HESI GERIATRICS EXIT ACTUAL EXAM | COMPLETE QUESTIONS WITH EXPERT
SOLUTIONS | 2026 LATEST UPDATED | GET A+
1. A post menopausal female client with osteopenia tells the nurse that she has increased her physical activity and
hopes to participate in a charity walk event. How should the nurse respond?
A Review the need for her to avoid large crowds of people.
B Affirm the benefits of increasing her weight bearing activity.
C Teach her how to take her heart rate during prolonged activity.
D Explain the need to limit physical activity to reduce fracture risk.: B Affirm the benefits of increasing her weight
bearing activity.
2. An older client returns to the clinic and receives refills on several medications. The client shares concerns with the
nurse about having to take so many medications and asks if one pill could be substituted for many of the others. Which
instruction should the nurse implement to address the client's concerns?
A Use a medication reminder system to prevent forgetting to take the right medications at the right time.
B Make certain a family member knows the name and use of all medications currently being taken.
C Do not take any over-the-counter drugs while taking medications pre-scribed by a healthcare provider.
D Bring all medications, supplements, and herbs currently being taken to the next clinic appointment.: D Bring all
medications, supplements, and herbs currently being taken to the next clinic appointment.
Rational Having the client bring the supply of medications, supplements, and herbals that are currently being taken
enables the nurse to make an accurate medication assessment and determine the risk for drug interactions. The nurse
should ask the client to bring all medications, supplements, and herbs to the next.
,3. An older adult client who is disoriented is brought to the clinic by an adult child who asserts, "There is something just
not right in the head." Which action should the nurse perform first?
A Arrange mental health and social service consultations for the client.
B Send the client and adult child to the laboratory for a prescribed he-mogram.
C Review the history of the present problem as perceived by the adult child.D Request a referral to a neurologist after
reviewing the client's history.: C Review the history of the present problem as perceived by the adult child.
4. During report, an older adult client, who had a right total hip replacement three days ago, is described as intolerant
of pain. When assessing the client, the nurse finds that the client cannot straighten the right foot which is pointing
outward from the body. Which action should the nurse take?
A Sit down and talk to the client in a nonjudgmental way about effective ways to handle pain.
B Gently place a pillow on the outside of the leg to prevent further rotation outward.
C Administer a PRN opioid analgesic immediately and assess the client's response to the medication 30 minutes later.
D Call the healthcare provider immediately and report that the client's pros-
thesis is most likely dislocated.: D Call the healthcare provider immediately and report that the client's prosthesis is most
likely dislocated.
Signs of prosthesis dislocation include persistent pain unrelieved by opioid analgesia accompanied by a clicking or
popping sound and shortening of the affected extremity with the foot in external rotation. The healthcare provider
should be notified at once that the client is manifesting signs and symptoms consistent with dislocation.
5. The nurse is caring for an older adult client with impaired skin integrity resulting from shearing forces and pressure
that has manifested as a draining stage 3 sacral ulcer. Which intervention is most important for the nurse to implement?
A Teach the family how to perform wound care.
B Encourage a diet high in protein.
, C Daily range of motion exercises.
D Ensure that IV fluids are administered as prescribed.: B Encourage a diet high in protein. 6. An older client who is
caring for her husband who had a stroke has just learned that she needs to have oral surgery. She tells the nurse that
she has no one to help her care for her husband if she has the surgery. Which response should the nurse provide the
client?
A Recommend that the client's family return to the area to help provide assistance.
B Tell her to consider hiring a private nurse during the postoperative conva-lescence.
C Advise to have a case management evaluation of the clients home environ-ment
D Suggest social services be contacted to find a respite care facility for her husband.: D Suggest social services be
contacted to find a respite care facility for her husband.
Rationale
Respite programs are services designed specifically to benefit caregiver planned time away from the caregiving role.
Respite care can be utilized for a few hours, a day, or even a weekend. The nurse should provide the caregiver information
about obtaining respite care.
7. In checking the dose of intravenous ticarcillin disodium prescribed for an older client, the nurse notes that the 24 hour
dosage is lower than the normal range. Which finding supports the need for this reduced dosage?
A White blood cell count of 8,000/mm' (8 X 10%/L).
B Thin, fragile hand and arm veins.
C Serum creatinine of 3.5 mg/dL (310 umo/L).
D Inelastic skin turgor.: C Serum creatinine of 3.5 mg/dL (310 umo/L).
level should be (0.5-1.1)
SOLUTIONS | 2026 LATEST UPDATED | GET A+
1. A post menopausal female client with osteopenia tells the nurse that she has increased her physical activity and
hopes to participate in a charity walk event. How should the nurse respond?
A Review the need for her to avoid large crowds of people.
B Affirm the benefits of increasing her weight bearing activity.
C Teach her how to take her heart rate during prolonged activity.
D Explain the need to limit physical activity to reduce fracture risk.: B Affirm the benefits of increasing her weight
bearing activity.
2. An older client returns to the clinic and receives refills on several medications. The client shares concerns with the
nurse about having to take so many medications and asks if one pill could be substituted for many of the others. Which
instruction should the nurse implement to address the client's concerns?
A Use a medication reminder system to prevent forgetting to take the right medications at the right time.
B Make certain a family member knows the name and use of all medications currently being taken.
C Do not take any over-the-counter drugs while taking medications pre-scribed by a healthcare provider.
D Bring all medications, supplements, and herbs currently being taken to the next clinic appointment.: D Bring all
medications, supplements, and herbs currently being taken to the next clinic appointment.
Rational Having the client bring the supply of medications, supplements, and herbals that are currently being taken
enables the nurse to make an accurate medication assessment and determine the risk for drug interactions. The nurse
should ask the client to bring all medications, supplements, and herbs to the next.
,3. An older adult client who is disoriented is brought to the clinic by an adult child who asserts, "There is something just
not right in the head." Which action should the nurse perform first?
A Arrange mental health and social service consultations for the client.
B Send the client and adult child to the laboratory for a prescribed he-mogram.
C Review the history of the present problem as perceived by the adult child.D Request a referral to a neurologist after
reviewing the client's history.: C Review the history of the present problem as perceived by the adult child.
4. During report, an older adult client, who had a right total hip replacement three days ago, is described as intolerant
of pain. When assessing the client, the nurse finds that the client cannot straighten the right foot which is pointing
outward from the body. Which action should the nurse take?
A Sit down and talk to the client in a nonjudgmental way about effective ways to handle pain.
B Gently place a pillow on the outside of the leg to prevent further rotation outward.
C Administer a PRN opioid analgesic immediately and assess the client's response to the medication 30 minutes later.
D Call the healthcare provider immediately and report that the client's pros-
thesis is most likely dislocated.: D Call the healthcare provider immediately and report that the client's prosthesis is most
likely dislocated.
Signs of prosthesis dislocation include persistent pain unrelieved by opioid analgesia accompanied by a clicking or
popping sound and shortening of the affected extremity with the foot in external rotation. The healthcare provider
should be notified at once that the client is manifesting signs and symptoms consistent with dislocation.
5. The nurse is caring for an older adult client with impaired skin integrity resulting from shearing forces and pressure
that has manifested as a draining stage 3 sacral ulcer. Which intervention is most important for the nurse to implement?
A Teach the family how to perform wound care.
B Encourage a diet high in protein.
, C Daily range of motion exercises.
D Ensure that IV fluids are administered as prescribed.: B Encourage a diet high in protein. 6. An older client who is
caring for her husband who had a stroke has just learned that she needs to have oral surgery. She tells the nurse that
she has no one to help her care for her husband if she has the surgery. Which response should the nurse provide the
client?
A Recommend that the client's family return to the area to help provide assistance.
B Tell her to consider hiring a private nurse during the postoperative conva-lescence.
C Advise to have a case management evaluation of the clients home environ-ment
D Suggest social services be contacted to find a respite care facility for her husband.: D Suggest social services be
contacted to find a respite care facility for her husband.
Rationale
Respite programs are services designed specifically to benefit caregiver planned time away from the caregiving role.
Respite care can be utilized for a few hours, a day, or even a weekend. The nurse should provide the caregiver information
about obtaining respite care.
7. In checking the dose of intravenous ticarcillin disodium prescribed for an older client, the nurse notes that the 24 hour
dosage is lower than the normal range. Which finding supports the need for this reduced dosage?
A White blood cell count of 8,000/mm' (8 X 10%/L).
B Thin, fragile hand and arm veins.
C Serum creatinine of 3.5 mg/dL (310 umo/L).
D Inelastic skin turgor.: C Serum creatinine of 3.5 mg/dL (310 umo/L).
level should be (0.5-1.1)
