HESI RN – Gerontology V1 TEST BANK – Latest Updated 2025 – 100% Verified Answers with Detailed Rationales – Guaranteed PASS

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HESI RN – Gerontology V1 TEST BANK – Latest Updated 2025 – 100% Verified Answers with Detailed Rationales – Guaranteed PASS The nursing assessment of an older female elicits information that ... the client is diagnosed with Raynaud's phenomenon. Which exposure should the nurse instruct the client to avoid? a) Alcohol consumption b) Warm climates c) Cold climates d) Active exercise- ANSWER - C) Cold Climates Rationale: Can cause prolonged painful vasoconstriction of the peripheral extremities (especially hands) in client's with Raynaud's phenomenon. A family member brings their aging father to the clinic because he has been alert and oriented during the day but agitated and disoriented in the evening. The registered nurse (RN) reviews the client's list of current medications with the client and family. Which action taken by the RN is most important? a) Medication review with family caregivers is the PN's responsibility b) Multiple medications can contribute to sundowner like symptoms c) Medication recall is the best way to evaluate the client's memory d) Reviewing medication actions is a component of effective client care- ANSWER - B) Multiple medications can contribute to sundowner like symptoms Rationale: Older clients may see a variety of healthcare providers which can increase the change of polypharmacy that compounds the workload of metabolic pathways that may be less efficient due to the aging process. Multiple medication interactions may contribute to sundowner like symptoms. 2 | P a g e An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left forearm 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 the 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, which facilitate cannulation for hemodialysis 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) Debridement and removal of slough and eschar Rationale: 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. Older clients are at highest risk for abuse and neglect due to which factors? (Select all that apply) a) Needs are greater than the caretaker's ability 3 | P a g e b) Client's declining strength c) Fixed income d) Longer life expectancy e) Lack of exposure to technology and trends- ANSWER - A, B Rationale: When needs are not being met due to lack of ability of the caretaker, stress and feelings of failure of the care provider may be expressed through neglect and abuse. Decline in strength increases the older client's vulnerability to resist or respond to elder abuse. A 64-year-old client is admitted to the hospital with a fractured right hip. One of the concerns following surgical repair is to promote dorsiflexion. Which intervention would a nurse implemen [Show More]

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