HESI GERONTOLOGY EXAM
RN
GERO EXAM 1
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 nurse use to guide continence care for this pt?
Nursing standard practice protocol
3. The nurse understands that stress incontinence occurs?
As a result of increased intraabdominal pressure
4. A large residual urine volume characterizes what type of incontinence?
Overlfow
5. Which action should be included in all bladder-retraining programs?
Toileting at bedtime
6. 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
7. The nurse wants to begin helping a resident who is overweight and has urinary
incontinence with healthy bladder behavior skills. Which intervention should the nurse
implement?
Schedule voiding at 2-4 hr intervals
8. 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
9. An older woman tells the NP that she fears her family will place her in a NH because she
developed stress incontinence. Which recommendation should the nurse implement?
Recommend exercises to strengthen the pelvic floor
10. The nurse is caring for a pt who has recently had an indwelling catheter placed. The
nurse should assess the pt for?
A change in mental status
11. 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
12. Which of the following statements is a true about elimination in older adults?
Defacation < 1 day is not necessarily constipation
13. Which option is part of the program that addresses bowel incontinence in an older adult pt?
Ensuring that a toilet or commode is readily accessible to the pt
,HESI GERONTOLOGY EXAM
RN
14. Which is an important consideration about the skin of an older adult person?
The skin becomes more vulnerable to damage
, HESI GERONTOLOGY EXAM
RN
15. Which topical agent is safe to apply?
Light mineral oil to moisten skinafter bathing
16. A 70 yr old woman complains of dry skin and asks for advice. Which advice should the
nurse offer to this woman for improving dry skin?
Keep bath water between 90* and 105*F
17. The nurse monitors for which clinical indicator when the older adult complains of
pruritus?
Coarse skin
18. 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 small
lesion 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 and a hat at all times
19. Which of the following is a true statement about impaired skin integrity?
Muscle and fat cannot regenerate
20. An older adult is vitamin deficient. Which of the following does the nurse offer to the
older 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 out an 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 chronic illness
23. Acute illness is to chronic illness as to which of the following comparisons?
An ER is to 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
RN
GERO EXAM 1
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 nurse use to guide continence care for this pt?
Nursing standard practice protocol
3. The nurse understands that stress incontinence occurs?
As a result of increased intraabdominal pressure
4. A large residual urine volume characterizes what type of incontinence?
Overlfow
5. Which action should be included in all bladder-retraining programs?
Toileting at bedtime
6. 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
7. The nurse wants to begin helping a resident who is overweight and has urinary
incontinence with healthy bladder behavior skills. Which intervention should the nurse
implement?
Schedule voiding at 2-4 hr intervals
8. 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
9. An older woman tells the NP that she fears her family will place her in a NH because she
developed stress incontinence. Which recommendation should the nurse implement?
Recommend exercises to strengthen the pelvic floor
10. The nurse is caring for a pt who has recently had an indwelling catheter placed. The
nurse should assess the pt for?
A change in mental status
11. 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
12. Which of the following statements is a true about elimination in older adults?
Defacation < 1 day is not necessarily constipation
13. Which option is part of the program that addresses bowel incontinence in an older adult pt?
Ensuring that a toilet or commode is readily accessible to the pt
,HESI GERONTOLOGY EXAM
RN
14. Which is an important consideration about the skin of an older adult person?
The skin becomes more vulnerable to damage
, HESI GERONTOLOGY EXAM
RN
15. Which topical agent is safe to apply?
Light mineral oil to moisten skinafter bathing
16. A 70 yr old woman complains of dry skin and asks for advice. Which advice should the
nurse offer to this woman for improving dry skin?
Keep bath water between 90* and 105*F
17. The nurse monitors for which clinical indicator when the older adult complains of
pruritus?
Coarse skin
18. 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 small
lesion 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 and a hat at all times
19. Which of the following is a true statement about impaired skin integrity?
Muscle and fat cannot regenerate
20. An older adult is vitamin deficient. Which of the following does the nurse offer to the
older 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 out an 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 chronic illness
23. Acute illness is to chronic illness as to which of the following comparisons?
An ER is to 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
