Gerontology HESI Final Prep Exam Test
Questions And Answers Verified 100% Correct
During the quarterly evaluations of the clients in the assisted
living community, the registered nurse (RN) assesses for findings
of failure to thrive in the older population. Which findings should
the RN document and report as manifestations related to failure to
thrive? (Select all that apply.)
A) Unintentional weight loss
B) Increased weakness
C) Increased amounts of sleep
D) Irritation and agitation
E) Seeking constant attention from caregiver - ANSWER A,B,C
Symptoms of failure to thrive in the older population include
weight loss, weakness, and excessive sleep, which should be
documented and evaluated by a healthcare provider immediately
An older male client is seeking counseling about his recent
sexual issues with his partner. What issue should the registered
nurse (RN) explore in this discussion?
A) Certain medications may impact sexual function
B) Normal aging affects sexual function in male clients
C) Safe sex is not necessary with older sexually active elders
D) Sexual interest usually declines with aging in male clients -
ANSWER A
,Certain medications can have a direct influence on sexual
function and should be discussed with older clients
The registered nurse (RN) is reinforcing discharge instructions to
the family of an older client with failure to thrive. What information
should the RN include to promote nutritional intake for the client?
(Select all that apply).
A) Minimize stress level by providing the client with a quiet
environment during meals
B) Provide food variations that the client can manage without
assistance
C) Assist the client with eating meals in bed in a semi-fowlers
position
D) Encourage fluid intake before meals to decrease dehydration
E) Offer any type of food to the client as long as calories are
consumed - ANSWER A,B
These continue to promote independence and decreased stress
for the client, which will cause decreased self worth and
depression
An older woman asks the registered nurse (RN) how she can
decrease her chances of getting cystitis. What information should
the RN provide?
A) Void and empty the bladder completely every 2 to 3 hours
B) Take warm sitz baths with bubble bath to cleanse the vulva
C) Decrease fluid volume intake to reduce urgency
D) Test urine pH daily using over-the-counter (OTC) dipsticks -
ANSWER A
, Frequent bladder emptying minimizes overdistention, which can
compromise blood supply to the bladder wall and cause irritation
to the bladder
An older male client with Parkinson's disease (PD) is discharged
home with levodopa-carbidopa (Sinemet) and instructions to his
wife for his care. Which statement best indicates to the registered
nurse (RN) that the wife understands her husband's needs?
A) "It is important to keep my husband in a chair or in bed as
much as possible and prevent him form falling."
B) "I will notify the healthcare provider if my husband has
increasing involuntary movements of his extremities."
C) "Since it is difficult for my husband to eat, we should stay in
the house instead of going out to dine."
D) "I should expect that my husband will be incontinent of bowel
and bladder as his disease advances." - ANSWER B
Increasing involuntary movements should be reported during the
use of levodopa; it is an indicator that the body is failing to
readjust to the changes in the level of the intracerebral
neurotransmitter dopamine. The client should be encouraged to
engage in exercise and regular daily activities
The home health registered nurse (RN) visits an older woman
with heart failure (HF) who is on complete bed rest. Which
intervention is most important for the RN to suggest to the client
to prevent complications related to immobility?
A) Get as much sleep as possible
B) Perform leg exercises while in bed
Questions And Answers Verified 100% Correct
During the quarterly evaluations of the clients in the assisted
living community, the registered nurse (RN) assesses for findings
of failure to thrive in the older population. Which findings should
the RN document and report as manifestations related to failure to
thrive? (Select all that apply.)
A) Unintentional weight loss
B) Increased weakness
C) Increased amounts of sleep
D) Irritation and agitation
E) Seeking constant attention from caregiver - ANSWER A,B,C
Symptoms of failure to thrive in the older population include
weight loss, weakness, and excessive sleep, which should be
documented and evaluated by a healthcare provider immediately
An older male client is seeking counseling about his recent
sexual issues with his partner. What issue should the registered
nurse (RN) explore in this discussion?
A) Certain medications may impact sexual function
B) Normal aging affects sexual function in male clients
C) Safe sex is not necessary with older sexually active elders
D) Sexual interest usually declines with aging in male clients -
ANSWER A
,Certain medications can have a direct influence on sexual
function and should be discussed with older clients
The registered nurse (RN) is reinforcing discharge instructions to
the family of an older client with failure to thrive. What information
should the RN include to promote nutritional intake for the client?
(Select all that apply).
A) Minimize stress level by providing the client with a quiet
environment during meals
B) Provide food variations that the client can manage without
assistance
C) Assist the client with eating meals in bed in a semi-fowlers
position
D) Encourage fluid intake before meals to decrease dehydration
E) Offer any type of food to the client as long as calories are
consumed - ANSWER A,B
These continue to promote independence and decreased stress
for the client, which will cause decreased self worth and
depression
An older woman asks the registered nurse (RN) how she can
decrease her chances of getting cystitis. What information should
the RN provide?
A) Void and empty the bladder completely every 2 to 3 hours
B) Take warm sitz baths with bubble bath to cleanse the vulva
C) Decrease fluid volume intake to reduce urgency
D) Test urine pH daily using over-the-counter (OTC) dipsticks -
ANSWER A
, Frequent bladder emptying minimizes overdistention, which can
compromise blood supply to the bladder wall and cause irritation
to the bladder
An older male client with Parkinson's disease (PD) is discharged
home with levodopa-carbidopa (Sinemet) and instructions to his
wife for his care. Which statement best indicates to the registered
nurse (RN) that the wife understands her husband's needs?
A) "It is important to keep my husband in a chair or in bed as
much as possible and prevent him form falling."
B) "I will notify the healthcare provider if my husband has
increasing involuntary movements of his extremities."
C) "Since it is difficult for my husband to eat, we should stay in
the house instead of going out to dine."
D) "I should expect that my husband will be incontinent of bowel
and bladder as his disease advances." - ANSWER B
Increasing involuntary movements should be reported during the
use of levodopa; it is an indicator that the body is failing to
readjust to the changes in the level of the intracerebral
neurotransmitter dopamine. The client should be encouraged to
engage in exercise and regular daily activities
The home health registered nurse (RN) visits an older woman
with heart failure (HF) who is on complete bed rest. Which
intervention is most important for the RN to suggest to the client
to prevent complications related to immobility?
A) Get as much sleep as possible
B) Perform leg exercises while in bed
