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Geriatric Nursing Study Guide 2026 – Elderly Care, Aging Process & Gerontology Revision Notes with Practice Questions for NCLEX & HESI Preparation

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Master geriatric nursing with this updated 2026 study guide covering elderly care, aging physiology, common age-related conditions, gerontological nursing interventions, and patient-centered care principles. Designed for nursing students preparing for NCLEX, HESI, and ATI exams in the UK, USA, Canada, and Europe, this resource includes structured revision notes and practice questions with detailed explanations to support clinical reasoning and exam readiness.

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Geriatric Nursing HESI 2026 update | Elderly
Care & Aging Process Revision Questions and
Answers for NCLEX & Nursing Students
1. Part A,B,C--correct answer--The home health care-giver is discussing health
insurance options with a patient who now qualifies for Medicare. The
patient suffers from multiple sclerosis and requires frequent
hospitalizations, doctor visits, and physical and occupational therapy.
However, the patient chooses to use herbal and folk remedies rather than
prescription medications. The care-giver should recommend which Medicare
plan(s) to this patient

2. $2950 (20%)--correct answer--The patient with Medicare part B coverage
must undergo physical, speech and occupational therapy that will cost
$14,750.
How much will the patient’s out-of-pocket costs be for this cure?

3. -Neurologic

-Respiratory

-Cardiovascular

-Musculoskeletal--correct answer--The care-giver in the long term care facility
knows the residents for whom she cares must be able to organise which systems in
order to safely participate in physical activity?

4. -54-year-old man with diabetes

-48-year-old man with depression

-62 year old with uncontrolled hypertension--correct answer--The care-giver knows
which patients are at an increased risk for erectile dysfunction?

5. Although you and your husband may need to use special positioning and
equipment, you should be able to continue having an intimate relationship.-




pg. 1

,--correct answer--The wife of a patient who recently suffered a cerebrovascular
accident expresses concern to the care-giver regarding her husband’s ability to
have sexual intercourse following the stroke. What is the best response by the care-
giver

6. -pap smear

-mammogram--correct answer--The patient is undergoing menopausal hormone
replacement ther- apy for relief of menopausal symptoms. The care-giver knows it
s vital to educate the patient to undergo which tests each year?

7. bruising--correct answer--The care-giver caring for older adults knows
thinning of capillary walls is a common age-related change and anticipates
this change to manifest in which manner?

8. using a halogen light--correct answer--The care-giver is contributing to the
admission assessment of a bedbound patient with dark skin. The care-giver
knows which is the best way to assess for pressure injuries in this patient?

9. Fine, wavy lines along the skin and complaints of itching--correct answer-
The care-giver is contributing to the admission assessment of an individual
who recently arrived at the long term care facility. Which observation
indicates the presence of scabies?



10. Infection--correct answer--The care-giver knows preserving skin integrity is
vital for preventing which potentially life-threatening complication?

11. Braden--correct answer--The care-giver is contributing to the admission
assessment of an older adult patient. Which scale would be most appropriate
for assessing this patient’s risk for skin breakdown?

12. Alopecia--correct answer--The aging patient in the clinic reports that, over a
period of two weeks, he lost his hair. Which term should the care-giver use
to chart this information?




pg. 2

,13. Palpate for pedal pulses--correct answer--The care-giver is assessing an older
adult male patient and notes the patient lacks hair on the lower legs and
feet.
What should the care-giver do first?

14. -cognitive impairment

-obesity--correct answer--The care-giver knows which characteristics increase a

patient’s risk for devel- oping a pressure injury?

15. -Peripheral arterial insufficiency

-Peripheral vascular disease

-diabetes--correct answer--The care-giver in the long term care facility knows
patients with which disor- ders require regular appointments with a foot care
specialist?

16. -1+ pulses bilaterally

-Thin, sparse hair on lower legs

-Peripheral edema score of 3--correct answer--The care-giver is reviewing the
admission assessment of an older adult prior to beginning the shift. Which
assessment data would alert the care-giver to altered peripheral circulation?

17. -Loss of cartilage--correct answer--The patient presents to the clinic
experiencing joint stiffness, swelling, and pain. The care-giver knows which
agerelated change leads to the devel- opment of arthritis?

18. Agility--correct answer--The care-giver knows the age-related decrease in
which ability results in the patient’s increased risk for falling?

19. PT--correct answer--The older adult patient with osteoarthritis and limited
mobility reports to the care-giver that she would like to begin an exercise




pg. 3

, program but is unsure of how to do so safely. The care-giver should
recommend a referral to which professional?

20. weight bearing--correct answer--The patient tells the care-giver she is
concerned about osteoporo- sis. Which type of exercise should the care-giver
recommend?

21. Treadmill--correct answer--The care-giver is providing education to a female
patient on the prevention of osteoporosis. The patient would exhibit an
understanding of the education by stating she will use which exercise
equipment at the gym?

22. Pneumonia--correct answer--The care-giver knows which condition decreases
a patient’s activity tolerance due to decreased distribution of oxygen to body
tissue?

23. Intermittent claudication--correct answer--The patient reports intense
cramping in his calf muscles while walking that improves when he sits
down. The care-giver suspects which condition?

24. Valsalva maneuver--correct answer--The care-giver is caring for a patient
with cardiac problems who is to begin an exercise regimen. The care-giver
knows to instruct the patient to breathe through the mouth to prevent which
complication?

25. -Using the overhead trapeze to lift the body off the mattress.

-Alternately press toes on each foot against the footboard.

-Pressing hands against the mattress.

-Pressing feet against the footboard to lift the buttocks--correct answer--The
caregiver has been instructed to facilitate the patient performing isotonic exercises
while immobile. The care-giver knows these include which exercises?




pg. 4

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