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2019 HESI RN Gerontology Exam 3 Set in 1 With Answers (68 Solved Questions)

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    HESI RN GERONTOLOGY EXAM 2019 | 3 Sets in 1

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    HESI RN GERONTOLOGY EXAM 2019 1. Which statement is true about rehab and restorative care for older adults? A PERSONCAN LEARN SKILLS AND GAIN ABILITIES THAT ENABLE FUNCTIONING 2. An older adult is in the hospital because of HF and has become incontinent of urine. Which EB resource should the nurse use to guide continence care for this pt? NURSINGSTANDARD PRACTICE PROTOCOL 3. The nurse understands that stress incontinence occurs? AS A RESULT OF INCEASEDINTRAABDOMINAL PRESSURE 4. A large residual urine volume characterizes what type of incontinence? OVERLFOW Which action should be included in all bladder-retraining programs? TOILETING AT BEDTIME 5. The nurse assess a male resident in a NH for urinary incontinence and determines thathe is unaware of the problem. Which recommendation should the nurse implement? PROVIDE REGULAR TOILETING 6. The nurse wants to begin helping a resident who is overweight and has urinary incontinence with healthy bladder behavior skills. Which intervention should the nurseimplement? SCHEDULE VOIDING AT 2-4 HR INTERVALS 7. What is the most important aspect of care for the nurse to maintain when assisting anolder pt with urinary incontinence? MAINTAINING AN ATTITUDE THAT IS RESPECTFULABOUT RESLOVING THE PROBLEM 8. An older woman tells the NP that she fears her family will place her in a NH because shedeveloped stress incontinence. Which recommendation should the nurse implement? RECOMMEND EXERCISES TO STRENGTHEN THE PELVIC FLOOR 9. The nurse is caring for a pt who has recently had an indwelling catheter placed. Thenurse should assess the pt for? A CHANGE IN MENTAL STATUS 10. An older adult who is on bedrest after surgery is prescribed morphine for pain. Whichof the following is the nurse’s priority for preventive care? CONSTIPATION 11. Which of the following statements is a true about elimination in older adults? DEFACATION < 1 DAY IS NOT NECESSARILY CONSTIPATION 12. Which option is part of the program that addresses bowel incontinence in an older adultpt? ENSURING THAT A TOILET OR COMMODE IS READILYACCESSIBLE TO THE PT 13. Which is an important consideration about the skin of an older adult person? THESKIN BECOMES MORE VULNERABLE TO DAMAGE

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    14. Which topical agent is safe to apply? LIGHT MINERAL OIL TO MOISTEN SKINAFTER BATHING 15. A 70 yr old woman complains of dry skin and asks for advice. Which advice should thenurse offer to this woman for improving dry skin? KEEP BATH WATER BETWEEN 90* AND 105*F 16. The nurse monitors for which clinical indicator when the older adult complains ofpruritus? COARSE SKIN 17. Which infection control practice should the nurse implement when caring for an olderadult who has active herpes zoster? COVER RUPTURED SKIN LESIONS WITH A NONABSORBENT DRESSING 17. The nurse is conducting an admission assessment on an older adult and notes a smalllesion with a multicolor appearance. Which assessment approach should the nurse use? ABCD RULE (ASYMMETRY, BORDER, COLOR, DIAMETER) 18. The nurse cares for an older man who has a malignant melanoma. Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future? INSTRUCT HIM TO WEAR SUN- PROTECTIVE CLOTHING ANDA HAT AT ALL TIMES 19. Which of the following is a true statement about impaired skin integrity? MUSCLEAND FAT CANNOT REGENERATE 20. An older adult is vitamin deficient. Which of the following does the nurse offer to theolder adult to provide the important missing vitamin for maintaining healthy skin and enhancing tissue repair? ORANGE SLICES 21. An older adult woman complains of foot plain from a corn. After assessing her feet, which intervention should the nurse implement to alleviate her from discomfort? CUT OUTAN OVAL CORN PAD TO MAKE A U SHAPE 22. Which of the following statements is true about Medicare for older adults? 80% OF MEDICARE’S ANNUAL EXPENDITURES ARE FOR INDIVIDUALS WITH CHRONICILLNESS 23. Acute illness is to chronic illness as to which of the following comparisons? AN ER ISTO A NH 24. An older female pt is dx with a chronic illness. Which principle should the nurse applywhen answering her questions? CHRONIC ILLNESS IS UNENDING AND COPING CAN BE INFLUENCED BY THE PERCEPTION OF UNCERTAINTY 25. Over 50% of the population, aged 65 + yrs, suffers from which one of the followingchronic health conditions? HTN AND ARTHRITIS

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