HESI Gerontology Practice Exam V1 (New
2023/ 2024 Update) Questions and Verified
Answers with Rationales| 100% Correct|
Grade A
QUESTION
An
... [Show More] older male client returns to the hospital after discharge 4 days ago for a TURP. The registered
nurse (RN) evaluates the function of the 3-way indwelling urinary catheter and the continuous
bladder irrigation system. Which finding should the RN report to the healthcare provider?
A. Irrigation bag of normal saline is hanging at the level of the client's head
B. The urinary output is greater than the amount of irrigation fluid instilled
C. The irrigation tubing is attached to the irrigation po
Answer:
(D) The tubing that drains the urinary bladder has bright red urine with clots.
Rationale: The presence of bright red urine with clots in the tubing draining the bladder (D) is an
abnormal finding indicating active bleeding, which should have resolved 36-72 hours
postoperatively and should be reported. (A, B and C) indicate that the system is functioning
properly.
QUESTION
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left
forearm for for hemodialysis. After palpating the AV fistula, which finding is an indication that
the AV fistula is functioning properly?
A. Enlarged veins
B. Redness around the site
C. Decreased pulses below fistula
D. Marked ecchymotic areas
Answer:
(A) Enlarged veins
Rationale: The mixing of arterial and venous blood in an AV fistula causes the veins to enlarge
(A), which facilitate cancelation for hemodialysis. (B) may be related to local infection or
inflammation and is not a normal finding. (C) and (D) are abnormal findings that should be
reported immediately.
QUESTION
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
C. increase protein intake to combat fatigue
D. Invite friends to visit to decrease risk for depression
Answer:
(B) Perform leg exercises while in bed.
Rationale: The client is at risk for complications related to immobility. (B) should be performed
frequently to decrease the risk for thrombophlebitis. (A, C and D) are measures to help the client
while on bedrest, but the most important complication that the client is at risk for deep vein
thrombosis.
QUESTION
After a transurethral resection of the prostate (TURP), an older man returns to the medical
surgical floor with a 3-way indwelling urinary catheter. The registered nurse (RN) observes the
catheter's tubing for drainage when the client states that he needs to void. What should the RN
implement based on this finding?
A. Irrigate the bladder through the catheter port
B. Remove the indwelling catheter
C. Explain that urgency is expected
D. Notify the healthcare provider of the symptom
Answer:
(A) Irrigate the bladder through the catheter port
Rationale: The feeling of urgency can be caused by blood clots that can occlude drainage of the
catheter, which is a common occurrence in the first 72 hours after a TURP. The urgency is an
indication that the client's bladder is not emptying, and the RN should irrigate catheter (A) to
relieve symptoms caused by a clot. (B) and (C) should not be implemented. (D) should be
implemented after determining if the irrigation was effective in relieving the client's complaint.
QUESTION
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
Answer:
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.
QUESTION
A 64-year-old client is admitted to the hospital with a fractured right hip. One of the concerns [Show Less]