ADULT Gerontology HESI Exam
ADULT Gerontology HESI Exam 2 (2026) |
RN Geriatric Exam Prep | NGN Nursing
Questions (Pdf) Questions and Revised
Correct Answers, 100% Guarantee Pass
GRADED A+
An older client is admitted to the hospital with abdominal pain and watery, incontinent
diarrhea following a course of antibiotic therapy. Stool cultures show the presence
of Clostridium difficile. What information is most important for the practical nurse (PN) to tell
the unlicensed assistive personnel (UAP) about caring for this client?
a. Hands should be washed with hand sanitizer.
b. Follow isolation precautions while caring for the client.
c. Clean all solid surfaces with hospital-approved cleaning products.
d. Make sure that only visitors don gowns and gloves before entering client’s room.
b. Follow isolation precautions while caring for the client.
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, ADULT Gerontology HESI Exam
Rationale:
A priority goal for the client with infectious diarrhea due to C. difficile is infection control
precautions and the prevention of nosocomial transmission. Everyone who enters the room
should wear gown and gloves.
The older adult client diagnosed with a pulmonary embolus is taking warfarin 5 mg daily. The
practical nurse (PN) notes that the most recent international normalized ratio (INR) value is
5.0. Which intervention should the practical nurse (PN) anticipate?
a. The provider will increase the dose of warfarin.
b. The provider will decrease the dose of warfarin.
c. The provider will not change the warfarin order.
d. The provider will add heparin to the client’s medications.
b. The provider will decrease the dose of warfarin.
Rationale:
Warfarin is an anticoagulant, and the INR measures the clotting time of the blood. The
therapeutic range for INR is 2 to 4.5, depending on the client’s disease process. An INR above
the recommended range means that the warfarin should be reduced to prevent bleeding.
The practical nurse (PN) working at an assisted living facility is visiting with a client whose
spouse died 8 months ago. Which behavior by the client suggests ineffective coping with the
spouse’s death?
a. Frequently neglects to shower and shave.
b. Insists on visiting the gravesite once a month.
c. Joins an exercise class at the assisted living facility.
d. Keeps their photo albums out and looks through them frequently.
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, ADULT Gerontology HESI Exam
a. Frequently neglects to shower and shave.
Rationale:
Ineffective coping is manifested by behaviors that may be physically or psychologically
harmful to the individual. Neglecting personal hygiene is an example of ineffective coping.
When observing an older client with dementia for symptoms of Sundowning syndrome, it is
most important that the practical nurse (PN) assesses for which finding?
a. Observe for agitation at the end of the day.
b. Perform a neurological and mental status examination.
c. Monitor for medication side effects.
d. Assess for decreased gross motor movement.
a. Observe for agitation at the end of the day.
Rationale:
Sundowning syndrome is a pattern of agitated behavior in the evening, believed to be
associated with tiredness at the end of the day combined with fewer orienting stimuli, such as
activities and interactions.
An older adult client is recovering from a hip fracture. The health care provider has prescribed
home health care nursing upon discharge. Which statement describes the primary goal for
the client?
a. Return the client to his or her previous lifestyle.
b. Avoid dependency on medication therapy.
c. Establish self-care and independence.
d. Maintain a friendly relationship with family members.
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, ADULT Gerontology HESI Exam
c. Establish self-care and independence.
Rationale:
Loss of independence is a significant issue with the aging population and is one of the most
important issues for the home health practical nurse (PN) to establish with the client.
Establishing the client’s individual goals is the primary concern of the home health care PN.
The nurse at a long-term care facility is working with a group of unlicensed assistive personnel
(UAPs) and is asking the UAPs to provide oral care to the residents. The nurse should explain
this is important to provide for which vital reasons? (Select all that apply.)
a. Inspecting agencies review medical records for compliance
b. Frequent oral care reduces halitosis, or bad breath, in older adults
c. Dental caries, or cavities, can occur in older adults resulting in teeth loss
d. Dry mouth in older adults may cause a decreased appetite, resulting in poor nutrition
e. If multiple teeth are missing, the older adult has difficulty eating fresh vegetables
c. Dental caries, or cavities, can occur in older adults resulting in teeth loss
d. Dry mouth in older adults may cause a decreased appetite, resulting in poor nutrition
e. If multiple teeth are missing, the older adult has difficulty eating fresh vegetables
Rationale:
It is important to ensure that older adults receive adequate oral care, because cavities, dry
mouth, and missing teeth can lead to teeth loss. This can cause severe nutritional problems
due to the inability to chew meats, fresh fruits and vegetables, and other essential food
items. While it is true that inspecting agencies often review medical records, this is not the
most crucial reason to provide this care. Halitosis can be caused by poor oral hygiene, but this
is also not the most crucial reason to provide care.
P a g e 4 | 171
ADULT Gerontology HESI Exam 2 (2026) |
RN Geriatric Exam Prep | NGN Nursing
Questions (Pdf) Questions and Revised
Correct Answers, 100% Guarantee Pass
GRADED A+
An older client is admitted to the hospital with abdominal pain and watery, incontinent
diarrhea following a course of antibiotic therapy. Stool cultures show the presence
of Clostridium difficile. What information is most important for the practical nurse (PN) to tell
the unlicensed assistive personnel (UAP) about caring for this client?
a. Hands should be washed with hand sanitizer.
b. Follow isolation precautions while caring for the client.
c. Clean all solid surfaces with hospital-approved cleaning products.
d. Make sure that only visitors don gowns and gloves before entering client’s room.
b. Follow isolation precautions while caring for the client.
P a g e 1 | 171
, ADULT Gerontology HESI Exam
Rationale:
A priority goal for the client with infectious diarrhea due to C. difficile is infection control
precautions and the prevention of nosocomial transmission. Everyone who enters the room
should wear gown and gloves.
The older adult client diagnosed with a pulmonary embolus is taking warfarin 5 mg daily. The
practical nurse (PN) notes that the most recent international normalized ratio (INR) value is
5.0. Which intervention should the practical nurse (PN) anticipate?
a. The provider will increase the dose of warfarin.
b. The provider will decrease the dose of warfarin.
c. The provider will not change the warfarin order.
d. The provider will add heparin to the client’s medications.
b. The provider will decrease the dose of warfarin.
Rationale:
Warfarin is an anticoagulant, and the INR measures the clotting time of the blood. The
therapeutic range for INR is 2 to 4.5, depending on the client’s disease process. An INR above
the recommended range means that the warfarin should be reduced to prevent bleeding.
The practical nurse (PN) working at an assisted living facility is visiting with a client whose
spouse died 8 months ago. Which behavior by the client suggests ineffective coping with the
spouse’s death?
a. Frequently neglects to shower and shave.
b. Insists on visiting the gravesite once a month.
c. Joins an exercise class at the assisted living facility.
d. Keeps their photo albums out and looks through them frequently.
P a g e 2 | 171
, ADULT Gerontology HESI Exam
a. Frequently neglects to shower and shave.
Rationale:
Ineffective coping is manifested by behaviors that may be physically or psychologically
harmful to the individual. Neglecting personal hygiene is an example of ineffective coping.
When observing an older client with dementia for symptoms of Sundowning syndrome, it is
most important that the practical nurse (PN) assesses for which finding?
a. Observe for agitation at the end of the day.
b. Perform a neurological and mental status examination.
c. Monitor for medication side effects.
d. Assess for decreased gross motor movement.
a. Observe for agitation at the end of the day.
Rationale:
Sundowning syndrome is a pattern of agitated behavior in the evening, believed to be
associated with tiredness at the end of the day combined with fewer orienting stimuli, such as
activities and interactions.
An older adult client is recovering from a hip fracture. The health care provider has prescribed
home health care nursing upon discharge. Which statement describes the primary goal for
the client?
a. Return the client to his or her previous lifestyle.
b. Avoid dependency on medication therapy.
c. Establish self-care and independence.
d. Maintain a friendly relationship with family members.
P a g e 3 | 171
, ADULT Gerontology HESI Exam
c. Establish self-care and independence.
Rationale:
Loss of independence is a significant issue with the aging population and is one of the most
important issues for the home health practical nurse (PN) to establish with the client.
Establishing the client’s individual goals is the primary concern of the home health care PN.
The nurse at a long-term care facility is working with a group of unlicensed assistive personnel
(UAPs) and is asking the UAPs to provide oral care to the residents. The nurse should explain
this is important to provide for which vital reasons? (Select all that apply.)
a. Inspecting agencies review medical records for compliance
b. Frequent oral care reduces halitosis, or bad breath, in older adults
c. Dental caries, or cavities, can occur in older adults resulting in teeth loss
d. Dry mouth in older adults may cause a decreased appetite, resulting in poor nutrition
e. If multiple teeth are missing, the older adult has difficulty eating fresh vegetables
c. Dental caries, or cavities, can occur in older adults resulting in teeth loss
d. Dry mouth in older adults may cause a decreased appetite, resulting in poor nutrition
e. If multiple teeth are missing, the older adult has difficulty eating fresh vegetables
Rationale:
It is important to ensure that older adults receive adequate oral care, because cavities, dry
mouth, and missing teeth can lead to teeth loss. This can cause severe nutritional problems
due to the inability to chew meats, fresh fruits and vegetables, and other essential food
items. While it is true that inspecting agencies often review medical records, this is not the
most crucial reason to provide this care. Halitosis can be caused by poor oral hygiene, but this
is also not the most crucial reason to provide care.
P a g e 4 | 171
