Comprehensive Gero Hesi Review Questions And Correct
100% Verified Answers Latest Update 2024/2025 Best
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After taking a 10-day course of an antibiotic that was ineffective, a frail, elderly client with
chronic obstructive pulmonary disease (COPD) is admitted for pneumonia. The client has a
long history of smoking and still smokes 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 - CORRECT ANSWERS B. Crackles and
pulse oximetry level of 88%
Rationale: With pneumonia, crackles in the lungs and low O2 saturation (B) can impact
adequate oxygenation, which should be reported to the HCP. (A) occurs due to chronic
hyperinflation of the lungs and is common in clients with COPD. Anemia (C) is frequently
identified in clients with COPD, and respiratory acidosis (D) due to CO2 retention contributes
to a lower blood pH.
An older female client recently moved to an assisted living facility. The family explains to the
registered nurse (RN) that the client is unmanageable and always confused, 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. - CORRECT ANSWERS
A. Explain that she is in a new home called an assisted living community.
Rationale: Reality re-orientation (A) is the best response for a client who is confused because
the response is consistent and true. (B, C, and D) do not provide the client with feedback
that is reality based.
A new resident in an assisted living facility is an older client who is experiencing short-term
memory loss and confusion. Which activity should the registered nurse (RN) schedule the
client to do during the day?
A. Arts and crafts
B. Current events discussion group
,Comprehensive Gero Hesi Review Questions And Correct
100% Verified Answers Latest Update 2024/2025 Best
Ranked A+
C. Group sing-along
D. Daily exercise group - CORRECT ANSWERS D. Daily exercise group
Rationale: A daily exercise group (D) allows the client to mirror the leader and minimizes the
client's stress to remember. (A), (C), and a current events discussion group (B) are thought-
provoking activities that require attention to detail and short-term memory to participate in
the group activity which may be stressful and frustrating to the resident who has difficulty
remembering sequence of the details.
A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is
most important for the registered nurse (RN) to report to the healthcare provider?
A. Fever and chills
B. Confusion and dehydration
C. Crackles in the lung fields
D. Nausea and vomiting - CORRECT ANSWERS B. Confusion and dehydration
Rationale: Confusion and dehydration (B) are findings of inadequate oxygenation and
perfusion in this frail elderly client. (A), (C) and (D) are all common with pneumonia, but the
most important finding is confusion and evidence of dehydration, which require treatment
for this frail elderly client.
A frail elderly couple asks the registered nurse (RN) 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 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. - CORRECT ANSWERS D. Taste buds are often dull due to atrophy so older
clients should use other seasonings instead of salt.
,Comprehensive Gero Hesi Review Questions And Correct
100% Verified Answers Latest Update 2024/2025 Best
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Rationale: Taste buds atrophy with normal aging, which influences an older client's
sensitivity to taste and is often compensated for the use of stronger tasting seasonings. (A),
(B), and (C) are not normal aging processes related to taste.
The hospice nurse is completing a focused assessment of an older female client with end
stage Alzheimer's disease, who recently fractured her hip. What technique should the
registered nurse (RN) use to determine the client's pain?
A. Use the FACE pain scale
B. Ask the client to rate pain on a scale of 1 to 10
C. Observe for facial grimacing
D. Review documentation of recent eating habits - CORRECT ANSWERS C. Observe for facial
grimacing
Rationale: Observing for facial grimacing (C) is the best method for evaluating pain for a
client who cannot communicate due to Alzheimer disease. (A) and (B) may not be
understood by a client with end-stage Alzheimer's disease. (D) is not a helpful tool for pain
assessment.
An older male client arrives at the clinic for an annual physical examination. While the nurse
assesses the client, the client states that he is having intimacy problems with his wife. Which
information should the nurse provide to elicit more information from the client?
A. Query client to clarify the client's idea of an intimacy problem.
B. Discuss benign prostatic hypertrophy (BPH) and ejaculation.
C. Explore the frequency that he experiences erectile dysfunction (ED)
D. Determine if the client's wife is young enough to get pregnant - CORRECT ANSWERS A.
Query client to clarify the client's idea of an intimacy problem.
Rationale: Clarification of the client's concern is needed to appropriately address the specific
concern about intimacy issues (A). (B), (C), and (D) are details that the client should present,
not the RN.
, Comprehensive Gero Hesi Review Questions And Correct
100% Verified Answers Latest Update 2024/2025 Best
Ranked A+
The registered nurse (RN) is caring for an older female client with a 20 year history of
rheumatoid arthritis (RA), who is admitted for carpel tunnel release. Which finding
associated with RA should the RN document?
A. Asymmetrical joint deformity
B. Small joint involvement in fingers
C. Crepitation or grating sensation in joints
D. Weight bearing joint involvement - CORRECT ANSWERS B. Small joint involvement in
fingers.
Rationale: Small joint involvement (B) is common in rheumatoid arthritis. (A), (C) and (D) are
findings that different OA from RA.
The registered nurse (RN) is re-enforcing discharge instructions with the family of an older
client who was recently admitted for an intestinal obstruction. Which statement indicates
that the family understands the instructions?
A. Increase protein and carbohydrates in the daily diet
B. Limit activity to bed rest for the first week and increase mobility incrementally each week
C. Report abdominal distention, constipation or any other nausea and vomiting to the
healthcare provider
D. Drink liquids 2 hours after meals instead of during meals - CORRECT ANSWERS C. Report
abdominal distention, constipation, or any nausea and vomiting to the healthcare provider.
Rationale: (C) are symptoms that occur with intestinal obstruction and should be addressed
immediately. (A, B, and D) are not indicated for a client who has been discharged for
intestinal obstruction.
An older client is transferred to a telemetry unit after placement of a pacemaker. What
action should the registered nurse (RN) take first?
A. View incision site
B. Obtain a blood pressure
C. Establish telemetry monitoring
D. Evaluate client for pain - CORRECT ANSWERS C. Establish telemetry monitoring.
100% Verified Answers Latest Update 2024/2025 Best
Ranked A+
After taking a 10-day course of an antibiotic that was ineffective, a frail, elderly client with
chronic obstructive pulmonary disease (COPD) is admitted for pneumonia. The client has a
long history of smoking and still smokes 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 - CORRECT ANSWERS B. Crackles and
pulse oximetry level of 88%
Rationale: With pneumonia, crackles in the lungs and low O2 saturation (B) can impact
adequate oxygenation, which should be reported to the HCP. (A) occurs due to chronic
hyperinflation of the lungs and is common in clients with COPD. Anemia (C) is frequently
identified in clients with COPD, and respiratory acidosis (D) due to CO2 retention contributes
to a lower blood pH.
An older female client recently moved to an assisted living facility. The family explains to the
registered nurse (RN) that the client is unmanageable and always confused, 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. - CORRECT ANSWERS
A. Explain that she is in a new home called an assisted living community.
Rationale: Reality re-orientation (A) is the best response for a client who is confused because
the response is consistent and true. (B, C, and D) do not provide the client with feedback
that is reality based.
A new resident in an assisted living facility is an older client who is experiencing short-term
memory loss and confusion. Which activity should the registered nurse (RN) schedule the
client to do during the day?
A. Arts and crafts
B. Current events discussion group
,Comprehensive Gero Hesi Review Questions And Correct
100% Verified Answers Latest Update 2024/2025 Best
Ranked A+
C. Group sing-along
D. Daily exercise group - CORRECT ANSWERS D. Daily exercise group
Rationale: A daily exercise group (D) allows the client to mirror the leader and minimizes the
client's stress to remember. (A), (C), and a current events discussion group (B) are thought-
provoking activities that require attention to detail and short-term memory to participate in
the group activity which may be stressful and frustrating to the resident who has difficulty
remembering sequence of the details.
A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is
most important for the registered nurse (RN) to report to the healthcare provider?
A. Fever and chills
B. Confusion and dehydration
C. Crackles in the lung fields
D. Nausea and vomiting - CORRECT ANSWERS B. Confusion and dehydration
Rationale: Confusion and dehydration (B) are findings of inadequate oxygenation and
perfusion in this frail elderly client. (A), (C) and (D) are all common with pneumonia, but the
most important finding is confusion and evidence of dehydration, which require treatment
for this frail elderly client.
A frail elderly couple asks the registered nurse (RN) 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 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. - CORRECT ANSWERS D. Taste buds are often dull due to atrophy so older
clients should use other seasonings instead of salt.
,Comprehensive Gero Hesi Review Questions And Correct
100% Verified Answers Latest Update 2024/2025 Best
Ranked A+
Rationale: Taste buds atrophy with normal aging, which influences an older client's
sensitivity to taste and is often compensated for the use of stronger tasting seasonings. (A),
(B), and (C) are not normal aging processes related to taste.
The hospice nurse is completing a focused assessment of an older female client with end
stage Alzheimer's disease, who recently fractured her hip. What technique should the
registered nurse (RN) use to determine the client's pain?
A. Use the FACE pain scale
B. Ask the client to rate pain on a scale of 1 to 10
C. Observe for facial grimacing
D. Review documentation of recent eating habits - CORRECT ANSWERS C. Observe for facial
grimacing
Rationale: Observing for facial grimacing (C) is the best method for evaluating pain for a
client who cannot communicate due to Alzheimer disease. (A) and (B) may not be
understood by a client with end-stage Alzheimer's disease. (D) is not a helpful tool for pain
assessment.
An older male client arrives at the clinic for an annual physical examination. While the nurse
assesses the client, the client states that he is having intimacy problems with his wife. Which
information should the nurse provide to elicit more information from the client?
A. Query client to clarify the client's idea of an intimacy problem.
B. Discuss benign prostatic hypertrophy (BPH) and ejaculation.
C. Explore the frequency that he experiences erectile dysfunction (ED)
D. Determine if the client's wife is young enough to get pregnant - CORRECT ANSWERS A.
Query client to clarify the client's idea of an intimacy problem.
Rationale: Clarification of the client's concern is needed to appropriately address the specific
concern about intimacy issues (A). (B), (C), and (D) are details that the client should present,
not the RN.
, Comprehensive Gero Hesi Review Questions And Correct
100% Verified Answers Latest Update 2024/2025 Best
Ranked A+
The registered nurse (RN) is caring for an older female client with a 20 year history of
rheumatoid arthritis (RA), who is admitted for carpel tunnel release. Which finding
associated with RA should the RN document?
A. Asymmetrical joint deformity
B. Small joint involvement in fingers
C. Crepitation or grating sensation in joints
D. Weight bearing joint involvement - CORRECT ANSWERS B. Small joint involvement in
fingers.
Rationale: Small joint involvement (B) is common in rheumatoid arthritis. (A), (C) and (D) are
findings that different OA from RA.
The registered nurse (RN) is re-enforcing discharge instructions with the family of an older
client who was recently admitted for an intestinal obstruction. Which statement indicates
that the family understands the instructions?
A. Increase protein and carbohydrates in the daily diet
B. Limit activity to bed rest for the first week and increase mobility incrementally each week
C. Report abdominal distention, constipation or any other nausea and vomiting to the
healthcare provider
D. Drink liquids 2 hours after meals instead of during meals - CORRECT ANSWERS C. Report
abdominal distention, constipation, or any nausea and vomiting to the healthcare provider.
Rationale: (C) are symptoms that occur with intestinal obstruction and should be addressed
immediately. (A, B, and D) are not indicated for a client who has been discharged for
intestinal obstruction.
An older client is transferred to a telemetry unit after placement of a pacemaker. What
action should the registered nurse (RN) take first?
A. View incision site
B. Obtain a blood pressure
C. Establish telemetry monitoring
D. Evaluate client for pain - CORRECT ANSWERS C. Establish telemetry monitoring.
