1
GERONTOLOGY HESI EXAM PRACTICE
QUESTIONS WITH SOLUTIONS &
RATIONALES 2026/2027
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: Exposure to cold environments (C) can cause prolonged painful
vasoconstriction of the peripheral extremities (especially in hands) in client's with
Raynaud's phenomenon. (B) provides the best environment for clients suffering
from this disease. There is no correlation between (A) or (D) that exacerbates
Raynaud's symptoms.
, 2
An older resident is newly admitted to an assisted living community. Which
actions should the registered nurse (RN) implement to provide the resident ways
to maintain safe medication administration? (Select all that apply.)
A. Locked medication storage in the client's room
B. Medication administration record (MAR)
C. Payment forms for prescribed medications
D. Delivery of adequate supply of medication
E. List of findings indicating medication effectiveness - correct-answer - (A), (B),
(D), (E)
Rationale: (A, B, D and E) are correct. For safe self-medication in an assisted living
community, the resident should be provided a locked storage box (A), create a
medication administration record to monitor medication (B), establish adequate
medication supply (D) and a reference to evaluate the effectiveness of
medications (E). (C) is not the responsibility of the nurse.
, 3
An older male client is seeking counseling about his recent sexual issues with his
partner. What issue should the registered nurse (RN) explore in this discussion?
A. Certain mediations may impact sexual function
B. Normal aging affects sexual function in male clients
C. Safe sex is not necessary with older sexually active elders
D. Sexual interest usually declines with aging in male clients - correct-answer - (A)
Certain medications may impact sexual function
Rationale: Certain medications can have a direct influence on sexual function and
should be discussed with older clients (A). (B) does not have drastic effects for
older male clients. Some men may experience a decline in testosterone and
sperm production, but sexual dysfunction is not a part of normal aging in the male
client. The incidence of STIs has increased and may be related to a lack of
education for this age group about preventative measures (C). Older clients
continue to have interest in sex (D) as long as there is not a direct influence of
medication side effects that cause sexual dysfunction
, 4
An older male client with Parkinson's disease (PD) is discharged home with
levodopa-carbidopa (Sinemet) and instructions to his wife for his care. What
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." - correct-answer - (B) "I will notify the healthcare provider
if my husband has increasing involuntary movements of his extremities."
Rationale: Increasing involuntary movements (B) 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. The client
should be encouraged to engage in exercise and regular daily activities (A).
Socialization and activities as tolerated help to prevent the client from becoming
GERONTOLOGY HESI EXAM PRACTICE
QUESTIONS WITH SOLUTIONS &
RATIONALES 2026/2027
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: Exposure to cold environments (C) can cause prolonged painful
vasoconstriction of the peripheral extremities (especially in hands) in client's with
Raynaud's phenomenon. (B) provides the best environment for clients suffering
from this disease. There is no correlation between (A) or (D) that exacerbates
Raynaud's symptoms.
, 2
An older resident is newly admitted to an assisted living community. Which
actions should the registered nurse (RN) implement to provide the resident ways
to maintain safe medication administration? (Select all that apply.)
A. Locked medication storage in the client's room
B. Medication administration record (MAR)
C. Payment forms for prescribed medications
D. Delivery of adequate supply of medication
E. List of findings indicating medication effectiveness - correct-answer - (A), (B),
(D), (E)
Rationale: (A, B, D and E) are correct. For safe self-medication in an assisted living
community, the resident should be provided a locked storage box (A), create a
medication administration record to monitor medication (B), establish adequate
medication supply (D) and a reference to evaluate the effectiveness of
medications (E). (C) is not the responsibility of the nurse.
, 3
An older male client is seeking counseling about his recent sexual issues with his
partner. What issue should the registered nurse (RN) explore in this discussion?
A. Certain mediations may impact sexual function
B. Normal aging affects sexual function in male clients
C. Safe sex is not necessary with older sexually active elders
D. Sexual interest usually declines with aging in male clients - correct-answer - (A)
Certain medications may impact sexual function
Rationale: Certain medications can have a direct influence on sexual function and
should be discussed with older clients (A). (B) does not have drastic effects for
older male clients. Some men may experience a decline in testosterone and
sperm production, but sexual dysfunction is not a part of normal aging in the male
client. The incidence of STIs has increased and may be related to a lack of
education for this age group about preventative measures (C). Older clients
continue to have interest in sex (D) as long as there is not a direct influence of
medication side effects that cause sexual dysfunction
, 4
An older male client with Parkinson's disease (PD) is discharged home with
levodopa-carbidopa (Sinemet) and instructions to his wife for his care. What
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." - correct-answer - (B) "I will notify the healthcare provider
if my husband has increasing involuntary movements of his extremities."
Rationale: Increasing involuntary movements (B) 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. The client
should be encouraged to engage in exercise and regular daily activities (A).
Socialization and activities as tolerated help to prevent the client from becoming
