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HESI RN GERONTOLOGY EXIT EXAM VERSION 3 /GERONTOLOGY
HESI EXIT EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
When assessing an older client, which age-related changes in the
cardiovascular system should the registered nurse (RN)
document? (Select all that apply.)
A) Dyspnea
B) Chest pain
C) Cardiac murmurs
D) Widening pulse pressure
E) Irregular heart rate - ANSWER-C,D
For older clients the expected age-related changes in the
cardiovascular system include murmurs and widening pulse
pressure
An older client who recently moved into an assisted living
community refuses to eat or join any activities. When evaluating
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the client further, what should the registered nurse (RN) focus on
during the next examination?
A) Anxiety
B) Depression
C) Exhaustion
D) Confusion - ANSWER-B
Depression is a symptom that an older client is likely to
experience with a sudden change in living accommodations when
a loss of personal identity can create low self-esteem
The registered nurse (RN) is caring for an elderly client with
functional incontinence who lives in an assisted living community.
The client is alert and mildly confused and can self ambulate.
Which nursing intervention should the RN implement?
A) Offer assistance with toileting q2 hours
B) Use protective disposal undergarment instead of underwear
C) Ask if the client has attempted to void q2 hours
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D) Obtain a prescription for intermittent catherization - ANSWER-
A
Maintaining independence and self-esteem is important for an
older client with incontinence. Toilet assistance decreases the
client's chances of accidents and embarrassment by introducing a
toilet training program
The healthcare provider prescribes a new medication, atorvastatin
(Lipitor, for an older client who arrives at the clinic for an annual
physical examination. What common side effect should the
registered nurse (RN) advise the client to observe for with this
medication?
A) Constipation
B) Headaches
C) Muscle weakness
D) Nausea and vomiting - ANSWER-B
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Headaches are the most common side effect with this medication,
which the RN should direct the client to report
The registered nurse (RN) is re-enforcing discharge instructions
with the family of an older client who was recently admitted for an
intestinal obstruction. Which statement indicates that the family
understands the instructions?
A) Increase protein and carbohydrates in the daily diet
B) Limit activity to bed rest for the first week and increase mobility
incrementally each week
C) Report abdominal distention, constipation or any nausea and
vomiting to the healthcare provider
D) Drink liquids 2 hours after meals instead of during meals -
ANSWER-C
These are symptoms that occur with intestinal obstruction and
should be addressed immediately
HESI RN GERONTOLOGY EXIT EXAM VERSION 3 /GERONTOLOGY
HESI EXIT EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
When assessing an older client, which age-related changes in the
cardiovascular system should the registered nurse (RN)
document? (Select all that apply.)
A) Dyspnea
B) Chest pain
C) Cardiac murmurs
D) Widening pulse pressure
E) Irregular heart rate - ANSWER-C,D
For older clients the expected age-related changes in the
cardiovascular system include murmurs and widening pulse
pressure
An older client who recently moved into an assisted living
community refuses to eat or join any activities. When evaluating
,2|Page
the client further, what should the registered nurse (RN) focus on
during the next examination?
A) Anxiety
B) Depression
C) Exhaustion
D) Confusion - ANSWER-B
Depression is a symptom that an older client is likely to
experience with a sudden change in living accommodations when
a loss of personal identity can create low self-esteem
The registered nurse (RN) is caring for an elderly client with
functional incontinence who lives in an assisted living community.
The client is alert and mildly confused and can self ambulate.
Which nursing intervention should the RN implement?
A) Offer assistance with toileting q2 hours
B) Use protective disposal undergarment instead of underwear
C) Ask if the client has attempted to void q2 hours
,3|Page
D) Obtain a prescription for intermittent catherization - ANSWER-
A
Maintaining independence and self-esteem is important for an
older client with incontinence. Toilet assistance decreases the
client's chances of accidents and embarrassment by introducing a
toilet training program
The healthcare provider prescribes a new medication, atorvastatin
(Lipitor, for an older client who arrives at the clinic for an annual
physical examination. What common side effect should the
registered nurse (RN) advise the client to observe for with this
medication?
A) Constipation
B) Headaches
C) Muscle weakness
D) Nausea and vomiting - ANSWER-B
, 4|Page
Headaches are the most common side effect with this medication,
which the RN should direct the client to report
The registered nurse (RN) is re-enforcing discharge instructions
with the family of an older client who was recently admitted for an
intestinal obstruction. Which statement indicates that the family
understands the instructions?
A) Increase protein and carbohydrates in the daily diet
B) Limit activity to bed rest for the first week and increase mobility
incrementally each week
C) Report abdominal distention, constipation or any nausea and
vomiting to the healthcare provider
D) Drink liquids 2 hours after meals instead of during meals -
ANSWER-C
These are symptoms that occur with intestinal obstruction and
should be addressed immediately
