GERIATRIC HESI PACKAGE DEAL
CERTIFICATION STUDY GUIDE 2026
CORRECT ANSWERS GRADED A+
⩥ The PN is caring for an older female with Raynaud's phenomenon.
Which exposure should the PN instruct the client to avoid? Answer:
Cold climates
⩥ A frail elderly client is admitted to the unit with a diagnoses of
pneumonia. Which findings is most important for the PN to report to the
HCP? Answer: Confusion and dehydration
⩥ An older client who is a new resident in an ALF is having short term
memory loss and confusion. Which activity should the PN schedule the
client to do during the day? Answer: Daily exercise group
⩥ An older client is admitted a preliminary diagnosis of Addison's
disease. Which skin finding should the PN document that is typical with
Addison's? Answer: Hyperpigmentation
⩥ An older female client is recently transferred to a rehab facility after a
total hip replacement & asks the PN if she broke her hip because she is
old. How should the PN respond? Answer: Older women commonly lose
bone calcium which increases the risk of fracture
, ⩥ An older female client who is 3 days post op for a right hip repair is
admitted to the rehab center for strengthening in ADLs. The PN is
mobilizing the client to go to PT. Which action should the PN implement
first? Answer: Direct client to use the overhead trapeze.
⩥ The PN is caring for an older female client with a 20 year history of
rheumatoid arthritis who is admitted for carpel tunnel release. Which
finding associated with RA should the PN document? Answer: Small
joint involvement in fingers
⩥ An older man returns to the medsurg floor with a. 3 way indwelling
urinary catheter after a transurethral resection of the prostate (TURP).
The PN observes the catheter's tubing for drainage when he states he
needs to void. What should the PN implement based on this finding?
Answer: Irrigate the bladder through the catheter port.
⩥ The home health PN visits an older female client with a ill consult
who has been experiencing chronic UTIs. Which intervention should the
PN recommend the client do to manage the frequency of UTIs? Answer:
Attach a larger drainage bag while sleeping.
⩥ An older client who is unconscious is admitted after experiencing a
head injury from a fall. Glasgow Coma Scale (GCS) is prescribed to
evaluate the client. Which focused assessment should the PN use to
determine the client's GSC score? (Select all that apply) Answer: Verbal
response
CERTIFICATION STUDY GUIDE 2026
CORRECT ANSWERS GRADED A+
⩥ The PN is caring for an older female with Raynaud's phenomenon.
Which exposure should the PN instruct the client to avoid? Answer:
Cold climates
⩥ A frail elderly client is admitted to the unit with a diagnoses of
pneumonia. Which findings is most important for the PN to report to the
HCP? Answer: Confusion and dehydration
⩥ An older client who is a new resident in an ALF is having short term
memory loss and confusion. Which activity should the PN schedule the
client to do during the day? Answer: Daily exercise group
⩥ An older client is admitted a preliminary diagnosis of Addison's
disease. Which skin finding should the PN document that is typical with
Addison's? Answer: Hyperpigmentation
⩥ An older female client is recently transferred to a rehab facility after a
total hip replacement & asks the PN if she broke her hip because she is
old. How should the PN respond? Answer: Older women commonly lose
bone calcium which increases the risk of fracture
, ⩥ An older female client who is 3 days post op for a right hip repair is
admitted to the rehab center for strengthening in ADLs. The PN is
mobilizing the client to go to PT. Which action should the PN implement
first? Answer: Direct client to use the overhead trapeze.
⩥ The PN is caring for an older female client with a 20 year history of
rheumatoid arthritis who is admitted for carpel tunnel release. Which
finding associated with RA should the PN document? Answer: Small
joint involvement in fingers
⩥ An older man returns to the medsurg floor with a. 3 way indwelling
urinary catheter after a transurethral resection of the prostate (TURP).
The PN observes the catheter's tubing for drainage when he states he
needs to void. What should the PN implement based on this finding?
Answer: Irrigate the bladder through the catheter port.
⩥ The home health PN visits an older female client with a ill consult
who has been experiencing chronic UTIs. Which intervention should the
PN recommend the client do to manage the frequency of UTIs? Answer:
Attach a larger drainage bag while sleeping.
⩥ An older client who is unconscious is admitted after experiencing a
head injury from a fall. Glasgow Coma Scale (GCS) is prescribed to
evaluate the client. Which focused assessment should the PN use to
determine the client's GSC score? (Select all that apply) Answer: Verbal
response
