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Practice Test Assessment Performance Questions and Answers 100% Correct| Verified & Updated

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Practice Test Assessment Performance Questions and Answers 100% Correct| Verified & Updated

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8/17/24, 11:26 AM HESI



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Practice Test Assessment Performance


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During the quarterly evaluations of the clients in the assisted living community, the nurse
assesses for findings of failure to thrive in the older population. Which findings should
the nurse document and report as manifestations related to failure to thrive? (Select all
that apply.)
Select all that apply


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, lOMoARcPSD|61299927




8/17/24, 11:26 AM HESI

Unintentional weight loss.

Increased weakness.
Increased amounts of sleep.

Irritation and agitation.

Seeking constant attention from a caregiver.

Rationale
Symptoms of failure to thrive in the older population include weight loss, weakness, and excessive sleep thus all of these should
be documented and evaluated by a healthcare provider immediately.



When assessing an older client, which age-related changes in the cardiovascular system
should the nurse document? (Select all that apply.)
Select all that apply
Dyspnea.

Chest pain.
Cardiac murmurs.

Widening pulse pressure.

Irregular heart rate.

Rationale
Expected age-related changes in the cardiovascular system include murmurs and widening pulse pressure.



https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/3909512/0b5dc311-dd85-4109-8c91-3e14c9f028f7 2/30

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8/17/24, 11:26 AM HESI

An older male client arrives at the clinic for an annual physical examination. While the
nurse assesses the client, the client states that he is having intimacy problems with his
wife. Which information should the nurse provide to elicit more information from the
client?
Query the client to clarify the client's idea of an intimacy problem.

Discuss benign prostatic hypertrophy (BPH) and ejaculation.

Explore frequency that he experiences erectile dysfunction (ED).

Determine if the client's wife is young enough to get pregnant.

Rationale
Clarification of the client's concern is needed to appropriately address the specific concern about intimacy issues.



An older client who is a resident in a long-term care facility is receiving medications
through a gastric tube (GT). After interrupting the continuous GT feeding in which
sequence should the nurse implement these actions for administration of crushed
medications? (Arrange in the order from first to last step.)

1. Crush the medication into a powder or fine granules.



2. Dissolve each crushed medication in a medicine cup.



3. Flush the feeding tube of the feeding solution.


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