HESI GERONTOLOGY EXAM / APPROVED HESI GERONTOLOGY
EXAM VERSION 1-3 (V1, V2 & V3) AND PRACTICE QUESTIONS
COMPLETE ACCURATE EXAM 2026/2027 ACTUAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES (A NEW UPDATED VERSION 2026 EDITION)
|GUARANTEED PASS A+ |FULL REVISED HESI GERONTOLOGY
REAL EXAM |JUST RELEASED |BRAND NEW!
HESI GERONTOLOGY EXAM VERSION 1
1. An 80-year-old client reports dizziness when standing up. What is the
priority action?
A. Increase dietary sodium
B. Assess orthostatic blood pressure
C. Recommend compression stockings
D. Limit fluid intake
Correct Answer: B. Assess orthostatic blood pressure
Rationale: Orthostatic hypotension is common in older adults due to age-
related decline in baroreceptor sensitivity. The priority action is to assess blood
pressure in lying, sitting, and standing positions to confirm orthostatic changes
before implementing interventions. Increasing sodium or limiting fluids could
be harmful without proper assessment.
2. Which finding is an expected age-related change?
A. Increased sweating
B. Decreased taste buds
,C. Improved night vision
D. Faster reflex time
Correct Answer: B. Decreased taste buds
Rationale: The number of taste buds decreases with age, reducing taste
sensitivity. This is a normal age-related change. Older adults often
compensate by using stronger seasonings, which may lead to increased sodium
intake if not monitored.
3. A client with dementia experiences sundowning. What intervention is best?
A. Increase caffeine in the evening
B. Keep the room dark and quiet
C. Schedule a bath at 10 PM
D. Use restraints for safety
Correct Answer: B. Keep the room dark and quiet
Rationale: Sundowning refers to increased confusion and agitation in the
evening hours. A dark, quiet environment reduces stimulation and helps
minimize evening agitation. Restraints should never be used for safety without
attempting least-restrictive interventions first, and caffeine would worsen the
problem.
4. Which medication increases fall risk most in older adults?
,A. Acetaminophen
B. Lorazepam
C. Metformin
D. Lisinopril
Correct Answer: B. Lorazepam
Rationale: Benzodiazepines such as lorazepam cause sedation, dizziness, and
cognitive impairment, significantly increasing fall risk in older adults. The
Beers Criteria identifies benzodiazepines as potentially inappropriate for older
adults due to these risks.
5. A client has urinary incontinence only when coughing. This is classified as:
A. Urge incontinence
B. Overflow incontinence
C. Stress incontinence
D. Functional incontinence
Correct Answer: C. Stress incontinence
Rationale: Stress incontinence occurs with increased abdominal pressure from
activities such as coughing, sneezing, laughing, or lifting. It results from
weakened pelvic floor muscles and is common in older women.
6. What laboratory change is considered normal in aging?
, A. Increased creatinine clearance
B. Decreased GFR
C. Increased serum albumin
D. Decreased BUN
Correct Answer: B. Decreased GFR
Rationale: Glomerular filtration rate (GFR) decreases with age due to reduced
renal blood flow and loss of nephrons. A serum creatinine that appears normal
may mask renal impairment because of decreased muscle mass in older adults.
7. Which blood pressure change is considered a normal age-related finding?
A. Increased systolic and decreased diastolic
B. Decreased systolic and increased diastolic
C. Decreased pulse pressure
D. No change in either systolic or diastolic
Correct Answer: A. Increased systolic and decreased diastolic
Rationale: Arterial stiffness increases with age, raising systolic blood pressure
while diastolic often decreases or plateaus, resulting in a widened pulse
pressure. This is a normal age-related cardiovascular change.
8. An 80-year-old's serum creatinine is 0.7 mg/dL. The nurse understands this
indicates:
EXAM VERSION 1-3 (V1, V2 & V3) AND PRACTICE QUESTIONS
COMPLETE ACCURATE EXAM 2026/2027 ACTUAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES (A NEW UPDATED VERSION 2026 EDITION)
|GUARANTEED PASS A+ |FULL REVISED HESI GERONTOLOGY
REAL EXAM |JUST RELEASED |BRAND NEW!
HESI GERONTOLOGY EXAM VERSION 1
1. An 80-year-old client reports dizziness when standing up. What is the
priority action?
A. Increase dietary sodium
B. Assess orthostatic blood pressure
C. Recommend compression stockings
D. Limit fluid intake
Correct Answer: B. Assess orthostatic blood pressure
Rationale: Orthostatic hypotension is common in older adults due to age-
related decline in baroreceptor sensitivity. The priority action is to assess blood
pressure in lying, sitting, and standing positions to confirm orthostatic changes
before implementing interventions. Increasing sodium or limiting fluids could
be harmful without proper assessment.
2. Which finding is an expected age-related change?
A. Increased sweating
B. Decreased taste buds
,C. Improved night vision
D. Faster reflex time
Correct Answer: B. Decreased taste buds
Rationale: The number of taste buds decreases with age, reducing taste
sensitivity. This is a normal age-related change. Older adults often
compensate by using stronger seasonings, which may lead to increased sodium
intake if not monitored.
3. A client with dementia experiences sundowning. What intervention is best?
A. Increase caffeine in the evening
B. Keep the room dark and quiet
C. Schedule a bath at 10 PM
D. Use restraints for safety
Correct Answer: B. Keep the room dark and quiet
Rationale: Sundowning refers to increased confusion and agitation in the
evening hours. A dark, quiet environment reduces stimulation and helps
minimize evening agitation. Restraints should never be used for safety without
attempting least-restrictive interventions first, and caffeine would worsen the
problem.
4. Which medication increases fall risk most in older adults?
,A. Acetaminophen
B. Lorazepam
C. Metformin
D. Lisinopril
Correct Answer: B. Lorazepam
Rationale: Benzodiazepines such as lorazepam cause sedation, dizziness, and
cognitive impairment, significantly increasing fall risk in older adults. The
Beers Criteria identifies benzodiazepines as potentially inappropriate for older
adults due to these risks.
5. A client has urinary incontinence only when coughing. This is classified as:
A. Urge incontinence
B. Overflow incontinence
C. Stress incontinence
D. Functional incontinence
Correct Answer: C. Stress incontinence
Rationale: Stress incontinence occurs with increased abdominal pressure from
activities such as coughing, sneezing, laughing, or lifting. It results from
weakened pelvic floor muscles and is common in older women.
6. What laboratory change is considered normal in aging?
, A. Increased creatinine clearance
B. Decreased GFR
C. Increased serum albumin
D. Decreased BUN
Correct Answer: B. Decreased GFR
Rationale: Glomerular filtration rate (GFR) decreases with age due to reduced
renal blood flow and loss of nephrons. A serum creatinine that appears normal
may mask renal impairment because of decreased muscle mass in older adults.
7. Which blood pressure change is considered a normal age-related finding?
A. Increased systolic and decreased diastolic
B. Decreased systolic and increased diastolic
C. Decreased pulse pressure
D. No change in either systolic or diastolic
Correct Answer: A. Increased systolic and decreased diastolic
Rationale: Arterial stiffness increases with age, raising systolic blood pressure
while diastolic often decreases or plateaus, resulting in a widened pulse
pressure. This is a normal age-related cardiovascular change.
8. An 80-year-old's serum creatinine is 0.7 mg/dL. The nurse understands this
indicates:
