geriatrics HESI/final exam
Your older female patient is complaining because she is having frequent UTIs. Which normal age-related
change is most likely to be a contributing factor?
ch. 3 - correct answerDecreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.)
ch. 3 - correct answer1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all that apply.)
ch. 3 - correct answer1 Rigidity and tremors when at rest
3 Dementia
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment would the
nurse expect to be ordered?
ch.3 - correct answerAntibiotics
What should the nurse explain when discussing expected changes in the female reproductive system to
an older adult?
ch. 3 - correct answerProduction of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal and needs to be
reported?
ch. 3 - correct answerA dark, elevated patch that bleeds when touched
,The nurse encourages the patient to maintain a steady weight in the recommended range to decrease
risk of which common endocrine disease observed in older adults?
ch. 3 - correct answerDiabetes mellitus
What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 - correct answerOne 30-minute walk, 3 to 5 times a week
The nurse recognizes that regular dental visits are:
ch.4 - correct answerRecommended on a yearly basis for all older adults, even those with dentures.
An older adult does not follow through with health recommendations from the primary health care
provider. The older adult does not take prescribed medications or keep medical appointments. Which
patient problem should the LPN/LVN anticipate seeing on the care plan?
ch. 4 - correct answerNonadherence with the treatment plan
Which immunizations should older adults receive on a yearly basis? (Select all that apply.)
ch. 4 - correct answerInfluenza vaccine
When attempting to help an older adult improve his or her health maintenance practices, the nurse will
need to assess which factors? (Select all that apply.)
ch.4 - correct answerCultural beliefs
Socioeconomic status
Religious beliefs
Educational level
Your patient tells you she understands that she is at greater risk of certain diseases because of her
Hispanic American heritage. Based on what you have learned, which disorder(s) might she be at greater
risk for? (Select all that apply.)
ch.4 - correct answerObesity
Stomach cancer
Diabetes mellitus
, Cervical cancer
Which interventions would be appropriate when teaching a patient with presbycusis? (Select all that
apply.)
ch. 5 - correct answerUse visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse are most likely
to enhance communication with the patient? (Select all that apply.)
ch. 5 - correct answerIdentify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
A nurse is caring for an older adult who is upset about having to move into a skilled nursing facility.
Which communication technique used by the nurse is most effective at establishing an empathetic
climate?
ch. 5 - correct answerOpen-ended responses
A nurse is discharging an older adult patient from a rehabilitation facility after a left hip replacement.
The nurse providing discharge teaching knows that older adults are most responsive to what type of
information?
ch. 5 - correct answerWhen the information is relevant to their lives
An older adult who resides in a long-term care facility has been refusing food and fluids for the past 2
days. He repeatedly says, "Leave me alone!" What is the best initial nursing intervention?
ch. 6 - correct answerAssess to identify changes in physical or emotional status.
An older woman recently moved to the United States from the Middle East. She does not like to drink
cow's milk or eat most cheeses. What is a culturally acceptable food that would best help meet the need
for calcium?
Your older female patient is complaining because she is having frequent UTIs. Which normal age-related
change is most likely to be a contributing factor?
ch. 3 - correct answerDecreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.)
ch. 3 - correct answer1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all that apply.)
ch. 3 - correct answer1 Rigidity and tremors when at rest
3 Dementia
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment would the
nurse expect to be ordered?
ch.3 - correct answerAntibiotics
What should the nurse explain when discussing expected changes in the female reproductive system to
an older adult?
ch. 3 - correct answerProduction of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal and needs to be
reported?
ch. 3 - correct answerA dark, elevated patch that bleeds when touched
,The nurse encourages the patient to maintain a steady weight in the recommended range to decrease
risk of which common endocrine disease observed in older adults?
ch. 3 - correct answerDiabetes mellitus
What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 - correct answerOne 30-minute walk, 3 to 5 times a week
The nurse recognizes that regular dental visits are:
ch.4 - correct answerRecommended on a yearly basis for all older adults, even those with dentures.
An older adult does not follow through with health recommendations from the primary health care
provider. The older adult does not take prescribed medications or keep medical appointments. Which
patient problem should the LPN/LVN anticipate seeing on the care plan?
ch. 4 - correct answerNonadherence with the treatment plan
Which immunizations should older adults receive on a yearly basis? (Select all that apply.)
ch. 4 - correct answerInfluenza vaccine
When attempting to help an older adult improve his or her health maintenance practices, the nurse will
need to assess which factors? (Select all that apply.)
ch.4 - correct answerCultural beliefs
Socioeconomic status
Religious beliefs
Educational level
Your patient tells you she understands that she is at greater risk of certain diseases because of her
Hispanic American heritage. Based on what you have learned, which disorder(s) might she be at greater
risk for? (Select all that apply.)
ch.4 - correct answerObesity
Stomach cancer
Diabetes mellitus
, Cervical cancer
Which interventions would be appropriate when teaching a patient with presbycusis? (Select all that
apply.)
ch. 5 - correct answerUse visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse are most likely
to enhance communication with the patient? (Select all that apply.)
ch. 5 - correct answerIdentify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
A nurse is caring for an older adult who is upset about having to move into a skilled nursing facility.
Which communication technique used by the nurse is most effective at establishing an empathetic
climate?
ch. 5 - correct answerOpen-ended responses
A nurse is discharging an older adult patient from a rehabilitation facility after a left hip replacement.
The nurse providing discharge teaching knows that older adults are most responsive to what type of
information?
ch. 5 - correct answerWhen the information is relevant to their lives
An older adult who resides in a long-term care facility has been refusing food and fluids for the past 2
days. He repeatedly says, "Leave me alone!" What is the best initial nursing intervention?
ch. 6 - correct answerAssess to identify changes in physical or emotional status.
An older woman recently moved to the United States from the Middle East. She does not like to drink
cow's milk or eat most cheeses. What is a culturally acceptable food that would best help meet the need
for calcium?
