GERONTOLOGY HESI PRACTICE EXAM V2
(Hesi Actual Review Questions & Correct Answers | Latest Edition 2025/2026 |100%
Guaranteed Pass!!!)
A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is most important
for the registered nurse (RN) to report to the healthcare provider?
A. Fever and chills
B. Confusion and dehydration
C. Crackles in the lung fields
D. Nausea and vomiting
B. Confusion and dehydration
Rationale: Confusion and dehydration (B) are findings of inadequate oxygenation and perfusion in this frail elderly
client. (are all common with pneumonia, but the most important finding is confusion and evidence of dehydration,
which require treatment for this frail elderly client.
An older client is transferred to a telemetry unit after placement of a pacemaker. What action should the
registered nurse (RN) take first?
A. View incision site
B. Obtain a blood pressure
C. Establish telemetry monitoring
D. Evaluate client for pain
C. Establish telemetry monitoring.
Rationale: The first action is to establish continuous telemetry monitoring (C) to ensure the pacemaker is
functioning properly.
Older clients are at highest risk for abuse and neglect due to which factors? (Select all that apply.)
A. Needs are greater than the caretaker's abilities
B. Client's declining strength
C. Fixed income
D. Longer life expectancy
E. Lack of exposure to technology and trends
1|P a g e
,A. Needs regretter than the caretaker's abilities
B. Client's declining strength
Rationale: When needs are not being met due to lack of ability of the caretaker (A), stress and feelings of failure
may be expressed through neglect and abuse. Decline in strength (B) increases the older client's vulnerability to
resist or respond to elder abuse.
An older female client who has been taking hydrocodone/acetaminophen (Lortab) q4 hours for chronic back
pain for the past 5 years tells the registered nurse (RN) that she cannot live without her pain pills. When
asked if she is addicted, the client states that she is not an addict because the healthcare provider prescribed
the pain pills. Which coping mechanism should the RN determine the client is using about her addiction?
B. Rationalization to support narcotic use.
Rationale: The client is using rationalization to maintain self-esteem when she is questioned by stating that she is not
addicted because she is taking medication prescribed by a healthcare provider.
A family member brings their aging father to the clinic because he has been alert and oriented during the day
but agitated and disoriented in the evening. The registered nurse (RN) reviews the client's list of current
medications with the client and family. Which action taken by the RN is most important?
B. Multiple medications can contribute to sundowner like symptoms.
Rationale: Older clients may see a variety of HCP which can increase the chance of polypharmacy that compounds
the workload of metabolic pathways that may be less efficient due to the aging process. Multiple medication
interactions may contribute to sundowner like symptoms; reviewing medication actions and interactions provides the
information that may indicate polypharmacy leading to sundowner syndromes.
Since his arrival in an assisted living community, an older male client is having difficulty going to sleep.
Which intervention should the registered nurse (RN) implement first?
A. Encourage client to take a warm bath at night
B. Ask the client what has helped him in the past
C. Recommend that the client not take daytime naps
D. Offer the client a glass of warm milk before bedtime
B. Ask the client what has helped him in the past.
Rationale: Asking the client (B) about his sleeping habits involves the client in his own care and preserves his
autonomy as he adapts to living in a new community.
2|P a g e
, The home health registered nurse (RN) is visiting an older client with chronic hypertension. What evaluation
is most important for the RN to complete with each visit?
A. Effectiveness of medication
B. Ability to ambulate
C. Signs of dehydration
D. Familial support
A. Effectiveness of medication
Rationale: The highest priority in the care of an older client with chronic hypertension is evaluation of the
effectiveness of blood pressure medication (A) and the client's compliance in order to prevent complications related
to chronic disease.
An older male client with heart failure (HF) complains of chronic constipation and wants to retrain his bowel.
Which information should the registered nurse (RN) offer the client for establishing regular bowel habits?
(A) Add whole grain foods and fibrous vegetables to diet.
Rationale: Increasing daily fiber (A) with increasing fluid intake are the best tools to use when retraining bowel
habits.
The registered nurse (RN) is observing the skin of an older client. Which finding should the RN document as
consistent with the normal aging process?
A. Decreased elasticity
B. Tough and leathery texture
C. Shiny and edematous
D. Excessive hair growth on the head
(A) Decreased elasticity
Rationale: Loss of elasticity is a common finding of the normal aging process (A). The skin of elderly clients
becomes thin and fragile with aging, not
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?
(C) Attach a larger drainage bag while sleeping
Rationale: (C) can prevent urinary reflux if the bag fills to near capacity or greater, which can contribute to UTIs.
Forcing fluids is encouraged and should exceed urinary output, which commonly should be greater than 1,000 ml
3|P a g e
(Hesi Actual Review Questions & Correct Answers | Latest Edition 2025/2026 |100%
Guaranteed Pass!!!)
A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is most important
for the registered nurse (RN) to report to the healthcare provider?
A. Fever and chills
B. Confusion and dehydration
C. Crackles in the lung fields
D. Nausea and vomiting
B. Confusion and dehydration
Rationale: Confusion and dehydration (B) are findings of inadequate oxygenation and perfusion in this frail elderly
client. (are all common with pneumonia, but the most important finding is confusion and evidence of dehydration,
which require treatment for this frail elderly client.
An older client is transferred to a telemetry unit after placement of a pacemaker. What action should the
registered nurse (RN) take first?
A. View incision site
B. Obtain a blood pressure
C. Establish telemetry monitoring
D. Evaluate client for pain
C. Establish telemetry monitoring.
Rationale: The first action is to establish continuous telemetry monitoring (C) to ensure the pacemaker is
functioning properly.
Older clients are at highest risk for abuse and neglect due to which factors? (Select all that apply.)
A. Needs are greater than the caretaker's abilities
B. Client's declining strength
C. Fixed income
D. Longer life expectancy
E. Lack of exposure to technology and trends
1|P a g e
,A. Needs regretter than the caretaker's abilities
B. Client's declining strength
Rationale: When needs are not being met due to lack of ability of the caretaker (A), stress and feelings of failure
may be expressed through neglect and abuse. Decline in strength (B) increases the older client's vulnerability to
resist or respond to elder abuse.
An older female client who has been taking hydrocodone/acetaminophen (Lortab) q4 hours for chronic back
pain for the past 5 years tells the registered nurse (RN) that she cannot live without her pain pills. When
asked if she is addicted, the client states that she is not an addict because the healthcare provider prescribed
the pain pills. Which coping mechanism should the RN determine the client is using about her addiction?
B. Rationalization to support narcotic use.
Rationale: The client is using rationalization to maintain self-esteem when she is questioned by stating that she is not
addicted because she is taking medication prescribed by a healthcare provider.
A family member brings their aging father to the clinic because he has been alert and oriented during the day
but agitated and disoriented in the evening. The registered nurse (RN) reviews the client's list of current
medications with the client and family. Which action taken by the RN is most important?
B. Multiple medications can contribute to sundowner like symptoms.
Rationale: Older clients may see a variety of HCP which can increase the chance of polypharmacy that compounds
the workload of metabolic pathways that may be less efficient due to the aging process. Multiple medication
interactions may contribute to sundowner like symptoms; reviewing medication actions and interactions provides the
information that may indicate polypharmacy leading to sundowner syndromes.
Since his arrival in an assisted living community, an older male client is having difficulty going to sleep.
Which intervention should the registered nurse (RN) implement first?
A. Encourage client to take a warm bath at night
B. Ask the client what has helped him in the past
C. Recommend that the client not take daytime naps
D. Offer the client a glass of warm milk before bedtime
B. Ask the client what has helped him in the past.
Rationale: Asking the client (B) about his sleeping habits involves the client in his own care and preserves his
autonomy as he adapts to living in a new community.
2|P a g e
, The home health registered nurse (RN) is visiting an older client with chronic hypertension. What evaluation
is most important for the RN to complete with each visit?
A. Effectiveness of medication
B. Ability to ambulate
C. Signs of dehydration
D. Familial support
A. Effectiveness of medication
Rationale: The highest priority in the care of an older client with chronic hypertension is evaluation of the
effectiveness of blood pressure medication (A) and the client's compliance in order to prevent complications related
to chronic disease.
An older male client with heart failure (HF) complains of chronic constipation and wants to retrain his bowel.
Which information should the registered nurse (RN) offer the client for establishing regular bowel habits?
(A) Add whole grain foods and fibrous vegetables to diet.
Rationale: Increasing daily fiber (A) with increasing fluid intake are the best tools to use when retraining bowel
habits.
The registered nurse (RN) is observing the skin of an older client. Which finding should the RN document as
consistent with the normal aging process?
A. Decreased elasticity
B. Tough and leathery texture
C. Shiny and edematous
D. Excessive hair growth on the head
(A) Decreased elasticity
Rationale: Loss of elasticity is a common finding of the normal aging process (A). The skin of elderly clients
becomes thin and fragile with aging, not
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?
(C) Attach a larger drainage bag while sleeping
Rationale: (C) can prevent urinary reflux if the bag fills to near capacity or greater, which can contribute to UTIs.
Forcing fluids is encouraged and should exceed urinary output, which commonly should be greater than 1,000 ml
3|P a g e
