Gerontology HESI Practice EXAM |\ |\ |\ |\
QUESTIONS WITH ASWERS |\ |\
An older resident is newly admitted to an assisted living
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
community. Which actions should the registered nurse (RN)
|\ |\ |\ |\ |\ |\ |\ |\
implement to provide the resident ways 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 - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A,B,D,E |\
For safe self-medication in an assisted living community, the
|\ |\ |\ |\ |\ |\ |\ |\ |\
resident should be provided a locked storage box, create a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication administration record to monitor medication,
|\ |\ |\ |\ |\ |\
establish adequate medication supply, and a reference to
|\ |\ |\ |\ |\ |\ |\ |\
evaluate the effectiveness of medication
|\ |\ |\ |\
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 - CORRECT ANSWERS ✔✔C,D
|\ |\ |\ |\ |\ |\ |\
For older clients the expected age-related changes in the
|\ |\ |\ |\ |\ |\ |\ |\ |\
cardiovascular system include murmurs and 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 the next examination?
|\ |\ |\ |\
A) Anxiety
|\
B) Depression
|\
C) Exhaustion
|\
D) Confusion - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\
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 catherization - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A |\
Maintaining independence and self-esteem is important for an |\ |\ |\ |\ |\ |\ |\ |\
older client with incontinence. Toilet assistance decreases the
|\ |\ |\ |\ |\ |\ |\ |\
client's chances of accidents and embarrassment by introducing
|\ |\ |\ |\ |\ |\ |\ |\
a toilet training program
|\ |\ |\
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 - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\ |\ |\
Headaches are the most common side effect with this |\ |\ |\ |\ |\ |\ |\ |\ |\
medication, which the RN should direct the client to report |\ |\ |\ |\ |\ |\ |\ |\ |\
QUESTIONS WITH ASWERS |\ |\
An older resident is newly admitted to an assisted living
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
community. Which actions should the registered nurse (RN)
|\ |\ |\ |\ |\ |\ |\ |\
implement to provide the resident ways 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 - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A,B,D,E |\
For safe self-medication in an assisted living community, the
|\ |\ |\ |\ |\ |\ |\ |\ |\
resident should be provided a locked storage box, create a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication administration record to monitor medication,
|\ |\ |\ |\ |\ |\
establish adequate medication supply, and a reference to
|\ |\ |\ |\ |\ |\ |\ |\
evaluate the effectiveness of medication
|\ |\ |\ |\
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 - CORRECT ANSWERS ✔✔C,D
|\ |\ |\ |\ |\ |\ |\
For older clients the expected age-related changes in the
|\ |\ |\ |\ |\ |\ |\ |\ |\
cardiovascular system include murmurs and 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 the next examination?
|\ |\ |\ |\
A) Anxiety
|\
B) Depression
|\
C) Exhaustion
|\
D) Confusion - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\
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 catherization - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A |\
Maintaining independence and self-esteem is important for an |\ |\ |\ |\ |\ |\ |\ |\
older client with incontinence. Toilet assistance decreases the
|\ |\ |\ |\ |\ |\ |\ |\
client's chances of accidents and embarrassment by introducing
|\ |\ |\ |\ |\ |\ |\ |\
a toilet training program
|\ |\ |\
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 - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\ |\ |\
Headaches are the most common side effect with this |\ |\ |\ |\ |\ |\ |\ |\ |\
medication, which the RN should direct the client to report |\ |\ |\ |\ |\ |\ |\ |\ |\
