ADULT Gerontology HESI Exam 3 (2026) |
RN Geriatric Exam Prep | NGN Nursing
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A gerontological nurse in a daycare program for older adults observes that the
participants have long toenails, corns, calluses, and other problems indicating a need
for better foot care. What is the nurse's best action?
1. Developing an educational program on foot health and arranging for podiatry
services at the site
2. Establishing a regular foot care plan whereby the participants' toenails would be
cut and corns and calluses shaved
3. Instructing competent family members in the proper methods of cutting toenails
and using commercial foot care products.
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4. Recommending that the participants soak their feet for 10 minutes before cutting
their toenails using safe toenail clippers –
Correct Answer :1
Which type of fracture has the highest morbidity and mortality in the older adult?
1. Ankle
2. Hip
3. Shoulder
4. Vertebral –
Correct Answer :2
The primary reason for establishing quality improvement committees at long-term care
facilities is to:
1. facilitate staff participation.
2. initiate changes based on interdisciplinary exchange.
3. monitor and record incidents, accidents, and injuries.
4. provide quality care based on measurable data. –
Correct Answer :4
The gerontological nurses in a teaching nursing home are informed of a research
project to obtain voiding cystometrograms on all residents. The gerontological nurses'
responsibility is to ensure that the:
1. non-English speaking residents receive a complete explanation of the study in
their native languages.
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2. nursing home administration know that the nurses do not support such invasive
studies on the residents.
3. research team is well staffed so that the nursing home staff can provide care as
usual.
4. residents will be properly medicated in the examining room where the tests will
be conducted.
- Correct Answer :1
A 73-year-old patient reports "dizzy spells" for the past several weeks. The patient describes
three similar episodes during which the patient experienced "a swimming in my head," loss of
balance without falling, and numbness in the left arm. These episodes lasted 10 to 30
minutes. This patient is experiencing:
a) carotid artery stenosis
b) Meniere's disease
c) postural hypotension
d) transient ischemic attacks
- Correct Answer :D
An 85-year-old patient has an intestinal viral infection with severe diarrhea. Laboratory studies
are ordered. Which result confirms a diagnosis of dehydration?
a) Hyperchloremia and hypernatremia
b) Hyperglycemia and hyponatremia
c) Hyperkelemia and hypercapnia
d) Hypermagnesemia and hyponatremia - Correct Answer :A
In older women, the onset of physical discomfort and bleeding associated with intercourse
often indicates:
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a) a friable cervix with possible cellular abnormalities
b) decreased distensibility and mucosal changes of the vaginal vault
c) infrequent sexual activity
d) thickening of the vaginal mucosa with decreased lubrication
- Correct Answer :B
A gerontological clinical nurse specialist is administering a mental status examination to an
80-year-old patient. The patient answers the more complicated questions by saying "I don't
know." Which test is included in a further assessment?
a) Barthel Index
b) Functional Independence Measure
c) Geriatric Depression Scale
d) Lawton Life Satisfaction Scale
- Correct Answer :C
A gerontological clinical specialist is conducting a study on risk factors for osteoporosis and
has developed a questionnaire covering risk-reducing and risk-increasing behaviors of older
women. The clinical specialist asks experts in the area of osteoporosis to review the tool to
establish:
a) concurrent validity
b) content validity
c) interrater reliability
d) test-retest reliability –
Correct Answer :B
A 78-year-old male resident at a long-term care facility, who is a former business
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