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TIONS AND CORRECT ANSWERS|AGRADE
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1. A frail, elderly client is admitted to the B. Confusion and dehydration
unit with a diagnosis of pneumonia.
Which finding is most important for the Rationale: Confusion and dehy-
registered nurse (RN) to report to the dration (B) are findings of inad-
healthcare provider? equate oxygenation and perfu-
sion in this frail elderly client. (A),
(C) and (D) are all common with
A. Fever and chills pneumonia, but the most impor-
B. Confusion and dehydration tant finding is confusion and ev-
C. Crackles in the lung fields idence of dehydration, which re-
D. Nausea and vomiting quire treatment for this frail elderly
client.
2. A frail elderly couple asks the registered D. Taste buds are often dull due
nurse (RN) if they have to watch their to atrophy so older clients should
salt intake because food does not taste use other seasonings instead of
as good as it used to so they have to salt.
season most foods. What information
should the RN offer the couple? Rationale: Taste buds atrophy
with normal aging, which influ-
A. Boredom may influence how the taste ences an older client's sensitivity
of food is perceived, and different sea- to taste and is often compensated
sonings can stimulate taste. for the use of stronger tasting sea-
B. With age, an increase in sodium in- sonings. (A), (B), and (C) are not
take is needed to compensate for a de- normal aging processes related
crease in renal function. to taste.
C. Short-term memory loss and confu-
sion may be the reason they want to
over-season their food.
D. Taste buds often are dull due to at-
rophy so older clients should use other
seasonings instead of salt.
3. After taking a 10-day course of an an- B. Crackles and pulse oximetry
tibiotic that was ineffective, a frail, el- level of 88%
derly client with chronic obstructive pul-
monary disease (COPD) is admitted for Rationale: With pneumonia,
pneumonia. The client has a long history crackles in the lungs and low O2
of saturation (B) can impact ade-
, GERONTOLOGY HESI RN EXIT TEST BANK LATEST UPDATE 2024| QU
TIONS AND CORRECT ANSWERS|AGRADE
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smoking and still smokes a pack of quate oxygenation, which should
cigarettes a day. Which finding should be reported to the HCP. (A) oc-
the registered nurse (RN) report to the curs due to chronic hyperinflation
healthcare provider? of the lungs and is common in
clients with COPD. Anemia (C)
A. Barrel chest with increased chest di- is frequently identified in clients
ameter with COPD, and respiratory aci-
B. Crackles and pulse oximetry level of dosis (D) due to CO2 retention
88% contributes to a lower blood pH.
C. Low hemoglobin and hematocrit lev-
els
D. Arterial blood gases indicating respi-
ratory acidosis
4. An older female client recently moved A. Explain that she is in a new
to an assisted living facility. The family home called an assisted living
explains to the registered nurse (RN) community.
that the client is unmanageable and
always confused, disoriented and de- Rationale: Reality re-orientation
pressed. The client asks the RN repeat- (A) is the best response for a
edly, "Where am I?". How should the RN client who is confused because
respond? the response is consistent and
true. (B, C, and D) do not provide
A. Explain that she is in a new home the client with feedback that is re-
called an assisted living community ality based.
B. Question the client about her percep-
tion of where she might be now.
C. Distract the client with a scenario that
she is on an outing with her family.
D. Reassure the client not to worry be-
cause she will meet new friends.
5. A new resident in an assisted living fa- D. Daily exercise group
cility is an older client who is experienc-
ing short-term memory loss and con- Rationale: A daily exercise group
fusion. Which activity should the regis- (D) allows the client to mirror the
tered nurse (RN) schedule the client to leader and minimizes the client's
do during the day? stress to remember. (A), (C), and
a current events discussion group
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TIONS AND CORRECT ANSWERS|AGRADE
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A. Arts and crafts (B) are thought-provoking activi-
B. Current events discussion group ties that require attention to detail
C. Group sing-along and short-term memory to partic-
D. Daily exercise group ipate in the group activity which
may be stressful and frustrating
to the resident who has difficulty
remembering sequence of the de-
tails.
6. The hospice nurse is completing a fo- C. Observe for facial grimacing
cused assessment of an older female
client with end stage Alzheimer's dis- Rationale: Observing for facial gri-
ease, who recently fractured her hip. macing (C) is the best method
What technique should the registered for evaluating pain for a client
nurse (RN) use to determine the client's who cannot communicate due to
pain? Alzheimer disease. (A) and (B)
A. Use the FACE pain scale may not be understood by a client
B. Ask the client to rate pain on a scale with end-stage Alzheimer's dis-
of 1 to 10 ease. (D) is not a helpful tool for
C. Observe for facial grimacing pain assessment.
D. Review documentation of recent eat-
ing habits
7. An older male client arrives at the clin- A. Query client to clarify the
ic for an annual physical examination. client's idea of an intimacy prob-
While the nurse assesses the client, the lem.
client states that he is having intimacy
problems with his wife. Which informa- Rationale: Clarification of the
tion should the nurse provide to elicit client's concern is needed to ap-
more information from the client? propriately address the specific
concern about intimacy issues
A. Query client to clarify the client's idea (A). (B), (C), and (D) are details
of an intimacy problem. that the client should present, not
B. Discuss benign prostatic hypertro- the RN.
phy (BPH) and ejaculation.
C. Explore the frequency that he experi-
ences erectile dysfunction (ED)
D. Determine if the client's wife is young
enough to get pregnant
TIONS AND CORRECT ANSWERS|AGRADE
Study online at https://quizlet.com/_fxwwn0
1. A frail, elderly client is admitted to the B. Confusion and dehydration
unit with a diagnosis of pneumonia.
Which finding is most important for the Rationale: Confusion and dehy-
registered nurse (RN) to report to the dration (B) are findings of inad-
healthcare provider? equate oxygenation and perfu-
sion in this frail elderly client. (A),
(C) and (D) are all common with
A. Fever and chills pneumonia, but the most impor-
B. Confusion and dehydration tant finding is confusion and ev-
C. Crackles in the lung fields idence of dehydration, which re-
D. Nausea and vomiting quire treatment for this frail elderly
client.
2. A frail elderly couple asks the registered D. Taste buds are often dull due
nurse (RN) if they have to watch their to atrophy so older clients should
salt intake because food does not taste use other seasonings instead of
as good as it used to so they have to salt.
season most foods. What information
should the RN offer the couple? Rationale: Taste buds atrophy
with normal aging, which influ-
A. Boredom may influence how the taste ences an older client's sensitivity
of food is perceived, and different sea- to taste and is often compensated
sonings can stimulate taste. for the use of stronger tasting sea-
B. With age, an increase in sodium in- sonings. (A), (B), and (C) are not
take is needed to compensate for a de- normal aging processes related
crease in renal function. to taste.
C. Short-term memory loss and confu-
sion may be the reason they want to
over-season their food.
D. Taste buds often are dull due to at-
rophy so older clients should use other
seasonings instead of salt.
3. After taking a 10-day course of an an- B. Crackles and pulse oximetry
tibiotic that was ineffective, a frail, el- level of 88%
derly client with chronic obstructive pul-
monary disease (COPD) is admitted for Rationale: With pneumonia,
pneumonia. The client has a long history crackles in the lungs and low O2
of saturation (B) can impact ade-
, GERONTOLOGY HESI RN EXIT TEST BANK LATEST UPDATE 2024| QU
TIONS AND CORRECT ANSWERS|AGRADE
Study online at https://quizlet.com/_fxwwn0
smoking and still smokes a pack of quate oxygenation, which should
cigarettes a day. Which finding should be reported to the HCP. (A) oc-
the registered nurse (RN) report to the curs due to chronic hyperinflation
healthcare provider? of the lungs and is common in
clients with COPD. Anemia (C)
A. Barrel chest with increased chest di- is frequently identified in clients
ameter with COPD, and respiratory aci-
B. Crackles and pulse oximetry level of dosis (D) due to CO2 retention
88% contributes to a lower blood pH.
C. Low hemoglobin and hematocrit lev-
els
D. Arterial blood gases indicating respi-
ratory acidosis
4. An older female client recently moved A. Explain that she is in a new
to an assisted living facility. The family home called an assisted living
explains to the registered nurse (RN) community.
that the client is unmanageable and
always confused, disoriented and de- Rationale: Reality re-orientation
pressed. The client asks the RN repeat- (A) is the best response for a
edly, "Where am I?". How should the RN client who is confused because
respond? the response is consistent and
true. (B, C, and D) do not provide
A. Explain that she is in a new home the client with feedback that is re-
called an assisted living community ality based.
B. Question the client about her percep-
tion of where she might be now.
C. Distract the client with a scenario that
she is on an outing with her family.
D. Reassure the client not to worry be-
cause she will meet new friends.
5. A new resident in an assisted living fa- D. Daily exercise group
cility is an older client who is experienc-
ing short-term memory loss and con- Rationale: A daily exercise group
fusion. Which activity should the regis- (D) allows the client to mirror the
tered nurse (RN) schedule the client to leader and minimizes the client's
do during the day? stress to remember. (A), (C), and
a current events discussion group
, GERONTOLOGY HESI RN EXIT TEST BANK LATEST UPDATE 2024| QU
TIONS AND CORRECT ANSWERS|AGRADE
Study online at https://quizlet.com/_fxwwn0
A. Arts and crafts (B) are thought-provoking activi-
B. Current events discussion group ties that require attention to detail
C. Group sing-along and short-term memory to partic-
D. Daily exercise group ipate in the group activity which
may be stressful and frustrating
to the resident who has difficulty
remembering sequence of the de-
tails.
6. The hospice nurse is completing a fo- C. Observe for facial grimacing
cused assessment of an older female
client with end stage Alzheimer's dis- Rationale: Observing for facial gri-
ease, who recently fractured her hip. macing (C) is the best method
What technique should the registered for evaluating pain for a client
nurse (RN) use to determine the client's who cannot communicate due to
pain? Alzheimer disease. (A) and (B)
A. Use the FACE pain scale may not be understood by a client
B. Ask the client to rate pain on a scale with end-stage Alzheimer's dis-
of 1 to 10 ease. (D) is not a helpful tool for
C. Observe for facial grimacing pain assessment.
D. Review documentation of recent eat-
ing habits
7. An older male client arrives at the clin- A. Query client to clarify the
ic for an annual physical examination. client's idea of an intimacy prob-
While the nurse assesses the client, the lem.
client states that he is having intimacy
problems with his wife. Which informa- Rationale: Clarification of the
tion should the nurse provide to elicit client's concern is needed to ap-
more information from the client? propriately address the specific
concern about intimacy issues
A. Query client to clarify the client's idea (A). (B), (C), and (D) are details
of an intimacy problem. that the client should present, not
B. Discuss benign prostatic hypertro- the RN.
phy (BPH) and ejaculation.
C. Explore the frequency that he experi-
ences erectile dysfunction (ED)
D. Determine if the client's wife is young
enough to get pregnant
