GERONTOLOGY HESI PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Which would be most appropriate when considering the environment for a
patient with dementia?ch. 10.
Answer: Placing family pictures around the room
◍ With the understanding that Mr. Rogers' eating habits lack consistency,
which physiological facts about the client's nutrition are most concerning to
the nurse?The stage II non-healing ulcer on the client's right heel could
require amputation. The development of hypoglycemia could be
life-threatening. Lack of exercise and activity require less nutritional
nutrients. Dehydration exacerbated by lack of nutrition. Lack of appetite and
not wanting to eat alone could lead to malnutrition..
Answer: The stage II non-healing ulcer on the client's right heel could
require amputation.Extra protein is needed for healing wounds and restoring
losses. Extensive tissue destruction, such as that which occurs with burns,
pressure sores, and diabetic ulcers requires a large protein increase for the
healing and grafting processes. Older adults with diabetes mellitus II (DM)
also demonstrate poor wound healing. The development of hypoglycemia
could be life-threatening.This is a concern to the nurse. Dehydration
exacerbated by lack of nutrition.Approximately 19% of total water intake
comes from food. Uncontrolled diabetes mellitus causes an excess loss of
water through urine as a result of high blood glucose levels. In such cases,
the replacement of lost water and electrolytes is vital to prevent dehydration.
Lack of appetite and not wanting to eat alone could lead to
malnutrition.Many of the health problems of older adults result from general
aging and states of malnutrition caused by poor food habits, such as a lack
, of appetite, or loneliness and not wanting to eat alone.
◍ Which are normal age-related changes? (Select all that apply.)ch. 3.
Answer: 1 Decreased visual acuity4 Increased gastric pH8 Decreased serum
albumin10 Decreased rate of peristalsis
◍ Which person is most likely to experience relationship issues?ch. 12.
Answer: One who likes solitary activities and states, "I like to be left alone"
◍ A nurse is caring for an older adult who is bedridden because of progressed
Parkinson disease. What is the most appropriate patient problem for this
patient?ch. 17.
Answer: Potential for altered skin integrity related to immobility
◍ Which condition is progressive and irreversible?ch. 10.
Answer: Dementia
◍ A nurse is caring for a patient with urge urinary incontinence. Based on the
nature of this problem, the nurse plans to institute which nursing
interventions? (Select all that apply.)ch. 18.
Answer: Avoid placing throw rugs in her room.Place her close to the
restroom, and remind her of its location.Orient the patient to the location of
nearby restrooms.
◍ An older adult is taking furosemide to reduce edema. Dietary teaching
would best include increasing the intake of which foods? (Select all that
apply.)ch. 6.
Answer: BananasApple juiceOrangesMilk
◍ The nurse is caring for a female patient who identifies herself as an atheist.
Which statement made by the nurse indicates that the nurse understands the
nature of spirituality?ch. 14.
Answer: "Do you have any spiritual practices we can assist you with?"
◍ An older adult does not follow through with health recommendations from
the primary health care provider. The older adult does not take prescribed
medications or keep medical appointments. Which patient problem should
, the LPN/LVN anticipate seeing on the care plan?ch. 4.
Answer: Nonadherence with the treatment plan
◍ A nurse is caring for an older adult who is upset about having to move into a
skilled nursing facility. Which communication technique used by the nurse
is most effective at establishing an empathetic climate?ch. 5.
Answer: Open-ended responses
◍ Which of the following are true statements regarding insomnia and its
treatment? (Select all that apply.)ch. 20.
Answer: Sleep medications can be useful in short-term management of
insomnia.Taking the medication cortisone, especially late in the day, can
contribute to insomnia.
◍ A 70-year-old married man confides to the nurse that he recently began to
have difficulty achieving an erection. He states that, "It wasn't much of a
problem until recently." What would be the nurse's best response?ch. 16.
Answer: "Did you recently change any medications?"
◍ The nurse is caring for an older adult in a rehabilitation unit. Which actions
by the nurse are most likely to enhance communication with the patient?
(Select all that apply.)ch. 5.
Answer: Identify yourself; remind the person who you are.Use pictures and
gestures in addition to words. Be patient, and avoid interrupting.
◍ Which instruction related to bath safety is best?Use toes or elbow to make
sure that the water is not too hot. Let hot bathwater sit for 10 minutes before
entering the bath. Use equal amounts of hot and cold water when preparing
the bath. Use a bath thermometer to ensure that the temperature is below
102° F (38.8° C)..
Answer: Use a bath thermometer to ensure that the temperature is below
102° F (38.8° C).Use of an unbreakable thermometer to ensure temperature
is below 102° F (38.8° C) will help prevent burns for the client with
peripheral neuropathy.
◍ An older patient requests an evening snack. Which food is most appropriate
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Which would be most appropriate when considering the environment for a
patient with dementia?ch. 10.
Answer: Placing family pictures around the room
◍ With the understanding that Mr. Rogers' eating habits lack consistency,
which physiological facts about the client's nutrition are most concerning to
the nurse?The stage II non-healing ulcer on the client's right heel could
require amputation. The development of hypoglycemia could be
life-threatening. Lack of exercise and activity require less nutritional
nutrients. Dehydration exacerbated by lack of nutrition. Lack of appetite and
not wanting to eat alone could lead to malnutrition..
Answer: The stage II non-healing ulcer on the client's right heel could
require amputation.Extra protein is needed for healing wounds and restoring
losses. Extensive tissue destruction, such as that which occurs with burns,
pressure sores, and diabetic ulcers requires a large protein increase for the
healing and grafting processes. Older adults with diabetes mellitus II (DM)
also demonstrate poor wound healing. The development of hypoglycemia
could be life-threatening.This is a concern to the nurse. Dehydration
exacerbated by lack of nutrition.Approximately 19% of total water intake
comes from food. Uncontrolled diabetes mellitus causes an excess loss of
water through urine as a result of high blood glucose levels. In such cases,
the replacement of lost water and electrolytes is vital to prevent dehydration.
Lack of appetite and not wanting to eat alone could lead to
malnutrition.Many of the health problems of older adults result from general
aging and states of malnutrition caused by poor food habits, such as a lack
, of appetite, or loneliness and not wanting to eat alone.
◍ Which are normal age-related changes? (Select all that apply.)ch. 3.
Answer: 1 Decreased visual acuity4 Increased gastric pH8 Decreased serum
albumin10 Decreased rate of peristalsis
◍ Which person is most likely to experience relationship issues?ch. 12.
Answer: One who likes solitary activities and states, "I like to be left alone"
◍ A nurse is caring for an older adult who is bedridden because of progressed
Parkinson disease. What is the most appropriate patient problem for this
patient?ch. 17.
Answer: Potential for altered skin integrity related to immobility
◍ Which condition is progressive and irreversible?ch. 10.
Answer: Dementia
◍ A nurse is caring for a patient with urge urinary incontinence. Based on the
nature of this problem, the nurse plans to institute which nursing
interventions? (Select all that apply.)ch. 18.
Answer: Avoid placing throw rugs in her room.Place her close to the
restroom, and remind her of its location.Orient the patient to the location of
nearby restrooms.
◍ An older adult is taking furosemide to reduce edema. Dietary teaching
would best include increasing the intake of which foods? (Select all that
apply.)ch. 6.
Answer: BananasApple juiceOrangesMilk
◍ The nurse is caring for a female patient who identifies herself as an atheist.
Which statement made by the nurse indicates that the nurse understands the
nature of spirituality?ch. 14.
Answer: "Do you have any spiritual practices we can assist you with?"
◍ An older adult does not follow through with health recommendations from
the primary health care provider. The older adult does not take prescribed
medications or keep medical appointments. Which patient problem should
, the LPN/LVN anticipate seeing on the care plan?ch. 4.
Answer: Nonadherence with the treatment plan
◍ A nurse is caring for an older adult who is upset about having to move into a
skilled nursing facility. Which communication technique used by the nurse
is most effective at establishing an empathetic climate?ch. 5.
Answer: Open-ended responses
◍ Which of the following are true statements regarding insomnia and its
treatment? (Select all that apply.)ch. 20.
Answer: Sleep medications can be useful in short-term management of
insomnia.Taking the medication cortisone, especially late in the day, can
contribute to insomnia.
◍ A 70-year-old married man confides to the nurse that he recently began to
have difficulty achieving an erection. He states that, "It wasn't much of a
problem until recently." What would be the nurse's best response?ch. 16.
Answer: "Did you recently change any medications?"
◍ The nurse is caring for an older adult in a rehabilitation unit. Which actions
by the nurse are most likely to enhance communication with the patient?
(Select all that apply.)ch. 5.
Answer: Identify yourself; remind the person who you are.Use pictures and
gestures in addition to words. Be patient, and avoid interrupting.
◍ Which instruction related to bath safety is best?Use toes or elbow to make
sure that the water is not too hot. Let hot bathwater sit for 10 minutes before
entering the bath. Use equal amounts of hot and cold water when preparing
the bath. Use a bath thermometer to ensure that the temperature is below
102° F (38.8° C)..
Answer: Use a bath thermometer to ensure that the temperature is below
102° F (38.8° C).Use of an unbreakable thermometer to ensure temperature
is below 102° F (38.8° C) will help prevent burns for the client with
peripheral neuropathy.
◍ An older patient requests an evening snack. Which food is most appropriate
