HESI Gerontology Practice Exam V3 (2023/
2024 Update) Questions and Verified
Answers with Rationales| 100% Correct|
Grade A
QUESTION
The
... [Show More] registered nurse (RN) is assigned the care of an older client who returns to the unit after
surgery for closed angle glaucoma. Which intervention in the plan of care should the RN bring to
the attention of the healthcare team?
A) Assist with ambulating to commode
B) Monitor intake and output q 8 hours
C) Administer morphine 4 mg IM q2 hour PRN pain
D) Place an eye path on operative eye during sleep
Answer:
C
Morphine side effects include nausea, vomiting, and constipation, causing straining on stool, all
of which can increase intraocular pressure and cause intraocular bleeding during the
postoperative period. Administration of morphine 0.4 mg IM q 2 hours PRN pain should be
discussed with the healthcare team to determine the risk of the side effects for the client.
QUESTION
The home health registered nurse (RN) is reinforcing instructions to the family about how to
prevent pressure ulcers for their older family member who is bedridden. Which measure should
the RN discuss?
A) Lift the client when turning instead of sliding
B) Massage directly over reddened sites
C) Change client's position every 4 hours
D) Place pillow under both the knees
Answer:
A
Lifting instead of sliding decreases chances of friction and shearing while moving the client.
QUESTION
The home health registered nurse (RN) is changing an older client's wet to dry dressing. Which
observation should the RN evaluate as a therapeutic response with the removal of the dry
dressing?
A) Debridement and removal of slough and eschar
B) Drainage of purulent exudate from the wound
C) Moist skin edges around the wound field
D) Presence of capillary growth in the wound
Answer:
A
Wet to dry dressings begin with a wet packing inside of the wound, and then a dry gauze is used
to cover the wet packing to wick drainage and bacteria away from the wound to promote healing.
Removal of dried dressing provides debridement by removing exudate, sloughing tissue, and
eschar
QUESTION
The home health RN is assessing an older client for a pressure ulcer. Which finding should the
RN observe the area for a Stage 1 pressure ulcer?
A) Superficial skin breakdown and flaking
B) Deep pink, red, or mottled skin
C) Subcutaneous damage or necrosis
D) Skin that blanches pink when pressed
Answer:
B
Temporary blanching of the area can last for over a minute due to poor circulation. Deep pink,
red, or mottled skin is a finding consistent with a stage 1 pressure ulcer
QUESTION
A frail elderly woman visits the healthcare provider because she has been getting out of breath
easily when walking long distance. Which pulmonary function change should the registered
nurse (RN) expect to commonly occur with aging?
A) Decreased residual volume
B) Mild respiratory acidosis
C) Reduced vital capacity
D) Increased alveoli function
Answer:
C
With aging, a frail elder is likely to have a reduced vital capacity due to the loss of elasticity of
the lung tissue. With reduced elasticity, residual volume increases.
QUESTION
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 RN expect for an older client
due to normal aging?
A) Decreased in glomerular filtration rate (GFR)
B) Hematuria during urinalysis
C) Chronic bladder infections
D) Urinary incontinence
Answer:
A
GFR often decreases with normal aging due to a decrease in blood flow through the kid [Show Less]