geriatrics HESI final exam QUESTIONS |\ |\ |\ |\ |\
WITH ANSWERS |\
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 ANSWERS ✔✔Decreased bladder muscle tone
|\ |\ |\ |\ |\ |\ |\ |\
Which are normal age-related changes? (Select all that apply.)
|\ |\ |\ |\ |\ |\ |\ |\
ch. 3 - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Antibiotics
|\ |\ |\ |\
,What should the nurse explain when discussing expected
|\ |\ |\ |\ |\ |\ |\ |\
changes in the female reproductive system to an older adult?
|\ |\ |\ |\ |\ |\ |\ |\ |\
ch. 3 - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Diabetes mellitus
|\ |\ |\ |\ |\ |\
What is the activity that best promotes health maintenance for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the typical older adult?
|\ |\ |\
ch. 4 - CORRECT ANSWERS ✔✔One 30-minute walk, 3 to 5 times
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a week
|\
The nurse recognizes that regular dental visits are:
|\ |\ |\ |\ |\ |\ |\
ch.4 - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔Nonadherence with the treatment
|\ |\ |\ |\ |\ |\ |\ |\ |\
plan
Which immunizations should older adults receive on a yearly
|\ |\ |\ |\ |\ |\ |\ |\ |\
basis? (Select all that apply.)
|\ |\ |\ |\
ch. 4 - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Obesity
|\ |\ |\ |\ |\
Stomach cancer |\ |\
Diabetes mellitus |\
Cervical cancer |\
WITH ANSWERS |\
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 ANSWERS ✔✔Decreased bladder muscle tone
|\ |\ |\ |\ |\ |\ |\ |\
Which are normal age-related changes? (Select all that apply.)
|\ |\ |\ |\ |\ |\ |\ |\
ch. 3 - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Antibiotics
|\ |\ |\ |\
,What should the nurse explain when discussing expected
|\ |\ |\ |\ |\ |\ |\ |\
changes in the female reproductive system to an older adult?
|\ |\ |\ |\ |\ |\ |\ |\ |\
ch. 3 - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Diabetes mellitus
|\ |\ |\ |\ |\ |\
What is the activity that best promotes health maintenance for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the typical older adult?
|\ |\ |\
ch. 4 - CORRECT ANSWERS ✔✔One 30-minute walk, 3 to 5 times
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a week
|\
The nurse recognizes that regular dental visits are:
|\ |\ |\ |\ |\ |\ |\
ch.4 - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔Nonadherence with the treatment
|\ |\ |\ |\ |\ |\ |\ |\ |\
plan
Which immunizations should older adults receive on a yearly
|\ |\ |\ |\ |\ |\ |\ |\ |\
basis? (Select all that apply.)
|\ |\ |\ |\
ch. 4 - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Obesity
|\ |\ |\ |\ |\
Stomach cancer |\ |\
Diabetes mellitus |\
Cervical cancer |\
