Gerontology HESI Exam (2026) | RN Geriatric
Exam
Gerontology HESI Exam
(2026) | RN Geriatric Exam
Prep | NGN Nursing Questions (Pdf)
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
An older client who is unconscious is admitted after experiencing a head injury from a fall.
Glasgow Coma Scale (GCS) is prescribed to evaluate the client. Which focused assessments
should the registered nurse (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
A+ TEST BANK 1
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
E. Hearing –
Correct Answer :(A), (B), (C)
Rationale: (A, B, and C) are correct. The Glasgow Coma Scale evaluates verbal response (A),
motor response (B), and eye opening (C)
A 64-year-old client is admitted to the hospital with a fractured right hip. One of the concerns
following surgical repair is to promote dorsiflexion. Which intervention would a nurse
implement?
A. Begin early ambulation
B. Monitor pain level
C. Provide PCA instructions
D. Provide a foot board –
Correct Answer :(D) Provide a foot board
Rationale: A footboard supports the feet in dorsiflexion and helps prevent foot drop
throughout recovery .
The registered nurse (RN) is reinforcing discharge instructions to the family of an older client
with failure to thrive. What information should the RN include to promote nutritional intake
for the client? (Select all that apply.)
A. Minimize stress levels by providing the client with a quiet environment during meals
B. Provide food variations that the client can manage without assistance
A+ TEST BANK 2
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
C. Assist the client with eating meals in bed in a semi-Fowler's position
D. Encourage fluid intake before meals to decrease dehydration
E. Offer any type of food to the client as long as calories are consumed –
Correct Answer :(A) Minimize stress level by providing the client with a quiet environment
during meals
(B) Provide food variations that the client can manage without assistance
Rationale: (A and B) are correct and continue to promote independence and decreased stress
for the client, which will increase the opportunity for nutritional intake. (C) increases
dependence for the older client, which can also cause decreased self-worth and depression.
(D) will make the client feel full and will decrease the client's ability to consume nutritional
calories.
The registered nurse (RN) is assigned the care of an older client who returns to the unit after
surgery for closed angle glaucoma. What intervention in the plan of care should the RN bring
to the attention of the healthcare team?
A. Assist with ambulating to commode
B. Monitor intake and output q8 hours
C. Administer morphine 4 mg IM q2 hour PRN pain
D. Place an eye patch on operative eye during sleep –
Correct Answer :(C) Administer morphine 4 mg IM q2 hour PRN pain
Rationale: Morphine side effects include nausea, vomiting and constipation, causing straining
on stool, all of which can increase intraocular pressure and cause intraocular bleeding during
the postoperative period. Administration of morphine 0.4 mg IM q2 hours PRN pain (C)
A+ TEST BANK 3
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
should be discussed with the healthcare team to determine the risk of the side effects for the
client. (A), (B) and (D) are interventions that do not place the client at risk.
After a recent total hip replacement, an older female client, who transferred to a
rehabilitation facility placement, asks the registered nurse (RN) if she broke her hip because
she is old. How should the RN best respond?
A. Hip fractures can occur in any age group and require strength conditioning
B. With aging, everything tends to break down more easily the older one gets
C. Older people tend to look down instead of ahead, increasing the risk of falls
D. Older women commonly lose bone calcium, which increases the risk of fracture –
Correct Answer :(D) Older women commonly lose bone calcium which increases the risk of
fracture.
Rationale: The best response is to provide the client with an explanation based on aging and
demineralization of the bone (D) in older females, especially after menopause. (A, B and C)
offer other responses but are not client centered in response to her expressed self-concern.
An older male client is admitted for emergency treatment of acute closed-angle glaucoma.
The registered nurse (RN) begins administering the prescribed miotic medications and
glycerin (Glycol) therapy. Which intervention is most important for the RN to maintain during
the client's therapy?
A. Maintain lighting control in the room during therapy
B. Monitor intake and output q2 hours for 24 hours
C. Place an eye patch over the affected eye during sleep
D. Administer the eye drops at the scheduled intervals –
Correct Answer :(B) Monitor intake and output q2 hours for 24 hours
A+ TEST BANK 4
Exam
Gerontology HESI Exam
(2026) | RN Geriatric Exam
Prep | NGN Nursing Questions (Pdf)
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
An older client who is unconscious is admitted after experiencing a head injury from a fall.
Glasgow Coma Scale (GCS) is prescribed to evaluate the client. Which focused assessments
should the registered nurse (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
A+ TEST BANK 1
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
E. Hearing –
Correct Answer :(A), (B), (C)
Rationale: (A, B, and C) are correct. The Glasgow Coma Scale evaluates verbal response (A),
motor response (B), and eye opening (C)
A 64-year-old client is admitted to the hospital with a fractured right hip. One of the concerns
following surgical repair is to promote dorsiflexion. Which intervention would a nurse
implement?
A. Begin early ambulation
B. Monitor pain level
C. Provide PCA instructions
D. Provide a foot board –
Correct Answer :(D) Provide a foot board
Rationale: A footboard supports the feet in dorsiflexion and helps prevent foot drop
throughout recovery .
The registered nurse (RN) is reinforcing discharge instructions to the family of an older client
with failure to thrive. What information should the RN include to promote nutritional intake
for the client? (Select all that apply.)
A. Minimize stress levels by providing the client with a quiet environment during meals
B. Provide food variations that the client can manage without assistance
A+ TEST BANK 2
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
C. Assist the client with eating meals in bed in a semi-Fowler's position
D. Encourage fluid intake before meals to decrease dehydration
E. Offer any type of food to the client as long as calories are consumed –
Correct Answer :(A) Minimize stress level by providing the client with a quiet environment
during meals
(B) Provide food variations that the client can manage without assistance
Rationale: (A and B) are correct and continue to promote independence and decreased stress
for the client, which will increase the opportunity for nutritional intake. (C) increases
dependence for the older client, which can also cause decreased self-worth and depression.
(D) will make the client feel full and will decrease the client's ability to consume nutritional
calories.
The registered nurse (RN) is assigned the care of an older client who returns to the unit after
surgery for closed angle glaucoma. What intervention in the plan of care should the RN bring
to the attention of the healthcare team?
A. Assist with ambulating to commode
B. Monitor intake and output q8 hours
C. Administer morphine 4 mg IM q2 hour PRN pain
D. Place an eye patch on operative eye during sleep –
Correct Answer :(C) Administer morphine 4 mg IM q2 hour PRN pain
Rationale: Morphine side effects include nausea, vomiting and constipation, causing straining
on stool, all of which can increase intraocular pressure and cause intraocular bleeding during
the postoperative period. Administration of morphine 0.4 mg IM q2 hours PRN pain (C)
A+ TEST BANK 3
, Gerontology HESI Exam (2026) | RN Geriatric
Exam
should be discussed with the healthcare team to determine the risk of the side effects for the
client. (A), (B) and (D) are interventions that do not place the client at risk.
After a recent total hip replacement, an older female client, who transferred to a
rehabilitation facility placement, asks the registered nurse (RN) if she broke her hip because
she is old. How should the RN best respond?
A. Hip fractures can occur in any age group and require strength conditioning
B. With aging, everything tends to break down more easily the older one gets
C. Older people tend to look down instead of ahead, increasing the risk of falls
D. Older women commonly lose bone calcium, which increases the risk of fracture –
Correct Answer :(D) Older women commonly lose bone calcium which increases the risk of
fracture.
Rationale: The best response is to provide the client with an explanation based on aging and
demineralization of the bone (D) in older females, especially after menopause. (A, B and C)
offer other responses but are not client centered in response to her expressed self-concern.
An older male client is admitted for emergency treatment of acute closed-angle glaucoma.
The registered nurse (RN) begins administering the prescribed miotic medications and
glycerin (Glycol) therapy. Which intervention is most important for the RN to maintain during
the client's therapy?
A. Maintain lighting control in the room during therapy
B. Monitor intake and output q2 hours for 24 hours
C. Place an eye patch over the affected eye during sleep
D. Administer the eye drops at the scheduled intervals –
Correct Answer :(B) Monitor intake and output q2 hours for 24 hours
A+ TEST BANK 4
