GERIATRICS HESI/FINAL EXAM
QUESTIONS WITH DETAILED VERIFIED
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 Ans: Decreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.)
ch. 3 Ans: 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 Ans: 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 Ans: Antibiotics
What should the nurse explain when discussing expected changes in the
female reproductive system to an older adult?
ch. 3 Ans: Production of vaginal secretions decreases
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The nurse performs a skin assessment of an older adult. Which finding is
abnormal and needs to be reported?
ch. 3 Ans: 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 Ans: Diabetes mellitus
What is the activity that best promotes health maintenance for the typical
older adult?
ch. 4 Ans: One 30-minute walk, 3 to 5 times a week
The nurse recognizes that regular dental visits are:
ch.4 Ans: 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 Ans: Nonadherence with the treatment plan
Which immunizations should older adults receive on a yearly basis?
(Select all that apply.)
ch. 4 Ans: 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 Ans: Cultural beliefs
Socioeconomic status
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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 Ans: Obesity
Stomach cancer
Diabetes mellitus
Cervical cancer
Which interventions would be appropriate when teaching a patient with
presbycusis? (Select all that apply.)
ch. 5 Ans: Use visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which
actions by the nurse are most likely to enhance communication with the
patient? (Select all that apply.)
ch. 5 Ans: Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.