Exam (elaborations)
HESI GERONTOLOGY PRACTICE EXAM2
HESI GERONTOLOGY PRACTICE EXAM2
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HESI GERONTOLOGY PRACTICE EXAMS (v1 TOv4) 2024 WITH NGN QUESTIONS AND VERIFIED
ANSWERS
When observing an older client with dementia for symptoms of Sundowning
syndrome, it is most important that the practical nurse (PN) assesses for which
finding? - ANSWER Observe for agitation at the end of the day.
A male client is seen in the clinic for benign prostatic hypertrophy (BPH). Which
intervention is essential for the practical nurse (PN) to include in the client's visit? -
ANSWER Assess the client for urinary hesitancy and weak or split urinary stream.
An older adult client is seen in the clinic for problems with urinary frequency,
urgency, and nocturia. The symptoms are an example of which condition? -
ANSWER Normal aging changes
The oral temperature of a client with a urinary tract infection is 103°F. Which
intervention should the practical nurse (PN) implement first? - ANSWER Encourage
fluid intake.
A client has had cataract surgery. What is the most important post-surgery
instruction that the practical nurse (PN) should implement? - ANSWER Avoid
bending at the waist.
An older client verbalizes to the practical nurse (PN) that he feels a lack of control
over his life. The family member who came with the client states that his father has
been exhibiting increased passive behavior and an unwillingness to participate in
family functions. What word best describes this client's behavior? - ANSWER
Powerlessness
The client has end-stage Alzheimer disease and is admitted into hospice care.
Which focus does the nurse expect to note in the plan of care? - ANSWER To allow
the client to die with as much comfort and dignity as possible
The practical nurse (PN) working at an assisted living facility is visiting with a client
whose spouse died 8 months ago. Which behavior by the client suggests ineffective
coping with the spouse's death? - ANSWER Frequently neglects to shower and
shave.
The hospitalized client with end-stage renal disease has expressed verbal and
written wishes not to be resuscitated. Which action should the practical nurse (PN)
take? - ANSWER Keep the client as comfortable as possible.
An older client diagnosed with benign prostatic hypertrophy (BPH) asks the practical
nurse (PN) what will happen if he decides not to have it treated. Which information
, given by the PN is most accurate regarding BPH? - ANSWER Untreated BPH
causes urinary reflux and possibly hydronephrosis.
The practical nurse (PN) emphasizes ways to prevent constipation to the older adult
client. Which instruction should the PN reinforce in the client's discharge teaching
plan? - ANSWER Drink several glasses of water throughout the day.
An older adult client is recovering from a hip fracture. The healthcare provider has
prescribed home healthcare nursing upon discharge. Which statement describes the
primary goal for the client? - ANSWER Establish self-care and independence.
The practical nurse (PN) reinforces the instructions to the client after a hip
replacement. Which client action indicates the need for further education? -
ANSWER Crossing the feet while lying in bed
The practical nurse (PN) assesses the older adult client's skin for signs of breakdown
and observes that the skin is intact. What interventions by the PN will help maintain
healthy skin integrity? - ANSWER Keep the client well hydrated.
The practical nurse (PN) performs a skin assessment on an older adult client who is
on bed rest. The PN notes a circular area of nonblanchable erythema on the coccyx.
Which type of skin condition does this indicate? - ANSWER Stage 1 pressure ulcer
The practical nurse (PN) teaches the client how to administer regular and NPH
insulins and requests a return demonstration from the client. Which action by the
client indicates understanding of the medication instruction? - ANSWER When
drawing up insulin in the same syringe, the client drew up the regular insulin first
then the NPH insulin.
The practical nurse (PN) reinforces nutritional counseling to a group of clients with
diabetes. What is the most important purpose of a diabetic diet? - ANSWER To
stabilize the blood glucose level through a balanced diet
The client complains of nausea and vomiting about 1 hour after taking the morning
dose of an oral antidiabetic agent, glyburide. What is the priority nursing
intervention? - ANSWER Closely monitor the blood glucose level and watch for signs
of hypoglycemia.
The practical nurse (PN) is caring for a client who has been diagnosed with early
Alzheimer disease. With which activity does the PN expect the client to experience
the most difficulty? - ANSWER Balancing a checkbook
The client is recently diagnosed with Parkinson disease and is to begin medication
therapy. What is the purpose of the client's medication therapy? - ANSWER
Decrease tremors.
The practical nurse (PN) is caring for an older client diagnosed with Alzheimer
dementia. Which behavior by the client should the PN be the most concerned about?
- ANSWER Climbing out of bed
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