Ignatavcius Gerontology HESI Questions With 100%
Correct Answers.
An older resident is newly admitted to an assisted living community. Which
actions should the registered nurse (RN) implement to provide the resident ways
to maintain safe medication administration? (Select all that apply)
A) Locked medication storage in the client's room
B) Medication forms for prescribed medications
C) Payment forms for prescribed medications
D) Delivery of adequate supply of medication
E) List of findings indicating medication effectiveness
A,B,D,E
For safe self-medication in an assisted living community, the resident should be
provided a locked storage box, create a medication administration record to monitor
medication, establish adequate medication supply, and a reference to evaluate the
effectiveness of medication
When assessing an older client, which age-related changes in the cardiovascular
system should the registered nurse (RN) document? (Select all that apply.)
A) Dyspnea
B) Chest pain
C) Cardiac murmurs
D) Widening pulse pressure
E) Irregular heart rate
C,D
For older clients the expected age-related changes in the cardiovascular system include
murmurs and widening pulse pressure
An older client who recently moved into an assisted living community refuses to
eat or join any activities. When evaluating the client further, what should the
registered nurse (RN) focus on during the next examination?
A) Anxiety
B) Depression
C) Exhaustion
D) Confusion
B
Depression is a symptom that an older client is likely to experience with a sudden
change in living accommodations when a loss of personal identity can create low self-
esteem
The registered nurse (RN) is caring for an elderly client with functional
incontinence who lives in an assisted living community. The client is alert and
, mildly confused and can self ambulate. Which nursing intervention should the RN
implement?
A) Offer assistance with toileting q2 hours
B) Use protective disposal undergarment instead of underwear
C) Ask if the client has attempted to void q2 hours
D) Obtain a prescription for intermittent catherization
A
Maintaining independence and self-esteem is important for an older client with
incontinence. Toilet assistance decreases the client's chances of accidents and
embarrassment by introducing a toilet training program
The healthcare provider prescribes a new medication, atorvastatin (Lipitor, for an
older client who arrives at the clinic for an annual physical examination. What
common side effect should the registered nurse (RN) advise the client to observe
for with this medication?
A) Constipation
B) Headaches
C) Muscle weakness
D) Nausea and vomiting
B
Headaches are the most common side effect with this medication, which the RN should
direct the client to report
The registered nurse (RN) is re-enforcing discharge instructions with the family of
an older client who was recently admitted for an intestinal obstruction. Which
statement indicates that the family understands the instructions?
A) Increase protein and carbohydrates in the daily diet
B) Limit activity to bed rest for the first week and increase mobility incrementally
each week
C) Report abdominal distention, constipation or any nausea and vomiting to the
healthcare provider
D) Drink liquids 2 hours after meals instead of during meals
C
These are symptoms that occur with intestinal obstruction and should be addressed
immediately
An older male client asks the registered nurse (RN) how he can reduce his
incidents of hemorrhoidal flare ups. What information should the RN offer the
client about how to prevent rectal discomfort? (Select all that apply).
A) Increase fiber and liquids in the diet to help prevent constipation and straining
B) Change exercise program to reflect less cardio-exercise and more weight
training
Correct Answers.
An older resident is newly admitted to an assisted living community. Which
actions should the registered nurse (RN) implement to provide the resident ways
to maintain safe medication administration? (Select all that apply)
A) Locked medication storage in the client's room
B) Medication forms for prescribed medications
C) Payment forms for prescribed medications
D) Delivery of adequate supply of medication
E) List of findings indicating medication effectiveness
A,B,D,E
For safe self-medication in an assisted living community, the resident should be
provided a locked storage box, create a medication administration record to monitor
medication, establish adequate medication supply, and a reference to evaluate the
effectiveness of medication
When assessing an older client, which age-related changes in the cardiovascular
system should the registered nurse (RN) document? (Select all that apply.)
A) Dyspnea
B) Chest pain
C) Cardiac murmurs
D) Widening pulse pressure
E) Irregular heart rate
C,D
For older clients the expected age-related changes in the cardiovascular system include
murmurs and widening pulse pressure
An older client who recently moved into an assisted living community refuses to
eat or join any activities. When evaluating the client further, what should the
registered nurse (RN) focus on during the next examination?
A) Anxiety
B) Depression
C) Exhaustion
D) Confusion
B
Depression is a symptom that an older client is likely to experience with a sudden
change in living accommodations when a loss of personal identity can create low self-
esteem
The registered nurse (RN) is caring for an elderly client with functional
incontinence who lives in an assisted living community. The client is alert and
, mildly confused and can self ambulate. Which nursing intervention should the RN
implement?
A) Offer assistance with toileting q2 hours
B) Use protective disposal undergarment instead of underwear
C) Ask if the client has attempted to void q2 hours
D) Obtain a prescription for intermittent catherization
A
Maintaining independence and self-esteem is important for an older client with
incontinence. Toilet assistance decreases the client's chances of accidents and
embarrassment by introducing a toilet training program
The healthcare provider prescribes a new medication, atorvastatin (Lipitor, for an
older client who arrives at the clinic for an annual physical examination. What
common side effect should the registered nurse (RN) advise the client to observe
for with this medication?
A) Constipation
B) Headaches
C) Muscle weakness
D) Nausea and vomiting
B
Headaches are the most common side effect with this medication, which the RN should
direct the client to report
The registered nurse (RN) is re-enforcing discharge instructions with the family of
an older client who was recently admitted for an intestinal obstruction. Which
statement indicates that the family understands the instructions?
A) Increase protein and carbohydrates in the daily diet
B) Limit activity to bed rest for the first week and increase mobility incrementally
each week
C) Report abdominal distention, constipation or any nausea and vomiting to the
healthcare provider
D) Drink liquids 2 hours after meals instead of during meals
C
These are symptoms that occur with intestinal obstruction and should be addressed
immediately
An older male client asks the registered nurse (RN) how he can reduce his
incidents of hemorrhoidal flare ups. What information should the RN offer the
client about how to prevent rectal discomfort? (Select all that apply).
A) Increase fiber and liquids in the diet to help prevent constipation and straining
B) Change exercise program to reflect less cardio-exercise and more weight
training
