning for periods of
prolonged sitting.
• Take frequent warm sitz baths and use non abrasive tissue that can
tramatize tissues.
• Establish bowel habits by scheduling time where the client is not
rushed to defecate daily
An older male client is seeking counseling about his recent sexual
issues with his partner. What issue should the practical nurse
explore in this discussion?
• Certain medications may impact sexual function
During the quarterly evaluations of the clients in the assisted living
community, the practical nurse observes for findings of failure to
thrive in the gerian population. Which findings should the PN
document and report as manifestations related to failure to thrive?
• Unintentional weight loss
• Increased weakness
