2026 Gerontology HESI Practice Questions
with Correct Answers
The nursing assessment of an older female elicits information that the client is diagnosed with R
aynaud's phenomenon. Which exposure should the nurse instruct the client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise - CORRECT ANSWER -Cold Climates
-
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 d
uring 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 m
ost 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 - CORRECT ANSWER -
Multiple medications can contribute to sundowner like symptoms
-
Older clients may see a variety of healthcare providers which can increase the change of polyph
armacy that compounds the workload of metabolic pathways that may be less efficient due to t
he aging process. Multiple medication interactions may contribute to sundowner like symptoms.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the leſt for
earm for hemodialysis. Aſter palpating the AV fistula, which finding is an indication that the AV fi
stula is functioning properly?
,a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas - CORRECT ANSWER -Enlarged Veins
-
The mixing of arterial and venous blood in an AV fistula causes the veins to enlarge, which facilit
ate cannulation for hemodialysis
When assessing an older client, which age-
related changes in the cardiovascular system should the registered nurse (RN) document? (Selec
t all that apply).
a) Dyspnea
b) Chest pain
c) Cardiac murmurs
d) Widening pulse pressure
e) Irregular heart rate - CORRECT ANSWER --Cardiac murmurs
-Widening pulse pressure
The home health registered nurse (RN) is changing an older client's wet to dry dressing. Which o
bservation should the RN evaluatexasxaxtherapeuticxresponsexwithxthexremovalxofxthexdryxdressi
ng?
a)xDebridementxandxremovalxofxsloughxandxeschar
b)xDrainagexofxpurulentxexudatexfromxthexwound
c)xMoistxskinxedgesxaroundxthexwoundxfield
d)xPresencexofxcapillaryxgrowthxinxthexwoundx-xCORRECTxANSWERx-
Debridementxandxremovalxofxsloughxandxeschar
-
Wetxtoxdryxdressingsxbeginxwithxaxwetxpackingxinsidexofxthexwound,xandxthenxaxdryxgauzexisxus
ed
toxcoverxthexwetxpackingxtoxwickxdrainagexandxbacteriaxawayxfromxthexwoundxtoxpromotexheal
i
,x
ng.xRemovalxofxdriedxdressingxprovidesxdebridementxbyxremovingxexudate,xsloughingxtissue,xand
eschar.
Olderxclientsxarexatxhighestxriskxforxabusexandxneglectxduextoxwhichxfactors?x(Selectxallxthatxappl
y
)
a)xNeedsxarexgreaterxthanxthexcaretaker'sxability
b)xClient'sxdecliningxstrength
c)xFixedxincome
d)xLongerxlifexexpectancy
e)xLackxofxexposurextoxtechnologyxandxtrendsx-xCORRECTxANSWERx--
Needsxarexgreaterxthanxthexcaretaker'sxabilitiesx(whenxneedsxarexnotxbeingxmetxduextoxlackxofxa
b
ilityxofxthexcaretaker,xstressxandxfeelingsxofxfailurexofxthexcarexproviderxmayxbexexpressedxthrou
g
-hxneglectxandxabuse).
Client'sxdecliningxstrengthx(declinexinxstrengthxincreasesxthexolderxclient'sxvulnerabilityxtoxresistx
o
rxrespondxtoxelderxabuse).
Ax64-year-
oldxclientxisxadmittedxtoxthexhospitalxwithxaxfracturedxrightxhip.xOnexofxthexconcernsxfollowingxs
u
rgicalxrepairxisxtoxpromotexdorsiflexion.xWhichxinterventionxwouldxaxnurseximplement?
a)xBeginxearlyxambulation
b)xMonitorxpainxlevel
c)xProvidexPCAxinstructions
d)xProvidexaxfootxboardx-xCORRECTxANSWERx-Providexaxfootxboard
-
Axfootboardxsupportsxthexfeetxinxdorsiflexionxandxhelpsxpreventxfootxdropxthroughoutxthexrecov
e
ry.
Duringxthexquarterlyxevaluationsxofxthexclientsxinxthexassistedxlivingxcommunity,xthexregisteredx
n
ursex(RN)xassessesxforxfindingsxofxfailurextoxthrivexinxthexolderxpopulation.xWhichxfindingsxshoul
d
with Correct Answers
The nursing assessment of an older female elicits information that the client is diagnosed with R
aynaud's phenomenon. Which exposure should the nurse instruct the client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise - CORRECT ANSWER -Cold Climates
-
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 d
uring 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 m
ost 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 - CORRECT ANSWER -
Multiple medications can contribute to sundowner like symptoms
-
Older clients may see a variety of healthcare providers which can increase the change of polyph
armacy that compounds the workload of metabolic pathways that may be less efficient due to t
he aging process. Multiple medication interactions may contribute to sundowner like symptoms.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the leſt for
earm for hemodialysis. Aſter palpating the AV fistula, which finding is an indication that the AV fi
stula is functioning properly?
,a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas - CORRECT ANSWER -Enlarged Veins
-
The mixing of arterial and venous blood in an AV fistula causes the veins to enlarge, which facilit
ate cannulation for hemodialysis
When assessing an older client, which age-
related changes in the cardiovascular system should the registered nurse (RN) document? (Selec
t all that apply).
a) Dyspnea
b) Chest pain
c) Cardiac murmurs
d) Widening pulse pressure
e) Irregular heart rate - CORRECT ANSWER --Cardiac murmurs
-Widening pulse pressure
The home health registered nurse (RN) is changing an older client's wet to dry dressing. Which o
bservation should the RN evaluatexasxaxtherapeuticxresponsexwithxthexremovalxofxthexdryxdressi
ng?
a)xDebridementxandxremovalxofxsloughxandxeschar
b)xDrainagexofxpurulentxexudatexfromxthexwound
c)xMoistxskinxedgesxaroundxthexwoundxfield
d)xPresencexofxcapillaryxgrowthxinxthexwoundx-xCORRECTxANSWERx-
Debridementxandxremovalxofxsloughxandxeschar
-
Wetxtoxdryxdressingsxbeginxwithxaxwetxpackingxinsidexofxthexwound,xandxthenxaxdryxgauzexisxus
ed
toxcoverxthexwetxpackingxtoxwickxdrainagexandxbacteriaxawayxfromxthexwoundxtoxpromotexheal
i
,x
ng.xRemovalxofxdriedxdressingxprovidesxdebridementxbyxremovingxexudate,xsloughingxtissue,xand
eschar.
Olderxclientsxarexatxhighestxriskxforxabusexandxneglectxduextoxwhichxfactors?x(Selectxallxthatxappl
y
)
a)xNeedsxarexgreaterxthanxthexcaretaker'sxability
b)xClient'sxdecliningxstrength
c)xFixedxincome
d)xLongerxlifexexpectancy
e)xLackxofxexposurextoxtechnologyxandxtrendsx-xCORRECTxANSWERx--
Needsxarexgreaterxthanxthexcaretaker'sxabilitiesx(whenxneedsxarexnotxbeingxmetxduextoxlackxofxa
b
ilityxofxthexcaretaker,xstressxandxfeelingsxofxfailurexofxthexcarexproviderxmayxbexexpressedxthrou
g
-hxneglectxandxabuse).
Client'sxdecliningxstrengthx(declinexinxstrengthxincreasesxthexolderxclient'sxvulnerabilityxtoxresistx
o
rxrespondxtoxelderxabuse).
Ax64-year-
oldxclientxisxadmittedxtoxthexhospitalxwithxaxfracturedxrightxhip.xOnexofxthexconcernsxfollowingxs
u
rgicalxrepairxisxtoxpromotexdorsiflexion.xWhichxinterventionxwouldxaxnurseximplement?
a)xBeginxearlyxambulation
b)xMonitorxpainxlevel
c)xProvidexPCAxinstructions
d)xProvidexaxfootxboardx-xCORRECTxANSWERx-Providexaxfootxboard
-
Axfootboardxsupportsxthexfeetxinxdorsiflexionxandxhelpsxpreventxfootxdropxthroughoutxthexrecov
e
ry.
Duringxthexquarterlyxevaluationsxofxthexclientsxinxthexassistedxlivingxcommunity,xthexregisteredx
n
ursex(RN)xassessesxforxfindingsxofxfailurextoxthrivexinxthexolderxpopulation.xWhichxfindingsxshoul
d
