Gerontology HESI Questions (Latest
Update ) with Verified Answers
100 % Correct [Grade A]
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 order from first to last step.)
A. Flush the feeding tube of feeding solution
B. Crush the medication into a powder or fine granules
C. Administer each medication separately
D. Dissolve each crushed medication in a medicine cup
E. Flush GT to clear the medication from the tubing
F. Reconnect the gastric feeding tube - correct answer B - D - A - C - E - F
Rationale: The sequence begins with crushing and dissolving the medications. Then
flushing the GT of feeding formula and giving each medication separately. When all
medications have been given, the feeding tubing should be flushed to clear the
,medication, and the GT should be reconnected. If the medications are compatible with
food, the continuous GT formula can be restarted.
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 catheterization - correct answer (A) Offer
assistance with toileting q2 hours
Rationale: Maintaining independence and self-esteem is important for an older client
with incontinence. (A) decreases the client's chances of accidents and embarrassment
by introducing a toilet training program. (B) is not implemented unless toileting
program is unsuccessful and the client's mental status declines. A confused client will
not remember how many times he or she frequented the toilet, so (C) is not helpful for
,the client. (D) is not indicated for clients with functional intolerance and who can
ambulate.
The home health registered nurse (RN) is reinforcing instructions to the family about
how to prevent pressure ulcers for their older family member who is bedridden. Which
measure should the RN discuss?
A. Lift the client when turning instead of sliding
B. Massage directly over reddened sites
C. Change client's position every 4 hours
D. Place pillows under both the knees - correct answer (A) Lift the client when turning
instead of sliding
Rationale: Lifting instead of sliding (A) decreases chances of friction and shearing
while moving the client. (B) is not recommended for tissue that show signs of early
pressure, such as a stage 1 site. (D) does not reduce risk for pressure ulcers.
Reposition q2 hours, not q4 hours (C), provides the most benefit in reducing pressure
ulcer formation.
, An older male client is admitted to the hospital with left-sided heart failure (HF). Which
finding should the registered nurse (RN) document that is consistent with HF?
A. Ascites
B. Pitting edema
C. Jugular distention
D. Coarse and fine crackles - correct answer (D) Coarse and fine crackles
Rationale: In left-sided heart failure, the inadequacy of pumping blood into the aorta
causes blood to back up into the pulmonary capillaries; this pushes intravascular fluid
into the alveoli, which is manifested as crackles or rales. (A, B and C) are manifested
in right-sided heart failure.
An older woman asks the registered nurse (RN) how she can decrease her chances of
getting cystitis. What information should the RN provide?
A. Void and empty the bladder completely every 2 to 3 hours
B. Take warm sits baths with bubble bath to cleanse the vulva
C. Decrease fluid volume intake to reduce urgency
Update ) with Verified Answers
100 % Correct [Grade A]
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 order from first to last step.)
A. Flush the feeding tube of feeding solution
B. Crush the medication into a powder or fine granules
C. Administer each medication separately
D. Dissolve each crushed medication in a medicine cup
E. Flush GT to clear the medication from the tubing
F. Reconnect the gastric feeding tube - correct answer B - D - A - C - E - F
Rationale: The sequence begins with crushing and dissolving the medications. Then
flushing the GT of feeding formula and giving each medication separately. When all
medications have been given, the feeding tubing should be flushed to clear the
,medication, and the GT should be reconnected. If the medications are compatible with
food, the continuous GT formula can be restarted.
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 catheterization - correct answer (A) Offer
assistance with toileting q2 hours
Rationale: Maintaining independence and self-esteem is important for an older client
with incontinence. (A) decreases the client's chances of accidents and embarrassment
by introducing a toilet training program. (B) is not implemented unless toileting
program is unsuccessful and the client's mental status declines. A confused client will
not remember how many times he or she frequented the toilet, so (C) is not helpful for
,the client. (D) is not indicated for clients with functional intolerance and who can
ambulate.
The home health registered nurse (RN) is reinforcing instructions to the family about
how to prevent pressure ulcers for their older family member who is bedridden. Which
measure should the RN discuss?
A. Lift the client when turning instead of sliding
B. Massage directly over reddened sites
C. Change client's position every 4 hours
D. Place pillows under both the knees - correct answer (A) Lift the client when turning
instead of sliding
Rationale: Lifting instead of sliding (A) decreases chances of friction and shearing
while moving the client. (B) is not recommended for tissue that show signs of early
pressure, such as a stage 1 site. (D) does not reduce risk for pressure ulcers.
Reposition q2 hours, not q4 hours (C), provides the most benefit in reducing pressure
ulcer formation.
, An older male client is admitted to the hospital with left-sided heart failure (HF). Which
finding should the registered nurse (RN) document that is consistent with HF?
A. Ascites
B. Pitting edema
C. Jugular distention
D. Coarse and fine crackles - correct answer (D) Coarse and fine crackles
Rationale: In left-sided heart failure, the inadequacy of pumping blood into the aorta
causes blood to back up into the pulmonary capillaries; this pushes intravascular fluid
into the alveoli, which is manifested as crackles or rales. (A, B and C) are manifested
in right-sided heart failure.
An older woman asks the registered nurse (RN) how she can decrease her chances of
getting cystitis. What information should the RN provide?
A. Void and empty the bladder completely every 2 to 3 hours
B. Take warm sits baths with bubble bath to cleanse the vulva
C. Decrease fluid volume intake to reduce urgency
