Gerontology Hesi Test Exam Questions And Answers
Verified 100% Correct
An older female client arrives for an annual visit by the urologist
due to a history of changes in serum values related to renal
function. What changes should the practical nurse expect for an
older client due to normal aging?
Decrease in glomerular filtration rate (GFR)
A frail elderly couple ask the practical nurse if they have to watch
their salt intake because food does not taste as good as it used to
so they have to season most foods. What information should the
PN offer the couple?
Taste buds often are dull due to atrophy so older client should use
other seasonings instead of salt
An older client who is unconscious is admitted after experiencing
a head injury from a fall. Glasgow Coma Scale (GCS) is
prescribed to evaluate the client. Which focused assessments
should the practical nurse use to determine the clients GCS
score?
Verbal response
Motor response
Eye opening
The practical nurse is assigned the care of an older client with
venous stasis ulcers. A primary goal in the clients plan of care is
to decrease swelling in the extremities. What should the PN do to
meet this goal?
Elevate the legs on pillows
, A frail elderly client with chronic obstructive pulmonary disease
(COPD) is admitted for pneumonia after taking a 10 day course of
an antibiotic that was ineffective. The client has a long history of
smoking and still smokes a pack of cigarettes a day. Which
finding should the practical nurse report to the charge nurse?
Crackles and pulse oximetry level of 88%
The home health practical nurse visits an older female client with
an ileal conduit who has been experiencing chronic urinary tract
infections. Which intervention should the PN recommend the
client do to manage the frequency of UTIs?
Attach a larger drainage bag while sleeping
An older male client returns to the hospital after discharge 4 days
ago for a transurethral resection of the prostate (TURP). The
practical nurse evaluates the function of the 3-way indwelling
urinary catheter and the continuous bladder irrigation system.
Which finding should the PN report to the charge nurse?
The tubing that drains the urinary bladder has bright red urine with
clots
An older client with chronic kidney disease (CKD) has an
arteriovenous fistula (AV) in the left forearm for hemodialysis.
After palpating the AV fistula, which finding is an indication that
the AV fistula is functioning property?
enlarged viens
An older man returns to the medical surgical floor with a 3-way
indwelling urinary catheter after a transurethral resection of the
prostate (TURP). The practical nurse observes the catheter's
tubing for drainage when he states he needs to void. What should
Verified 100% Correct
An older female client arrives for an annual visit by the urologist
due to a history of changes in serum values related to renal
function. What changes should the practical nurse expect for an
older client due to normal aging?
Decrease in glomerular filtration rate (GFR)
A frail elderly couple ask the practical nurse if they have to watch
their salt intake because food does not taste as good as it used to
so they have to season most foods. What information should the
PN offer the couple?
Taste buds often are dull due to atrophy so older client should use
other seasonings instead of salt
An older client who is unconscious is admitted after experiencing
a head injury from a fall. Glasgow Coma Scale (GCS) is
prescribed to evaluate the client. Which focused assessments
should the practical nurse use to determine the clients GCS
score?
Verbal response
Motor response
Eye opening
The practical nurse is assigned the care of an older client with
venous stasis ulcers. A primary goal in the clients plan of care is
to decrease swelling in the extremities. What should the PN do to
meet this goal?
Elevate the legs on pillows
, A frail elderly client with chronic obstructive pulmonary disease
(COPD) is admitted for pneumonia after taking a 10 day course of
an antibiotic that was ineffective. The client has a long history of
smoking and still smokes a pack of cigarettes a day. Which
finding should the practical nurse report to the charge nurse?
Crackles and pulse oximetry level of 88%
The home health practical nurse visits an older female client with
an ileal conduit who has been experiencing chronic urinary tract
infections. Which intervention should the PN recommend the
client do to manage the frequency of UTIs?
Attach a larger drainage bag while sleeping
An older male client returns to the hospital after discharge 4 days
ago for a transurethral resection of the prostate (TURP). The
practical nurse evaluates the function of the 3-way indwelling
urinary catheter and the continuous bladder irrigation system.
Which finding should the PN report to the charge nurse?
The tubing that drains the urinary bladder has bright red urine with
clots
An older client with chronic kidney disease (CKD) has an
arteriovenous fistula (AV) in the left forearm for hemodialysis.
After palpating the AV fistula, which finding is an indication that
the AV fistula is functioning property?
enlarged viens
An older man returns to the medical surgical floor with a 3-way
indwelling urinary catheter after a transurethral resection of the
prostate (TURP). The practical nurse observes the catheter's
tubing for drainage when he states he needs to void. What should
