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HESI GERIATRICS EXAM TEST BANK 250 QUESTIONS WITH 100% CORRECT ANSWERS UPDATED 2023/2024
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HESI GERIATRICS EXAM TEST BANK 250 QUESTIONS WITH 100% CORRECT ANSWERS UPDATED 2023/2024
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HESI GERIATRICS EXAM TEST BANK 250 QUESTIONSWITH 100% CORRECT ANSWERS UPDATED
2023/2024
A frail elderly client is admitted to the unit with a diagnoses of pneumonia. Which
findings is most important for the PN to report to the HCP? - ✔✔ANSW✔✔..Confusion
and dehydration
An older client is admitted a preliminary diagnosis of Addison's disease. Which skin
finding should the PN document that is typical with Addison's? -
✔✔ANSW✔✔..Hyperpigmentation
An older client who is a new resident in an ALF is having short term memory loss and
confusion. Which activity should the PN schedule the client to do during the day? -
✔✔ANSW✔✔..Daily exercise group
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
assessment should the PN use to determine the client's GSC score? (Select all that
apply) - ✔✔ANSW✔✔..Verbal response
Motor response
Eye opening
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? - ✔✔ANSW✔✔..Decrease in
glomerular filtration rate (GFR)
An older female client is recently transferred to a rehab facility after a total hip
replacement & asks the PN if she broke her hip because she is old. How should the PN
respond? - ✔✔ANSW✔✔..Older women commonly lose bone calcium which increases
the risk of fracture
An older female client who has been taking hydrocodone/acetaminophen (Lortab) q4
hours for chronic back pain for the past 5 years, tells the PN that she cannot live without
her pain pills. When asked if she is addicted, the client states that she is not an addict
because the HCP prescribed the pain pills. Which coping mechanism should the PN
,determine the client is using about her addiction? - ✔✔ANSW✔✔..Rationalization to
support narcotic use
An older female client who is 3 days post op for a right hip repair is admitted to the
rehab center for strengthening in ADLs. The PN is mobilizing the client to go to PT.
Which action should the PN implement first? - ✔✔ANSW✔✔..Direct client to use the
overhead trapeze.
An older male client is admitted for emergency treatment of acute closed-angle
glaucoma. The PN begins administering the prescribed biotic medications and glycerin
(Glycol) therapy. Which interventions is most important for the PN to maintain during the
client's therapy? - ✔✔ANSW✔✔..Monitor intake and output q2 for 24 hours
An older male client is admitted to the hospital with left sided heart failure. Which finding
should the PN document that is consistent of HF? - ✔✔ANSW✔✔..Coarse and fine
crackles
An older male client is seeking counseling about his recent sexual issues with his
partner. What issues should the PN explore in this discussion? - ✔✔ANSW✔✔..Certain
medications may impact sexual function
An older male client with heart failure complains of chronic constipation and wants to
retrain his bowels. Which information should the PN offer the client in establishing
regular bowels? - ✔✔ANSW✔✔..Add whole grain foods and fibrous vegetables to diet
An older male client with Parkinson's disease is discharged home with levopoda-
carbidopa (Sinemet) and instructions to his wife for his care. Which statement best
indicates to the PN that the wife understands her husbands needs? - ✔✔ANSW✔✔.."I
will notify the HCP if my husband has increasing involuntary movements of his
extremities"
An older man returns to the medsurg floor with a. 3 way indwelling urinary catheter after
a transurethral resection of the prostate (TURP). The PN observes the catheter's tubing
for drainage when he states he needs to void. What should the PN implement based on
this finding? - ✔✔ANSW✔✔..Irrigate the bladder through the catheter port.
During the quarterly evaluations of the clients in the ALF, the PN observes for findings
of failure to thrive in the german population. Which findings should the PN document
and report as manifestations related to failure to thrive? (Select all that apply) -
✔✔ANSW✔✔..Unintentional weight loss
Increased weakness
Increased amounts of sleep
, Osteoporosis increases the risk for a hip fracture in older adults. Women of which ethnic
group have the highest risk for hip fracture with the highest risk being listed first and the
lowest risk last. - ✔✔ANSW✔✔..1. Caucasian
2. Asian
3. Hispanic
4. African American
The HCP prescribes a new medication, atorvastatin (Lipitor), for an older client who
arrives at the clinic for an annual physical examination. What common side effects
should the PN advise the client to observe for with this medication? -
✔✔ANSW✔✔..Headaches
Abnormal Mini-Cog scoring - ✔✔ANSW✔✔..Recall --> 0
OR
Recall </= 2 and CDT normal
Autolytic Debridement - ✔✔ANSW✔✔..Lysis of necrotic tissue by WBC and enzymes
CAM ICU test - ✔✔ANSW✔✔..4 questions and a command
Chemical Debridement - ✔✔ANSW✔✔..Topical application of enzymes like collagenese
Papin w/ urea
Sodium hypochlorite
Cognitive Impairments - ✔✔ANSW✔✔..Increases with older age (not considered
normal)
Implication for adults to remain independent
Depression incidence increases (esp older men)
Corticobasal ganglionic degeneration - ✔✔ANSW✔✔..Assymetrical rigidity, focal
dystonias, posturing, myoclonic jerks, sensory loss, apraxia, "alien head syndrome"
Criteria for vascular dementia - ✔✔ANSW✔✔..1. presence of dementia
2. presence of CVD
3. probable relationship between the two
Decrease renal clearance of drugs - ✔✔ANSW✔✔..Caporal, digoxin, lithium,
amantadine, aminoglycosides, atenolol and vanco
Dementia - ✔✔ANSW✔✔..30% of pts >/= 85 yo
Alzheimer's disease and vascular dementia >/= 80% of cases
Increase risk for functional decline, delirium, falls and caregiver stress
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