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HESI RN Gerontology Practice Questions
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HESI RN Gerontology Practice Questions
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HESI RN Gerontology Practice QuestionsAn 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 - ANS A. Locked medication storage
in the client's room
B. Medication administration record (MAR)
D. Delivery of adequate supply of medication
E. List of findings indicating medication effectiveness
When assessing an older client, which age-related changes in the cardiovascular system should
the RN document? (Select all that apply.)
A. Dyspnea
B. Chest pain
C. Cardiac murmurs
D. Widening pulse pressure
E. Irregular heart rate. - ANS C. Cardiac murmurs
D. 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 RN focus on during the next
examination?
A. Anxiety
B. Depression
C. Exhaustion
D. Confusion - ANS B. Depression
The 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 disposable undergarment instead of underwear.
C. Ask if the client has attempted to void Q2 hours.
, D. Obtain a prescription for intermittent catheterization. - ANS A. Offer assistance with
toileting Q2 hours.
The HCP 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 RN advise
the client to observe for with this medication?
A. Constipation
B. Headaches
C. Muscle weakness
D. Nausea and vomiting - ANS B. Headaches
The RN is reinforcing discharge instructions with the family of an older client who was recently
admitted for an intestinal obstruction. What 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. - ANS C. Report abdominal
distention, constipation, or any nausea and vomiting to the HCP
An older male client asks the RN how he can reduce his incidents of hemorrhoidal flare ups.
What information should the RN offer the client about how to prevent rectal discomfort? (Select
all that apply.)
A. Increase fiber and liquids in the diet to help prevent constipation and straining.
B. Change exercise program to reflect less cardio-exercise and more weight training.
C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting
D. Take frequent warm sitz baths and do not use abrasive paper that can traumatize tissues
E. Establish bowel habits by scheduling daily time to defecate when the client is not rushed -
ANS A. Increase fiber and liquids in the diet to help prevent constipation and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting
D. Take frequent warm sitz baths and do not use abrasive paper that can traumatize tissues
E. Establish bowel habits by scheduling daily time to defecate when the client is not rushed
An older male client is seeking counseling about his recent sexual issues with his partner. What
issue should the RN explore in this discussion?
A. Certain medications may impact sexual function.
B. Normal aging affects sexual function in male clients.
C. Safe sex is not necessary with older sexually active elders.
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