GERONTOLOGY HESI PRACTICE PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ 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
roomb) Ask another resident to help the clientc) Show the client how to
follow hallway signs to her roomd) Move client to a room close to nurses
station.
Answer: Show client how to follow hallway signs to her room-Teaching the
client how to follow hallway signs to her room provides cues and reminders
that foster independence.
◍ When initially monitoring a client after a fall, which information should the
practical nurse (PN) communicate immediately to the healthcare provider?
(Select all that apply.).
Answer: -Onset of nausea and vomiting-Change in the level of
consciousness
◍ An older adult client who has Alzheimer's disease tries to slap a social
worker. Which action is most appropriate for the nurse to take first?.
Answer: Ask the client to walk away and come join others in the dining
room.
◍ 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 commodeb) Monitor intake and output q8
hoursc) Administer morphine 4mg IM q2 hour PRN paind) Place an eye
patch on operative eye during sleep.
, Answer: Administer morphine 4mg IM q2 hour PRN pain-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 0.4mg
IM q2 hours PRN pain should be discussed with the healthcare team to
determine the risk of the side effects for the client.
◍ An older adult client is recovering from a hip fracture. The healthcare
provider has prescribed home healthcare nursing upon discharge. Which
statement describes the primary goal for the client?.
Answer: Establish self-care and independence.
◍ The practical nurse (PN) emphasizes ways to prevent constipation to the
older adult client. Which instruction should the PN reinforce in the client's
discharge teaching plan?.
Answer: Drink several glasses of water throughout the day.
◍ An older adult client has been diagnosed with lung cancer and will begin
receiving hospice services. The nurse expects to see which aspects included
in the plan of care? (Select all that apply.).
Answer: -Administering medications to relieve symptoms of nausea,
vomiting, and diarrhea-Encouraging the client to continue with spiritual
practices that provide comfort
◍ 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 1,000mL dailyb)
Change appliance every 4 hoursc) Attach a larger drainage bag while
sleepingd) Allow bag to fill completely before emptying.
Answer: Attach a larger drainage bag while sleeping-Attaching a larger bag
while sleeping can prevent urinary reflux if the bag fills to near capacity or
greater which can contribute to UTIs.
◍ An older client who resides in a long-term care facility is hearing-impaired.
How should the practical nurse (PN) modify interventions for this client?.
, Answer: Face the client and speak in a normal tone of voice.
◍ An older client who has a history of a hip fracture was admitted to the
hospital for congestive heart failure. The client is taking
codeine-acetaminophen as needed for pain. Which risk factor puts this client
at greatest risk for a fall?.
Answer: History of falls
◍ The nurse is reviewing medical records at a long-term care facility to
determine if the older adult clients have received immunization for
influenza. The nurse should ensure the clients receive this immunization
according to which guideline?.
Answer: Annually
◍ An older male client with Parkinson's disease (PD) is discharged home with
levodopa-carbidopa (Sinemet) and instructions to his wife for his care.
Which statement best indicates to the registered nurse (RN) that the wife
understands her husband's needs?a) "It is important to keep my husband in a
chair or in bed as much as possible and prevent him from falling."b) "I will
notify the healthcare provider if my husband has increasing involuntary
movements of his extremities."c) "Since it is difficult for my husband to eat,
we should stay in the house instead of going out to dine."d) "I should expect
that my husband will be incontinent of bowel and bladder as his disease
advances.".
Answer: "I will notify the healthcare provider if my husband has increasing
involuntary movements of his extremities."-Increasing involuntary
movements should be reported during the use of levodopa; it is an indicator
that the body is failing to readjust to the changes in the level of the
intracerebral neurotransmitter dopamine.
◍ An older adult client has bruises resembling handprints encircling both
arms, but claims this injury was sustained when she slipped in water. The
nurse also notes the client becomes very withdrawn when the son visits, and
that the client is emaciated. Which action is most appropriate?.
Answer: Contact the local law enforcement agency.
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ 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
roomb) Ask another resident to help the clientc) Show the client how to
follow hallway signs to her roomd) Move client to a room close to nurses
station.
Answer: Show client how to follow hallway signs to her room-Teaching the
client how to follow hallway signs to her room provides cues and reminders
that foster independence.
◍ When initially monitoring a client after a fall, which information should the
practical nurse (PN) communicate immediately to the healthcare provider?
(Select all that apply.).
Answer: -Onset of nausea and vomiting-Change in the level of
consciousness
◍ An older adult client who has Alzheimer's disease tries to slap a social
worker. Which action is most appropriate for the nurse to take first?.
Answer: Ask the client to walk away and come join others in the dining
room.
◍ 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 commodeb) Monitor intake and output q8
hoursc) Administer morphine 4mg IM q2 hour PRN paind) Place an eye
patch on operative eye during sleep.
, Answer: Administer morphine 4mg IM q2 hour PRN pain-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 0.4mg
IM q2 hours PRN pain should be discussed with the healthcare team to
determine the risk of the side effects for the client.
◍ An older adult client is recovering from a hip fracture. The healthcare
provider has prescribed home healthcare nursing upon discharge. Which
statement describes the primary goal for the client?.
Answer: Establish self-care and independence.
◍ The practical nurse (PN) emphasizes ways to prevent constipation to the
older adult client. Which instruction should the PN reinforce in the client's
discharge teaching plan?.
Answer: Drink several glasses of water throughout the day.
◍ An older adult client has been diagnosed with lung cancer and will begin
receiving hospice services. The nurse expects to see which aspects included
in the plan of care? (Select all that apply.).
Answer: -Administering medications to relieve symptoms of nausea,
vomiting, and diarrhea-Encouraging the client to continue with spiritual
practices that provide comfort
◍ 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 1,000mL dailyb)
Change appliance every 4 hoursc) Attach a larger drainage bag while
sleepingd) Allow bag to fill completely before emptying.
Answer: Attach a larger drainage bag while sleeping-Attaching a larger bag
while sleeping can prevent urinary reflux if the bag fills to near capacity or
greater which can contribute to UTIs.
◍ An older client who resides in a long-term care facility is hearing-impaired.
How should the practical nurse (PN) modify interventions for this client?.
, Answer: Face the client and speak in a normal tone of voice.
◍ An older client who has a history of a hip fracture was admitted to the
hospital for congestive heart failure. The client is taking
codeine-acetaminophen as needed for pain. Which risk factor puts this client
at greatest risk for a fall?.
Answer: History of falls
◍ The nurse is reviewing medical records at a long-term care facility to
determine if the older adult clients have received immunization for
influenza. The nurse should ensure the clients receive this immunization
according to which guideline?.
Answer: Annually
◍ An older male client with Parkinson's disease (PD) is discharged home with
levodopa-carbidopa (Sinemet) and instructions to his wife for his care.
Which statement best indicates to the registered nurse (RN) that the wife
understands her husband's needs?a) "It is important to keep my husband in a
chair or in bed as much as possible and prevent him from falling."b) "I will
notify the healthcare provider if my husband has increasing involuntary
movements of his extremities."c) "Since it is difficult for my husband to eat,
we should stay in the house instead of going out to dine."d) "I should expect
that my husband will be incontinent of bowel and bladder as his disease
advances.".
Answer: "I will notify the healthcare provider if my husband has increasing
involuntary movements of his extremities."-Increasing involuntary
movements should be reported during the use of levodopa; it is an indicator
that the body is failing to readjust to the changes in the level of the
intracerebral neurotransmitter dopamine.
◍ An older adult client has bruises resembling handprints encircling both
arms, but claims this injury was sustained when she slipped in water. The
nurse also notes the client becomes very withdrawn when the son visits, and
that the client is emaciated. Which action is most appropriate?.
Answer: Contact the local law enforcement agency.
