Ignatavcius Gerontology HESI Exam Prep
IGNATAVCIUS GERONTOLOGY HESI EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 50 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
An older female client who has been taking hydrocodone/acetaminophen (Lortab)
q4 hours for chronic back pain for the past 5 years tells the registered nurse (RN)
that she cannot live without her pain pills. When asked if she is addicted, the
client states that she is not an addict because the healthcare provider prescribed
the pain pills. Which coping mechanism should the RN determine the client is
using about her addiction?
A) Lack of knowledge about narcotic medications
B) Rationalization to support narcotic use
C) Transfer of blame to healthcare provider
D) Justification of narcotic use due to chronic pain - Correct Answer-B
The client is using rationalization to maintain self-esteem when she is questioned
by stating that she is not addicted because she is taking medication prescribed by
a healthcare provider.
An older male client with heart failure (HF) complains of chronic constipation and
wants to retrain his bowel. Which information should the registered nurse (RN)
offer the client for establishing regular bowel habits?
1|Page
, Ignatavcius Gerontology HESI Exam Prep
A) Add whole grain foods an fibrous vegetables to diet
B) Drink water and fluids up to 3,000 ml daily
C) Use a stool softener of glycerin suppository PRN
D) Plan daily exercise based on fatigue level - Correct Answer-A
Increasing daily fiber with increasing fluid intake are the best tools to use when
retraining bowl habits. Encouraging 3,000 ml of water daily may cause fluid
overload for this older client and potentially exacerbate HR
The home health registered nurse (RN) is visiting an older client with chronic
hypertension. What evaluation is most important for the RN to complete with
each visit?
A) Effectiveness of medication
B) Ability to ambulate
C) Signs of dehydration
D) Familial support - Correct Answer-A
The highest priority in the care of an older client with chronic hypertension is
evaluation of the effectiveness o blood pressure medication and the client's
compliance to prevent complications related to chronic disease
An older male client is admitted for emergency treatment of acute closed-angle
glaucoma. The registered nurse (RN) begins administering the prescribed miotic
medications and glycerin (Glycol) therapy. Which intervention is most important
for the RN to maintain during the client's therapy?
2|Page
, Ignatavcius Gerontology HESI Exam Prep
A) Maintain lighting control in the room during therapy
B) Monitor intake and output q2 hours for 24 hours
C) Place an eye patch over the affected eye during sleep
D) Administer the eye drops at the scheduled intervals - Correct Answer-B
Monitoring intake and output is most important during the administration of
glycerin due to the rapid acting osmotic diuretic effect of glycerin therapy.
The registered nurse (RN) is assigned the care of an older client who returns to the
unit after surgery for closed angle glaucoma. Which intervention in the plan of
care should the RN bring to the attention of the healthcare team?
A) Assist with ambulating to commode
B) Monitor intake and output q 8 hours
C) Administer morphine 4 mg IM q2 hour PRN pain
D) Place an eye path on operative eye during sleep - Correct Answer-C
Morphine side effects include nausea, vomiting, and constipation, causing
straining on stool, all of which can increase intraocular pressure and cause
intraocular bleeding during the postoperative period. Administration of morphine
0.4 mg IM q 2 hours PRN pain should be discussed with the healthcare team to
determine the risk of the side effects for the client.
3|Page
IGNATAVCIUS GERONTOLOGY HESI EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 50 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
An older female client who has been taking hydrocodone/acetaminophen (Lortab)
q4 hours for chronic back pain for the past 5 years tells the registered nurse (RN)
that she cannot live without her pain pills. When asked if she is addicted, the
client states that she is not an addict because the healthcare provider prescribed
the pain pills. Which coping mechanism should the RN determine the client is
using about her addiction?
A) Lack of knowledge about narcotic medications
B) Rationalization to support narcotic use
C) Transfer of blame to healthcare provider
D) Justification of narcotic use due to chronic pain - Correct Answer-B
The client is using rationalization to maintain self-esteem when she is questioned
by stating that she is not addicted because she is taking medication prescribed by
a healthcare provider.
An older male client with heart failure (HF) complains of chronic constipation and
wants to retrain his bowel. Which information should the registered nurse (RN)
offer the client for establishing regular bowel habits?
1|Page
, Ignatavcius Gerontology HESI Exam Prep
A) Add whole grain foods an fibrous vegetables to diet
B) Drink water and fluids up to 3,000 ml daily
C) Use a stool softener of glycerin suppository PRN
D) Plan daily exercise based on fatigue level - Correct Answer-A
Increasing daily fiber with increasing fluid intake are the best tools to use when
retraining bowl habits. Encouraging 3,000 ml of water daily may cause fluid
overload for this older client and potentially exacerbate HR
The home health registered nurse (RN) is visiting an older client with chronic
hypertension. What evaluation is most important for the RN to complete with
each visit?
A) Effectiveness of medication
B) Ability to ambulate
C) Signs of dehydration
D) Familial support - Correct Answer-A
The highest priority in the care of an older client with chronic hypertension is
evaluation of the effectiveness o blood pressure medication and the client's
compliance to prevent complications related to chronic disease
An older male client is admitted for emergency treatment of acute closed-angle
glaucoma. The registered nurse (RN) begins administering the prescribed miotic
medications and glycerin (Glycol) therapy. Which intervention is most important
for the RN to maintain during the client's therapy?
2|Page
, Ignatavcius Gerontology HESI Exam Prep
A) Maintain lighting control in the room during therapy
B) Monitor intake and output q2 hours for 24 hours
C) Place an eye patch over the affected eye during sleep
D) Administer the eye drops at the scheduled intervals - Correct Answer-B
Monitoring intake and output is most important during the administration of
glycerin due to the rapid acting osmotic diuretic effect of glycerin therapy.
The registered nurse (RN) is assigned the care of an older client who returns to the
unit after surgery for closed angle glaucoma. Which intervention in the plan of
care should the RN bring to the attention of the healthcare team?
A) Assist with ambulating to commode
B) Monitor intake and output q 8 hours
C) Administer morphine 4 mg IM q2 hour PRN pain
D) Place an eye path on operative eye during sleep - Correct Answer-C
Morphine side effects include nausea, vomiting, and constipation, causing
straining on stool, all of which can increase intraocular pressure and cause
intraocular bleeding during the postoperative period. Administration of morphine
0.4 mg IM q 2 hours PRN pain should be discussed with the healthcare team to
determine the risk of the side effects for the client.
3|Page
