HESI GERONTOLOGY 2018 EXAM RN

HESI GERONTOLOGY 2018 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
INCEASED INTRAABDOMINAL PRESSURE
4. A large residual urine volume characterizes what type of incontinence? OVERLFOW
Which action should be included in all bladder-retraining programs? TOILETING AT
BEDTIME
5. 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
6. 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
7. 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
8. 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
9. 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
10. 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
11. Which of the following statements is a true about elimination in older adults?
DEFACATION < 1 DAY IS NOT NECESSARILY CONSTIPATION
12. 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
13. Which is an important consideration about the skin of an older adult person?
THE SKIN BECOMES MORE VULNERABLE TO DAMAGE

,HESI GERONTOLOGY 2018 EXAM
RN

14. Which topical agent is safe to apply? LIGHT MINERAL OIL TO MOISTEN SKIN
AFTER BATHING
15. 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
16. The nurse monitors for which clinical indicator when the older adult complains
of pruritus? COARSE SKIN
17. 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
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
apply when answering her questions? CHRONIC ILLNESS IS UNENDING AND COPING
CAN BE INFLUENCED BY THE PERCEPTION OF UNCERTAINTY
25. Over 50% of the population, aged 65 + yrs, suffers from which one of the
following chronic health conditions? HTN AND ARTHRITIS

, HESI GERONTOLOGY 2018 EXAM
RN

26. Which older adult has the most characteristics associated with becoming frail?
MALE, HISPANIC AMERICAN, WITH HYPOPROTEINEMIA
27. Which of the following describes the nurse’s role for an older pt with a chronic illness?
PROVIDE CARING TO HELP THE PT LIVE AT THE OPTIMAL LEVEL OF HEALTH
AND WELLNESS
28.Which of the following statements is the most suitable for establishing goals when
teaching an older adult with a chronic illness about potential changes in the health
maintenance regimen? MANAGEMENT OF THE PT’S CHRONIC DISEASE RESTS
ON THE PT AND THE CAREGIVER; THEREFORE, THE GOALS SHOULD BE
COLLABORATIVELY SET
29. Compared with acute pain, the following is true of persistent pain? IT CAN
BRING ABOUT CHANGES IN LIFESTYLE
30. The nurse admits an older male pt who had ABD surgery. On admission, VS signs
are: P-73, R-20, BP-136/84. He is receiving IV fluids but has not requested pain meds
since surgery. 7 hrs later, his VS are: P-98, R-26, BP-164/90, and he denies pain. Which
intervention should the nurse implement? ASK HIM ABOUT DISCOMFORT AT THE
SURGICAL SITE. (USE OLD CART – onset, location, duration, characteristics, aggravation,
relieving factors, and treatments previously used)
31. An older female adult had hip replacement surgery 1 day ago, and the nurse thinks
that the woman also has dementia. Which pt assessment does the nurse use to determine
that this woman is experiencing pain? HOLDS ABD TIGHTLY
32. An older male adult who is Hispanic states he is not having pain, but he had knee
replacement surgery 2 days ago. Which is the best assessment tool as recommended by
the Hartford Institute for Geriatric Nursing from “Try This” for the nurse to apply for
this man? FACES PAIN SCALE-REVISED
The safest opioid analgesic choice for an older pt who has severe acute pain is which of the
following? MORPHINE SULFATE (MORPHINE)
33. An older adult admitted for back surgery asks for opioid pain meds. The nurse
knows the pt asked for meds 15 min before it is due. Which recommendation should the
nurse implement? ADMINISTER THE PAIN MEDS AS PRESCRIBED
34. The nurse administers an opioid analgesic to an older male postoperative pt on a
surgical unit. Which is the most important intervention for the nurse to implement
before leaving the pt? INSTRUCT HIM TO ASK FOR HELP BEFORE GETTING UP
POSITION THE PT COMFORTABLY
35. The nurse plans the care of an older female resident of a NH who has experienced a
sudden deterioration in visual acuity. The nurse administers an opioid analgesic to an
older male postoperative pt on a surgical unit. Which is the most important intervention
for the nurse complete first? EXAMINE HER MOOD AND FUNCTIONAL STATUS