HESI Gerontology Sample Exam Version 3 (2023\/ 2024 Update) Questions and Verified Answers with Rationales| 100% Correct| Grade A<\/p>\n\n\n\n
HESI Gerontology Sample Exam Version 3
(2023\/ 2024 Update) Questions and Verified
Answers with Rationales| 100% Correct|
Grade A
Q: An older male client is seeking counseling about his recent sexual issues with his partner.
What issue should the registered nurse (RN) explore in this discussion?
A) Certain medications may impact sexual function
B) Normal aging affects sexual function in male clients
C) Safe sex is not necessary with older sexually active elders
D) Sexual interest usually declines with aging in male clients
Answer:
A
Certain medications can have a direct influence on sexual function and should be discussed with
older clients
Q: The registered nurse (RN) is reinforcing discharge instructions to the family of an older
client with failure to thrive. What information should the RN include to promote nutritional
intake for the client? (Select all that apply).
A) Minimize stress level by providing the client with a quiet environment during meals
B) Provide food variations that the client can manage without assistance
C) Assist the client with eating meals in bed in a semi-fowlers position
D) Encourage fluid intake before me
Answer:
A,B
These continue to promote independence and decreased stress for the client, which will cause
decreased self worth and depression<\/p>\n\n\n\n
Q: An older woman asks the registered nurse (RN) how she can decrease her chances of getting
cystitis. What information should the RN provide?
A) Void and empty the bladder completely every 2 to 3 hours
B) Take warm sitz baths with bubble bath to cleanse the vulva
C) Decrease fluid volume intake to reduce urgency
D) Test urine pH daily using over-the-counter (OTC) dipsticks
Answer:
A
Frequent bladder emptying minimizes overdistention, which can compromise blood supply to the
bladder wall and cause irritation to the bladder
Q: An older male client with Parkinson’s disease (PD) is discharged home with levodopacarbidopa (Sinemet) and instructions to his wife for his care. Which statement best indicates to
the registered nurse (RN) that the wife understands her husband’s needs?
A) “It is important to keep my husband in a chair or in bed as much as possible and prevent him
form falling.”
B) “I will notify the healthcare provider if my husband has increasing involuntary movements of
his extremities.”
C) “Since it is diff
Answer:
B
Increasing involuntary movements should be reported during the use of levodopa; it is an
indicator that the body is failing to readjust to the changes in the level of the intracerebral
neurotransmitter dopamine. The client should be encouraged to engage in exercise and regular
daily activities
Q: 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<\/p>\n\n\n\n
D) Invite friends to visit to decrease risk for depression
Answer:
B
The client is at risk for complications related to immobility. Active leg exercises should be
performed frequently to decrease the risk for thrombophlebitis.
Q: An older male client is admitted to the hospital with left-sided heart failure (HF). Which
fining should the registered nurse (RN) document that is consistent with HF?
A) Ascites
B) Pitting edema
C) Jugular distention
D) Coarse and fine crackles
Answer:
D
In left-sided heart failure, the inadequacy of pumping blood into the aorta causes blood to back
up into the pulmonary capillaries; this pushes intravascular fluid into the alveoli, which is
manifested as crackles or rales. Ascites, pitting edema, and jugular vein distention are manifested
in right-sided heart failure
Q: An older female client who has been taking hydrocodone\/acetaminophen (Lortab) q4 hours
for chronic back pain for the past 5 years tells the registered nurse (RN) 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 healthcare provider prescribed the pain pills. Which coping mechanism should the
RN determine the client is using about her addiction?
A) Lack of knowledge about narcotic medications
B) Rationalization to
Answer:
B
The client is using rationalization to maintain self-esteem when she is questioned by stating that
she is not addicted because she is taking medication prescribed by a healthcare provider.
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