HESIdGERONTOLOGYd2018dEXAMdRN
HESI GERONTOLOGY TESTBANK
d d
GERO EXAM 1 d d
1. Whichdstatementdisdtruedaboutdrehabdanddrestorativedcaredfordolderdadults?dAdPERSONd
CANdLEARNdSKILLS
ANDdGAINdABILITIESdTHATdENABLEdFUNCTIONING
2. AndolderdadultdisdindthedhospitaldbecausedofdHFdanddhasdbecomedincontinentdofdurine.d
WhichdEBdresourcedshoulddthednursedusedtodguidedcontinencedcaredfordthisdpt?dNURSINGd
STANDARDdPRACTICEdPROTOCOL
3. Thednursedunderstandsdthatdstressdincontinencedoccurs?dASdAdRESULTdOFdINCEASEDdI
NTRAABDOMINALdPRESSURE
4. Adlargedresidualdurinedvolumedcharacterizesdwhatdtypedofdincontinence?d OVERLFOW
Whichdactiondshoulddbedincludeddindalldbladder-
retrainingdprograms?dTOILETINGdATdBEDTIME
5. ThednursedassessdadmaledresidentdindadNHdfordurinarydincontinencedandddeterminesdthatd
hedisdunawaredofdthedproblem.dWhichdrecommendationdshoulddthednursedimplement?dPR
OVIDEdREGULARdTOILETING
6. Thednursedwantsdtodbegindhelpingdadresidentdwhodisdoverweightdanddhasdurinarydincon
tinencedwithdhealthydbladderdbehaviordskills.dWhichdinterventiondshoulddthednursedimple
ment?dSCHEDULEdVOIDINGdATd2-4dHRdINTERVALS
7. Whatdisdthedmostdimportantdaspectdofdcaredfordthednursedtodmaintaindwhendassistingdand
olderdptdwithdurinarydincontinence?dMAINTAININGdANdATTITUDEdTHATdISdRESPEC
TFULdABOUTdRESLOVINGdTHEdPROBLEM
8. AndolderdwomandtellsdthedNPdthatdshedfearsdherdfamilydwilldplacedherdindadNHdbecausedshed
developeddstressdincontinence.dWhichdrecommendationdshoulddthednursedimplement?dREC
OMMENDdEXERCISESdTOdSTRENGTHENdTHEdPELVICdFLOOR
9. Thednursedisdcaringdfordadptdwhodhasdrecentlydhaddandindwellingdcatheterdplaced.dThed
nursedshoulddassessdthedptdfor?dAdCHANGEdINdMENTALdSTATUS
10. Andolderdadultdwhodisdondbedrestdafterdsurgerydisdprescribeddmorphinedfordpain.dWhichd
ofdthedfollowingdisdthednurse’sdprioritydfordpreventivedcare?dCONSTIPATION
11. Whichdofdthedfollowingdstatementsdisdadtruedaboutdeliminationdindolderdadults?
DEFACATIONd<d1dDAYdISdNOTdNECESSARILYdCONSTIPATION
12. Whichdoptiondisdpartdofdthedprogramdthatdaddressesdboweldincontinencedindandolderdadultd
pt?dENSURINGdTHATdAdTOILETdORdCOMMODEdISdREADILYdACCESSIBLEdTOdTHEdPT
13. Whichdisdandimportantdconsiderationdaboutdthedskindofdandolderdadultdperson?dTHEd
SKINdBECOMESdMOREdVULNERABLEdTOdDAMAGE
,HESIdGERONTOLOGYd2018dEXAMdRN
14. Whichdtopicaldagentdisdsafedtodapply?dLIGHTdMINERALdOILdTOdMOISTENdSKINd
AFTERdBATHING
15. Ad70dyrdolddwomandcomplainsdofddrydskindanddasksdfordadvice.dWhichdadvicedshoulddthed
nursedofferdtodthisdwomandfordimprovingddrydskin?dKEEPdBATHdWATERdBETWEENd90*d
ANDd105*F
16. Thednursedmonitorsdfordwhichdclinicaldindicatordwhendthedolderdadultdcomplainsdofd
pruritus?dCOARSEdSKIN
17. Whichdinfectiondcontroldpracticedshoulddthednursedimplementdwhendcaringdfordandolderd
adultdwhodhasdactivedherpesdzoster?dCOVERdRUPTUREDdSKINdLESIONSdWITHdAdNONA
BSORBENTdDRESSING
17. Thednursedisdconductingdandadmissiondassessmentdondandolderdadultdanddnotesdadsmalldl
esiondwithdadmulticolordappearance.dWhichdassessmentdapproachdshoulddthednurseduse?d
ABCDdRULEd(ASYMMETRY,dBORDER,dCOLOR,dDIAMETER)
18. Thednursedcaresdfordandolderdmandwhodhasdadmalignantdmelanoma.dWhichdinterventionds
houlddthednursedimplementdfordthisdmandtodpreventdadrecurrencedordadvancementdofdthisdco
nditiondindthedfuture?dINSTRUCTdHIMdTOdWEARdSUN-
PROTECTIVEdCLOTHINGdANDdAdHATdATdALLdTIMES
19. Whichdofdthedfollowingdisdadtruedstatementdaboutdimpaireddskindintegrity?dMUSCLEd
ANDdFATdCANNOTdREGENERATE
20. Andolderdadultdisdvitaminddeficient.dWhichdofdthedfollowingddoesdthednursedofferdtodthed
olderdadultdtodprovidedthedimportantdmissingdvitamindfordmaintainingdhealthydskindandde
nhancingdtissuedrepair?dORANGEdSLICES
21. Andolderdadultdwomandcomplainsdofdfootdplaindfromdadcorn.dAfterdassessingdherdfeet,dwhi
chdinterventiondshoulddthednursedimplementdtodalleviatedherdfromddiscomfort?dCUTdOUTdANd
OVALdCORNdPADdTOdMAKEdAdUdSHAPE
22. WhichdofdthedfollowingdstatementsdisdtruedaboutdMedicaredfordolderdadults?d80%dOFd
MEDICARE’SdANNUALdEXPENDITURESdAREdFORdINDIVIDUALSdWITHdCHRONICdI
LLNESS
23. Acutedillnessdisdtodchronicdillnessdasdtodwhichdofdthedfollowingdcomparisons?dANdERdISd
TOdAdNH
24. Andolderdfemaledptdisddxdwithdadchronicdillness.dWhichdprincipledshoulddthednursedapplyd
whendansweringdherdquestions?dCHRONICdILLNESSdISdUNENDINGdANDdCOPINGdCANd
BEdINFLUENCEDdBYdTHEdPERCEPTIONdOFdUNCERTAINTY
25. Overd50%dofdthedpopulation,dagedd65d+dyrs,dsuffersdfromdwhichdonedofdthedfollowingd
chronicdhealthdconditions?dHTNdANDdARTHRITIS
, HESIdGERONTOLOGYd2018dEXAMdRN
26. Whichdolderdadultdhasdthedmostdcharacteristicsdassociateddwithdbecomingdfrail?dMALE,d
HISPANICdAMERICAN,dWITHdHYPOPROTEINEMIA
27. Whichdofdthedfollowingddescribesdthednurse’sdroledfordandolderdptdwithdadchronicdillness?d
PROVIDEdCARINGdTOdHELPdTHEdPTdLIVEdATdTHEdOPTIMALdLEVELdOFdHEALTHdANDd
WELLNESS
28.Whichdofdthedfollowingdstatementsdisdthedmostdsuitabledfordestablishingdgoalsdwhendte
achingdandolderdadultdwithdadchronicdillnessdaboutdpotentialdchangesdindthedhealthdmaint
enancedregimen?dMANAGEMENTdOFdTHEdPT’SdCHRONICdDISEASEdRESTSdONdTHEdP
TdANDdTHEdCAREGIVER;dTHEREFORE,dTHEdGOALSdSHOULDdBEdCOLLABORATIV
ELYdSET
29. Compareddwithdacutedpain,dthedfollowingdisdtruedofdpersistentdpain?dITdCANdBRINGd
ABOUTdCHANGESdINdLIFESTYLE
30. ThednursedadmitsdandolderdmaledptdwhodhaddABDdsurgery.dOndadmission,dVSdsignsdare:d
P-73,dR-20,dBP-
136/84.dHedisdreceivingdIVdfluidsdbutdhasdnotdrequesteddpaindmedsdsincedsurgery.d7dhrsdlater
,dhisdVSdare:dP-98,dR-26,dBP-
164/90,danddheddeniesdpain.dWhichdinterventiondshoulddthednursedimplement?dASKdHIMdA
BOUTdDISCOMFORTdATdTHEdSURGICALdSITE.d(USEdOLDdCARTd–
donset,dlocation,dduration,dcharacteristics,daggravation,drelievingd factors,danddtreatmentsdprevious
lydused)
31. Andolderdfemaledadultdhaddhipdreplacementdsurgeryd1ddaydago,danddthednursedthinksdthatdt
hedwomandalsodhasddementia.dWhichdptdassessmentddoesdthednursedusedtoddeterminedthatdthis
dwomandisdexperiencingdpain?dHOLDSdABDdTIGHTLY
32. AndolderdmaledadultdwhodisdHispanicdstatesdhedisdnotdhavingdpain,dbutdhedhaddkneedrepla
cementdsurgeryd2ddaysdago.dWhichdisdthedbestdassessmentdtooldasdrecommendeddbydthedHartf
orddInstitutedfordGeriatricdNursingdfromd“TrydThis”dfordthednursedtodapplydfordthisdman?dF
ACESdPAINdSCALE-REVISED
Thedsafestdopioiddanalgesicdchoicedfordandolderdptdwhodhasdseveredacutedpaindisdwhichdofdthedfoll
owing?dMORPHINEdSULFATEd(MORPHINE)
33. Andolderdadultdadmitteddfordbackdsurgerydasksdfordopioiddpaindmeds.dThednursedknowsdt
hedptdaskeddfordmedsd15dmindbeforeditdisddue.dWhichdrecommendationdshoulddthednursedim
plement?dADMINISTERdTHEdPAINdMEDSdASdPRESCRIBED
34. Thednursedadministersdandopioiddanalgesicdtodandolderdmaledpostoperativedptdondadsurgi
caldunit.dWhichdisdthedmostdimportantdinterventiondfordthednursedtodimplementdbeforedleavi
ngdthedpt?dINSTRUCTdHIMdTOdASKdFORdHELPdBEFOREdGETTINGdUP
POSITIONdTHEdPTdCOMFORTABLY
35. ThednursedplansdthedcaredofdandolderdfemaledresidentdofdadNHdwhodhasdexperienceddadsud
denddeteriorationdindvisualdacuity.dThednursedadministersdandopioiddanalgesicdtodandolderdmal
edpostoperativedptdondadsurgicaldunit.dWhichdisdthedmostdimportantdinterventiondfordthednurs
edcompletedfirst?dEXAMINEdHERdMOODdANDdFUNCTIONALdSTATUS
HESI GERONTOLOGY TESTBANK
d d
GERO EXAM 1 d d
1. Whichdstatementdisdtruedaboutdrehabdanddrestorativedcaredfordolderdadults?dAdPERSONd
CANdLEARNdSKILLS
ANDdGAINdABILITIESdTHATdENABLEdFUNCTIONING
2. AndolderdadultdisdindthedhospitaldbecausedofdHFdanddhasdbecomedincontinentdofdurine.d
WhichdEBdresourcedshoulddthednursedusedtodguidedcontinencedcaredfordthisdpt?dNURSINGd
STANDARDdPRACTICEdPROTOCOL
3. Thednursedunderstandsdthatdstressdincontinencedoccurs?dASdAdRESULTdOFdINCEASEDdI
NTRAABDOMINALdPRESSURE
4. Adlargedresidualdurinedvolumedcharacterizesdwhatdtypedofdincontinence?d OVERLFOW
Whichdactiondshoulddbedincludeddindalldbladder-
retrainingdprograms?dTOILETINGdATdBEDTIME
5. ThednursedassessdadmaledresidentdindadNHdfordurinarydincontinencedandddeterminesdthatd
hedisdunawaredofdthedproblem.dWhichdrecommendationdshoulddthednursedimplement?dPR
OVIDEdREGULARdTOILETING
6. Thednursedwantsdtodbegindhelpingdadresidentdwhodisdoverweightdanddhasdurinarydincon
tinencedwithdhealthydbladderdbehaviordskills.dWhichdinterventiondshoulddthednursedimple
ment?dSCHEDULEdVOIDINGdATd2-4dHRdINTERVALS
7. Whatdisdthedmostdimportantdaspectdofdcaredfordthednursedtodmaintaindwhendassistingdand
olderdptdwithdurinarydincontinence?dMAINTAININGdANdATTITUDEdTHATdISdRESPEC
TFULdABOUTdRESLOVINGdTHEdPROBLEM
8. AndolderdwomandtellsdthedNPdthatdshedfearsdherdfamilydwilldplacedherdindadNHdbecausedshed
developeddstressdincontinence.dWhichdrecommendationdshoulddthednursedimplement?dREC
OMMENDdEXERCISESdTOdSTRENGTHENdTHEdPELVICdFLOOR
9. Thednursedisdcaringdfordadptdwhodhasdrecentlydhaddandindwellingdcatheterdplaced.dThed
nursedshoulddassessdthedptdfor?dAdCHANGEdINdMENTALdSTATUS
10. Andolderdadultdwhodisdondbedrestdafterdsurgerydisdprescribeddmorphinedfordpain.dWhichd
ofdthedfollowingdisdthednurse’sdprioritydfordpreventivedcare?dCONSTIPATION
11. Whichdofdthedfollowingdstatementsdisdadtruedaboutdeliminationdindolderdadults?
DEFACATIONd<d1dDAYdISdNOTdNECESSARILYdCONSTIPATION
12. Whichdoptiondisdpartdofdthedprogramdthatdaddressesdboweldincontinencedindandolderdadultd
pt?dENSURINGdTHATdAdTOILETdORdCOMMODEdISdREADILYdACCESSIBLEdTOdTHEdPT
13. Whichdisdandimportantdconsiderationdaboutdthedskindofdandolderdadultdperson?dTHEd
SKINdBECOMESdMOREdVULNERABLEdTOdDAMAGE
,HESIdGERONTOLOGYd2018dEXAMdRN
14. Whichdtopicaldagentdisdsafedtodapply?dLIGHTdMINERALdOILdTOdMOISTENdSKINd
AFTERdBATHING
15. Ad70dyrdolddwomandcomplainsdofddrydskindanddasksdfordadvice.dWhichdadvicedshoulddthed
nursedofferdtodthisdwomandfordimprovingddrydskin?dKEEPdBATHdWATERdBETWEENd90*d
ANDd105*F
16. Thednursedmonitorsdfordwhichdclinicaldindicatordwhendthedolderdadultdcomplainsdofd
pruritus?dCOARSEdSKIN
17. Whichdinfectiondcontroldpracticedshoulddthednursedimplementdwhendcaringdfordandolderd
adultdwhodhasdactivedherpesdzoster?dCOVERdRUPTUREDdSKINdLESIONSdWITHdAdNONA
BSORBENTdDRESSING
17. Thednursedisdconductingdandadmissiondassessmentdondandolderdadultdanddnotesdadsmalldl
esiondwithdadmulticolordappearance.dWhichdassessmentdapproachdshoulddthednurseduse?d
ABCDdRULEd(ASYMMETRY,dBORDER,dCOLOR,dDIAMETER)
18. Thednursedcaresdfordandolderdmandwhodhasdadmalignantdmelanoma.dWhichdinterventionds
houlddthednursedimplementdfordthisdmandtodpreventdadrecurrencedordadvancementdofdthisdco
nditiondindthedfuture?dINSTRUCTdHIMdTOdWEARdSUN-
PROTECTIVEdCLOTHINGdANDdAdHATdATdALLdTIMES
19. Whichdofdthedfollowingdisdadtruedstatementdaboutdimpaireddskindintegrity?dMUSCLEd
ANDdFATdCANNOTdREGENERATE
20. Andolderdadultdisdvitaminddeficient.dWhichdofdthedfollowingddoesdthednursedofferdtodthed
olderdadultdtodprovidedthedimportantdmissingdvitamindfordmaintainingdhealthydskindandde
nhancingdtissuedrepair?dORANGEdSLICES
21. Andolderdadultdwomandcomplainsdofdfootdplaindfromdadcorn.dAfterdassessingdherdfeet,dwhi
chdinterventiondshoulddthednursedimplementdtodalleviatedherdfromddiscomfort?dCUTdOUTdANd
OVALdCORNdPADdTOdMAKEdAdUdSHAPE
22. WhichdofdthedfollowingdstatementsdisdtruedaboutdMedicaredfordolderdadults?d80%dOFd
MEDICARE’SdANNUALdEXPENDITURESdAREdFORdINDIVIDUALSdWITHdCHRONICdI
LLNESS
23. Acutedillnessdisdtodchronicdillnessdasdtodwhichdofdthedfollowingdcomparisons?dANdERdISd
TOdAdNH
24. Andolderdfemaledptdisddxdwithdadchronicdillness.dWhichdprincipledshoulddthednursedapplyd
whendansweringdherdquestions?dCHRONICdILLNESSdISdUNENDINGdANDdCOPINGdCANd
BEdINFLUENCEDdBYdTHEdPERCEPTIONdOFdUNCERTAINTY
25. Overd50%dofdthedpopulation,dagedd65d+dyrs,dsuffersdfromdwhichdonedofdthedfollowingd
chronicdhealthdconditions?dHTNdANDdARTHRITIS
, HESIdGERONTOLOGYd2018dEXAMdRN
26. Whichdolderdadultdhasdthedmostdcharacteristicsdassociateddwithdbecomingdfrail?dMALE,d
HISPANICdAMERICAN,dWITHdHYPOPROTEINEMIA
27. Whichdofdthedfollowingddescribesdthednurse’sdroledfordandolderdptdwithdadchronicdillness?d
PROVIDEdCARINGdTOdHELPdTHEdPTdLIVEdATdTHEdOPTIMALdLEVELdOFdHEALTHdANDd
WELLNESS
28.Whichdofdthedfollowingdstatementsdisdthedmostdsuitabledfordestablishingdgoalsdwhendte
achingdandolderdadultdwithdadchronicdillnessdaboutdpotentialdchangesdindthedhealthdmaint
enancedregimen?dMANAGEMENTdOFdTHEdPT’SdCHRONICdDISEASEdRESTSdONdTHEdP
TdANDdTHEdCAREGIVER;dTHEREFORE,dTHEdGOALSdSHOULDdBEdCOLLABORATIV
ELYdSET
29. Compareddwithdacutedpain,dthedfollowingdisdtruedofdpersistentdpain?dITdCANdBRINGd
ABOUTdCHANGESdINdLIFESTYLE
30. ThednursedadmitsdandolderdmaledptdwhodhaddABDdsurgery.dOndadmission,dVSdsignsdare:d
P-73,dR-20,dBP-
136/84.dHedisdreceivingdIVdfluidsdbutdhasdnotdrequesteddpaindmedsdsincedsurgery.d7dhrsdlater
,dhisdVSdare:dP-98,dR-26,dBP-
164/90,danddheddeniesdpain.dWhichdinterventiondshoulddthednursedimplement?dASKdHIMdA
BOUTdDISCOMFORTdATdTHEdSURGICALdSITE.d(USEdOLDdCARTd–
donset,dlocation,dduration,dcharacteristics,daggravation,drelievingd factors,danddtreatmentsdprevious
lydused)
31. Andolderdfemaledadultdhaddhipdreplacementdsurgeryd1ddaydago,danddthednursedthinksdthatdt
hedwomandalsodhasddementia.dWhichdptdassessmentddoesdthednursedusedtoddeterminedthatdthis
dwomandisdexperiencingdpain?dHOLDSdABDdTIGHTLY
32. AndolderdmaledadultdwhodisdHispanicdstatesdhedisdnotdhavingdpain,dbutdhedhaddkneedrepla
cementdsurgeryd2ddaysdago.dWhichdisdthedbestdassessmentdtooldasdrecommendeddbydthedHartf
orddInstitutedfordGeriatricdNursingdfromd“TrydThis”dfordthednursedtodapplydfordthisdman?dF
ACESdPAINdSCALE-REVISED
Thedsafestdopioiddanalgesicdchoicedfordandolderdptdwhodhasdseveredacutedpaindisdwhichdofdthedfoll
owing?dMORPHINEdSULFATEd(MORPHINE)
33. Andolderdadultdadmitteddfordbackdsurgerydasksdfordopioiddpaindmeds.dThednursedknowsdt
hedptdaskeddfordmedsd15dmindbeforeditdisddue.dWhichdrecommendationdshoulddthednursedim
plement?dADMINISTERdTHEdPAINdMEDSdASdPRESCRIBED
34. Thednursedadministersdandopioiddanalgesicdtodandolderdmaledpostoperativedptdondadsurgi
caldunit.dWhichdisdthedmostdimportantdinterventiondfordthednursedtodimplementdbeforedleavi
ngdthedpt?dINSTRUCTdHIMdTOdASKdFORdHELPdBEFOREdGETTINGdUP
POSITIONdTHEdPTdCOMFORTABLY
35. ThednursedplansdthedcaredofdandolderdfemaledresidentdofdadNHdwhodhasdexperienceddadsud
denddeteriorationdindvisualdacuity.dThednursedadministersdandopioiddanalgesicdtodandolderdmal
edpostoperativedptdondadsurgicaldunit.dWhichdisdthedmostdimportantdinterventiondfordthednurs
edcompletedfirst?dEXAMINEdHERdMOODdANDdFUNCTIONALdSTATUS
