Gerontology HESI Practice 2026 |EXAM
(MULTIPLE CHOICES) AND (RATIONALES)
QUESTION AND ANSWERS 100% CORRECT
2026
Save
Terms in this set (50)
A frail, elderly client is admitted to B. Confusion and dehydration
the unit with a diagnosis of
pneumonia. Which finding is most Rationale: Confusion and dehydration (B) are
important for the registered nurse findings of inadequate oxygenation and
(RN) to report to the healthcare perfusion in this frail elderly client. (A), (C) and
provider? (D) are all common with pneumonia, but the most
important finding is confusion and evidence of
A. Fever and chills dehydration, which require treatment for this frail
B. Confusion and dehydration elderly client.
C. Crackles in the lung fields
D. Nausea and vomiting
,A frail elderly couple asks the D. Taste buds are often dull due to atrophy so
registered nurse (RN) if they have older clients should use other seasonings instead
to watch their salt intake because of salt.
food does not taste as good as it
used to so they have to season Rationale: Taste buds atrophy with normal aging,
most foods. What information which influences an older client's sensitivity to
should the RN offer the couple? taste and is often compensated for the use of
stronger tasting seasonings. (A), (B), and (C) are
A. Boredom may influence how the not normal aging processes related to taste.
taste of food is perceived, and
different seasonings can stimulate
taste.
B. With age, an increase in sodium
intake is needed to compensate for
a decrease in renal function.
C. Short-term memory loss and
confusion may be the reason they
want to over-season their food.
D. Taste buds often are dull due to
atrophy so older clients should use
other seasonings instead of salt.
, After taking a 10-day course of an B. Crackles and pulse oximetry level of 88%
antibiotic that was ineffective, a
frail, elderly client with chronic Rationale: With pneumonia, crackles in the lungs
obstructive pulmonary disease and low O2 saturation (B) can impact adequate
(COPD) is admitted for pneumonia. oxygenation, which should be reported to the
The client has a long history of HCP. (A) occurs due to chronic hyperinflation of
smoking and still smokes a pack of the lungs and is common in clients with COPD.
cigarettes a day. Which finding Anemia (C) is frequently identified in clients with
should the registered nurse (RN) COPD, and respiratory acidosis (D) due to CO2
report to the healthcare provider? retention contributes to a lower blood pH.
A. Barrel chest with increased chest
diameter
B. Crackles and pulse oximetry level
of 88%
C. Low hemoglobin and hematocrit
levels
D. Arterial blood gases indicating
respiratory acidosis
(MULTIPLE CHOICES) AND (RATIONALES)
QUESTION AND ANSWERS 100% CORRECT
2026
Save
Terms in this set (50)
A frail, elderly client is admitted to B. Confusion and dehydration
the unit with a diagnosis of
pneumonia. Which finding is most Rationale: Confusion and dehydration (B) are
important for the registered nurse findings of inadequate oxygenation and
(RN) to report to the healthcare perfusion in this frail elderly client. (A), (C) and
provider? (D) are all common with pneumonia, but the most
important finding is confusion and evidence of
A. Fever and chills dehydration, which require treatment for this frail
B. Confusion and dehydration elderly client.
C. Crackles in the lung fields
D. Nausea and vomiting
,A frail elderly couple asks the D. Taste buds are often dull due to atrophy so
registered nurse (RN) if they have older clients should use other seasonings instead
to watch their salt intake because of salt.
food does not taste as good as it
used to so they have to season Rationale: Taste buds atrophy with normal aging,
most foods. What information which influences an older client's sensitivity to
should the RN offer the couple? taste and is often compensated for the use of
stronger tasting seasonings. (A), (B), and (C) are
A. Boredom may influence how the not normal aging processes related to taste.
taste of food is perceived, and
different seasonings can stimulate
taste.
B. With age, an increase in sodium
intake is needed to compensate for
a decrease in renal function.
C. Short-term memory loss and
confusion may be the reason they
want to over-season their food.
D. Taste buds often are dull due to
atrophy so older clients should use
other seasonings instead of salt.
, After taking a 10-day course of an B. Crackles and pulse oximetry level of 88%
antibiotic that was ineffective, a
frail, elderly client with chronic Rationale: With pneumonia, crackles in the lungs
obstructive pulmonary disease and low O2 saturation (B) can impact adequate
(COPD) is admitted for pneumonia. oxygenation, which should be reported to the
The client has a long history of HCP. (A) occurs due to chronic hyperinflation of
smoking and still smokes a pack of the lungs and is common in clients with COPD.
cigarettes a day. Which finding Anemia (C) is frequently identified in clients with
should the registered nurse (RN) COPD, and respiratory acidosis (D) due to CO2
report to the healthcare provider? retention contributes to a lower blood pH.
A. Barrel chest with increased chest
diameter
B. Crackles and pulse oximetry level
of 88%
C. Low hemoglobin and hematocrit
levels
D. Arterial blood gases indicating
respiratory acidosis
