HESI Gerontology Practice Exam V2 (2023/
2024 Update) Questions and Verified
Answers with Rationales| 100% Correct|
Grade A
QUESTION
The
... [Show More] registered nurse (RN) is caring for an elderly client with functional incontinence who lives
in an assisted living community. The client is alert and mildly confused and can self-ambulate.
Which nursing intervention should the RN implement?
Answer:
(A) Offer assistance with toileting q2 hours
Rationale: Maintaining independence and self-esteem is important for an older client with
incontinence. (A) decreases the client's chances of accidents and embarrassment by introducing a
toilet training program.
QUESTION
The home health registered nurse (RN) is reinforcing instructions to the family about how to
prevent pressure ulcers for their older family member who is bedridden. Which measure should
the RN discuss?
A. Lift the client when turning instead of sliding
B. Massage directly over reddened sites
C. Change client's position every 4 hours
D. Place pillows under both the knees
Answer:
(A) Lift the client when turning instead of sliding
Rationale: Lifting instead of sliding (A) decreases chances of friction and shearing while moving
the client.
QUESTION
An older male client is admitted to the hospital with left-sided heart failure (HF). Which finding
should the registered nurse (RN) document that is consistent with HF?
A. Ascites
B. Pitting edema
C. Jugular distention
D. Coarse and fine crackles
Answer:
(D) Coarse and fine crackles
Rationale: In left-sided heart failure, the inadequacy of pumping blood into the aorta causes
blood to back up into the pulmonary capillaries; this pushes intravascular fluid into the alveoli,
which is manifested as crackles or rales.
QUESTION
An older woman asks the registered nurse (RN) how she can decrease her chances of getting
cystitis. What information should the RN provide?
A. Void and empty the bladder completely every 2 to 3 hours
B. Take warm sits baths with bubble bath to cleanse the vulva
C. Decrease fluid volume intake to reduce urgency
Answer:
(A) Void and empty the bladder completely every 2 to 3 hours
Rationale: (A) minimizes over distention, which can compromise blood supply to the bladder
wall and cause irritation to the bladder.
QUESTION
An older female client who is a new resident at an assisted living facility cannot remember how
to get to her room. What action should the registered nurse (RN) implement?
A. Schedule therapy and social activities in her room
B. Ask another resident to help the client
C. Show client how to follow hallway signs to her room
D. Move client to a room close to nurses station
Answer:
(C) Show client how to follow hallway signs to her room
Rationale: Teaching the client how to follow hallway signs to her room
QUESTION
An older female client arrives for an annual visit by the urologist due to a history of changes in
serum values related to renal function. What changes should the registered nurse (RN) expect for
an older client due to normal aging?
A. Decrease in glomerular filtration rate (GFR)
B. Hematuria during urinalysis
C. Chronic bladder infections
Answer:
(A) Decrease in glomerular filtration rate (GFR)
Rationale: GFR often decreases (A) with normal aging due to a decrease in blood flow through
the kidneys, causing renal function test results to vary the clearance of metabolic waste.
QUESTION
The nursing assessment of an older female elicits information that the client is diagnosed with
Raynaud's phenomenon. Which exposure should the nurse instruct the client to avoid?
A. Alcohol consumption
B. Warm climates
C. Cold climates
D. Active exercise
Answer:
(C) Cold climates
Rationale: Exposure to cold environments (C) can cause prolonged [Show Less]