Gerontology HESI Exam (2026) | RN Geriatric
Exam
Gerontology HESI Exam 4 (2026) | RN Geriatric
Exam Prep | NGN Nursing Questions (Pdf)
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
1. A nurse develops a plan of care for a family with nursing diagnosis of Caregiver Role Strain
related to urinary incontinence. Which of the following interventions is the highest priority?
A+ TEST BANK 1
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
A) Administer diphenhydramine at bedtime.
B) Assist the client to the bathroom prior to bedtime.
C) Limit the fluid intake of the client to 1000 mL each day.
D) Monitor bowels for diarrhea and constipation –
Correct Answer :Ans: B
Walking the client to the bathroom encourages voiding prior to bedtime. Urinary incontinence
is a major factor that impacts placement in an institution. Fluid intake should be carefully
timed and should be about 2,000 mL per day. Diphenhydramine relaxes bladder muscles,
which can lead to urinary retention and incontinence
2. A nurse presents at a conference regarding functional consequences related to urinary
elimination. Which of the following statements should the nurse include?
A) "Most older women will develop urinary incontinence by the age of 85."
B) "Most older adults will experience hypertrophy and relaxation of muscles in the urinary
tract and pelvic floor."
C) "Excretion of penicillin and cimetidine are decreased in older adults."
D) "Healthy older adults experience an increase in glomerular filtration rate." –
Correct Answer :Ans: C
A+ TEST BANK 2
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
Age-related changes in kidney function can impact water-soluble medications that are highly
dependent on the glomerular filtration rate. This would include digoxin, penicillin,
aminoglycosides, and cimetidine
3. A nurse assesses the urinary elimination of older adults. Which of the following actions by
the nurse is most appropriate?
A) Work to identify terms that the older adult comprehends.
B) Wait until the person initiates a discussion of this embarrassing topic.
C) Give the interview questions to the client in writing.
D) Ask the older adult to keep a urination diary
- Correct Answer :Ans: A
Although nurses usually learn to discuss urinary elimination with relative ease, older adults
may feel uncomfortable with the topic, especially if there are gender or age differences
between the older person and the nurse. In addition, older adults may be reluctant to discuss
urinary problems because they tend to accept urinary leakage as an inevitable consequence
of aging and gradually increase their tolerance threshold. Because of varying social contexts,
successful interviewing about urinary elimination and incontinence depends on identifying the
terms that are least embarrassing and most understandable to the older adult
4. A nurse teaches an older adult man to perform pelvic floor muscle exercises (PFME)? Which
of the following should be included in a nurse's instructions?
A+ TEST BANK 3
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
A) Interrupt the flow of urine several times each time you urinate.
B) Identify the correct muscle by making the base of your penis move up and down.
C)Contract your legs and buttocks while contracting the pubococcygeal muscle.
D) Perform the exercise while standing over the toilet –
Correct Answer :Ans: B
An important element of teaching about pelvic floor exercises is to identify the
pubococcygeal muscle and practice contracting and relaxing this muscle. For men, this can be
done by raising the base of the penis. Once the muscles have been identified, do not continue
to stop urinary flow. These exercises can be performed sitting, standing, or lying down. Keep
legs, buttocks, and abdomen relaxed
5. A nurse administers medications to an older man. Which of the following statements if
made by the client indicates understanding of the use of tamsulosin?
A) "I am so happy that this medication is working to decrease my urinary incontinence."
B) "I now have had much less bladder pain and cramping."
C) "My blood pressure has been higher since taking this medication."
D) "My urine flow starts much faster now." –
Correct Answer :Ans: D
A+ TEST BANK 4
Exam
Gerontology HESI Exam 4 (2026) | RN Geriatric
Exam Prep | NGN Nursing Questions (Pdf)
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
1. A nurse develops a plan of care for a family with nursing diagnosis of Caregiver Role Strain
related to urinary incontinence. Which of the following interventions is the highest priority?
A+ TEST BANK 1
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
A) Administer diphenhydramine at bedtime.
B) Assist the client to the bathroom prior to bedtime.
C) Limit the fluid intake of the client to 1000 mL each day.
D) Monitor bowels for diarrhea and constipation –
Correct Answer :Ans: B
Walking the client to the bathroom encourages voiding prior to bedtime. Urinary incontinence
is a major factor that impacts placement in an institution. Fluid intake should be carefully
timed and should be about 2,000 mL per day. Diphenhydramine relaxes bladder muscles,
which can lead to urinary retention and incontinence
2. A nurse presents at a conference regarding functional consequences related to urinary
elimination. Which of the following statements should the nurse include?
A) "Most older women will develop urinary incontinence by the age of 85."
B) "Most older adults will experience hypertrophy and relaxation of muscles in the urinary
tract and pelvic floor."
C) "Excretion of penicillin and cimetidine are decreased in older adults."
D) "Healthy older adults experience an increase in glomerular filtration rate." –
Correct Answer :Ans: C
A+ TEST BANK 2
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
Age-related changes in kidney function can impact water-soluble medications that are highly
dependent on the glomerular filtration rate. This would include digoxin, penicillin,
aminoglycosides, and cimetidine
3. A nurse assesses the urinary elimination of older adults. Which of the following actions by
the nurse is most appropriate?
A) Work to identify terms that the older adult comprehends.
B) Wait until the person initiates a discussion of this embarrassing topic.
C) Give the interview questions to the client in writing.
D) Ask the older adult to keep a urination diary
- Correct Answer :Ans: A
Although nurses usually learn to discuss urinary elimination with relative ease, older adults
may feel uncomfortable with the topic, especially if there are gender or age differences
between the older person and the nurse. In addition, older adults may be reluctant to discuss
urinary problems because they tend to accept urinary leakage as an inevitable consequence
of aging and gradually increase their tolerance threshold. Because of varying social contexts,
successful interviewing about urinary elimination and incontinence depends on identifying the
terms that are least embarrassing and most understandable to the older adult
4. A nurse teaches an older adult man to perform pelvic floor muscle exercises (PFME)? Which
of the following should be included in a nurse's instructions?
A+ TEST BANK 3
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
A) Interrupt the flow of urine several times each time you urinate.
B) Identify the correct muscle by making the base of your penis move up and down.
C)Contract your legs and buttocks while contracting the pubococcygeal muscle.
D) Perform the exercise while standing over the toilet –
Correct Answer :Ans: B
An important element of teaching about pelvic floor exercises is to identify the
pubococcygeal muscle and practice contracting and relaxing this muscle. For men, this can be
done by raising the base of the penis. Once the muscles have been identified, do not continue
to stop urinary flow. These exercises can be performed sitting, standing, or lying down. Keep
legs, buttocks, and abdomen relaxed
5. A nurse administers medications to an older man. Which of the following statements if
made by the client indicates understanding of the use of tamsulosin?
A) "I am so happy that this medication is working to decrease my urinary incontinence."
B) "I now have had much less bladder pain and cramping."
C) "My blood pressure has been higher since taking this medication."
D) "My urine flow starts much faster now." –
Correct Answer :Ans: D
A+ TEST BANK 4
