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HESI RN GERONTOLOGY EXIT EXAM ACTUAL EXAM
VERSION 2 /GERONTOLOGY HESI EXIT EXAM NEWEST
2025/2026 NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND VERIFIED ANSWERS |ALREADY GRADED
A+|
An older female client arrives for an annual visit by the urologist
due to a history of changes in serum values related to renal
function. What changes should the RN expect for an older client
due to normal aging?
A. Decrease in glomerular filtration rate (GFR)
B. Hematuria during urinalysis
C. Chronic bladder infections
D. Urinary incontinence - ANSWER-A. Decrease in glomerular
filtration rate (GFR)
A frail elderly couple asks the registered nurse (RN) if they have
to watch their salt intake because food does not taste as good as
it used to so they have to season most foods. What information
should the RN offer the couple?
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A. Boredom may influence how the taste of food is perceived, and
different seasonings can stimulate taste.
B. With age, an increase in sodium intake is needed to
compensate for a decrease in renal function.
C. Short-term memory loss and confusion may be the reason they
want to over-season their food.
D. Taste buds often are dull due to atrophy so older clients should
use other seasonings instead of salt. - ANSWER-D. Taste buds
often are dull due to atrophy so older clients should use other
seasonings instead of salt.
An older client who is unconscious is admitted after experiencing
a head injury from a fall. Glasgow Coma Scale is prescribed to
evaluate the client. Which focused assessments should the RN
use to determine the client's GCS score? (Select all that apply.)
A. Verbal response
B. Motor response
C. Eye opening
D. Pupillary reaction
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E. Hearing - ANSWER-A. Verbal response
B. Motor response
C. Eye opening
The RN is assigned to the care of an older client with venous
stasis ulcers. A primary goal in the client's plan of care is to
decrease swelling in the extremities. What action should the RN
take to meet this goal?
A. Elevate the legs on pillows
B. Decrease fluid intake
C. Decrease salt intake in diet
D. Increase protein intake in diet - ANSWER-A. Elevate the legs
on pillows
After taking a 10-day course of an antibiotic that was ineffective, a
frail, elderly client with COPD is admitted for pneumonia. The
client has a long history of smoking and still smokes a pack of
cigarettes a day. Which finding should the RN report to the HCP?
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A. Barrel chest with increased chest diameter
B. Crackles and pulse oximetry level of 88%
C. Low hemoglobin and hematocrit levels.
D. Arterial blood gases indicating respiratory acidosis. -
ANSWER-B. Crackles and pulse oximetry level of 88%
The home health RN visits an older female client with an ileal
conduit who has been experiencing chronic UTIs. Which
intervention should the RN recommend to the client to manage
the frequency of UTIs?
A. Force fluid intake to 1000 mL daily.
B. Change appliance every 4 hours
C. Attach a larger drainage bag while sleeping
D. Allow bag to fill completely before emptying - ANSWER-C.
Attach a larger drainage bag while sleeping
An older male client returns to the hospital after discharge 4 days
ago for a transurethral resection of the prostate (TURP). The RN
evaluates the function of the 3-way indwelling urinary catheter
HESI RN GERONTOLOGY EXIT EXAM ACTUAL EXAM
VERSION 2 /GERONTOLOGY HESI EXIT EXAM NEWEST
2025/2026 NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND VERIFIED ANSWERS |ALREADY GRADED
A+|
An older female client arrives for an annual visit by the urologist
due to a history of changes in serum values related to renal
function. What changes should the RN expect for an older client
due to normal aging?
A. Decrease in glomerular filtration rate (GFR)
B. Hematuria during urinalysis
C. Chronic bladder infections
D. Urinary incontinence - ANSWER-A. Decrease in glomerular
filtration rate (GFR)
A frail elderly couple asks the registered nurse (RN) if they have
to watch their salt intake because food does not taste as good as
it used to so they have to season most foods. What information
should the RN offer the couple?
, Page |2
A. Boredom may influence how the taste of food is perceived, and
different seasonings can stimulate taste.
B. With age, an increase in sodium intake is needed to
compensate for a decrease in renal function.
C. Short-term memory loss and confusion may be the reason they
want to over-season their food.
D. Taste buds often are dull due to atrophy so older clients should
use other seasonings instead of salt. - ANSWER-D. Taste buds
often are dull due to atrophy so older clients should use other
seasonings instead of salt.
An older client who is unconscious is admitted after experiencing
a head injury from a fall. Glasgow Coma Scale is prescribed to
evaluate the client. Which focused assessments should the RN
use to determine the client's GCS score? (Select all that apply.)
A. Verbal response
B. Motor response
C. Eye opening
D. Pupillary reaction
, Page |3
E. Hearing - ANSWER-A. Verbal response
B. Motor response
C. Eye opening
The RN is assigned to the care of an older client with venous
stasis ulcers. A primary goal in the client's plan of care is to
decrease swelling in the extremities. What action should the RN
take to meet this goal?
A. Elevate the legs on pillows
B. Decrease fluid intake
C. Decrease salt intake in diet
D. Increase protein intake in diet - ANSWER-A. Elevate the legs
on pillows
After taking a 10-day course of an antibiotic that was ineffective, a
frail, elderly client with COPD is admitted for pneumonia. The
client has a long history of smoking and still smokes a pack of
cigarettes a day. Which finding should the RN report to the HCP?
, Page |4
A. Barrel chest with increased chest diameter
B. Crackles and pulse oximetry level of 88%
C. Low hemoglobin and hematocrit levels.
D. Arterial blood gases indicating respiratory acidosis. -
ANSWER-B. Crackles and pulse oximetry level of 88%
The home health RN visits an older female client with an ileal
conduit who has been experiencing chronic UTIs. Which
intervention should the RN recommend to the client to manage
the frequency of UTIs?
A. Force fluid intake to 1000 mL daily.
B. Change appliance every 4 hours
C. Attach a larger drainage bag while sleeping
D. Allow bag to fill completely before emptying - ANSWER-C.
Attach a larger drainage bag while sleeping
An older male client returns to the hospital after discharge 4 days
ago for a transurethral resection of the prostate (TURP). The RN
evaluates the function of the 3-way indwelling urinary catheter
