HESI Gerontology Test-Bank (4 Exams) Questions and Answers
GERO EXAM 1
1. Which is a common age-related physical change that may affect digestion and food intake?
DECREASED MOTILITY IN THE ESOPHAGUS
2. Which of the following is true about nutrition for older adults? TRANSPORTATION CAN
BE A CRITICAL FACTOR IN NUTRITIONAL INSUFFICIENCY IN OLDER ADULTS
3. Which of the following is a true statement about dental health in older adults? DENTURES
SHOULD BE CLEANED ONCE A DAY BY BRUSHING AND SOAKING IN A
CLEANSING SOLUTION
4. Which intervention should the nurse use to decrease the risk of burns during mealtime in pts
with mental and physical impairments? ASSIST PTS WITH WARM DRINKS
5. The nurse is trying to improve the nutritional status of residents in the nursing home. Which
recommendations should the nurse implement? PROVIDE NUTRITIOUS FOOD
ACCORDING TO THE RESIDENTS’ EXPRESSED FOOD PREFERENCES WITH A
LIBERAL USE OF SEASONINGS THAT DO NOT EXCEED ANY SODIUM
RESTRICTIONS
6. The nurse instructs the UAP to feed an older adult. If the nurse is unable to observe feeding
directly, then which action should the nurse use to access the older adult’s risk for aspiration
immediately after feeding? INSPECT FOR POCKETING
7. An older adult with a G-tube has difficulty using the dominant hand. Which of the following
should the nurse provide to prevent complications of the G-tube? PROVIDE ORAL CARE
Q4H
8. The nursing home staff needs assistance to properly food the residents who need assistance
with feeding. Which of the following should the nurse implement to ensure that the residents are
properly feed? DRAW ON THE AVAILABILITY OF FAMILY MEMBERS WHO ARE
ABLE TO FOLLOW DIRECTIONS
,9. The nurse is feeding an older adult pt with hemiparesis as a result of a stroke. Which
intervention by the nurse is most important when feeding this pt? ALLOW TIME TO EMPTY
MOUTH BETWEEN BITES
10. The nurse is educating the pt who has been recently dx with osteoporosis on foods high in
Ca. the nurse should include which food choice? PLAIN YOGURT
11. Which increases the risk for chronic dehydration in older adults? POOR COGNITIVE
FUNCTION
12. Which of the following is true about fluid intake for older adults? 1500-2000 mL DAILY
13. The nurse notices that the older adult’s urine is greenish-brown. Which step should the nurse
implement next? DETERMINE FLUID VOLUME STATUS
14. Which of the following is a true statement about sleep in older adults? THE TIME SPENT
IN BED INCREASES, BUT THE TIME SPENT ASLEEP DECREASES
15. An older man has AD, and his wife says he is up and wandering around the house at night.
Which intervention should the nurse implement to increase the man’s duration of sleep?
INSTRUCT THE WIFE TO INCREASE HIS DAILY PHYSICAL ACTIVITY
16. Exercise is prescribed for an older adults as therapy to improve which of the following
qualities? MUSCLE STRENGTH
17. Which of the following is important to include in the initial assessment for older adults who
are frail and beginning an exercise program? MED HX AND PHYSICAL EXAM
18. During the night, an older woman complains to the nurse that she has not slept more than 2
hrs since admission to the hospital. Which intervention should the nurse implement to increase
the duration of this woman’s sleep? INQUIRE ABOUT HER SLEEP HABITS USED AT
HOME
19. What is the difference between rest and sleep? SLEEP IS RESTORATIVE AND
RECUPERATIVE
20. An older woman maintains an active lifestyle playing various games with friends. She reports
to the nurse that she experiences wakefulness during the night and an inability to fall asleep after
, waking up at night. Which intervention should the nurse implement to improve the quality of this
woman’s sleep? INQUIRE ABOUT HER NIGHTLY SLEEP RITUALS
21. The nurse completes an admission assessment on the older adult pt. the nurse identifies
which factor that may contribute to sleep problems? POLYPHARMACY
22. The nurse expresses concern about a female nursing home resident in the team meeting.
Which resident information determines the team’s priority in planning her care? NEEDS
INCREASING HELP WITH PERSONAL HYGIENE
23. A nursing home resident who has type 1 DM is gradually requiring more and more insulin on
a PRN basis to treat hyperglycemia. Which of the following should the nurse assess to plan care
for improving this individual’s glucose metabolism? TRENDS OVER TIME IN ACTIVITY
LEVEL
24. Which one of the following is a true statement about motility and safety for older adults?
LOWERING THE BED AND FLOURESCENT TAPES ARE INTERVENTIONS TO
INCREASE SAFETY
25. The nurse can place an older adult into one of 4 pt rooms. Which is the most suitable room
for an older pt? ROOM WITH ORANGE CARPETING AND SOFT LIGHTING
26. Which of the following is a true statement about assistive devices to aid older adults with
impaired mobility? A CANE IS MOST USEFUL FOR UNILATERAL DISABILITIES BUT
NOT BILATERAL PROBLEMS
27. The HCP has not ordered the use of a restraint for an alert pt at high risk for falling. The
nurse should implement which side rail use? ONE ½ LENGTH RAIL
28. The nurse assess the quality of which of the following pt characteristics when applying the
Get-Up and Go test from the Hendrich II Fall Risk Model? BALANCE
29. An older woman who receives IV fluids is making wide gesticulations with her arms and
loudly insulting the nursing staff. Which intervention should the nurse implement to maintain
safe, effective nursing care initially? DETERMINE THE PTS NEEDS
GERO EXAM 1
1. Which is a common age-related physical change that may affect digestion and food intake?
DECREASED MOTILITY IN THE ESOPHAGUS
2. Which of the following is true about nutrition for older adults? TRANSPORTATION CAN
BE A CRITICAL FACTOR IN NUTRITIONAL INSUFFICIENCY IN OLDER ADULTS
3. Which of the following is a true statement about dental health in older adults? DENTURES
SHOULD BE CLEANED ONCE A DAY BY BRUSHING AND SOAKING IN A
CLEANSING SOLUTION
4. Which intervention should the nurse use to decrease the risk of burns during mealtime in pts
with mental and physical impairments? ASSIST PTS WITH WARM DRINKS
5. The nurse is trying to improve the nutritional status of residents in the nursing home. Which
recommendations should the nurse implement? PROVIDE NUTRITIOUS FOOD
ACCORDING TO THE RESIDENTS’ EXPRESSED FOOD PREFERENCES WITH A
LIBERAL USE OF SEASONINGS THAT DO NOT EXCEED ANY SODIUM
RESTRICTIONS
6. The nurse instructs the UAP to feed an older adult. If the nurse is unable to observe feeding
directly, then which action should the nurse use to access the older adult’s risk for aspiration
immediately after feeding? INSPECT FOR POCKETING
7. An older adult with a G-tube has difficulty using the dominant hand. Which of the following
should the nurse provide to prevent complications of the G-tube? PROVIDE ORAL CARE
Q4H
8. The nursing home staff needs assistance to properly food the residents who need assistance
with feeding. Which of the following should the nurse implement to ensure that the residents are
properly feed? DRAW ON THE AVAILABILITY OF FAMILY MEMBERS WHO ARE
ABLE TO FOLLOW DIRECTIONS
,9. The nurse is feeding an older adult pt with hemiparesis as a result of a stroke. Which
intervention by the nurse is most important when feeding this pt? ALLOW TIME TO EMPTY
MOUTH BETWEEN BITES
10. The nurse is educating the pt who has been recently dx with osteoporosis on foods high in
Ca. the nurse should include which food choice? PLAIN YOGURT
11. Which increases the risk for chronic dehydration in older adults? POOR COGNITIVE
FUNCTION
12. Which of the following is true about fluid intake for older adults? 1500-2000 mL DAILY
13. The nurse notices that the older adult’s urine is greenish-brown. Which step should the nurse
implement next? DETERMINE FLUID VOLUME STATUS
14. Which of the following is a true statement about sleep in older adults? THE TIME SPENT
IN BED INCREASES, BUT THE TIME SPENT ASLEEP DECREASES
15. An older man has AD, and his wife says he is up and wandering around the house at night.
Which intervention should the nurse implement to increase the man’s duration of sleep?
INSTRUCT THE WIFE TO INCREASE HIS DAILY PHYSICAL ACTIVITY
16. Exercise is prescribed for an older adults as therapy to improve which of the following
qualities? MUSCLE STRENGTH
17. Which of the following is important to include in the initial assessment for older adults who
are frail and beginning an exercise program? MED HX AND PHYSICAL EXAM
18. During the night, an older woman complains to the nurse that she has not slept more than 2
hrs since admission to the hospital. Which intervention should the nurse implement to increase
the duration of this woman’s sleep? INQUIRE ABOUT HER SLEEP HABITS USED AT
HOME
19. What is the difference between rest and sleep? SLEEP IS RESTORATIVE AND
RECUPERATIVE
20. An older woman maintains an active lifestyle playing various games with friends. She reports
to the nurse that she experiences wakefulness during the night and an inability to fall asleep after
, waking up at night. Which intervention should the nurse implement to improve the quality of this
woman’s sleep? INQUIRE ABOUT HER NIGHTLY SLEEP RITUALS
21. The nurse completes an admission assessment on the older adult pt. the nurse identifies
which factor that may contribute to sleep problems? POLYPHARMACY
22. The nurse expresses concern about a female nursing home resident in the team meeting.
Which resident information determines the team’s priority in planning her care? NEEDS
INCREASING HELP WITH PERSONAL HYGIENE
23. A nursing home resident who has type 1 DM is gradually requiring more and more insulin on
a PRN basis to treat hyperglycemia. Which of the following should the nurse assess to plan care
for improving this individual’s glucose metabolism? TRENDS OVER TIME IN ACTIVITY
LEVEL
24. Which one of the following is a true statement about motility and safety for older adults?
LOWERING THE BED AND FLOURESCENT TAPES ARE INTERVENTIONS TO
INCREASE SAFETY
25. The nurse can place an older adult into one of 4 pt rooms. Which is the most suitable room
for an older pt? ROOM WITH ORANGE CARPETING AND SOFT LIGHTING
26. Which of the following is a true statement about assistive devices to aid older adults with
impaired mobility? A CANE IS MOST USEFUL FOR UNILATERAL DISABILITIES BUT
NOT BILATERAL PROBLEMS
27. The HCP has not ordered the use of a restraint for an alert pt at high risk for falling. The
nurse should implement which side rail use? ONE ½ LENGTH RAIL
28. The nurse assess the quality of which of the following pt characteristics when applying the
Get-Up and Go test from the Hendrich II Fall Risk Model? BALANCE
29. An older woman who receives IV fluids is making wide gesticulations with her arms and
loudly insulting the nursing staff. Which intervention should the nurse implement to maintain
safe, effective nursing care initially? DETERMINE THE PTS NEEDS
