HESI RN GERIATRICS EXAM
QUESTIONS, ANSWERS AND
RATIONALE 2023
A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding
is most important for the registered nurse (RN) to report to the healthcare provider?
A. Fever and chills
B. Confusion and dehydration
C. Crackles in the lung fields
D. Nausea and vomiting - B. Confusion and dehydration
Rationale: Confusion and dehydration (B) are findings of inadequate oxygenation and
perfusion in this frail elderly client. (A), (C) and (D) are all common with pneumonia, but
the most important finding is confusion and evidence of dehydration, which require
treatment for this frail elderly client.
A frail elderly couple asks the registered nurse (RN) if they have to watch their salt
intake because food does not taste as good as it used to so they have to season most
foods. What information should the RN offer the couple?
A. Boredom may influence how the taste of food is perceived, and different seasonings
can stimulate taste.
B. With age, an increase in sodium intake is needed to compensate for a decrease in
renal function.
C. Short-term memory loss and confusion may be the reason they want to over-season
their food.
D. Taste buds often are dull due to atrophy so older clients should use other seasonings
instead of salt. - D. Taste buds are often dull due to at
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