Gerontology HESI Practice |2025| complete
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A frail, elderly client is B. Confusion and dehydration
admitted to the unit with
a diagnosis of Rationale: Confusion and dehydration (B) are
pneumonia. Which findings of inadequate oxygenation and perfusion in
finding is most important this frail elderly client. (A), (C) and (D) are all
for the registered nurse common with pneumonia, but the most important
(RN) to report to the finding is confusion and evidence of dehydration,
healthcare provider? which require treatment for this frail elderly client.
A. Fever and chills
B. Confusion and
dehydration
C. Crackles in the lung
fields
D. Nausea and vomiting
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,3/16/25, 1:25 PM Gerontology HESI Practice |2025| complete exam test questions and verified answers |TOP RATED VERSION FOR 2025| (M…
A frail elderly couple asks D. Taste buds are often dull due to atrophy so older
the registered nurse (RN) clients should use other seasonings instead of salt.
if they have to watch their
salt intake because food Rationale: Taste buds atrophy with normal aging,
does not taste as good which influences an older client's sensitivity to taste
as it used to so they have and is often compensated for the use of stronger
to season most foods. tasting seasonings. (A), (B), and (C) are not normal
What information should aging processes related to taste.
the RN offer the couple?
A. Boredom may
influence how the taste
of food is perceived, and
different seasonings can
stimulate taste.
B. With age, an increase
in sodium intake is
needed to compensate
for a decrease in renal
function.
C. Short-term memory
loss and confusion may
be the reason they want
to over-season their
food.
D. Taste buds often are
dull due to atrophy so
older clients should use
other seasonings instead
of salt.
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,3/16/25, 1:25 PM Gerontology HESI Practice |2025| complete exam test questions and verified answers |TOP RATED VERSION FOR 2025| (M…
After taking a 10-day B. Crackles and pulse oximetry level of 88%
course of an antibiotic
that was ineffective, a Rationale: With pneumonia, crackles in the lungs and
frail, elderly client with low O2 saturation (B) can impact adequate
chronic obstructive oxygenation, which should be reported to the HCP.
pulmonary disease (A) occurs due to chronic hyperinflation of the lungs
(COPD) is admitted for and is common in clients with COPD. Anemia (C) is
pneumonia. The client frequently identified in clients with COPD, and
has a long history of respiratory acidosis (D) due to CO2 retention
smoking and still smokes contributes to a lower blood pH.
a pack of cigarettes a
day. Which finding should
the registered nurse (RN)
report to the healthcare
provider?
A. Barrel chest with
increased chest diameter
B. Crackles and pulse
oximetry level of 88%
C. Low hemoglobin and
hematocrit levels
D. Arterial blood gases
indicating respiratory
acidosis
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, 3/16/25, 1:25 PM Gerontology HESI Practice |2025| complete exam test questions and verified answers |TOP RATED VERSION FOR 2025| (M…
An older female client A. Explain that she is in a new home called an
recently moved to an assisted living community.
assisted living facility. The
family explains to the Rationale: Reality re-orientation (A) is the best
registered nurse (RN) response for a client who is confused because the
that the client is response is consistent and true. (B, C, and D) do not
unmanageable and provide the client with feedback that is reality
always confused, based.
disoriented and
depressed. The client
asks the RN repeatedly,
"Where am I?". How
should the RN respond?
A. Explain that she is in a
new home called an
assisted living community
B. Question the client
about her perception 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 because she will
meet new friends.
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