HESI GERIATRICS FINAL EXAM
A nurse is caring for an older adult who recently had small watery
bowel movements. The patient now complains of pressure in the
rectal area and abdominal cramping. Which is the most appropriate
initial nursing action?
ch .18 - ANSWERS-Notify the primary care provider of these
observations.
A nurse is caring for an older adult with a history of cardiac problems.
The nurse knows it is most important to institute measures to prevent
which outcome?
ch. 18 - ANSWERS-Constipation
A nurse is caring for a patient with urge urinary incontinence. Based
on the nature of this problem, the nurse plans to institute which
nursing interventions? (Select all that apply.)
ch. 18 - ANSWERS-Avoid placing throw rugs in her room.
Place her close to the restroom, and remind her of its location.
Orient the patient to the location of nearby restrooms.
An older woman has begun to stay in her apartment, avoiding
socializing with her peers in the independent living center. She states
that she cannot wait when she needs to urinate. She is afraid that she
,will have an accident. What is the most appropriate action for the
nurse to take?
ch. 18 - ANSWERS-Provide encouragement, and discuss Kegel
exercises and other approaches to cope with incontinence.
A home health nurse is visiting her patients and evaluating their
exercise routines. Which patients meet the current recommendations
for physical activity? (Select all that apply.)
ch. 19 - ANSWERS-Marge, a retired nurse, swims 25 minutes every
day except Sundays and does strength training with weights on
Tuesdays and Fridays.
Yi-Lin plays video fitness 3 times each day, 10 minutes each time, and
performs weight lifting 3 times a week.
The nurse is teaching an older adult with a history of severe cardiac
problems that the goal is to use exercise to maintain the highest level
of function possible. Which directions should be included in the
patient education to prevent hypertension or use of the Valsalva
maneuver?
ch. 19 - ANSWERS-Breathe through your mouth while exercising.
The patient problem of altered activity tolerance related to
oxygenation problems was identified. Which statement made by the
patient would indicate to the nurse the need for further teaching?
ch .19 - ANSWERS-"I need to do my activities quickly to get
everything done."
, The nurse is caring for an older adult residing in a community-based
residential facility. The patient states, "I just don't know what to do
except sleep. I worked hard all my life; I never had the time or money
to do lots of things." Which nursing intervention is the most
appropriate to meet this client's diversional activity needs?
ch. 19 - ANSWERS-Explore the variety of activities that are now
available to him.
In promoting sleep hygiene practices for her older adult patient, what
should the nurse suggest? (Select all that apply.)
ch. 20 - ANSWERS-Eat a light snack before bedtime.
Develop a daily exercise program, preferably outdoors.
The wife of an overweight older adult reports that her husband snores
very loudly, then stops breathing several times each night. In addition
to recommending a visit to the primary care provider, what should the
nurse suggest?
ch. 20 - ANSWERS-The husband should try to lose weight and sleep
in a side-lying position.
An older patient requests an evening snack. Which food is most
appropriate to facilitate sleep?
ch. 20 - ANSWERS-Graham cracker with banana and milk
A patient, who lost his wife 6 months ago, has been diagnosed with
clinical depression. He plans to ask his primary care provider for a
A nurse is caring for an older adult who recently had small watery
bowel movements. The patient now complains of pressure in the
rectal area and abdominal cramping. Which is the most appropriate
initial nursing action?
ch .18 - ANSWERS-Notify the primary care provider of these
observations.
A nurse is caring for an older adult with a history of cardiac problems.
The nurse knows it is most important to institute measures to prevent
which outcome?
ch. 18 - ANSWERS-Constipation
A nurse is caring for a patient with urge urinary incontinence. Based
on the nature of this problem, the nurse plans to institute which
nursing interventions? (Select all that apply.)
ch. 18 - ANSWERS-Avoid placing throw rugs in her room.
Place her close to the restroom, and remind her of its location.
Orient the patient to the location of nearby restrooms.
An older woman has begun to stay in her apartment, avoiding
socializing with her peers in the independent living center. She states
that she cannot wait when she needs to urinate. She is afraid that she
,will have an accident. What is the most appropriate action for the
nurse to take?
ch. 18 - ANSWERS-Provide encouragement, and discuss Kegel
exercises and other approaches to cope with incontinence.
A home health nurse is visiting her patients and evaluating their
exercise routines. Which patients meet the current recommendations
for physical activity? (Select all that apply.)
ch. 19 - ANSWERS-Marge, a retired nurse, swims 25 minutes every
day except Sundays and does strength training with weights on
Tuesdays and Fridays.
Yi-Lin plays video fitness 3 times each day, 10 minutes each time, and
performs weight lifting 3 times a week.
The nurse is teaching an older adult with a history of severe cardiac
problems that the goal is to use exercise to maintain the highest level
of function possible. Which directions should be included in the
patient education to prevent hypertension or use of the Valsalva
maneuver?
ch. 19 - ANSWERS-Breathe through your mouth while exercising.
The patient problem of altered activity tolerance related to
oxygenation problems was identified. Which statement made by the
patient would indicate to the nurse the need for further teaching?
ch .19 - ANSWERS-"I need to do my activities quickly to get
everything done."
, The nurse is caring for an older adult residing in a community-based
residential facility. The patient states, "I just don't know what to do
except sleep. I worked hard all my life; I never had the time or money
to do lots of things." Which nursing intervention is the most
appropriate to meet this client's diversional activity needs?
ch. 19 - ANSWERS-Explore the variety of activities that are now
available to him.
In promoting sleep hygiene practices for her older adult patient, what
should the nurse suggest? (Select all that apply.)
ch. 20 - ANSWERS-Eat a light snack before bedtime.
Develop a daily exercise program, preferably outdoors.
The wife of an overweight older adult reports that her husband snores
very loudly, then stops breathing several times each night. In addition
to recommending a visit to the primary care provider, what should the
nurse suggest?
ch. 20 - ANSWERS-The husband should try to lose weight and sleep
in a side-lying position.
An older patient requests an evening snack. Which food is most
appropriate to facilitate sleep?
ch. 20 - ANSWERS-Graham cracker with banana and milk
A patient, who lost his wife 6 months ago, has been diagnosed with
clinical depression. He plans to ask his primary care provider for a
