Gerontology HESI Practice Exam 2022, (Answered) With Rationale

Gerontology HESI Practice Exam 2022, (Answered) With Rationale An older resident is newly admitted to an assisted living community. Which action should the registered nurse (RN) implement to provide the resident to maintain safe medication administration? [select all that apply] a. locked medication storage in the client's room b. medication administration record (MAR) c. payment forms for prescribed medications d. delivery of adequate supply of medication e. list of findings indicating medication effectiveness a. locked medication storage in the client's room b. medication administration record (MAR) d. delivery of adequate supply of medication e. list of findings indicating medication effectiveness When assessing an older client, which age-related changes in the cardiovascular system should the registered nurse (RN) document? [select all that apply] a. dyspnea b. chest pain c. cardiac murmurs d. widening pulse pressure e. irregular heart rate c. cardiac murmurs d. 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 registered nurse (RN) focus on during next examination? a. anxiety b. depression c. exhaustion d. confusion b. depression Depression is a symptom that an older client is likely to experience with a sudden change in living accommodations when a loss of personal identity can create low self-esteem. The registered nurse (RN) is caring for an elderly client with functional incontinence who lives in an assisted living community. The client is alert and mildly confused and can self ambulate. Which nursing intervention should the RN implement? a. offer assistance with toileting Q2 hours b. use protective disposal undergarment instead of underwear c. ask if the client has attempted to void Q2 hours d. obtain a prescription for intermittent catheterization a. offer assistance with toileting Q2 hours Toileting assistance maintains independence and self-esteem which are important for an older client with incontinence. A toileting schedule also decreases the clients chances of accidents and embarrassment. The healthcare provider prescribes a new medication, atorvastatin (Lipitor), for an older client who arrives at the clinic for an annual physical examination. What common side effect should the registered nurse (RN) advise the client to observe for with this medication? a. constipation b. headaches c. muscle weakness d. nausea and vomiting b. headaches Headaches are the most common side effect of atorvastatin (Lipitor). The registered nurse (RN) 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? a. increase protein and carbohydrates in the daily diet b. limit activity to bed rest for the first week and increase mobility incrementally each week c. report abdominal distention, constipation, or any nausea and vomiting to the healthcare provider d. drink liquids 2 hours after meals instead of during meals c. report abdominal distention, constipation, or any nausea and vomiting to the healthcare provider These symptoms occur with intestinal obstruction and should be addressed immediately. An older male client asks the registered nurse (RN) how he can reduce his incidents of hemorrhoidal flare ups. What information should the RN offer the client about how to prevent rectal discomfort? [select all that apply] a. increase fiber and liquids in the diet to help prevent constipation and straining b. change exercise program to reflect less cardio-exercise and more weight training c. use a therapeutic cushion or frequent repositioning for periods of prolonged sitting d. take frequent warm sitz baths and do not use abrasive paper that can traumatize tissues e. establish bowel habits by scheduling daily time to defecate when the client is not rushed a. increase fiber and liquids in the diet to help prevent constipation and straining c. use a therapeutic cushion or frequent repositioning for periods of prolonged sitting d. take frequent warm sitz baths and do not use abrasive paper that can traumatize tissues e. establish bowel habits by scheduling daily time to defecate when the client is not rushed Fluids, comfort measures, and establishment of a regular bowel pattern help reduce incidents of hemorrhoid inflammation. An older male client is seeking counseling about his recent sexual issues with his partner. What issue should the registered nurse (RN) explore in this discussion? a. certain medications may impact sexual function b. normal aging affects sexual function in male clients c. safe sex is not necessary with older sexually active elders d. sexual interest usually declines with aging in male clients a. certain medications may impact sexual function During the quarterly evaluations of the clients in the assisted living community, the registered nurse (RN) assesses for findings of failure to thrive in the older population. Which findings should the RN document and report as manifestations related to failure to thrive? [select all that apply] a. unintentional weight loss b. increased weakness c. increased amounts of sleep d. irritation and agitation e. seeking constant attention from caregiver a. unintentional weight loss b. increased weakness c. increased amounts of sleep Symptoms of failure to thrive in the older population include weight loss, weakness, and excessive sleep, which should be documented and evaluated by a healthcare provider immediately. The registered nurse (RN) is reinforcing discharge instructions to the family of an older client with failure to thrive. What information should the RN include to promote nutritional intake for the client? [select all that apply] a. minimize stress level by providing the client with a quiet environment during meals b. provide food variations that the client can manage without assistance c. assist the client with eating meals in bed in a semi Fowler's position d. encourage fluid intake before melas to decrease dehydration e. offer any type of food to the client as long as calories are consumed a. minimize stress level by providing the client with a quiet environment during meals b. provide food variations that the client can manage without assistance A and B continue to promote independence and decreased stress for the client, which will increase the opportunity for nutritional intake An older woman asks the registered nurse (RN) how she can decrease her chances of getting cystitis. What information should the RN provide? a. void and empty the bladder completely every 2 to 3 hours b. take warm sitz baths with bubble bath to cleanse the vulva c. decrease fluid volume intake to reduce urgency d. test urine pH daily using over-the-counter (OTC) dipsticks a. void and empty the bladder completely every 2 to 3 hours An older male with Parkinson's disease (PD) is discharged home with levopoda-carbidopa (Sinemet) and instructions to this wife for his care. Which statement best indicates to the registered nurse (RN) that the wife understands her husband's needs? a. "It is important to keep my husband in a chair or in bed as much as possible and prevent him from falling." b. "I will notify the healthcare provider if my husband has increasing involuntary movement of his extremities." c. "Since it is difficult for my husband to eat, we should stay in the house instead of going out to dine." d. "I should expect that my husband be incontinent of bowel and bladder as his disease advances." b. "I will notify the healthcare provider if my husband has increasing involuntary movement of his extremities." The home health registered nurse (RN) visits an older women with heart failure (HF) who is on complete bed rest. Which intervention is most important for the RN to suggest to the client to prevent complications related to immobility? a. get as much sleep as possible b. perform leg exercises while in bed c. increase protein intake to combat fatigue d. invite friends to visit to decrease risk for depression b. perform leg exercises while in bed This client is at risk for complications related to immobility. Active leg exercises should be performed frequently to decrease the risk for thrombophlebitis. An older male client is admitted to the hospital with left-sided heart failure (HF). Which finding should the registered nurse (RN) document that is consistent with HF? a. ascites b. pitting edema c. jugular distention d. course and fine crackles d. course and fine crackles An older female client who has been taking hydrocodone/acetaminophen (Lortab) Q4 hours for chronic back pain for the past 5 years tells the registered nurse (RN) that she cannot live without her pain pills. When asked if she is addicted, the client states that she is not an addict because the healthcare provider prescribed the pain pills. Which coping mechanism should the RN determine the client is using about her addiction? a. lack of knowledge about narcotic medications b. rationalization to support narcotic use c. transfer of blame to healthcare provider d. justification of narcotic use due to chronic pain