HESI GERONTOLOGY 2022 TEST BANK
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
, b. Increase fiber and diet and add daily prune juice
c. Perform a digital examination for a fecal impaction
11.An older male client is admitted with hypothermia with a core body
temperature of 95F (35C) due to the lack of adequate heat in his home.
Which findings should the nurse expect to obtain? (select all that apply)
a. Hyperalert state
b. Headache
c. Cool skin
d. Shivering
e. Confusion
12.An older adult woman, who cares for her husband at home without
assistance, requires minor surgery. With no family members living in the
area, the wife expresses concern about her husband’s care while she
recovers. Which intervention is likely to be most helpful in this situation?
a. Suggest she ask social services to find a respite care facility for the
husband
13.During report, an older female client, who had a right total hip
replacement three days ago, is described as intolerant of pain. When
assessing the client, the nurse finds that the client cannot straighten her
right foot, which is pointing outward from her body. Which action should
the nurse take?
Call healthcare provider immediately
14.An older female sustained a right hip fracture one week ago that was
surgically repaired the following day. Today she is reporting left sided leg
pain, and the nurse observes edema of the left leg and a positive Homan
sign. These findings should be reported to the health care provider
because they are indicative of which condition?
DVT
, 15.To help prevent drug interactions, which instruction should the nurse
provide an older client who is taking many medications?
A. Do not take any over the counter drugs while taking medications
prescribed by a healthcare provider (could be this one?)
B. Use a medication reminder system to prevent forgetting to take the
right medications at the right time (could be this one?)
C. Be sure a family member knows the name and use of all medications
currently being taken
D. Bring all medication supplement and herbs currently being taken to the
next clinic appointment (could be this one?)
16.The daughter of a frail, elderly woman brings her mother to the clinic for
an annual physical. Which concerns shared by the daughter should the
nurse address first?
a. The mother is having increasing periods of forgetfulness and mood
swings.
b. The daughter reports her mother’s bowel movements are hard and
infrequent.
c. The client lost 10 lbs last month and shows no interest in her
personal hygiene.
d. The family members are overwhelmed with the responsibility of
caring for her mother.
17.When conducting assessments at an assisted living community, the nurse
finds that an older adult client who is normally alert, oriented, and
continent, is confused and incontinent of urine. Which intervention is
MOST important for the nurse to implement?
a. Place a protective undergarment on the client
b. Obtain a clean, voided urine sample using a urinal hat
c. Encourage increased fluid intake for 24 hours
d. Evaluate the client’s response to bladder training efforts
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
, b. Increase fiber and diet and add daily prune juice
c. Perform a digital examination for a fecal impaction
11.An older male client is admitted with hypothermia with a core body
temperature of 95F (35C) due to the lack of adequate heat in his home.
Which findings should the nurse expect to obtain? (select all that apply)
a. Hyperalert state
b. Headache
c. Cool skin
d. Shivering
e. Confusion
12.An older adult woman, who cares for her husband at home without
assistance, requires minor surgery. With no family members living in the
area, the wife expresses concern about her husband’s care while she
recovers. Which intervention is likely to be most helpful in this situation?
a. Suggest she ask social services to find a respite care facility for the
husband
13.During report, an older female client, who had a right total hip
replacement three days ago, is described as intolerant of pain. When
assessing the client, the nurse finds that the client cannot straighten her
right foot, which is pointing outward from her body. Which action should
the nurse take?
Call healthcare provider immediately
14.An older female sustained a right hip fracture one week ago that was
surgically repaired the following day. Today she is reporting left sided leg
pain, and the nurse observes edema of the left leg and a positive Homan
sign. These findings should be reported to the health care provider
because they are indicative of which condition?
DVT
, 15.To help prevent drug interactions, which instruction should the nurse
provide an older client who is taking many medications?
A. Do not take any over the counter drugs while taking medications
prescribed by a healthcare provider (could be this one?)
B. Use a medication reminder system to prevent forgetting to take the
right medications at the right time (could be this one?)
C. Be sure a family member knows the name and use of all medications
currently being taken
D. Bring all medication supplement and herbs currently being taken to the
next clinic appointment (could be this one?)
16.The daughter of a frail, elderly woman brings her mother to the clinic for
an annual physical. Which concerns shared by the daughter should the
nurse address first?
a. The mother is having increasing periods of forgetfulness and mood
swings.
b. The daughter reports her mother’s bowel movements are hard and
infrequent.
c. The client lost 10 lbs last month and shows no interest in her
personal hygiene.
d. The family members are overwhelmed with the responsibility of
caring for her mother.
17.When conducting assessments at an assisted living community, the nurse
finds that an older adult client who is normally alert, oriented, and
continent, is confused and incontinent of urine. Which intervention is
MOST important for the nurse to implement?
a. Place a protective undergarment on the client
b. Obtain a clean, voided urine sample using a urinal hat
c. Encourage increased fluid intake for 24 hours
d. Evaluate the client’s response to bladder training efforts
