Gerontology HESI RN Practice, Gerontology HESI – 1
COMPREHENSIVE TEST BANK FINAL EXAM 2026-2027 NEWEST
UPDATE WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (RATIONALE) VERIFIED 100% GUARANTEED PASS BEST
DOCUMENT FOR RN EXIT EXAM PREP
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
A. Effectiveness of medication
Rationale: The highest priority in the care of an older client with chronic
hypertension is evaluation of the effectiveness of blood pressure
medication (A) and the client's compliance in order to prevent
complications related to chronic disease. (B, C and D) are issues common in
the older population, but the effectiveness of the blood pressure
management is most important.
,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?
A. Add whole grain foods and fibrous vegetables to diet
B. Drink water and fluids up to 3,000 ml daily
C. Use a stool softener or glycerin suppository PRN
D. Plan daily exercise based on fatigue level
(A) Add whole grain foods and fibrous vegetables to diet.
Rationale: Increasing daily fiber (A) with increasing fluid intake are the best
tools to use when retraining bowel habits. (B) may cause fluid
overload for this older client and potentially exacerbate HF. (C) should not be
advised without the healthcare provider's recommendation. The client's
fatigue level may curtail how much daily exercise (D) the client can tolerate.
,The registered nurse (RN) is observing the skin of an older client. Which
finding should the RN document as consistent with the normal aging
process?
A. Decreased elasticity
B. Tough and leathery texture
C. Shiny and edematous
D. Excessive hair growth on the head
(A) Decreased elasticity
Rationale: Loss of elasticity is a common finding of the normal aging process
(A). The skin of elderly clients becomes thin and fragile with
aging, not (B). When a client has peripheral edema, the skin can be shiny and
edematous (C), which is not consistent with normal aging changes. Hair
thinning and hair loss are common, not excessive hair growth (D).
, The home health registered nurse (RN) visits an older female client with an
ideal conduit who has been experiencing chronic urinary tract infections
(UTI). Which intervention should the RN recommend to the
client to manage the frequency of UTIs?
A. Force fluid intake to 1,000 ml daily
B. Change appliance every 4 hours
C. Attach a larger drainage bag while sleeping
D. Allow bag to fill completely before emptying
(C) Attach a larger drainage bag while sleeping
Rationale: (C) can prevent urinary reflux if the bag fills to near capacity or
greater, which can contribute to UTIs. Forcing fluids is encouraged and
should exceed urinary output, which commonly should be greater than
1,000 ml (A). (B) can increase skin irritation and increase risk for
infection by exposing the portal of entry frequently. Allowing the bag to fill
completely before emptying (D) increases risk of urinary reflux and UTIs.
COMPREHENSIVE TEST BANK FINAL EXAM 2026-2027 NEWEST
UPDATE WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (RATIONALE) VERIFIED 100% GUARANTEED PASS BEST
DOCUMENT FOR RN EXIT EXAM PREP
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
A. Effectiveness of medication
Rationale: The highest priority in the care of an older client with chronic
hypertension is evaluation of the effectiveness of blood pressure
medication (A) and the client's compliance in order to prevent
complications related to chronic disease. (B, C and D) are issues common in
the older population, but the effectiveness of the blood pressure
management is most important.
,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?
A. Add whole grain foods and fibrous vegetables to diet
B. Drink water and fluids up to 3,000 ml daily
C. Use a stool softener or glycerin suppository PRN
D. Plan daily exercise based on fatigue level
(A) Add whole grain foods and fibrous vegetables to diet.
Rationale: Increasing daily fiber (A) with increasing fluid intake are the best
tools to use when retraining bowel habits. (B) may cause fluid
overload for this older client and potentially exacerbate HF. (C) should not be
advised without the healthcare provider's recommendation. The client's
fatigue level may curtail how much daily exercise (D) the client can tolerate.
,The registered nurse (RN) is observing the skin of an older client. Which
finding should the RN document as consistent with the normal aging
process?
A. Decreased elasticity
B. Tough and leathery texture
C. Shiny and edematous
D. Excessive hair growth on the head
(A) Decreased elasticity
Rationale: Loss of elasticity is a common finding of the normal aging process
(A). The skin of elderly clients becomes thin and fragile with
aging, not (B). When a client has peripheral edema, the skin can be shiny and
edematous (C), which is not consistent with normal aging changes. Hair
thinning and hair loss are common, not excessive hair growth (D).
, The home health registered nurse (RN) visits an older female client with an
ideal conduit who has been experiencing chronic urinary tract infections
(UTI). Which intervention should the RN recommend to the
client to manage the frequency of UTIs?
A. Force fluid intake to 1,000 ml daily
B. Change appliance every 4 hours
C. Attach a larger drainage bag while sleeping
D. Allow bag to fill completely before emptying
(C) Attach a larger drainage bag while sleeping
Rationale: (C) can prevent urinary reflux if the bag fills to near capacity or
greater, which can contribute to UTIs. Forcing fluids is encouraged and
should exceed urinary output, which commonly should be greater than
1,000 ml (A). (B) can increase skin irritation and increase risk for
infection by exposing the portal of entry frequently. Allowing the bag to fill
completely before emptying (D) increases risk of urinary reflux and UTIs.
