GERONTOLOGY RN EXAM HESI (1)
Which statement is true about rehab and restorative care for older adults? A PERSON
CAN LEARN SKILLS AND GAIN ABILITIES THAT ENABLE FUNCTIONING
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
The nurse understands that stress incontinence occurs? AS A RESULT OF INCEASED
INTRAABDOMINAL PRESSURE
A large residual urine volume characterizes what type of incontinence? OVERLFOW
Which action should be included in all bladder-retraining programs? TOILETING AT
BEDTIME
The nurse assess a male resident in a NH for urinary incontinence and determines that he
is unaware of the problem. Which recommendation should the nurse implement?
PROVIDE REGULAR TOILETING
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
What is the most important aspect of care for the nurse to maintain when assisting an older
pt with urinary incontinence? MAINTAINING AN ATTITUDE THAT IS RESPECTFUL
ABOUT RESLOVING THE PROBLEM
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
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
An older adult who is on bedrest after surgery is prescribed morphine for pain. Which of
the following is the nurse’s priority for preventive care? CONSTIPATION
Which of the following statements is a true about elimination in older adults?
DEFACATION < 1 DAY IS NOT NECESSARILY CONSTIPATION
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
Which is an important consideration about the skin of an older adult person? THE SKIN
BECOMES MORE VULNERABLE TO DAMAGE
Which topical agent is safe to apply? LIGHT MINERAL OIL TO MOISTEN SKIN AFTER
BATHING
[Type here]
, 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
The nurse monitors for which clinical indicator when the older adult complains of
pruritus? COARSE SKIN
Which infection control practice should the nurse implement when caring for an older
adult who has active herpes zoster? COVER RUPTURED SKIN LESIONS WITH A
NONABSORBENT DRESSING
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)
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
Which of the following is a true statement about impaired skin integrity? MUSCLE AND
FAT CANNOT REGENERATE
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
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
Which of the following statements is true about Medicare for older adults? 80% OF
MEDICARE’S ANNUAL EXPENDITURES ARE FOR INDIVIDUALS WITH CHRONIC
ILLNESS
Acute illness is to chronic illness as to which of the following comparisons? AN ER IS TO A
NH
An older female pt is dx with a chronic illness. Which principle should the nurse apply
when answering her questions? CHRONIC ILLNESS IS UNENDING AND COPING CAN
BE INFLUENCED BY THE PERCEPTION OF UNCERTAINTY
Over 50% of the population, aged 65 + yrs, suffers from which one of the following chronic
health conditions? HTN AND ARTHRITIS
Which older adult has the most characteristics associated with becoming frail? MALE,
HISPANIC AMERICAN, WITH HYPOPROTEINEMIA
[Type here]
Which statement is true about rehab and restorative care for older adults? A PERSON
CAN LEARN SKILLS AND GAIN ABILITIES THAT ENABLE FUNCTIONING
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
The nurse understands that stress incontinence occurs? AS A RESULT OF INCEASED
INTRAABDOMINAL PRESSURE
A large residual urine volume characterizes what type of incontinence? OVERLFOW
Which action should be included in all bladder-retraining programs? TOILETING AT
BEDTIME
The nurse assess a male resident in a NH for urinary incontinence and determines that he
is unaware of the problem. Which recommendation should the nurse implement?
PROVIDE REGULAR TOILETING
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
What is the most important aspect of care for the nurse to maintain when assisting an older
pt with urinary incontinence? MAINTAINING AN ATTITUDE THAT IS RESPECTFUL
ABOUT RESLOVING THE PROBLEM
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
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
An older adult who is on bedrest after surgery is prescribed morphine for pain. Which of
the following is the nurse’s priority for preventive care? CONSTIPATION
Which of the following statements is a true about elimination in older adults?
DEFACATION < 1 DAY IS NOT NECESSARILY CONSTIPATION
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
Which is an important consideration about the skin of an older adult person? THE SKIN
BECOMES MORE VULNERABLE TO DAMAGE
Which topical agent is safe to apply? LIGHT MINERAL OIL TO MOISTEN SKIN AFTER
BATHING
[Type here]
, 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
The nurse monitors for which clinical indicator when the older adult complains of
pruritus? COARSE SKIN
Which infection control practice should the nurse implement when caring for an older
adult who has active herpes zoster? COVER RUPTURED SKIN LESIONS WITH A
NONABSORBENT DRESSING
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)
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
Which of the following is a true statement about impaired skin integrity? MUSCLE AND
FAT CANNOT REGENERATE
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
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
Which of the following statements is true about Medicare for older adults? 80% OF
MEDICARE’S ANNUAL EXPENDITURES ARE FOR INDIVIDUALS WITH CHRONIC
ILLNESS
Acute illness is to chronic illness as to which of the following comparisons? AN ER IS TO A
NH
An older female pt is dx with a chronic illness. Which principle should the nurse apply
when answering her questions? CHRONIC ILLNESS IS UNENDING AND COPING CAN
BE INFLUENCED BY THE PERCEPTION OF UNCERTAINTY
Over 50% of the population, aged 65 + yrs, suffers from which one of the following chronic
health conditions? HTN AND ARTHRITIS
Which older adult has the most characteristics associated with becoming frail? MALE,
HISPANIC AMERICAN, WITH HYPOPROTEINEMIA
[Type here]
