HESI GERONTOLOGY 2020 TEST BANK 39 Q/A
OUT OF 55
1.
Male resident of a nursing home requests a new room b/c he does not like
the view in his present room. What action should the nurse take?
Show the client the rooms that are available.
2. The nurse is visiting an older client who is homebound. Which finding
about the client’s nutritional status requires additional follow-up?
Ate approximately 1200 calories daily for the past 2 weeks.
3. An elderly client with degenerative joint disease asks about using the
rubber jar openers that are available. The nurse’s response should be on
which information about assistive devices?
They decrease the risk for joint trauma.
4. The nurse is caring for an older client who is admitted due to a change in
mental status after 2 days of nausea and vomiting. The client’s home
medications include subcutaneous insulin, a daily antihypertensive, and a
daily diuretic. Which intervention should the nurse implement first?
Obtain capillary glucose level
5. An older female who is complaining of pain in her arm and back is brought
to the emergency department by her son who states she fell out of her
chair. The nurse notes that the client has been in the ED five times in the
last for a variety of superficial injuries. Which nursing action has the
highest priority?
Take mom to private room and ask if someone is hurting her
6. A nurse is caring for an older Vietnamese client who has terminal lung
cancer. The family members want to stay in the room, perform cultural
, rituals, and serve ethnic foods until the client dies. What action should the
nurse take?
Provide privacy and comfort for all family members
7. A post-menopausal female client with osteopenia tells the nurse that she
has increased her physical activity and hopes to participate in a charity
walkathon. How should the nurse respond?
Affirm the benefits of increasing her weight bearing activity.
8. The nurse is preparing to discharge an older woman to her home who was
admitted last week due to malnutrition and dehydration. The nurse
suspects that the client is being abused by her caregiver at home. Which
intervention should the nurse implement?
Notify adult protective services.
9. The clinic nurse receives a telephone call from the daughter of an older
female client. The daughter reports that her mother has a cough and has
become confused and short of breath, but only has a temperature of
99.4F. What action should the nurse take?
a. Reassure the daughter that these are common signs of upper
respiratory tract congestion.
b. Advise the daughter to monitor her mother’s temperature and call if
it continues to rise higher.
c. Tell the daughter to keep her mother well hydrated and encourage
rest for the next 48 hours.
d. Explain to the daughter that she needs to bring her mother for
immediate medical evaluation.
10. The unlicensed assistive personal (UAP) reports to the charge nurse that
an older resident of the extended care facility, who has limited mobility,
has not had a bowel movement in 5 days. Which action should the nurse
take first?
a. Check bowel sounds and abdominal tenderness
OUT OF 55
1.
Male resident of a nursing home requests a new room b/c he does not like
the view in his present room. What action should the nurse take?
Show the client the rooms that are available.
2. The nurse is visiting an older client who is homebound. Which finding
about the client’s nutritional status requires additional follow-up?
Ate approximately 1200 calories daily for the past 2 weeks.
3. An elderly client with degenerative joint disease asks about using the
rubber jar openers that are available. The nurse’s response should be on
which information about assistive devices?
They decrease the risk for joint trauma.
4. The nurse is caring for an older client who is admitted due to a change in
mental status after 2 days of nausea and vomiting. The client’s home
medications include subcutaneous insulin, a daily antihypertensive, and a
daily diuretic. Which intervention should the nurse implement first?
Obtain capillary glucose level
5. An older female who is complaining of pain in her arm and back is brought
to the emergency department by her son who states she fell out of her
chair. The nurse notes that the client has been in the ED five times in the
last for a variety of superficial injuries. Which nursing action has the
highest priority?
Take mom to private room and ask if someone is hurting her
6. A nurse is caring for an older Vietnamese client who has terminal lung
cancer. The family members want to stay in the room, perform cultural
, rituals, and serve ethnic foods until the client dies. What action should the
nurse take?
Provide privacy and comfort for all family members
7. A post-menopausal female client with osteopenia tells the nurse that she
has increased her physical activity and hopes to participate in a charity
walkathon. How should the nurse respond?
Affirm the benefits of increasing her weight bearing activity.
8. The nurse is preparing to discharge an older woman to her home who was
admitted last week due to malnutrition and dehydration. The nurse
suspects that the client is being abused by her caregiver at home. Which
intervention should the nurse implement?
Notify adult protective services.
9. The clinic nurse receives a telephone call from the daughter of an older
female client. The daughter reports that her mother has a cough and has
become confused and short of breath, but only has a temperature of
99.4F. What action should the nurse take?
a. Reassure the daughter that these are common signs of upper
respiratory tract congestion.
b. Advise the daughter to monitor her mother’s temperature and call if
it continues to rise higher.
c. Tell the daughter to keep her mother well hydrated and encourage
rest for the next 48 hours.
d. Explain to the daughter that she needs to bring her mother for
immediate medical evaluation.
10. The unlicensed assistive personal (UAP) reports to the charge nurse that
an older resident of the extended care facility, who has limited mobility,
has not had a bowel movement in 5 days. Which action should the nurse
take first?
a. Check bowel sounds and abdominal tenderness
