Gerontology HESI Practice QUESTIONS
WITH ANSWERS
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
The registered nurse (RN) is re-enforcing discharge instructions
with the family of an older client who was recently admitted for an
intestinal obstruction. Which statement indicates that the family
understands the instructions?
A) Increase protein and carbohydrates in the daily diet
B) Limit activity to bed rest for the first week and increase mobility
incrementally each week
C) Report abdominal distention, constipation or any nausea and
vomiting to the healthcare provider
D) Drink liquids 2 hours after meals instead of during meals -
CORRECT ANSWERS ✔✔C
These are symptoms that occur with intestinal obstruction and
should be addressed immediately
An older male client asks the registered nurse (RN) how he can
reduce his incidents of hemorrhoidal flare ups. What information
WITH ANSWERS
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
The registered nurse (RN) is re-enforcing discharge instructions
with the family of an older client who was recently admitted for an
intestinal obstruction. Which statement indicates that the family
understands the instructions?
A) Increase protein and carbohydrates in the daily diet
B) Limit activity to bed rest for the first week and increase mobility
incrementally each week
C) Report abdominal distention, constipation or any nausea and
vomiting to the healthcare provider
D) Drink liquids 2 hours after meals instead of during meals -
CORRECT ANSWERS ✔✔C
These are symptoms that occur with intestinal obstruction and
should be addressed immediately
An older male client asks the registered nurse (RN) how he can
reduce his incidents of hemorrhoidal flare ups. What information
