Geri Final Exam HESI practice exam quest
ls ls ls ls ls ls
ions and answers/correct/verified A+| fall
ls ls ls ls ls
2024
Thelspracticallsnursels(PN)lsislsassignedlsthelscarelsoflsanlsolderlsclientlswithlsvenouslsstasislsulcers.lsAlsprimarylsfoall
sinlsthelsclient'slsplanlsoflscarelsislstolsdecreaselsswellinglsinlsthelsextremities.lsWhatlsshouldlsthelsPNlsdolstolsmeetlst
hislsgoal?ls-lscorrectlsanswers-Elevatelsthelslegslsoflsthelspillow
Anlsolderlswomenlsaskslsthelspracticallsnursels(PN0lshowlsshelscanlsdecreaselsherlschanceslsoflsgettinglscystitis.lsW
hatlsinformationlsshouldlsthelsPNlsprovide?ls-lscorrectlsanswers-
Voidlsandlsemptylsbladderlscompletelylsq2lstols3lshours
Thelshomelshealthlspracticallsnursels(PN)lsislschanginglsanlsolderlsclient'slswetlstolsdrylsdressing.lsWhichlsobservati
onlsshouldlsthelsPNlsevaluatelsaslsalstherapeuticlsresponselswithlsthelsremovallsoflsthelsdrylsdressing?ls-
lscorrectlsanswers-Debridementlsandlsremovallsoflssloughlsandlseschar
Thelshomelshealthlspracticallsnursels(PN)lsvisitslsanlsolderlswomanlswithlsheartlsfailurels(HF)lswholsislsonlscompletel
sbedlsrest.lsWhichlsinterventionlsislsmostlsimportantlsforlsthelspracticallsnursels(PN)lstolssuggestlstolsthelsclientlstols
preventlscomplicationslsrelatedlstolsimmobility?ls-lscorrectlsanswers-Performlsleglsexerciseslswhilelsinlsbed.
Thelspracticallsnursels(PN)lsislscaringlsforlsanlsolderlsfemalelswithlsRaynaud'slsphenomenon.lsWhichlsexposurelssh
ouldlsthelsPNlsinstructlsthelsclientlstolsavoid?ls-lscorrectlsanswers-Coldlsclimates
Thelspracticallsnursels(PN)lsislsgivinglsmedicationslsthroughlsalsgastriclstubels(GT)lstolsanlsolderlsclientlswholsislsalsre
sidentlsinlsalslong-
termlscarelsfacility.lsThelsPNlsinterruptslsthelscontinuouslsGTlsfeeding.lsInlswhichlssequencelsshouldlsthelsPNlsimpa
lementlstheselsactionslsforlsadministrationlsoflscrushedlsmedications?ls-lscorrectlsanswers-
1.lsCrushlsthelsmedicationlsintolsalspowerlsorlsfinelsgranules
2.lsDissolvelseachlscrushedlsmedicationlsinlsalsmedicinelscup
3.lsFlushlsthelsfeedinglstubelsoflsfeedinglssolution
4.lsAdministerlseachlsmedicationlsseparately
5.lsFlushlsGTlstolsclearlsmedicationlsfromlsthelstubing
6.lsReconnectlsthelsgastriclsfeedinglstube
Alsfamilylsmemberlsbringslstheirlsaginglsfatherlstolsthelscliniclsbecauselshelshaslsbeenlsalertlsandlsorientedlsduringls
thelsdaylsbutlsagitatedlsandlsdisorientedlsinlsthelsevening.lsThelsregisteredlsnursels(RN)lsreviewslsthelsclient'slslistls
oflscurrentlsmedicationslswithlsthelsclientlsandlsfamily.lsWhichlsactionlstakenlsbylsthelsRNlsislsmostlsimportant?ls-
lscorrectlsanswers-Multiplelsmedicationslscanlscontributelstolssundowner-likelssymptoms
, Thelshealthcarelsproviderlsprescribeslsalsnewlsmedication,lsatrovastatinls(lipitor),lsforlsanlsolderlsclientlswholsarri
veslsatlsthelscliniclsforlsanlsannuallsphysicallsexamination.lsWhatlscommonlssidelseffectlsshouldlsthelspracticallsnurs
els(PN)lsadviselsthelsclientlstolsobservelsforlswithlsthislsmedication?ls-lscorrectlsanswers-headaches
Anlsolderlsclientlsislstransferredlstolsalstelemetrylsunitlsafterlsplacementlsoflsalspacemaker.lsWhatlsactionlsshouldlst
helspracticallsnursels(PN)lstakelsfirstls?ls-lscorrectlsanswers-Establishlstelemetrylsmonitoring.
Olderlsclientslsarelsatlshighestlsrisklsforlsabuselsandlsneglectlsduelstolswhichlsfactors?ls(selectlsalllsthatlsapply.)ls-
lscorrectlsanswers-A.Needslsarelsgreaterlsthanlsthelscaretaker'slsabilities.
B.lsClient'slsdeclininglsstrength.
ThelshospicelsnurselsislscompletinglsalsfocusedlsassessmentlsoflsanlsolderlsfemalelsclientlswithlsendlsstagelsAlzhei
merlsdiseaselswholsrecentlylsfracturedlsherlship.lsWhatlstechniquelsshouldlsthelspracticallsnursels(PN)lsuselstolsdet
erminelsthelsclient'slspain?ls-lscorrectlsanswers-Observelsforlsfaciallsgrimacing.
Anlsolderlsmalelsclientlswholsislsalsnewlsresidentlsinlsanlsassistedlslivinglscommunitylsislshavinglsdifficultylsgoinglstols
sleeplssincelshislsarrival.lsWhichlsinterventionlsshouldlsthelspracticallsnursels(PN)lsimplementlsfirst?ls-
lscorrectlsanswers-Asklsthelsclientlswhatlshaslshelpedlshimlsinlsthelspast.
Anlsolderlsclientlswholsislsalsnewlsresidentlsislsanlsassistedlslivinglsfacilitylsislshavinglsshort-
termlsmemorylslosslsandlsconfusion.lsWhichlsactivitylsshouldlsthelspracticallsnursels(PN)lsschedulelsthelsclientlstols
dolsduringlsthelsday?ls-lscorrectlsanswers-Dailylsexerciselsgroup.
Anlsolderlsfemalelsclientlsislsrecentlylstransferredlstolsalsrehabilitationlsfacilitylsafterlsalstotallshiplsreplacementlsan
dlsaskslsthelspracticallsnursels(PN)lsiflsshelsbrokelsherlshiplsbecauselsshelsislsold.lsHowlsshouldlsthelsPNlsbestlsrespon
d?ls-lscorrectlsanswers-Olderlswomenlscommonlylsloselsbonelscalciumlswhichlsincreaseslsthelsrisklsoflsfracture.
Anlsolderlsclientlswithlschroniclskidneylsdiseasels(CKD)lshaslsanlsarteriovenouslsfistulals(AV)lsinlsthelsleftlsforearmlsf
orlshemodialysis.lsAfterlspalpatinglsthelsAVlsfistula,lswhichlsfindinglsislsanlsindicationlsthatlsthelsAVlsfistulalsislsfunct
ioninglsproperly?ls-lscorrectlsanswers-Enlargedlsveins.
Anlsolderlsfemalelsclientlswholsisls3lsdayslspostoperativelsforlsalsrightlshiplsrepairlsislsadmittedlstolsthelsrehabilitatio
nlscenterlsforlsstrengtheninglsinlsactivitieslsoflsdailylslivingls(ADL).lsThelspracticallsnursels(PN)lsislsmobilizinglsthelscli
entlstolsgolstolsphysicallstherapyls(PT).lsWhichlsactionlsshouldlsthelsPNlsimplementlsfirst?ls-lscorrectlsanswers-
Directlsclientlstolsuselsthelsoverheadlstrapeze.
Thelshomelshealthlspracticallsnursels(PN)lsvisitslsanlsolderlsfemalelsclientlswithlsanlsillegallsconduitlswholshaslsbeenl
sexperiencinglschroniclsurinarylstractlsinfectionsls(UTI).lsWhichlsinterventionlsshouldlsthelsPNlsrecommendlsthels
clientlsdolstolsmanagelsthelsfrequencylsoflsUTIs?ls-lscorrectlsanswers-
Attachlsalslargerlsdrainagelsbaglswhilelssleeping.
Alsfraillselderlylsclientlswithlschroniclsobstructivelspulmonarylsdiseasels(COPD)lsislsadmittedlsforlspneumonialsafte
rlstakinglsals10lsdaylscourselsoflsanlsantibioticlsthatlswaslsineffective.lsThelsclientlshaslsalslonglshistorylsoflssmokinglsa
ndlsstilllssmokeslsalspacklsoflscigaretteslsalsday.lsWhichlsfindinglsshouldlsthelspracticallsnursels(PN)lsreportlstolsthelsc
hargelsnurse?ls-lscorrectlsanswers-Crackleslsandlspulselsoximetrylslevellsofls88%
Thelshomelshealthlspracticallsnursels(PN)lsislsobservinglsanlsolderlsclientlsforlsalspressurelsulcer.lsWhichlsfindinglssh
ouldlsthelsPNlsobservelsthelsarealsforlsalsstagelsIlspressurelsulcer?ls-lscorrectlsanswers-
Deeplspink,lsred,lsorlsmottledlsskin.
ls ls ls ls ls ls
ions and answers/correct/verified A+| fall
ls ls ls ls ls
2024
Thelspracticallsnursels(PN)lsislsassignedlsthelscarelsoflsanlsolderlsclientlswithlsvenouslsstasislsulcers.lsAlsprimarylsfoall
sinlsthelsclient'slsplanlsoflscarelsislstolsdecreaselsswellinglsinlsthelsextremities.lsWhatlsshouldlsthelsPNlsdolstolsmeetlst
hislsgoal?ls-lscorrectlsanswers-Elevatelsthelslegslsoflsthelspillow
Anlsolderlswomenlsaskslsthelspracticallsnursels(PN0lshowlsshelscanlsdecreaselsherlschanceslsoflsgettinglscystitis.lsW
hatlsinformationlsshouldlsthelsPNlsprovide?ls-lscorrectlsanswers-
Voidlsandlsemptylsbladderlscompletelylsq2lstols3lshours
Thelshomelshealthlspracticallsnursels(PN)lsislschanginglsanlsolderlsclient'slswetlstolsdrylsdressing.lsWhichlsobservati
onlsshouldlsthelsPNlsevaluatelsaslsalstherapeuticlsresponselswithlsthelsremovallsoflsthelsdrylsdressing?ls-
lscorrectlsanswers-Debridementlsandlsremovallsoflssloughlsandlseschar
Thelshomelshealthlspracticallsnursels(PN)lsvisitslsanlsolderlswomanlswithlsheartlsfailurels(HF)lswholsislsonlscompletel
sbedlsrest.lsWhichlsinterventionlsislsmostlsimportantlsforlsthelspracticallsnursels(PN)lstolssuggestlstolsthelsclientlstols
preventlscomplicationslsrelatedlstolsimmobility?ls-lscorrectlsanswers-Performlsleglsexerciseslswhilelsinlsbed.
Thelspracticallsnursels(PN)lsislscaringlsforlsanlsolderlsfemalelswithlsRaynaud'slsphenomenon.lsWhichlsexposurelssh
ouldlsthelsPNlsinstructlsthelsclientlstolsavoid?ls-lscorrectlsanswers-Coldlsclimates
Thelspracticallsnursels(PN)lsislsgivinglsmedicationslsthroughlsalsgastriclstubels(GT)lstolsanlsolderlsclientlswholsislsalsre
sidentlsinlsalslong-
termlscarelsfacility.lsThelsPNlsinterruptslsthelscontinuouslsGTlsfeeding.lsInlswhichlssequencelsshouldlsthelsPNlsimpa
lementlstheselsactionslsforlsadministrationlsoflscrushedlsmedications?ls-lscorrectlsanswers-
1.lsCrushlsthelsmedicationlsintolsalspowerlsorlsfinelsgranules
2.lsDissolvelseachlscrushedlsmedicationlsinlsalsmedicinelscup
3.lsFlushlsthelsfeedinglstubelsoflsfeedinglssolution
4.lsAdministerlseachlsmedicationlsseparately
5.lsFlushlsGTlstolsclearlsmedicationlsfromlsthelstubing
6.lsReconnectlsthelsgastriclsfeedinglstube
Alsfamilylsmemberlsbringslstheirlsaginglsfatherlstolsthelscliniclsbecauselshelshaslsbeenlsalertlsandlsorientedlsduringls
thelsdaylsbutlsagitatedlsandlsdisorientedlsinlsthelsevening.lsThelsregisteredlsnursels(RN)lsreviewslsthelsclient'slslistls
oflscurrentlsmedicationslswithlsthelsclientlsandlsfamily.lsWhichlsactionlstakenlsbylsthelsRNlsislsmostlsimportant?ls-
lscorrectlsanswers-Multiplelsmedicationslscanlscontributelstolssundowner-likelssymptoms
, Thelshealthcarelsproviderlsprescribeslsalsnewlsmedication,lsatrovastatinls(lipitor),lsforlsanlsolderlsclientlswholsarri
veslsatlsthelscliniclsforlsanlsannuallsphysicallsexamination.lsWhatlscommonlssidelseffectlsshouldlsthelspracticallsnurs
els(PN)lsadviselsthelsclientlstolsobservelsforlswithlsthislsmedication?ls-lscorrectlsanswers-headaches
Anlsolderlsclientlsislstransferredlstolsalstelemetrylsunitlsafterlsplacementlsoflsalspacemaker.lsWhatlsactionlsshouldlst
helspracticallsnursels(PN)lstakelsfirstls?ls-lscorrectlsanswers-Establishlstelemetrylsmonitoring.
Olderlsclientslsarelsatlshighestlsrisklsforlsabuselsandlsneglectlsduelstolswhichlsfactors?ls(selectlsalllsthatlsapply.)ls-
lscorrectlsanswers-A.Needslsarelsgreaterlsthanlsthelscaretaker'slsabilities.
B.lsClient'slsdeclininglsstrength.
ThelshospicelsnurselsislscompletinglsalsfocusedlsassessmentlsoflsanlsolderlsfemalelsclientlswithlsendlsstagelsAlzhei
merlsdiseaselswholsrecentlylsfracturedlsherlship.lsWhatlstechniquelsshouldlsthelspracticallsnursels(PN)lsuselstolsdet
erminelsthelsclient'slspain?ls-lscorrectlsanswers-Observelsforlsfaciallsgrimacing.
Anlsolderlsmalelsclientlswholsislsalsnewlsresidentlsinlsanlsassistedlslivinglscommunitylsislshavinglsdifficultylsgoinglstols
sleeplssincelshislsarrival.lsWhichlsinterventionlsshouldlsthelspracticallsnursels(PN)lsimplementlsfirst?ls-
lscorrectlsanswers-Asklsthelsclientlswhatlshaslshelpedlshimlsinlsthelspast.
Anlsolderlsclientlswholsislsalsnewlsresidentlsislsanlsassistedlslivinglsfacilitylsislshavinglsshort-
termlsmemorylslosslsandlsconfusion.lsWhichlsactivitylsshouldlsthelspracticallsnursels(PN)lsschedulelsthelsclientlstols
dolsduringlsthelsday?ls-lscorrectlsanswers-Dailylsexerciselsgroup.
Anlsolderlsfemalelsclientlsislsrecentlylstransferredlstolsalsrehabilitationlsfacilitylsafterlsalstotallshiplsreplacementlsan
dlsaskslsthelspracticallsnursels(PN)lsiflsshelsbrokelsherlshiplsbecauselsshelsislsold.lsHowlsshouldlsthelsPNlsbestlsrespon
d?ls-lscorrectlsanswers-Olderlswomenlscommonlylsloselsbonelscalciumlswhichlsincreaseslsthelsrisklsoflsfracture.
Anlsolderlsclientlswithlschroniclskidneylsdiseasels(CKD)lshaslsanlsarteriovenouslsfistulals(AV)lsinlsthelsleftlsforearmlsf
orlshemodialysis.lsAfterlspalpatinglsthelsAVlsfistula,lswhichlsfindinglsislsanlsindicationlsthatlsthelsAVlsfistulalsislsfunct
ioninglsproperly?ls-lscorrectlsanswers-Enlargedlsveins.
Anlsolderlsfemalelsclientlswholsisls3lsdayslspostoperativelsforlsalsrightlshiplsrepairlsislsadmittedlstolsthelsrehabilitatio
nlscenterlsforlsstrengtheninglsinlsactivitieslsoflsdailylslivingls(ADL).lsThelspracticallsnursels(PN)lsislsmobilizinglsthelscli
entlstolsgolstolsphysicallstherapyls(PT).lsWhichlsactionlsshouldlsthelsPNlsimplementlsfirst?ls-lscorrectlsanswers-
Directlsclientlstolsuselsthelsoverheadlstrapeze.
Thelshomelshealthlspracticallsnursels(PN)lsvisitslsanlsolderlsfemalelsclientlswithlsanlsillegallsconduitlswholshaslsbeenl
sexperiencinglschroniclsurinarylstractlsinfectionsls(UTI).lsWhichlsinterventionlsshouldlsthelsPNlsrecommendlsthels
clientlsdolstolsmanagelsthelsfrequencylsoflsUTIs?ls-lscorrectlsanswers-
Attachlsalslargerlsdrainagelsbaglswhilelssleeping.
Alsfraillselderlylsclientlswithlschroniclsobstructivelspulmonarylsdiseasels(COPD)lsislsadmittedlsforlspneumonialsafte
rlstakinglsals10lsdaylscourselsoflsanlsantibioticlsthatlswaslsineffective.lsThelsclientlshaslsalslonglshistorylsoflssmokinglsa
ndlsstilllssmokeslsalspacklsoflscigaretteslsalsday.lsWhichlsfindinglsshouldlsthelspracticallsnursels(PN)lsreportlstolsthelsc
hargelsnurse?ls-lscorrectlsanswers-Crackleslsandlspulselsoximetrylslevellsofls88%
Thelshomelshealthlspracticallsnursels(PN)lsislsobservinglsanlsolderlsclientlsforlsalspressurelsulcer.lsWhichlsfindinglssh
ouldlsthelsPNlsobservelsthelsarealsforlsalsstagelsIlspressurelsulcer?ls-lscorrectlsanswers-
Deeplspink,lsred,lsorlsmottledlsskin.
