GERO HESI REVIEW EXAM PREP
COMPREHENSIVE EXAM 2026 QUESTIONS
AND SOLUTIONS GRADED A+
⫸ The home health care nurse visits an older adult couple living
independently. The wife cares for the husband, who has dementia.
Which interventions would the nurse implement for them? Select all
that apply. One, some, or all responses may be correct.. Ans: *Assess
the wife for caregiver burden.
2
Arrange hospice care for the husband.
3
Make health care decisions for the couple.
4
*Assess the husband for signs of physical abuse.
5
*Identify social support within the community.
⫸ Which priority parameter would the nurse assess when caring for
an older adult client with a neurocognitive disorder who demonstrates
disorientation and numerous unmanageable behaviors?. Ans:
Orientation to time, place, and person
2
Ability to perform daily activities without assistance from others
3
,*Stressors that appear to precipitate the client's disruptive behavior
4
Cognitive impairments until complete adjustments are accomplished
⫸ An older adult in acute care has a risk of skin breakdown. Which
intervention(s) is/are beneficial to the client? Select all that apply.
One, some, or all responses may be correct.. Ans: *Providing
thorough skin care
Correct2
*Reducing shear forces and friction
3
Providing beverages and snacks frequently
Incorrect4
Using a support surface base all the time
Correct5
*Avoiding pressure with proper positioning
⫸ The nurse is teaching an older client about proper medication use.
Which statement made by the client indicates the need for further
education?. Ans: "I will ask the pharmacist to give generic
medications."
Correct2
*"I will use over-the-counter medicines along with prescribed
medications."
Incorrect3
,"I will continue my treatment by consulting a single health care
provider."
4
"I will know the names and times of administration of the medications
I am taking."
⫸ Which immune function change places older clients at risk for
bacterial and fungal infections?. Ans: Decline in natural antibodies
2
Reduction of neutrophil function
3
*Decrease in circulating T lymphocytes
4
Reduction of colony-forming B lymphocytes
⫸ An 85-year-old client has just been admitted to a nursing home.
When designing a plan of care for this older adult, the nurse recalls
which expected sensory losses associated with aging? Select all that
apply. One, some, or all responses may be correct.. Ans: Difficulty in
swallowing
2
*Diminished sensation of pain
3
Heightened response to stimuli
4
*Impaired hearing of high frequency sounds
, 5
Increased ability to tolerate environmental heat
⫸ The nurse recognizes that a common conflict experienced by older
adults is the conflict between which?. Ans: Youth and old age
2
Retirement and work
3
*Independence and dependence
4
Wishing to die and wishing to live
⫸ Which findings are expected when assessing the skin of an older
adult? Select all that apply. One, some, or all responses may be
correct.. Ans: Scaly skin
2
*Tenting of skin
3
*Transparent skin
4
*Increased wrinkles
5
*Pigmented lesions
COMPREHENSIVE EXAM 2026 QUESTIONS
AND SOLUTIONS GRADED A+
⫸ The home health care nurse visits an older adult couple living
independently. The wife cares for the husband, who has dementia.
Which interventions would the nurse implement for them? Select all
that apply. One, some, or all responses may be correct.. Ans: *Assess
the wife for caregiver burden.
2
Arrange hospice care for the husband.
3
Make health care decisions for the couple.
4
*Assess the husband for signs of physical abuse.
5
*Identify social support within the community.
⫸ Which priority parameter would the nurse assess when caring for
an older adult client with a neurocognitive disorder who demonstrates
disorientation and numerous unmanageable behaviors?. Ans:
Orientation to time, place, and person
2
Ability to perform daily activities without assistance from others
3
,*Stressors that appear to precipitate the client's disruptive behavior
4
Cognitive impairments until complete adjustments are accomplished
⫸ An older adult in acute care has a risk of skin breakdown. Which
intervention(s) is/are beneficial to the client? Select all that apply.
One, some, or all responses may be correct.. Ans: *Providing
thorough skin care
Correct2
*Reducing shear forces and friction
3
Providing beverages and snacks frequently
Incorrect4
Using a support surface base all the time
Correct5
*Avoiding pressure with proper positioning
⫸ The nurse is teaching an older client about proper medication use.
Which statement made by the client indicates the need for further
education?. Ans: "I will ask the pharmacist to give generic
medications."
Correct2
*"I will use over-the-counter medicines along with prescribed
medications."
Incorrect3
,"I will continue my treatment by consulting a single health care
provider."
4
"I will know the names and times of administration of the medications
I am taking."
⫸ Which immune function change places older clients at risk for
bacterial and fungal infections?. Ans: Decline in natural antibodies
2
Reduction of neutrophil function
3
*Decrease in circulating T lymphocytes
4
Reduction of colony-forming B lymphocytes
⫸ An 85-year-old client has just been admitted to a nursing home.
When designing a plan of care for this older adult, the nurse recalls
which expected sensory losses associated with aging? Select all that
apply. One, some, or all responses may be correct.. Ans: Difficulty in
swallowing
2
*Diminished sensation of pain
3
Heightened response to stimuli
4
*Impaired hearing of high frequency sounds
, 5
Increased ability to tolerate environmental heat
⫸ The nurse recognizes that a common conflict experienced by older
adults is the conflict between which?. Ans: Youth and old age
2
Retirement and work
3
*Independence and dependence
4
Wishing to die and wishing to live
⫸ Which findings are expected when assessing the skin of an older
adult? Select all that apply. One, some, or all responses may be
correct.. Ans: Scaly skin
2
*Tenting of skin
3
*Transparent skin
4
*Increased wrinkles
5
*Pigmented lesions
