NEW HESI GERIATRICS ACTUAL EXAM
QUESTIONS WITH CORRECT ANSWERS
2025/2026 LATEST
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment
would the nurse expect to be ordered?
ch.3 -- ANSWER--Antibiotics
What should the nurse explain when discussing expected changes in the female reproductive
system to an older adult?
ch. 3 -- ANSWER--Production of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal and needs
to be reported?
ch. 3 -- ANSWER--A dark, elevated patch that bleeds when touched
When attempting to help an older adult improve his or her health maintenance practices, the
nurse will need to assess which factors? (Select all that apply.) ch.4 -- ANSWER--Cultural
beliefs
Socioeconomic status
Religious beliefs
Educational level
Page | 1
,Your patient tells you she understands that she is at greater risk of certain diseases because of
her Hispanic American heritage. Based on what you have learned, which disorder(s) might
she be at greater risk for? (Select all that apply.) ch.4 -- ANSWER--Obesity
Stomach cancer
Diabetes mellitus
Cervical cancer
The nurse encourages the patient to maintain a steady weight in the recommended range to
decrease risk of which common endocrine disease observed in older adults?
ch. 3 -- ANSWER--Diabetes mellitus
What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 -- ANSWER--One 30-minute walk, 3 to 5 times a week
The nurse recognizes that regular dental visits are:
ch.4 -- ANSWER--Recommended on a yearly basis for all older adults, even those with
dentures.
An older adult does not follow through with health recommendations from the primary health
care provider. The older adult does not take prescribed medications or keep medical
appointments. Which patient problem should the LPN/LVN anticipate seeing on the care
plan?
ch. 4 -- ANSWER--Nonadherence with the treatment plan
Which immunizations should older adults receive on a yearly basis? (Select all that apply.)
ch. 4 -- ANSWER--Influenza vaccine
Page | 2
,Your older female patient is complaining because she is having frequent UTIs. Which normal
age-related change is most likely to be a contributing factor?
ch. 3 -- ANSWER--Decreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.) ch. 3 -- ANSWER--1
Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all
that apply.) ch. 3 -- ANSWER--1 Rigidity and tremors when at rest
3 Dementia
Which interventions would be appropriate when teaching a patient with presbycusis? (Select
all that apply.) ch. 5 -- ANSWER--Use visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse are
most likely to enhance communication with the patient? (Select all that apply.) ch. 5 --
ANSWER--Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
Page | 3
, A nurse is caring for an older adult who is upset about having to move into a skilled nursing
facility. Which communication technique used by the nurse is most effective at establishing
an empathetic climate?
ch. 5 -- ANSWER--Open-ended responses
A nurse is discharging an older adult patient from a rehabilitation facility after a left hip
replacement. The nurse providing discharge teaching knows that older adults are most
responsive to what type of information?
ch. 5 -- ANSWER--When the information is relevant to their lives
An older adult who resides in a long-term care facility has been refusing food and fluids for
the past 2 days. He repeatedly says, "Leave me alone!" What is the best initial nursing
intervention? ch. 6 -- ANSWER--Assess to identify changes in physical or emotional status.
An older woman recently moved to the United States from the Middle East. She does not like
to drink cow's milk or eat most cheeses. What is a culturally acceptable food that would best
help meet the need for calcium?
ch.6 -- ANSWER--Yogurt
An older man who lives alone is placed on a sodium restricted diet because of heart failure.
He asks you to help him make good diet choices. Which foods should he avoid? (Select all
that apply.) ch. 6 -- ANSWER--Canned tomato soup
Deli bologna or ham
Frozen spaghetti dinner
An 85-year-old woman is admitted to the hospital. Clinical indicators of inadequate nutrition
include: (Select all that apply.) ch. 6 -- ANSWER--Thin, brittle hair
Page | 4
QUESTIONS WITH CORRECT ANSWERS
2025/2026 LATEST
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment
would the nurse expect to be ordered?
ch.3 -- ANSWER--Antibiotics
What should the nurse explain when discussing expected changes in the female reproductive
system to an older adult?
ch. 3 -- ANSWER--Production of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal and needs
to be reported?
ch. 3 -- ANSWER--A dark, elevated patch that bleeds when touched
When attempting to help an older adult improve his or her health maintenance practices, the
nurse will need to assess which factors? (Select all that apply.) ch.4 -- ANSWER--Cultural
beliefs
Socioeconomic status
Religious beliefs
Educational level
Page | 1
,Your patient tells you she understands that she is at greater risk of certain diseases because of
her Hispanic American heritage. Based on what you have learned, which disorder(s) might
she be at greater risk for? (Select all that apply.) ch.4 -- ANSWER--Obesity
Stomach cancer
Diabetes mellitus
Cervical cancer
The nurse encourages the patient to maintain a steady weight in the recommended range to
decrease risk of which common endocrine disease observed in older adults?
ch. 3 -- ANSWER--Diabetes mellitus
What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 -- ANSWER--One 30-minute walk, 3 to 5 times a week
The nurse recognizes that regular dental visits are:
ch.4 -- ANSWER--Recommended on a yearly basis for all older adults, even those with
dentures.
An older adult does not follow through with health recommendations from the primary health
care provider. The older adult does not take prescribed medications or keep medical
appointments. Which patient problem should the LPN/LVN anticipate seeing on the care
plan?
ch. 4 -- ANSWER--Nonadherence with the treatment plan
Which immunizations should older adults receive on a yearly basis? (Select all that apply.)
ch. 4 -- ANSWER--Influenza vaccine
Page | 2
,Your older female patient is complaining because she is having frequent UTIs. Which normal
age-related change is most likely to be a contributing factor?
ch. 3 -- ANSWER--Decreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.) ch. 3 -- ANSWER--1
Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all
that apply.) ch. 3 -- ANSWER--1 Rigidity and tremors when at rest
3 Dementia
Which interventions would be appropriate when teaching a patient with presbycusis? (Select
all that apply.) ch. 5 -- ANSWER--Use visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse are
most likely to enhance communication with the patient? (Select all that apply.) ch. 5 --
ANSWER--Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
Page | 3
, A nurse is caring for an older adult who is upset about having to move into a skilled nursing
facility. Which communication technique used by the nurse is most effective at establishing
an empathetic climate?
ch. 5 -- ANSWER--Open-ended responses
A nurse is discharging an older adult patient from a rehabilitation facility after a left hip
replacement. The nurse providing discharge teaching knows that older adults are most
responsive to what type of information?
ch. 5 -- ANSWER--When the information is relevant to their lives
An older adult who resides in a long-term care facility has been refusing food and fluids for
the past 2 days. He repeatedly says, "Leave me alone!" What is the best initial nursing
intervention? ch. 6 -- ANSWER--Assess to identify changes in physical or emotional status.
An older woman recently moved to the United States from the Middle East. She does not like
to drink cow's milk or eat most cheeses. What is a culturally acceptable food that would best
help meet the need for calcium?
ch.6 -- ANSWER--Yogurt
An older man who lives alone is placed on a sodium restricted diet because of heart failure.
He asks you to help him make good diet choices. Which foods should he avoid? (Select all
that apply.) ch. 6 -- ANSWER--Canned tomato soup
Deli bologna or ham
Frozen spaghetti dinner
An 85-year-old woman is admitted to the hospital. Clinical indicators of inadequate nutrition
include: (Select all that apply.) ch. 6 -- ANSWER--Thin, brittle hair
Page | 4
