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GERONTOLOGY HESI FUNDAMENTALS EXAM STUDY GUIDE AND PRACTICE EXAM 2024/2025 | ACCURATE REAL EXAM QUESTIONS WITH VERIFIED ANSWERS | EXPERT VERIFIED FOR A GUARANTEED PASS | LATEST UPDATE$15.99
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GERONTOLOGY HESI FUNDAMENTALS EXAM STUDY GUIDE AND PRACTICE EXAM 2024/2025 | ACCURATE REAL EXAM QUESTIONS WITH VERIFIED ANSWERS | EXPERT VERIFIED FOR A GUARANTEED PASS | LATEST UPDATE
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Course
HESI FUNDAMENTAL
Institution
HESI FUNDAMENTAL
GERONTOLOGY HESI FUNDAMENTALS EXAM STUDY GUIDE AND
PRACTICE EXAM 2024/2025 | ACCURATE REAL EXAM
QUESTIONS WITH VERIFIED ANSWERS | EXPERT VERIFIED FOR A
GUARANTEED PASS | LATEST UPDATE
GERONTOLOGY HESI FUNDAMENTALS EXAM STUDY GUIDE AND
PRACTICE EXAM 2024/2025 | ACCURATE REAL EXAM
QUESTIONS WITH VERIFIED ANSWERS | EXPERT VERIFIED FOR A
GUARANTEED PASS | LATEST UPDATE
The nursing assessment of an older female elicits information that the client is
diagnosed with Raynaud's phenomenon. Which exposure should the nurse instruct the
client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise
C) Cold Climates
Rationale: Can cause prolonged painful vasoconstriction of the peripheral extremities
(especially hands) in client's with Raynaud's phenomenon.
A family member brings their aging father to the clinic because he has been alert and
oriented during the day but agitated and disoriented in the evening. The registered
nurse (RN) reviews the client's list of current medications with the client and family.
Which action taken by the RN is most important?
a) Medication review with family caregivers is the PN's responsibility
b) Multiple medications can contribute to sundowner like symptoms
c) Medication recall is the best way to evaluate the client's memory
d) Reviewing medication actions is a component of effective client care
B) Multiple medications can contribute to sundowner like symptoms
Rationale: Older clients may see a variety of healthcare providers which can increase
the change of polypharmacy that compounds the workload of metabolic pathways that
may be less efficient due to the aging process. Multiple medication interactions may
contribute to sundowner like symptoms.
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,An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in
the left forearm for hemodialysis. After palpating the AV fistula, which finding is an
indication that the AV fistula is functioning properly?
a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas
A) Enlarged Veins
Rationale: The mixing of arterial and venous blood in an AV fistula causes the veins to
enlarge, which facilitate cannulation for hemodialysis
The home health registered nurse (RN) is changing an older client's wet to dry dressing.
Which observation should the RN evaluate as a therapeutic response with the removal
of the dry dressing?
a) Debridement and removal of slough and eschar
b) Drainage of purulent exudate from the wound
c) Moist skin edges around the wound field
d) Presence of capillary growth in the wound
A) Debridement and removal of slough and eschar
Rationale: Wet to dry dressings begin with a wet packing inside of the wound, and then
a dry gauze is used to cover the wet packing to wick drainage and bacteria away from
the wound to promote healing. Removal of dried dressing provides debridement by
removing exudate, sloughing tissue, and eschar.
Older clients are at highest risk for abuse and neglect due to which factors? (Select all
that apply)
a) Needs are greater than the caretaker's ability
b) Client's declining strength
c) Fixed income
d) Longer life expectancy
e) Lack of exposure to technology and trends
A, B
Rationale: When needs are not being met due to lack of ability of the caretaker, stress
and feelings of failure of the care provider may be expressed through neglect and
abuse. Decline in strength increases the older client's vulnerability to resist or respond
to elder abuse.
A 64-year-old client is admitted to the hospital with a fractured right hip. One of the
concerns following surgical repair is to promote dorsiflexion. Which intervention would a
,nurse implement?
a) Begin early ambulation
b) Monitor pain level
c) Provide PCA instructions
d) Provide a foot board
D) Provide a foot board
Rationale: A footboard supports the feet in dorsiflexion and helps prevent foot drop
throughout the recovery.
During the quarterly evaluations of the clients in the assisted living community, the
registered nurse (RN) assesses for findings of failure to thrive in the older population.
Which findings should the RN document and report as manifestations related to failure
to thrive? (Select all that apply).
a) Unintentional weight loss
b) Increased weakness
c) Increased amounts of sleep
d) Irritation and agitation
e) Seeking constant attention for caregiver
A, B, C
Rationale: Symptoms of failure to thrive in the older population include weight loss,
weakness, and excessive sleep, which should be documented and evaluated by a
healthcare provider immediately.
The home health practical nurse (PN) visits the home of an older client. The PN
assesses the environment for fall hazards. Which suggestions made by the PN
may prevent the client from falling? (Select all that apply.)
a. Use night lights.
b. Wax the floors frequently.
c. Place a nonskid mat in the shower.
d. Keep a throw rug on the kitchen floor.
e. Keep walkways clear inside and outside.
a. Use night lights.
c. Place a nonskid mat in the shower.
e. Keep walkways clear inside and outside.
Falls in the home can be prevented by ensuring adequate lighting, including night
light use, placing nonskid mats in showers and tubs, and keeping all walkways
clear, both inside and outside.
An older adult client has been diagnosed with lung cancer and will begin
receiving hospice services. The nurse expects to see which aspects included in
the plan of care? (Select all that apply.)
, a. Encouraging the client and family to remain hopeful that a cure will be found
b. Encouraging the client to continue with chemotherapy and radiation to treat
cancer
c. Administering medications to relieve symptoms of nausea, vomiting, and
diarrhea
d. Encouraging the client to continue with spiritual practices that provide comfort
e. Waiting until the pain becomes severe to administer narcotics to prevent
dependence
c. Administering medications to relieve symptoms of nausea, vomiting, and
diarrhea
d. Encouraging the client to continue with spiritual practices that provide comfort
The plan of care for a client who is terminally ill and receiving hospice services
includes symptom management for distressful symptoms that interfere with the
quality of life. The client is also encouraged to use spiritual practices that provide
comfort. Hospice care focuses on care, rather than cure and it is nontherapeutic
to encourage the client and family to hope for a cure or to continue futile therapy.
Pain management is emphasized, without concern of drug dependence.
An older adult in a long-term care setting approaches the nurse and states "I have
not had a bowel movement today, and I usually have a bowel movement every
day." Which action should the nurse take first?
a. Encourage the older adult to walk around.
b. Ask the older adult to drink additional fluids.
c. Determine any changes in the older adult's routine.
d. Ask the health care provider for a laxative prescription.
c. Determine any changes in the older adult's routine.
Recall the steps of the nursing process: data collection is the first step. First
determine if there has been any change in the older adult's routine that could
have caused the change in bowel activity. Until data collection has been
completed, it is fruitless to suggest alterations in the care of the client.
The nurse has reinforced instructions for an older adult regarding adhering to a
low sodium diet. The nurse realizes further instruction is needed if the older adult
selects which items from the menu? (Select all that apply.)
a. Frozen broccoli
b. Canned peas
c. Fried donuts
d. Canned vegetable soup
e. Canned peaches
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