MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
GERONTOLOGY HESI PRACTICE EXAM – COMPLETE
REVIEW & VERIFIED QUESTIONS AND ANSWERS
GRADED A+(2025 EDITION)
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 sits 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: (A) minimizes over distention, which can compromise blood supply to the
bladder wall and cause irritation to the bladder. (B and C) increase irritation to the bladder.
Although (D) can inform the client of the risk of developing cystitis, testing does not help
decrease the risk of bladder infections.
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 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
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
,MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
Rationale: Teaching the client how to follow hallway signs to her room (B) provides cues
and reminders that foster independence. (A) limits social stimulation in her residential
environment. (B) may be helpful and fosters peer relationships and trusts, but the client's
independence should be fostered first. (D) often contributes to further confusion.
An older female client arrives for an annual visit by the urologist due to a history of changes
in serum values related to renal function. What changes should the registered nurse (RN)
expect for an older client due to normal aging?
A. Decrease in glomerular filtration rate (GFR)
B. Hematuria during urinalysis
C. Chronic bladder infections
D. Urinary incontinence
(A) Decrease in glomerular filtration rate (GFR)
Rationale: GFR often decreases (A) with normal aging due to a decrease in blood flow
through the kidneys, causing renal function test results to vary the clearance of metabolic
waste. (B, C and D) are not normal outcomes of aging.
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
(C) Cold climates
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
Rationale: Exposure to cold environments (C) can cause prolonged painful
vasoconstriction of the peripheral extremities (especially in hands) in client's with
Raynaud's phenomenon. (B) provides the best environment for clients suffering from this
disease. There is no correlation between (A) or (D) that exacerbates Raynaud's symptoms.
An older resident is newly admitted to an assisted living community. Which actions should
the registered nurse (RN) implement to provide the resident ways to maintain safe
medication administration? (Select all that apply.)
A. Locked medication storage in the client's room
B. Medication administration record (MAR)
C. Payment forms for prescribed medications
D. Delivery of adequate supply of medication
E. List of findings indicating medication effectiveness
(A), (B), (D), (E)
Rationale: (A, B, D and E) are correct. For safe self-medication in an assisted living
community, the resident should be provided a locked storage box (A), create a medication
administration record to monitor medication (B), establish adequate medication supply (D)
and a reference to evaluate the effectiveness of medications (E). (C) is not the
responsibility of the nurse.
An older male client is seeking counseling about his recent sexual issues with his partner.
What issue should the registered nurse (RN) explore in this discussion?
A. Certain mediations may impact sexual function
B. Normal aging affects sexual function in male clients
C. Safe sex is not necessary with older sexually active elders
D. Sexual interest usually declines with aging in male clients
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
GERONTOLOGY HESI PRACTICE EXAM – COMPLETE
REVIEW & VERIFIED QUESTIONS AND ANSWERS
GRADED A+(2025 EDITION)
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 sits 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: (A) minimizes over distention, which can compromise blood supply to the
bladder wall and cause irritation to the bladder. (B and C) increase irritation to the bladder.
Although (D) can inform the client of the risk of developing cystitis, testing does not help
decrease the risk of bladder infections.
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 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
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
,MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
Rationale: Teaching the client how to follow hallway signs to her room (B) provides cues
and reminders that foster independence. (A) limits social stimulation in her residential
environment. (B) may be helpful and fosters peer relationships and trusts, but the client's
independence should be fostered first. (D) often contributes to further confusion.
An older female client arrives for an annual visit by the urologist due to a history of changes
in serum values related to renal function. What changes should the registered nurse (RN)
expect for an older client due to normal aging?
A. Decrease in glomerular filtration rate (GFR)
B. Hematuria during urinalysis
C. Chronic bladder infections
D. Urinary incontinence
(A) Decrease in glomerular filtration rate (GFR)
Rationale: GFR often decreases (A) with normal aging due to a decrease in blood flow
through the kidneys, causing renal function test results to vary the clearance of metabolic
waste. (B, C and D) are not normal outcomes of aging.
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
(C) Cold climates
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
Rationale: Exposure to cold environments (C) can cause prolonged painful
vasoconstriction of the peripheral extremities (especially in hands) in client's with
Raynaud's phenomenon. (B) provides the best environment for clients suffering from this
disease. There is no correlation between (A) or (D) that exacerbates Raynaud's symptoms.
An older resident is newly admitted to an assisted living community. Which actions should
the registered nurse (RN) implement to provide the resident ways to maintain safe
medication administration? (Select all that apply.)
A. Locked medication storage in the client's room
B. Medication administration record (MAR)
C. Payment forms for prescribed medications
D. Delivery of adequate supply of medication
E. List of findings indicating medication effectiveness
(A), (B), (D), (E)
Rationale: (A, B, D and E) are correct. For safe self-medication in an assisted living
community, the resident should be provided a locked storage box (A), create a medication
administration record to monitor medication (B), establish adequate medication supply (D)
and a reference to evaluate the effectiveness of medications (E). (C) is not the
responsibility of the nurse.
An older male client is seeking counseling about his recent sexual issues with his partner.
What issue should the registered nurse (RN) explore in this discussion?
A. Certain mediations may impact sexual function
B. Normal aging affects sexual function in male clients
C. Safe sex is not necessary with older sexually active elders
D. Sexual interest usually declines with aging in male clients
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
