geriatrics HESI final exam with accurate detailed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
solutions
Your older female patient is complaining because she is having frequent UTIs. Which
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
normal age-related change is most likely to be a contributing factor? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔Decreased bladder muscle tone
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which are normal age-related changes? (Select all that apply.) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔1 Decreased visual acuity
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4 Increased gastric pH
||\\//|| ||\\//|| ||\\//||
8 Decreased serum albumin
||\\//|| ||\\//|| ||\\//||
10 Decreased rate of peristalsis
||\\//|| ||\\//|| ||\\//|| ||\\//||
What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
that apply.) ||\\//||
||\\//|| ch. 3 - correct answer✔✔1 Rigidity and tremors when at rest
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3 Dementia ||\\//||
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
would the nurse expect to be ordered? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch.3 - correct answer✔✔Antibiotics ||\\//|| ||\\//|| ||\\//||
What should the nurse explain when discussing expected changes in the female ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
reproductive system to an older adult? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔Production of vaginal secretions decreases
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,The nurse performs a skin assessment of an older adult. Which finding is abnormal and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
needs to be reported? ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔A dark, elevated patch that bleeds when touched
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse encourages the patient to maintain a steady weight in the recommended range to
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
decrease risk of which common endocrine disease observed in older adults?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔Diabetes mellitus
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is the activity that best promotes health maintenance for the typical older adult?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 4 - correct answer✔✔One 30-minute walk, 3 to 5 times a week
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse recognizes that regular dental visits are:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch.4 - correct answer✔✔Recommended on a yearly basis for all older adults, even those
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
with dentures. ||\\//||
An older adult does not follow through with health recommendations from the primary
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
health care provider. The older adult does not take prescribed medications or keep medical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
appointments. Which patient problem should the LPN/LVN anticipate seeing on the care ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
plan?
ch. 4 - correct answer✔✔Nonadherence with the treatment plan
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which immunizations should older adults receive on a yearly basis? (Select all that apply.)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 4 - correct answer✔✔Influenza vaccine
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
When attempting to help an older adult improve his or her health maintenance practices,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the nurse will need to assess which factors? (Select all that apply.)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch.4 - correct answer✔✔Cultural beliefs
||\\//|| ||\\//|| ||\\//|| ||\\//||
Socioeconomic status ||\\//|| ||\\//||
, Religious beliefs ||\\//||
Educational level ||\\//||
Your patient tells you she understands that she is at greater risk of certain diseases because
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
of her Hispanic American heritage. Based on what you have learned, which disorder(s)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
might she be at greater risk for? (Select all that apply.) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch.4 - correct answer✔✔Obesity ||\\//|| ||\\//|| ||\\//|| ||\\//||
Stomach cancer ||\\//|| ||\\//||
Diabetes mellitus ||\\//||
Cervical cancer ||\\//||
Which interventions would be appropriate when teaching a patient with presbycusis? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(Select all that apply.) ||\\//|| ||\\//|| ||\\//||
ch. 5 - correct answer✔✔Use visual cues or written materials.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Repeat information. ||\\//|| ||\\//||
Face the patient when talking. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Speak without food or drink in your mouth. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
are most likely to enhance communication with the patient? (Select all that apply.)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 5 - correct answer✔✔Identify yourself; remind the person who you are.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Use pictures and gestures in addition to words.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Be patient, and avoid interrupting.
||\\//|| ||\\//|| ||\\//|| ||\\//||
A nurse is caring for an older adult who is upset about having to move into a skilled
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nursing facility. Which communication technique used by the nurse is most effective at ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
establishing an empathetic climate? ||\\//|| ||\\//|| ||\\//||
solutions
Your older female patient is complaining because she is having frequent UTIs. Which
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
normal age-related change is most likely to be a contributing factor? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔Decreased bladder muscle tone
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which are normal age-related changes? (Select all that apply.) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔1 Decreased visual acuity
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4 Increased gastric pH
||\\//|| ||\\//|| ||\\//||
8 Decreased serum albumin
||\\//|| ||\\//|| ||\\//||
10 Decreased rate of peristalsis
||\\//|| ||\\//|| ||\\//|| ||\\//||
What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
that apply.) ||\\//||
||\\//|| ch. 3 - correct answer✔✔1 Rigidity and tremors when at rest
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3 Dementia ||\\//||
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
would the nurse expect to be ordered? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch.3 - correct answer✔✔Antibiotics ||\\//|| ||\\//|| ||\\//||
What should the nurse explain when discussing expected changes in the female ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
reproductive system to an older adult? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔Production of vaginal secretions decreases
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,The nurse performs a skin assessment of an older adult. Which finding is abnormal and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
needs to be reported? ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔A dark, elevated patch that bleeds when touched
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse encourages the patient to maintain a steady weight in the recommended range to
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
decrease risk of which common endocrine disease observed in older adults?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 3 - correct answer✔✔Diabetes mellitus
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is the activity that best promotes health maintenance for the typical older adult?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 4 - correct answer✔✔One 30-minute walk, 3 to 5 times a week
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse recognizes that regular dental visits are:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch.4 - correct answer✔✔Recommended on a yearly basis for all older adults, even those
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
with dentures. ||\\//||
An older adult does not follow through with health recommendations from the primary
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
health care provider. The older adult does not take prescribed medications or keep medical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
appointments. Which patient problem should the LPN/LVN anticipate seeing on the care ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
plan?
ch. 4 - correct answer✔✔Nonadherence with the treatment plan
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which immunizations should older adults receive on a yearly basis? (Select all that apply.)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 4 - correct answer✔✔Influenza vaccine
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
When attempting to help an older adult improve his or her health maintenance practices,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the nurse will need to assess which factors? (Select all that apply.)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch.4 - correct answer✔✔Cultural beliefs
||\\//|| ||\\//|| ||\\//|| ||\\//||
Socioeconomic status ||\\//|| ||\\//||
, Religious beliefs ||\\//||
Educational level ||\\//||
Your patient tells you she understands that she is at greater risk of certain diseases because
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
of her Hispanic American heritage. Based on what you have learned, which disorder(s)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
might she be at greater risk for? (Select all that apply.) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch.4 - correct answer✔✔Obesity ||\\//|| ||\\//|| ||\\//|| ||\\//||
Stomach cancer ||\\//|| ||\\//||
Diabetes mellitus ||\\//||
Cervical cancer ||\\//||
Which interventions would be appropriate when teaching a patient with presbycusis? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(Select all that apply.) ||\\//|| ||\\//|| ||\\//||
ch. 5 - correct answer✔✔Use visual cues or written materials.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Repeat information. ||\\//|| ||\\//||
Face the patient when talking. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Speak without food or drink in your mouth. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
are most likely to enhance communication with the patient? (Select all that apply.)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ch. 5 - correct answer✔✔Identify yourself; remind the person who you are.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Use pictures and gestures in addition to words.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Be patient, and avoid interrupting.
||\\//|| ||\\//|| ||\\//|| ||\\//||
A nurse is caring for an older adult who is upset about having to move into a skilled
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nursing facility. Which communication technique used by the nurse is most effective at ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
establishing an empathetic climate? ||\\//|| ||\\//|| ||\\//||
