Gerontology HESI Exit Exam Prep 2026 | Complete Practice Questions
& 100% Verified Answers | In-Depth Rationales | Priority Geriatric
Nursing Concepts | NGN-Style Questions | Guaranteed A+ Success
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
CORRECT ANSWER: C) Cold Climates
Rationale: 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 During 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 Most 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: B) Multiple Medications Can Contribute To Sundowner Like Symptoms
, Rationale: Older Clients May See A Variety Of Healthcare Providers Which Can Increase The
Change Of Polypharmacy That Compounds The Workload Of Metabolic Pathways That May Be
Less Efficient Due To The 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 Left
Forearm For Hemodialysis. After Palpating The AV Fistula, Which Finding Is An Indication That
The AV Fistula Is Functioning Properly?
A) Enlarged Veins
B) Redness Around The Site
C) Decreased Pulses Below The Fistula
D) Marked Ecchymotic Areas
CORRECT ANSWER: A) Enlarged Veins
Rationale: The Mixing Of Arterial And Venous Blood In An AV Fistula Causes The Veins To
Enlarge, Which Facilitate Cannulation For Hemodialysis
The Home Health Registered Nurse (RN) Is Changing An Older Client's Wet To Dry Dressing.
Which Observation Should The RN Evaluate As A Therapeutic Response With The Removal Of
The Dry Dressing?
A) Debridement And Removal Of Slough And Eschar
B) Drainage Of Purulent Exudate From The Wound
C) Moist Skin Edges Around The Wound Field
D) Presence Of Capillary Growth In The Wound
& 100% Verified Answers | In-Depth Rationales | Priority Geriatric
Nursing Concepts | NGN-Style Questions | Guaranteed A+ Success
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
CORRECT ANSWER: C) Cold Climates
Rationale: 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 During 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 Most 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: B) Multiple Medications Can Contribute To Sundowner Like Symptoms
, Rationale: Older Clients May See A Variety Of Healthcare Providers Which Can Increase The
Change Of Polypharmacy That Compounds The Workload Of Metabolic Pathways That May Be
Less Efficient Due To The 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 Left
Forearm For Hemodialysis. After Palpating The AV Fistula, Which Finding Is An Indication That
The AV Fistula Is Functioning Properly?
A) Enlarged Veins
B) Redness Around The Site
C) Decreased Pulses Below The Fistula
D) Marked Ecchymotic Areas
CORRECT ANSWER: A) Enlarged Veins
Rationale: The Mixing Of Arterial And Venous Blood In An AV Fistula Causes The Veins To
Enlarge, Which Facilitate Cannulation For Hemodialysis
The Home Health Registered Nurse (RN) Is Changing An Older Client's Wet To Dry Dressing.
Which Observation Should The RN Evaluate As A Therapeutic Response With The Removal Of
The Dry Dressing?
A) Debridement And Removal Of Slough And Eschar
B) Drainage Of Purulent Exudate From The Wound
C) Moist Skin Edges Around The Wound Field
D) Presence Of Capillary Growth In The Wound
