HESI RN GERONTOLOGY EXAM 2019
1. Which statement is true about rehab and restorative care for older adults? A PERSON CAN LEARN SKILLS AND GAIN ABILITIES THAT ENABLE FUNCTIONING
2. An older adult is in the hospital because of HF and has become incontinent of urine. Which EB resource should the nur...
1 which statement is true about rehab and restorative care for older adults a person can learn skills and gain abilities that enable functioning 2 an older adult is in
1. Which statement is true about rehab and restorative care for older adults? A
PERSONCAN LEARN SKILLS AND GAIN ABILITIES THAT ENABLE
FUNCTIONING
2. An older adult is in the hospital because of HF and has become incontinent of
urine. Which EB resource should the nurse use to guide continence care for this
pt? NURSINGSTANDARD PRACTICE PROTOCOL
3. The nurse understands that stress incontinence occurs? AS A RESULT OF
INCEASEDINTRAABDOMINAL PRESSURE
4. A large residual urine volume characterizes what type of incontinence? OVERLFOW
Which action should be included in all bladder-retraining programs? TOILETING AT
BEDTIME
5. The nurse assess a male resident in a NH for urinary incontinence and
determines thathe is unaware of the problem. Which recommendation should the
nurse implement? PROVIDE REGULAR TOILETING
6. The nurse wants to begin helping a resident who is overweight and has
urinary incontinence with healthy bladder behavior skills. Which intervention
should the nurseimplement? SCHEDULE VOIDING AT 2-4 HR INTERVALS
7. What is the most important aspect of care for the nurse to maintain when
assisting anolder pt with urinary incontinence? MAINTAINING AN ATTITUDE
THAT IS RESPECTFUL ABOUT RESLOVING THE PROBLEM
8. An older woman tells the NP that she fears her family will place her in a NH
because shedeveloped stress incontinence. Which recommendation should the
nurse implement? RECOMMEND EXERCISES TO STRENGTHEN THE PELVIC
FLOOR
9. The nurse is caring for a pt who has recently had an indwelling catheter
placed. Thenurse should assess the pt for? A CHANGE IN MENTAL STATUS
10. An older adult who is on bedrest after surgery is prescribed morphine for pain.
Whichof the following is the nurse’s priority for preventive care? CONSTIPATION
11. Which of the following statements is a true about elimination in older adults?
DEFACATION < 1 DAY IS NOT NECESSARILY CONSTIPATION
12. Which option is part of the program that addresses bowel incontinence in an older
adultpt? ENSURING THAT A TOILET OR COMMODE IS READILY ACCESSIBLE TO
THE PT
13. Which is an important consideration about the skin of an older adult person?
THESKIN BECOMES MORE VULNERABLE TO DAMAGE
,14. Which topical agent is safe to apply? LIGHT MINERAL OIL TO MOISTEN
SKINAFTER BATHING
15. A 70 yr old woman complains of dry skin and asks for advice. Which advice
should thenurse offer to this woman for improving dry skin? KEEP BATH WATER
BETWEEN 90* AND 105*F
16. The nurse monitors for which clinical indicator when the older adult
complains ofpruritus? COARSE SKIN
17. Which infection control practice should the nurse implement when caring for an
olderadult who has active herpes zoster? COVER RUPTURED SKIN LESIONS WITH
A NONABSORBENT DRESSING
17. The nurse is conducting an admission assessment on an older adult and notes a
smalllesion with a multicolor appearance. Which assessment approach should the
nurse use? ABCD RULE (ASYMMETRY, BORDER, COLOR, DIAMETER)
18. The nurse cares for an older man who has a malignant melanoma. Which
intervention should the nurse implement for this man to prevent a recurrence or
advancement of this condition in the future? INSTRUCT HIM TO WEAR SUN-
PROTECTIVE CLOTHING ANDA HAT AT ALL TIMES
19. Which of the following is a true statement about impaired skin integrity?
MUSCLEAND FAT CANNOT REGENERATE
20. An older adult is vitamin deficient. Which of the following does the nurse
offer to theolder adult to provide the important missing vitamin for maintaining
healthy skin and enhancing tissue repair? ORANGE SLICES
21. An older adult woman complains of foot plain from a corn. After assessing her
feet, which intervention should the nurse implement to alleviate her from
discomfort? CUT OUTAN OVAL CORN PAD TO MAKE A U SHAPE
22. Which of the following statements is true about Medicare for older adults? 80%
OF MEDICARE’S ANNUAL EXPENDITURES ARE FOR INDIVIDUALS WITH
CHRONICILLNESS
23. Acute illness is to chronic illness as to which of the following comparisons?
AN ER ISTO A NH
24. An older female pt is dx with a chronic illness. Which principle should the nurse
applywhen answering her questions? CHRONIC ILLNESS IS UNENDING AND
COPING CAN BE INFLUENCED BY THE PERCEPTION OF UNCERTAINTY
25. Over 50% of the population, aged 65 + yrs, suffers from which one of the
followingchronic health conditions? HTN AND ARTHRITIS
, 26. Which older adult has the most characteristics associated with becoming frail?
MALE,HISPANIC AMERICAN, WITH HYPOPROTEINEMIA
27. Which of the following describes the nurse’s role for an older pt with a chronic
illness? PROVIDE CARING TO HELP THE PT LIVE AT THE OPTIMAL LEVEL OF
HEALTH ANDWELLNESS
28.Which of the following statements is the most suitable for establishing goals
when teaching an older adult with a chronic illness about potential changes in
the health maintenance regimen? MANAGEMENT OF THE PT’S CHRONIC
DISEASE RESTS ONTHE PT AND THE CAREGIVER; THEREFORE, THE GOALS
SHOULD BE COLLABORATIVELY SET
29. Compared with acute pain, the following is true of persistent pain? IT CAN
BRINGABOUT CHANGES IN LIFESTYLE
30. The nurse admits an older male pt who had ABD surgery. On admission, VS
signs are:P-73, R-20, BP-136/84. He is receiving IV fluids but has not requested pain
meds since surgery. 7 hrs later, his VS are: P-98, R-26, BP-164/90, and he denies pain.
Which intervention should the nurse implement? ASK HIM ABOUT DISCOMFORT
AT THE SURGICAL SITE. (USE OLD CART – onset, location, duration,
characteristics, aggravation, relieving factors, and treatments previously used)
31. An older female adult had hip replacement surgery 1 day ago, and the nurse
thinks thatthe woman also has dementia. Which pt assessment does the nurse use to
determine that this woman is experiencing pain? HOLDS ABD TIGHTLY
32. An older male adult who is Hispanic states he is not having pain, but he had
knee replacement surgery 2 days ago. Which is the best assessment tool as
recommended by theHartford Institute for Geriatric Nursing from “Try This” for
the nurse to apply for this man? FACES PAIN SCALE-REVISED
The safest opioid analgesic choice for an older pt who has severe acute pain is which
of thefollowing? MORPHINE SULFATE (MORPHINE)
33. An older adult admitted for back surgery asks for opioid pain meds. The nurse
knowsthe pt asked for meds 15 min before it is due. Which recommendation
should the nurse implement? ADMINISTER THE PAIN MEDS AS PRESCRIBED
34. The nurse administers an opioid analgesic to an older male postoperative pt on
a surgical unit. Which is the most important intervention for the nurse to
implement beforeleaving the pt? INSTRUCT HIM TO ASK FOR HELP BEFORE
GETTING UP
POSITION THE PT COMFORTABLY
35. The nurse plans the care of an older female resident of a NH who has experienced
a sudden deterioration in visual acuity. The nurse administers an opioid analgesic to
an oldermale postoperative pt on a surgical unit. Which is the most important
intervention for the nurse complete first? EXAMINE HER MOOD AND
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