Gerontology HESI Questions (Latest
Update ) with Verified Answers
100 % Correct [Grade A]
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in
the left forearm for for hemodialysis. After palpating the AV fistula, which finding is an
indication that the AV fistula is functioning properly?
A. Enlarged veins
B. Redness around the site
C. Decreased pulses below fistula
D. Marked ecchymotic areas - correct answer (A) Enlarged veins
Rationale: The mixing of arterial and venous blood in an AV fistula causes the veins to
enlarge (A), which facilitate cancelation for hemodialysis. (B) may be related to local
infection or inflammation and is not a normal finding. (C) and (D) are abnormal findings
that should be reported immediately.
,During the quarterly evaluations of the clients in the assisted living community, the
registered nurse (RN) assesses for findings of failure to thrive in the older population.
What findings should the RN document and report as manifestations related to failure
to thrive? (Select all that apply.)
A. Unintentional weight loss
B. Increased weakness
C. Increased amounts of sleep
D. Irritation and agitation
E. Seeking constant attention from caregiver - correct answer (A) Unintentional weight
loss
(B) Increased weakness
(C) Increased amounts of sleep
Rationale: (A, B and C) are correct. Symptoms of failure to thrive in the older
population include weight loss, weakness and excessive sleep, which should be
documented and evaluated by a healthcare provider immediately. (D and E) are not
usual signs and symptoms of failure to thrive but should be reviewed by the healthcare
provider.
,The registered nurse (RN) is reinforcing discharge instructions to the family of an
older client with failure to thrive. What information should the RN include to promote
nutritional intake for the client? (Select all that apply.)
A. Minimize stress levels by providing the client with a quiet environment during meals
B. Provide food variations that the client can manage without assistance
C. Assist the client with eating meals in bed in a semi-Fowler's position
D. Encourage fluid intake before meals to decrease dehydration
E. Offer any type of food to the client as long as calories are consumed - correct
answer (A) Minimize stress level by providing the client with a quiet environment
during meals
(B) Provide food variations that the client can manage without assistance
Rationale: (A and B) are correct and continue to promote independence and decreased
stress for the client, which will increase the opportunity for nutritional intake. (C)
increases dependence for the older client, which can also cause decreased self-worth
and depression. (D) will make the client feel full and will decrease the client's ability to
consume nutritional calories.
, The registered nurse (RN) is assigned the care of an older client who returns to the
unit after surgery for closed angle glaucoma. What intervention in the plan of care
should the RN bring to the attention of the healthcare team?
A. Assist with ambulating to commode
B. Monitor intake and output q8 hours
C. Administer morphine 4 mg IM q2 hour PRN pain
D. Place an eye patch on operative eye during sleep - correct answer (C) Administer
morphine 4 mg IM q2 hour PRN pain
Rationale: Morphine side effects include nausea, vomiting and constipation, causing
straining on stool, all of which can increase intraocular pressure and cause
intraocular bleeding during the postoperative period. Administration of morphine 0.4
mg IM q2 hours PRN pain (C) should be discussed with the healthcare team to
determine the risk of the side effects for the client. (A), (B) and (D) are interventions
that do not place the client at risk.
Update ) with Verified Answers
100 % Correct [Grade A]
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in
the left forearm for for hemodialysis. After palpating the AV fistula, which finding is an
indication that the AV fistula is functioning properly?
A. Enlarged veins
B. Redness around the site
C. Decreased pulses below fistula
D. Marked ecchymotic areas - correct answer (A) Enlarged veins
Rationale: The mixing of arterial and venous blood in an AV fistula causes the veins to
enlarge (A), which facilitate cancelation for hemodialysis. (B) may be related to local
infection or inflammation and is not a normal finding. (C) and (D) are abnormal findings
that should be reported immediately.
,During the quarterly evaluations of the clients in the assisted living community, the
registered nurse (RN) assesses for findings of failure to thrive in the older population.
What findings should the RN document and report as manifestations related to failure
to thrive? (Select all that apply.)
A. Unintentional weight loss
B. Increased weakness
C. Increased amounts of sleep
D. Irritation and agitation
E. Seeking constant attention from caregiver - correct answer (A) Unintentional weight
loss
(B) Increased weakness
(C) Increased amounts of sleep
Rationale: (A, B and C) are correct. Symptoms of failure to thrive in the older
population include weight loss, weakness and excessive sleep, which should be
documented and evaluated by a healthcare provider immediately. (D and E) are not
usual signs and symptoms of failure to thrive but should be reviewed by the healthcare
provider.
,The registered nurse (RN) is reinforcing discharge instructions to the family of an
older client with failure to thrive. What information should the RN include to promote
nutritional intake for the client? (Select all that apply.)
A. Minimize stress levels by providing the client with a quiet environment during meals
B. Provide food variations that the client can manage without assistance
C. Assist the client with eating meals in bed in a semi-Fowler's position
D. Encourage fluid intake before meals to decrease dehydration
E. Offer any type of food to the client as long as calories are consumed - correct
answer (A) Minimize stress level by providing the client with a quiet environment
during meals
(B) Provide food variations that the client can manage without assistance
Rationale: (A and B) are correct and continue to promote independence and decreased
stress for the client, which will increase the opportunity for nutritional intake. (C)
increases dependence for the older client, which can also cause decreased self-worth
and depression. (D) will make the client feel full and will decrease the client's ability to
consume nutritional calories.
, The registered nurse (RN) is assigned the care of an older client who returns to the
unit after surgery for closed angle glaucoma. What intervention in the plan of care
should the RN bring to the attention of the healthcare team?
A. Assist with ambulating to commode
B. Monitor intake and output q8 hours
C. Administer morphine 4 mg IM q2 hour PRN pain
D. Place an eye patch on operative eye during sleep - correct answer (C) Administer
morphine 4 mg IM q2 hour PRN pain
Rationale: Morphine side effects include nausea, vomiting and constipation, causing
straining on stool, all of which can increase intraocular pressure and cause
intraocular bleeding during the postoperative period. Administration of morphine 0.4
mg IM q2 hours PRN pain (C) should be discussed with the healthcare team to
determine the risk of the side effects for the client. (A), (B) and (D) are interventions
that do not place the client at risk.
