Page 1 of 219
Analyzed Gerontology HESI EXAM ALL 350+
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
Analyzed Gerontology HESI
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
A) Void and empty the bladder completely every 2 to 3 hours
Rationale: Frequent bladder emptying minimizes overdistention, which can compromise blood
supply to the bladder wall and cause irritation to the bladder.
An older male client is admitted for emergency treatment of acute closed-angle glaucoma.
The registered nurse (RN) begins administering the prescribed miotic medications and
glycerin (Glycol) therapy. Which intervention is most important for the RN to maintain during
the client's therapy?
1
, Page 2 of 219
a) Maintain lighting control in the room during therapy
b) Monitor intake and output q2 hours for 24 hours
c) Place an eye patch over the affected eye during sleep
d) Administer the eye drops at the scheduled intervals
B) Monitor intake and output q2 hours for 24 hours
Rationale: Monitoring intake and output is most important during the administration of glycerin
(Glycol) due to the rapid acting osmotic diuretic effect of glycerin therapy.
A frail elderly couple ask 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
2
, Page 3 of 219
D) Taste buds often are dull due to atrophy so older clients should use other seasonings instead
of salt
Rationale: Taste buds atrophy with normal aging, which influences an older client's sensitivity
to taste and is often compensated for with the use of stronger tasting seasonsings.
After taking a 10-day course of an antibiotic that was ineffective, a frail, elderly client with
chronic obstructive pulmonary disease (COPD) is admitted for pneumonia. The client has a
long history of smoking and still smokes a pack of cigarettes a day. Which finding should the
registered nurse (RN) report to the healthcare provided?
a) Barrel chest with increased chest diameter
b) Crackles and pulse oximetry level of 88%
c) Low hemoglobin and hematocrit levels
d) Arterial blood gases indicating respiratory acidosis
B) Crackles and pulse oximetry level of 88%
Rationale: With pneumonia, crackles in the lungs and low O2 saturation can impact adequate
oxygenation, which should be reported to the healthcare provider (HCP).
The home health registered nurse (RN) visits an older female client with an ideal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the
RN recommend to the client to manage the frequency of UTIs?
3
, Page 4 of 219
a) Force fluid intake to 1,000mL daily
b) Change appliance every 4 hours
c) Attach a larger drainage bag while sleeping
d) Allow bag to fill completely before emptying
C) Attach a larger drainage bag while sleeping
Rationale: Attaching a larger bag while sleeping can prevent urinary reflux if the bag fills to near
capacity or greater which can contribute to UTIs.
An older female client who is a new resident at an assisted living facility cannot remember
how to get to her room. What action should the registered nurse (RN) implement?
a) Schedule therapy and social activities in her room
b) Ask another resident to help the client
c) Show the client how to follow hallway signs to her room
d) Move client to a room close to nurses station
C) Show client how to follow hallway signs to her room
Rationale: Teaching the client how to follow hallway signs to her room provides cues and
reminders that foster independence.
4
Analyzed Gerontology HESI EXAM ALL 350+
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
Analyzed Gerontology HESI
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
A) Void and empty the bladder completely every 2 to 3 hours
Rationale: Frequent bladder emptying minimizes overdistention, which can compromise blood
supply to the bladder wall and cause irritation to the bladder.
An older male client is admitted for emergency treatment of acute closed-angle glaucoma.
The registered nurse (RN) begins administering the prescribed miotic medications and
glycerin (Glycol) therapy. Which intervention is most important for the RN to maintain during
the client's therapy?
1
, Page 2 of 219
a) Maintain lighting control in the room during therapy
b) Monitor intake and output q2 hours for 24 hours
c) Place an eye patch over the affected eye during sleep
d) Administer the eye drops at the scheduled intervals
B) Monitor intake and output q2 hours for 24 hours
Rationale: Monitoring intake and output is most important during the administration of glycerin
(Glycol) due to the rapid acting osmotic diuretic effect of glycerin therapy.
A frail elderly couple ask 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
2
, Page 3 of 219
D) Taste buds often are dull due to atrophy so older clients should use other seasonings instead
of salt
Rationale: Taste buds atrophy with normal aging, which influences an older client's sensitivity
to taste and is often compensated for with the use of stronger tasting seasonsings.
After taking a 10-day course of an antibiotic that was ineffective, a frail, elderly client with
chronic obstructive pulmonary disease (COPD) is admitted for pneumonia. The client has a
long history of smoking and still smokes a pack of cigarettes a day. Which finding should the
registered nurse (RN) report to the healthcare provided?
a) Barrel chest with increased chest diameter
b) Crackles and pulse oximetry level of 88%
c) Low hemoglobin and hematocrit levels
d) Arterial blood gases indicating respiratory acidosis
B) Crackles and pulse oximetry level of 88%
Rationale: With pneumonia, crackles in the lungs and low O2 saturation can impact adequate
oxygenation, which should be reported to the healthcare provider (HCP).
The home health registered nurse (RN) visits an older female client with an ideal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the
RN recommend to the client to manage the frequency of UTIs?
3
, Page 4 of 219
a) Force fluid intake to 1,000mL daily
b) Change appliance every 4 hours
c) Attach a larger drainage bag while sleeping
d) Allow bag to fill completely before emptying
C) Attach a larger drainage bag while sleeping
Rationale: Attaching a larger bag while sleeping can prevent urinary reflux if the bag fills to near
capacity or greater which can contribute to UTIs.
An older female client who is a new resident at an assisted living facility cannot remember
how to get to her room. What action should the registered nurse (RN) implement?
a) Schedule therapy and social activities in her room
b) Ask another resident to help the client
c) Show the client how to follow hallway signs to her room
d) Move client to a room close to nurses station
C) Show client how to follow hallway signs to her room
Rationale: Teaching the client how to follow hallway signs to her room provides cues and
reminders that foster independence.
4
