HESI GERONTOLOGY FINAL EXAM (VERSION 3) 2024-2025 (100%
CORRECT) | VERIFIED AND RATED 100%: COMPLETE GUIDE
A nurse is completing medication reconciliation for an older adult patient who is receiving
multiple medications. Which of the following actions should the nurse take first?
A- Clarify the patient list of medications with the pharmacist
B- compare the current list against the new medication prescriptions
C- investigate any discrepancies on that list
D- ask the patient about over the counter medications she is taking
CORRECT- D
The nurse should apply the nursing process priority-setting framework. The nurse can use the
nursing process to plan patient care and prioritize nursing actions. Each step of the nursing
process builds on the previous step, beginning with assessment or data collection. Before the
nurse can formulate a plan of action, implement a nursing intervention, or notify the provider of a
change in the patient’s status, she must first collect adequate data from the patient. Assessing or
collecting additional data will provide the nurse with knowledge to make an appropriate decision.
When performing medication reconciliation, it is important that the nurse collect a list of all the
medications the patient takes in order to compare the full list of medications against any new
medications the patient will take. The list should include prescriptions, over-the-counter
medications, and herbal and nutritional supplements.
A- The nurse should clarify the patient’s list of medications with the pharmacist,
caregivers, providers, and the patient; however, this is not the first action the nurse
should take.
B- The nurse should compare the medication list against any new prescriptions to
ensure there is not any duplication of medications or potential medication interactions;
however, this is not the first action the nurse should take.
C- The nurse should investigate discrepancies on the list with the provider to prevent
medication errors; however, this is not the first action the nurse should take.
Exam 1?
A nurse at a long-term care facility is planning care for a patient who has Alzheimer's
disease and wanders at night. Which of the following interventions should the nurse
include in the plan?
A- Place the patient in wrist restraints at night
B- request a prescription for a psychotropic medication
C- assign the patient to a room closer to the nurses station
D- cheap the television on at night
CORRECT- C
The nurse should place the patient who wanders in a room that allows for close
observation. The nurse should provide patients who wander a safe place to walk and
supervision when the patient is ambulating.
A- The nurse should protect the patient from harm, but restraints can result in agitation.
B- The nurse can administer a psychotropic medication to treat depression or emotional
manifestations of Alzheimer’s disease, but not to treat wandering behaviors.
D- The nurse should avoid the use of excessive light and sound stimulation for the patient
who has Alzheimer’s disease. This can cause further agitation and confusion for the
patient.
,HESI GERONTOLOGY FINAL EXAM (VERSION 3) 2024-2025 (100%
CORRECT) | VERIFIED AND RATED 100%: COMPLETE GUIDE
The nurse at a long-term care facility is teaching an older adult patient about
ambulating with a quad cane. Which of the following statements should the nurse
include in the teaching?
A- Adjust the height of the cane so that you can flex your elbow at 45 degrees
B- hold the cane in the hand on the stronger side of your body
C- place the flat side of the cane away from your foot
D- the cane and your stronger leg at the same time
CORRECT- b
The patient should hold the cane with the hand on the stronger side of her body so
that she can move the cane to support the weaker leg. This action allows for a more
normal gait, with the ipsilateral arm and weaker leg moving at the same time.
A- The nurse should instruct the patient that the cane’s height should allow the elbow
tobe slightly flexed. Having a flexion of 45º would make the cane too tall for safe use.
C- The patient should place the flat edge of the base of the cane facing toward her foot.
This allows the patient to ambulate without the risk of getting her foot caught in the base
of the cane and falling.
D- The nurse should instruct the patient to move the cane and her weaker leg at the
same time. This action allows for a more normal gait with the ipsilateral arm and weaker
leg moving at the same time.
A nurse is performing a skin assessment for a group of older adult patients.
Whichof the following findings should the nurse identify as a benign, age related
skin change commonly seen in older adult patients?
A- Liver spots
B- Nevi
C- atopic dermatitis
D- psoriasis
CORRECT- a
Liver spots, also known as age spots or lentigines, are flat, brownish-black macules that
usually occur in sun-exposed areas of the body. Aging and exposure to sunlight, or
other forms of ultraviolet light, can result in increased pigmentation. Liver spots are
extremely common after 40 years of age; they occur most often on the forearms,
shoulders, face, forehead, and backs of the hands, which are also the areas of highest
sun exposure. They are harmless and painless, but they can affect the patient’s
cosmeticappearance.
B- Nevi are moles, a growth of pigment-forming cells that might be benign or malignant.
The nurse should identify that nevi occur throughout the lifespan. Further evaluation of
the nevi should include evaluation of any asymmetry, border irregularity, color variation,
diameter, and evolution, which can indicate melanoma.
C- Atopic dermatitis, or eczema, is a chronic skin disorder that occurs in all ages, but is
more common in infancy and childhood. Patients who have atopic dermatitis can have
scaly and itching rashes.
D- Psoriasis is a common skin inflammation with frequent episodes of redness, itching,
and thick, dry, silvery scales on the skin. The nurse should identify that while generally a
, HESI GERONTOLOGY FINAL EXAM (VERSION 3) 2024-2025 (100%
CORRECT) | VERIFIED AND RATED 100%: COMPLETE GUIDE
benign condition, psoriasis is a chronic, recurring condition in patients of all ages, most
commonly in patients from 15 to 35 years of age.
A nurse in an assisted living facility is assessing an older adult patient who
moved in three months ago following a death of his partner. The patient reports
Awakening early in the morning and admit to feeling very sad. The nurse should
identify that the patient is experiencing which of the following types of Grief?
A- Anticipatory grief
B- delayed grief
C- acute grief
D- disenfranchised grief
CORRECT- c
The patient experiencing acute grief will have both somatic and psychological
manifestations of distress, such as the inability to sleep well or profound sadness. The
nurse should identify that this patient is experiencing acute grief and further assess his
support system, concurrent stressors in his life, and his ability to manage stress.
A- The nurse should identify anticipatory grief as an expected response occurring prior
to an actual loss. Patients experiencing anticipatory grief might be preoccupied with
theimpending loss, make extensive funeral arrangements, or exhibit a change in
attitude toward the lost thing or individual.
B- The patient experiencing delayed grief is unable to accept the reality of a loss. The
patient remains in the denial stage of grief and is unable to allow himself to experience
feelings of sorrow and loss.
C- The patient experiencing acute grief will have both somatic and psychological
manifestations of distress, such as the inability to sleep well or profound sadness. The
nurse should identify that this patient is experiencing acute grief and further assess his
support system, concurrent stressors in his life, and his ability to manage stress.
D- The patient experiencing disenfranchised grief cannot openly acknowledge the loss
because of societal or religious norms.
A nurse is providing teaching to a patient who is to start taking alendronate
sodium. Which of the following recommendations should the nurse include in the
teaching?
A- The medication may be crushed if you have difficulty swallowing it
B- drink a full glass of milk when you take the medication
C- take the medication at bedtime
D- discontinue the medication if you develop heartburn
CORRECT- d
The nurse should instruct the patient to stop taking the medication if she develops
heartburn or if it worsens and to contact her provider. This is an indication that
esophageal irritation has occurred. Ways to avoid this are to take alendronate with 240
mL (8 oz) of water and to avoid lying down for 30 to 60 min after taking the medication.
