1|Page
HESI RN – Gerontology V1 TEST BANK – Latest Updated 2025 – 100% Verified
Answers with Detailed Rationales – Guaranteed PASS
The nursing assessment of an older female elicits information that the client is diagnosed with Raynaud's
phenomenon. Which exposure should the nurse instruct the client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise-
ANSWER - C) Cold Climates
Rationale: Can cause prolonged painful vasoconstriction of the peripheral extremities (especially hands) in
client's with Raynaud's phenomenon.
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?
a) Medication review with family caregivers is the PN's responsibility
b) Multiple medications can contribute to sundowner like symptoms
c) Medication recall is the best way to evaluate the client's memory
d) Reviewing medication actions is a component of effective client care-
ANSWER - B) Multiple medications can contribute to sundowner like symptoms
Rationale: Older clients may see a variety of healthcare providers which can increase the change 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.
,2|Page
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left forearm for
hemodialysis. After palpating the AV fistula, which finding is an indication that the AV fistula is functioning
properly?
a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas-
ANSWER - A) Enlarged Veins
Rationale: The mixing of arterial and venous blood in an AV fistula causes the veins to enlarge, which facilitate
cannulation for hemodialysis
The home health registered nurse (RN) is changing an older client's wet to dry dressing. Which observation
should the RN evaluate as a therapeutic response with the removal of the dry dressing?
a) Debridement and removal of slough and eschar
b) Drainage of purulent exudate from the wound
c) Moist skin edges around the wound field
d) Presence of capillary growth in the wound-
ANSWER - A) Debridement and removal of slough and eschar
Rationale: Wet to dry dressings begin with a wet packing inside of the wound, and then a dry gauze is used to
cover the wet packing to wick drainage and bacteria away from the wound to promote healing. Removal of
dried dressing provides debridement by removing exudate, sloughing tissue, and eschar.
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 ability
,3|Page
b) Client's declining strength
c) Fixed income
d) Longer life expectancy
e) Lack of exposure to technology and trends-
ANSWER - A, B
Rationale: When needs are not being met due to lack of ability of the caretaker, stress and feelings of failure of
the care provider may be expressed through neglect and abuse. Decline in strength increases the older client's
vulnerability to resist or respond to elder abuse.
A 64-year-old client is admitted to the hospital with a fractured right hip. One of the concerns following surgical
repair is to promote dorsiflexion. Which intervention would a nurse implement?
a) Begin early ambulation
b) Monitor pain level
c) Provide PCA instructions
d) Provide a foot board-
ANSWER - D) Provide a foot board
Rationale: A footboard supports the feet in dorsiflexion and helps prevent foot drop throughout the recovery.
During the quarterly evaluations of the clients in the assisted living community, the registered nurse (RN)
assesses for findings of failure to thrive in the older population. Which findings should the RN document and
report as manifestations related to failure to thrive? (Select all that apply).
a) Unintentional weight loss
b) Increased weakness
c) Increased amounts of sleep
, 4|Page
d) Irritation and agitation
e) Seeking constant attention for caregiver-
ANSWER - A, B, C
Rationale: Symptoms of failure to thrive in the older population include weight loss, weakness, and excessive
sleep, which should be documented and evaluated by a healthcare provider immediately.
An older male client is admitted to the hospital with left-sided heart failure (HF). Which finding should the
registered nurse (RN) document that is consistent with HF?
a) Ascites
b) Pitting edema
c) Jugular distention
d) Coarse and fine crackles-
ANSWER - D) Coarse and fine crackles
Rationale: In left-sided heart failure, the inadequacy of pumping blood into the aorta causes blood to back up
into the pulmonary capillaries; this pushes intravascular fluid into the alveoli, which is manifested as crackles or
rales.
The registered nurse (RN) is reinforcing discharge instructions to the family of an older client with failure to
thrive. What information should the RN include to promote nutritional intake for the client? (Select all that
apply).
a) Minimize stress level by providing the client with a quiet environment during meals
b) Provide food variations that the client can manage without assistance
c) Assist the client with eating meals in bed in a semi Fowler's position
d) Encourage fluid intake before meals to decrease dehydration
e) Offer any type of food to the client as long as calories are consumed-
HESI RN – Gerontology V1 TEST BANK – Latest Updated 2025 – 100% Verified
Answers with Detailed Rationales – Guaranteed PASS
The nursing assessment of an older female elicits information that the client is diagnosed with Raynaud's
phenomenon. Which exposure should the nurse instruct the client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise-
ANSWER - C) Cold Climates
Rationale: Can cause prolonged painful vasoconstriction of the peripheral extremities (especially hands) in
client's with Raynaud's phenomenon.
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?
a) Medication review with family caregivers is the PN's responsibility
b) Multiple medications can contribute to sundowner like symptoms
c) Medication recall is the best way to evaluate the client's memory
d) Reviewing medication actions is a component of effective client care-
ANSWER - B) Multiple medications can contribute to sundowner like symptoms
Rationale: Older clients may see a variety of healthcare providers which can increase the change 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.
,2|Page
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left forearm for
hemodialysis. After palpating the AV fistula, which finding is an indication that the AV fistula is functioning
properly?
a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas-
ANSWER - A) Enlarged Veins
Rationale: The mixing of arterial and venous blood in an AV fistula causes the veins to enlarge, which facilitate
cannulation for hemodialysis
The home health registered nurse (RN) is changing an older client's wet to dry dressing. Which observation
should the RN evaluate as a therapeutic response with the removal of the dry dressing?
a) Debridement and removal of slough and eschar
b) Drainage of purulent exudate from the wound
c) Moist skin edges around the wound field
d) Presence of capillary growth in the wound-
ANSWER - A) Debridement and removal of slough and eschar
Rationale: Wet to dry dressings begin with a wet packing inside of the wound, and then a dry gauze is used to
cover the wet packing to wick drainage and bacteria away from the wound to promote healing. Removal of
dried dressing provides debridement by removing exudate, sloughing tissue, and eschar.
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 ability
,3|Page
b) Client's declining strength
c) Fixed income
d) Longer life expectancy
e) Lack of exposure to technology and trends-
ANSWER - A, B
Rationale: When needs are not being met due to lack of ability of the caretaker, stress and feelings of failure of
the care provider may be expressed through neglect and abuse. Decline in strength increases the older client's
vulnerability to resist or respond to elder abuse.
A 64-year-old client is admitted to the hospital with a fractured right hip. One of the concerns following surgical
repair is to promote dorsiflexion. Which intervention would a nurse implement?
a) Begin early ambulation
b) Monitor pain level
c) Provide PCA instructions
d) Provide a foot board-
ANSWER - D) Provide a foot board
Rationale: A footboard supports the feet in dorsiflexion and helps prevent foot drop throughout the recovery.
During the quarterly evaluations of the clients in the assisted living community, the registered nurse (RN)
assesses for findings of failure to thrive in the older population. Which findings should the RN document and
report as manifestations related to failure to thrive? (Select all that apply).
a) Unintentional weight loss
b) Increased weakness
c) Increased amounts of sleep
, 4|Page
d) Irritation and agitation
e) Seeking constant attention for caregiver-
ANSWER - A, B, C
Rationale: Symptoms of failure to thrive in the older population include weight loss, weakness, and excessive
sleep, which should be documented and evaluated by a healthcare provider immediately.
An older male client is admitted to the hospital with left-sided heart failure (HF). Which finding should the
registered nurse (RN) document that is consistent with HF?
a) Ascites
b) Pitting edema
c) Jugular distention
d) Coarse and fine crackles-
ANSWER - D) Coarse and fine crackles
Rationale: In left-sided heart failure, the inadequacy of pumping blood into the aorta causes blood to back up
into the pulmonary capillaries; this pushes intravascular fluid into the alveoli, which is manifested as crackles or
rales.
The registered nurse (RN) is reinforcing discharge instructions to the family of an older client with failure to
thrive. What information should the RN include to promote nutritional intake for the client? (Select all that
apply).
a) Minimize stress level by providing the client with a quiet environment during meals
b) Provide food variations that the client can manage without assistance
c) Assist the client with eating meals in bed in a semi Fowler's position
d) Encourage fluid intake before meals to decrease dehydration
e) Offer any type of food to the client as long as calories are consumed-
