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Geri Final Exam HESI practice exam
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Geri Final Exam HESI practice exam
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GERI FINAL EXAM HESI PRACTICEEXAM QUESTIONS AND ANSWERS
x The practical nurse (PN) is assigned the care of an older client with venous stasis ulcers. A primary foal
in the client's plan of care is to decrease swelling in the extremities. What should the PN do to meet this
goal? - Elevate the legs of the pillow
An older women asks the practical nurse (PN0 how she can decrease her chances of getting cystitis.
What information should the PN provide? - Void and empty bladder completely q2 to 3 hours
The home health practical nurse (PN) is changing an older client's wet to dry dressing. Which observation
should the PN evaluate as a therapeutic response with the removal of the dry dressing? - Debridement
and removal of slough and eschar
The home health practical nurse (PN) visits an older woman with heart failure (HF) who is on complete
bed rest. Which intervention is most important for the practical nurse (PN) to suggest to the client to
prevent complications related to immobility? - Perform leg exercises while in bed.
The practical nurse (PN) is caring for an older female with Raynaud's phenomenon. Which exposure
should the PN instruct the client to avoid? - Cold climates
The practical nurse (PN) is giving medications through a gastric tube (GT) to an older client who is a
resident in a long-term care facility. The PN interrupts the continuous GT feeding. In which sequence
should the PN impalement these actions for administration of crushed medications? - 1. Crush the
medication into a power or fine granules
2. Dissolve each crushed medication in a medicine cup
3. Flush the feeding tube of feeding solution
4. Administer each medication separately
5. Flush GT to clear medication from the tubing
6. Reconnect the gastric feeding tube
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? -
Multiple medications can contribute to sundowner-like symptoms
The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older client who
arrives at the clinic for an annual physical examination. What common side effect should the practical
nurse (PN) advise the client to observe for with this medication? - headaches
, An older client is transferred to a telemetry unit after placement of a pacemaker. What action should the
practical nurse (PN) take first ? - Establish telemetry monitoring.
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 abilities.
B. Client's declining strength.
The hospice nurse is completing a focused assessment of an older female client with end stage
Alzheimer disease who recently fractured her hip. What technique should the practical nurse (PN) use to
determine the client's pain? - Observe for facial grimacing.
An older male client who is a new resident in an assisted living community is having difficulty going to
sleep since his arrival. Which intervention should the practical nurse (PN) implement first? - Ask the
client what has helped him in the past.
An older client who is a new resident is an assisted living facility is having short-term memory loss and
confusion. Which activity should the practical nurse (PN) schedule the client to do during the day? - Daily
exercise group.
An older female client is recently transferred to a rehabilitation facility after a total hip replacement and
asks the practical nurse (PN) if she broke her hip because she is old. How should the PN best respond? -
Older women commonly lose bone calcium which increases the risk of fracture.
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? - Enlarged veins.
An older female client who is 3 days postoperative for a right hip repair is admitted to the rehabilitation
center for strengthening in activities of daily living (ADL). The practical nurse (PN) is mobilizing the client
to go to physical therapy (PT). Which action should the PN implement first? - Direct client to use the
overhead trapeze.
The home health practical nurse (PN) visits an older female client with an illegal conduit who has been
experiencing chronic urinary tract infections (UTI). Which intervention should the PN recommend the
client do to manage the frequency of UTIs? - Attach a larger drainage bag while sleeping.
A frail elderly client with chronic obstructive pulmonary disease (COPD) is admitted for pneumonia after
taking a 10 day course of an antibiotic that was ineffective. The client has a long history of smoking and
still smokes a pack of cigarettes a day. Which finding should the practical nurse (PN) report to the charge
nurse? - Crackles and pulse oximetry level of 88%
The home health practical nurse (PN) is observing an older client for a pressure ulcer. Which finding
should the PN observe the area for a stage I pressure ulcer? - Deep pink, red, or mottled skin.
The home health practical nurse (PN) is reinforcing instructions to the the family about how to prevent
pressure ulcers for their older family member who is bedridden. Which measure should the PN discuss? -
Lift the client when turning instead of sliding.
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