GERO HESI COMPLETE QUESTIONS
AND ANSWERS (VERIFIED)
Which observation by the nurse indicates a client's decrease in hearing acuity? Select all that
apply. One, some, or all responses may be correct. - ANSWER>>*Frequent use of words such as
"what"
2
*Postural changes while listening to the speaker
3
*Bending toward the other person while talking
4
*Mismatch between the questions asked and the responses given
5
Startled expression to any unexpected sound in the environment
Which action would the nurse take for a daughter who states that she gives sleeping pills to her
live-in mother who has dementia to stop wandering at night? - ANSWER>>*Explore hiring a
home health aide to stay with the client at night.
2
Discuss the possibility of having the client placed in a nursing home.
3
Suggest moving the client among family members on a monthly basis.
4
Empathize with the daughter but suggest that wrist restraints would be preferable
Which actions would be considered in the collaborative plan of care for a client with increased
lens density? Select all that apply. One, some, or all responses may be correct. -
ANSWER>>Performing keratoplasty
2
*Performing phacoemulsification
3
Monitoring for pain and eye redness
4
*Monitoring the client's blood glucose levels
5
*Assessing if the client is on antiplatelet medication
,The nurse instructs a 70-year-old client to dress warmly in cold weather. Which physical
changes seen in the client necessitate this instruction? Select all that apply. One, some, or all
responses may be correct. - ANSWER>>Reduced sebum production
2
Degeneration of elastic fibers
3
Decreased dermal blood flow
4
*Thinning of the subcutaneous layer
5
*Decreased vasomotor responsiveness
The nurse is advising an older adult client to apply moisturizer when the skin is moist. Which
physical change in the client is associated with this advice? - ANSWER>>Thinning subcutaneous
layer
2
Degeneration of elastic fibers
3
*Decreased dermal blood flow
4
Benign proliferation of capillaries
Which age-related changes would the nurse expect to find when assessing the reproductive
health of an older female client? Select all that apply. One, some, or all responses may be
correct. - ANSWER>>*Smaller clitoris
2
*Shrunken vulva
3
Dimpled breasts
4
*Narrowed vaginal opening
5
Green vaginal discharge
Which administration guidelines would the nurse follow when administering midazolam to an
older client? - ANSWER>>*The increments should be smaller, and the rate of injection should
be slower.
,2
The medication should be given as a rapid intravenous push.
3
It is important to monitor for spikes in blood pressure elevation during administration.
4
During the procedure, the medication should be given as needed for pain management.
An 82-year-old client is scheduled for physical therapy after a fracture of the arm. Considering
the older population, the nurse recalls that mild exercise is likely to have which effect on the
client's respirations? - ANSWER>>*Increase to 24 breaths per minute
2
Become progressively more difficult
3
Decrease in rate as their depth increases
4
Become irregular but remain within normal rates
Which approach would the nurse use for a client with Alzheimer disease who expresses fear
and anxiety upon admission to a long-term care facility? - ANSWER>>Exploring the reasons for
the concerns
2
*Reassuring the client with the presence of 1 or 2 staff members
3
Providing the client with a written schedule of planned interactions
4
Explaining to the client why the admission to the facility is necessary
While assessing the skin of an older adult, the nurse observes that the skin has a dry and
uneven color. Which change is responsible for this condition? - ANSWER>>Decreased
subcutaneous fat
2
Decreased extracellular water
3
Decreased proliferation capacity
Correct4
*Decreased activity of sebaceous glands
, Which precaution would the nurse teach a client prescribed selegiline for the treatment of
Parkinson disease? - ANSWER>>*Change to a standing position slowly.
2
Take the medication between meals.
3
Perform self-blood glucose monitoring.
4
Withhold the next dose if nausea occurs.
Which action would the nurse take for an older client with Alzheimer disease who has
intermittent episodes of urinary incontinence? - ANSWER>>Point out the behavior to the client.
2
Obtain incontinence pads for the client.
Correct3
*Take the client to the bathroom at regular intervals.
4
Encourage the client to call for help when there is an urge to urinate.
The registered nurse is teaching isometric exercises to an 80-year-old client. Which change as a
result of aging requires this intervention? - ANSWER>>Kyphotic posture
2
*Muscular atrophy
3
Decreased bone density
4
Cartilaginous degeneration
Which would the nurse assess to determine whether a 75-year-old individual is meeting the
developmental tasks associated with aging? - ANSWER>>Achievement of a personal philosophy
2
Adaptation to the children leaving home
Correct3
*Attainment of a sense of worth as a person
4
Adjustment to life in an assisted-living facility
Which nursing intervention is indicated for an aging client with decreased bone density? -
ANSWER>>Teaching the client isometric exercises
AND ANSWERS (VERIFIED)
Which observation by the nurse indicates a client's decrease in hearing acuity? Select all that
apply. One, some, or all responses may be correct. - ANSWER>>*Frequent use of words such as
"what"
2
*Postural changes while listening to the speaker
3
*Bending toward the other person while talking
4
*Mismatch between the questions asked and the responses given
5
Startled expression to any unexpected sound in the environment
Which action would the nurse take for a daughter who states that she gives sleeping pills to her
live-in mother who has dementia to stop wandering at night? - ANSWER>>*Explore hiring a
home health aide to stay with the client at night.
2
Discuss the possibility of having the client placed in a nursing home.
3
Suggest moving the client among family members on a monthly basis.
4
Empathize with the daughter but suggest that wrist restraints would be preferable
Which actions would be considered in the collaborative plan of care for a client with increased
lens density? Select all that apply. One, some, or all responses may be correct. -
ANSWER>>Performing keratoplasty
2
*Performing phacoemulsification
3
Monitoring for pain and eye redness
4
*Monitoring the client's blood glucose levels
5
*Assessing if the client is on antiplatelet medication
,The nurse instructs a 70-year-old client to dress warmly in cold weather. Which physical
changes seen in the client necessitate this instruction? Select all that apply. One, some, or all
responses may be correct. - ANSWER>>Reduced sebum production
2
Degeneration of elastic fibers
3
Decreased dermal blood flow
4
*Thinning of the subcutaneous layer
5
*Decreased vasomotor responsiveness
The nurse is advising an older adult client to apply moisturizer when the skin is moist. Which
physical change in the client is associated with this advice? - ANSWER>>Thinning subcutaneous
layer
2
Degeneration of elastic fibers
3
*Decreased dermal blood flow
4
Benign proliferation of capillaries
Which age-related changes would the nurse expect to find when assessing the reproductive
health of an older female client? Select all that apply. One, some, or all responses may be
correct. - ANSWER>>*Smaller clitoris
2
*Shrunken vulva
3
Dimpled breasts
4
*Narrowed vaginal opening
5
Green vaginal discharge
Which administration guidelines would the nurse follow when administering midazolam to an
older client? - ANSWER>>*The increments should be smaller, and the rate of injection should
be slower.
,2
The medication should be given as a rapid intravenous push.
3
It is important to monitor for spikes in blood pressure elevation during administration.
4
During the procedure, the medication should be given as needed for pain management.
An 82-year-old client is scheduled for physical therapy after a fracture of the arm. Considering
the older population, the nurse recalls that mild exercise is likely to have which effect on the
client's respirations? - ANSWER>>*Increase to 24 breaths per minute
2
Become progressively more difficult
3
Decrease in rate as their depth increases
4
Become irregular but remain within normal rates
Which approach would the nurse use for a client with Alzheimer disease who expresses fear
and anxiety upon admission to a long-term care facility? - ANSWER>>Exploring the reasons for
the concerns
2
*Reassuring the client with the presence of 1 or 2 staff members
3
Providing the client with a written schedule of planned interactions
4
Explaining to the client why the admission to the facility is necessary
While assessing the skin of an older adult, the nurse observes that the skin has a dry and
uneven color. Which change is responsible for this condition? - ANSWER>>Decreased
subcutaneous fat
2
Decreased extracellular water
3
Decreased proliferation capacity
Correct4
*Decreased activity of sebaceous glands
, Which precaution would the nurse teach a client prescribed selegiline for the treatment of
Parkinson disease? - ANSWER>>*Change to a standing position slowly.
2
Take the medication between meals.
3
Perform self-blood glucose monitoring.
4
Withhold the next dose if nausea occurs.
Which action would the nurse take for an older client with Alzheimer disease who has
intermittent episodes of urinary incontinence? - ANSWER>>Point out the behavior to the client.
2
Obtain incontinence pads for the client.
Correct3
*Take the client to the bathroom at regular intervals.
4
Encourage the client to call for help when there is an urge to urinate.
The registered nurse is teaching isometric exercises to an 80-year-old client. Which change as a
result of aging requires this intervention? - ANSWER>>Kyphotic posture
2
*Muscular atrophy
3
Decreased bone density
4
Cartilaginous degeneration
Which would the nurse assess to determine whether a 75-year-old individual is meeting the
developmental tasks associated with aging? - ANSWER>>Achievement of a personal philosophy
2
Adaptation to the children leaving home
Correct3
*Attainment of a sense of worth as a person
4
Adjustment to life in an assisted-living facility
Which nursing intervention is indicated for an aging client with decreased bone density? -
ANSWER>>Teaching the client isometric exercises
