HESI GERIATRICS EXAM TEST BANKQUESTIONS WITH 100% CORRECT ANSWERS
UPDATED 2024
disengagement theory - (ANSWERS)progressive social disengagement occurs with aging
*psychosocial theory
activity theory - (ANSWERS)"successful aging"
Maintaining a high level of activity and involvement
-measured by individuals satisfaction with life
*psychosocial theory
pacemaker theory - (ANSWERS)programmed decline or cessation of many components occurs
in the nervous and endocrine systems
*biologic theory
immunity theory - (ANSWERS)Programmed accumulation of damage and decline in immune
system - "immunossenescence"
Oxidative stress - damage
*biologic theory
wear and tear theory - (ANSWERS)after repeated use damaged cells in body structures wear
out from harmful effects of internal and external stressors, free radicals
*biologic theory
programmed theory - (ANSWERS)"biological clock"
starts at conception
-genetic program determines changes as one ages
*biologic theory
erik eriksons theory - (ANSWERS)8 stages of developmental tasks thru out life span
-8th stage is integrity versus despair
*developmental theory
maslows theory - (ANSWERS)hierarchy of needs ranks an individuals needs from most basic to
complex
-physiologic
-safety & security
-love & belonging
-self esteem
-self actualization
physiologic changes of aging - (ANSWERS)1. aging affects every cell in every organ, but not
same rate
2. -loss in compensatory reserve
-loss in efficiency of body repairing damaged tissue
-deceased immune system processes
3. disease not always present with classic signs & symptoms
, HESI GERIATRICS EXAM TEST BANKQUESTIONS WITH 100% CORRECT ANSWERS
UPDATED 2024
4. physiologic changes increase rapidly with increasing age
5. Influenced by genetic makeup & environment
health maintenance factors for older adult - (ANSWERS)-physical activity to reduce blood
pressure
-increases aerobic capacity & nutrition
The practical nurse (PN) is caring for an older female client with a 20 year history of rheumatoid
arthritis (RA) who is admitted for carpel tunnel release. Which finding associated with RA
should the PN document? - (ANSWERS)Small joint involvement
A frail elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is most
important for the practical nurse (PN) to report to the healthcare provider? -
(ANSWERS)Confusion and dehydration
The home health practical nurse (PN) visits an older female client with an ileal conduit who has
been experiencing chronic urinary tract infections (UTI). Which intervention should the PN
recommend the client do to manage the frequency of UTIs? - (ANSWERS)Attaching a larger bag
while sleeping
The practical nurse (PN) is caring for an older female with Raynaud's phenomenon. Which
exposure should the PN instruct the client to avoid? - (ANSWERS)cold climates
The home health practical nurse (PN) is changing an older client's wet to dry dressing. Which
observation should the PN evaluate as a therapeutic response with the removal of the dry
dressing? - (ANSWERS)debridement by removing exudate
An older female client recently moved to an assisted living facility. The family explain to the
practical nurse (PN) that the client is unmanageable and always confused, disoriented, and
depressed. The client asks the PN repeatedly, "Where am I?" How should the PN respond? -
(ANSWERS)Reality re-orientation, explain she's in a new home called an assistive living facility
An older female client who is 3 days postoperative for a right hip repair is admitted to the
rehabilitation center for strengthening in activities of daily living (ADL). The practical nurse (PN)
is mobilizing the client to go to physical therapy (PT). Which action should the PN implement
first? - (ANSWERS)direct client to use the overhead trapeze
An older male client is admitted for emergency treatment of acute closed-angle glaucoma. The
practical nurse (PN) begins administering the prescribed miotic medications and glycerin
(Glycol) therapy. Which intervention is most important for the PN to maintain during the client's
therapy? - (ANSWERS)monitor intake and output
UPDATED 2024
disengagement theory - (ANSWERS)progressive social disengagement occurs with aging
*psychosocial theory
activity theory - (ANSWERS)"successful aging"
Maintaining a high level of activity and involvement
-measured by individuals satisfaction with life
*psychosocial theory
pacemaker theory - (ANSWERS)programmed decline or cessation of many components occurs
in the nervous and endocrine systems
*biologic theory
immunity theory - (ANSWERS)Programmed accumulation of damage and decline in immune
system - "immunossenescence"
Oxidative stress - damage
*biologic theory
wear and tear theory - (ANSWERS)after repeated use damaged cells in body structures wear
out from harmful effects of internal and external stressors, free radicals
*biologic theory
programmed theory - (ANSWERS)"biological clock"
starts at conception
-genetic program determines changes as one ages
*biologic theory
erik eriksons theory - (ANSWERS)8 stages of developmental tasks thru out life span
-8th stage is integrity versus despair
*developmental theory
maslows theory - (ANSWERS)hierarchy of needs ranks an individuals needs from most basic to
complex
-physiologic
-safety & security
-love & belonging
-self esteem
-self actualization
physiologic changes of aging - (ANSWERS)1. aging affects every cell in every organ, but not
same rate
2. -loss in compensatory reserve
-loss in efficiency of body repairing damaged tissue
-deceased immune system processes
3. disease not always present with classic signs & symptoms
, HESI GERIATRICS EXAM TEST BANKQUESTIONS WITH 100% CORRECT ANSWERS
UPDATED 2024
4. physiologic changes increase rapidly with increasing age
5. Influenced by genetic makeup & environment
health maintenance factors for older adult - (ANSWERS)-physical activity to reduce blood
pressure
-increases aerobic capacity & nutrition
The practical nurse (PN) is caring for an older female client with a 20 year history of rheumatoid
arthritis (RA) who is admitted for carpel tunnel release. Which finding associated with RA
should the PN document? - (ANSWERS)Small joint involvement
A frail elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is most
important for the practical nurse (PN) to report to the healthcare provider? -
(ANSWERS)Confusion and dehydration
The home health practical nurse (PN) visits an older female client with an ileal conduit who has
been experiencing chronic urinary tract infections (UTI). Which intervention should the PN
recommend the client do to manage the frequency of UTIs? - (ANSWERS)Attaching a larger bag
while sleeping
The practical nurse (PN) is caring for an older female with Raynaud's phenomenon. Which
exposure should the PN instruct the client to avoid? - (ANSWERS)cold climates
The home health practical nurse (PN) is changing an older client's wet to dry dressing. Which
observation should the PN evaluate as a therapeutic response with the removal of the dry
dressing? - (ANSWERS)debridement by removing exudate
An older female client recently moved to an assisted living facility. The family explain to the
practical nurse (PN) that the client is unmanageable and always confused, disoriented, and
depressed. The client asks the PN repeatedly, "Where am I?" How should the PN respond? -
(ANSWERS)Reality re-orientation, explain she's in a new home called an assistive living facility
An older female client who is 3 days postoperative for a right hip repair is admitted to the
rehabilitation center for strengthening in activities of daily living (ADL). The practical nurse (PN)
is mobilizing the client to go to physical therapy (PT). Which action should the PN implement
first? - (ANSWERS)direct client to use the overhead trapeze
An older male client is admitted for emergency treatment of acute closed-angle glaucoma. The
practical nurse (PN) begins administering the prescribed miotic medications and glycerin
(Glycol) therapy. Which intervention is most important for the PN to maintain during the client's
therapy? - (ANSWERS)monitor intake and output
