ADULT Gerontology HESI Exam
ADULT 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 recently moved into an assisted living community refuses to eat or join
any activities. When evaluating the client further, what should the registered nurse (RN) focus
on during the next examination?
A. Anxiety
B. Depression
C. Exhaustion
D. Confusion
B. Depression
Rationale:
P a g e 1 | 123
, ADULT Gerontology HESI Exam
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. (A, C and
D) are other symptoms that the client can exhibit, but with the sudden change in lifestyle, (B)
is most likely and most important for the RN to focus on.
An older client who is a resident in a long-term care facility is receiving medications through a
gastric tube (GT). After interrupting the continuous GT feeding in which sequence should the
nurse implement these actions for administration of crushed medications? (Arrange in order
from first to last step.)
A. Flush the feeding tube of feeding solution
B. Crush the medication into a powder or fine granules
C. Administer each medication separately
D. Dissolve each crushed medication in a medicine cup
E. Flush GT to clear the medication from the tubing
F. Reconnect the gastric feeding tube
B, D, A, C, E, F
Rationale:
The sequence begins with crushing and dissolving the medications. Then flushing the GT of
feeding formula and giving each medication separately. When all medications have been
given, the feeding tubing should be flushed to clear the medication, and the GT should be
reconnected. If the medications are compatible with food, the continuous GT formula can be
restarted.
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
P a g e 2 | 123
, ADULT Gerontology HESI Exam
B. Use protective disposal undergarment instead of underwear
C. Ask if the client has attempted to void q2 hours
D. Obtain a prescription for intermittent catheterization
A. Offer assistance with toileting q2 hours
Rationale:
Maintaining independence and self-esteem is important for an older client with incontinence.
(A) decreases the client's chances of accidents and embarrassment by introducing a toilet
training program. (B) is not implemented unless toileting program is unsuccessful and the
client's mental status declines. A confused client will not remember how many times he or
she frequented the toilet, so (C) is not helpful for the client. (D) is not indicated for clients
with functional intolerance and who can ambulate.
The home health registered nurse (RN) is reinforcing instructions to the family about how to
prevent pressure ulcers for their older family member who is bedridden. Which measure
should the RN discuss?
A. Lift the client when turning instead of sliding
B. Massage directly over reddened sites
C. Change client's position every 4 hours
D. Place pillows under both the knees
A. Lift the client when turning instead of sliding
Rationale:
Lifting instead of sliding (A) decreases chances of friction and shearing while moving the
client. (B) is not recommended for tissue that show signs of early pressure, such as a stage 1
site. (D) does not reduce risk for pressure ulcers. Reposition q2 hours, not q4 hours (C),
provides the most benefit in reducing pressure ulcer formation.
An older male client is admitted to the hospital with left-sided heart failure (HF). Which finding
should the registered nurse (RN) document that is consistent with HF?
P a g e 3 | 123
, ADULT Gerontology HESI Exam
A. Ascites
B. Pitting edema
C. Jugular distention
D. Coarse and fine crackles
D. Coarse and fine crackles
Rationale:
In left-sided heart failure, the inadequacy of pumping blood into the aorta causes blood to
back up into the pulmonary capillaries; this pushes intravascular fluid into the alveoli, which is
manifested as crackles or rales. (A, B and C) are manifested in right-sided heart failure.
An older woman asks the registered nurse (RN) how she can decrease her chances of getting
g cystitis. What information should the RN provide?
A. Void and empty the bladder completely every 2 to 3 hours
B. Take warm sits baths with bubble bath to cleanse the vulva
C. Decrease fluid volume intake to reduce urgency
D. Test urine pH daily using over-the-counter (OTC) dipsticks
A. Void and empty the bladder completely every 2 to 3 hours
Rationale:
(A) minimizes over distention, which can compromise blood supply to the bladder wall and
cause irritation to the bladder. (B and C) increase irritation to the bladder. Although (D) can
inform the client of the risk of developing cystitis, testing does not help decrease the risk of
bladder infections.
An older female client who is a new resident at an assisted living facility cannot remember
how to get to her room. What action should the registered nurse (RN) implement?
P a g e 4 | 123
ADULT 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 recently moved into an assisted living community refuses to eat or join
any activities. When evaluating the client further, what should the registered nurse (RN) focus
on during the next examination?
A. Anxiety
B. Depression
C. Exhaustion
D. Confusion
B. Depression
Rationale:
P a g e 1 | 123
, ADULT Gerontology HESI Exam
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. (A, C and
D) are other symptoms that the client can exhibit, but with the sudden change in lifestyle, (B)
is most likely and most important for the RN to focus on.
An older client who is a resident in a long-term care facility is receiving medications through a
gastric tube (GT). After interrupting the continuous GT feeding in which sequence should the
nurse implement these actions for administration of crushed medications? (Arrange in order
from first to last step.)
A. Flush the feeding tube of feeding solution
B. Crush the medication into a powder or fine granules
C. Administer each medication separately
D. Dissolve each crushed medication in a medicine cup
E. Flush GT to clear the medication from the tubing
F. Reconnect the gastric feeding tube
B, D, A, C, E, F
Rationale:
The sequence begins with crushing and dissolving the medications. Then flushing the GT of
feeding formula and giving each medication separately. When all medications have been
given, the feeding tubing should be flushed to clear the medication, and the GT should be
reconnected. If the medications are compatible with food, the continuous GT formula can be
restarted.
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
P a g e 2 | 123
, ADULT Gerontology HESI Exam
B. Use protective disposal undergarment instead of underwear
C. Ask if the client has attempted to void q2 hours
D. Obtain a prescription for intermittent catheterization
A. Offer assistance with toileting q2 hours
Rationale:
Maintaining independence and self-esteem is important for an older client with incontinence.
(A) decreases the client's chances of accidents and embarrassment by introducing a toilet
training program. (B) is not implemented unless toileting program is unsuccessful and the
client's mental status declines. A confused client will not remember how many times he or
she frequented the toilet, so (C) is not helpful for the client. (D) is not indicated for clients
with functional intolerance and who can ambulate.
The home health registered nurse (RN) is reinforcing instructions to the family about how to
prevent pressure ulcers for their older family member who is bedridden. Which measure
should the RN discuss?
A. Lift the client when turning instead of sliding
B. Massage directly over reddened sites
C. Change client's position every 4 hours
D. Place pillows under both the knees
A. Lift the client when turning instead of sliding
Rationale:
Lifting instead of sliding (A) decreases chances of friction and shearing while moving the
client. (B) is not recommended for tissue that show signs of early pressure, such as a stage 1
site. (D) does not reduce risk for pressure ulcers. Reposition q2 hours, not q4 hours (C),
provides the most benefit in reducing pressure ulcer formation.
An older male client is admitted to the hospital with left-sided heart failure (HF). Which finding
should the registered nurse (RN) document that is consistent with HF?
P a g e 3 | 123
, ADULT Gerontology HESI Exam
A. Ascites
B. Pitting edema
C. Jugular distention
D. Coarse and fine crackles
D. Coarse and fine crackles
Rationale:
In left-sided heart failure, the inadequacy of pumping blood into the aorta causes blood to
back up into the pulmonary capillaries; this pushes intravascular fluid into the alveoli, which is
manifested as crackles or rales. (A, B and C) are manifested in right-sided heart failure.
An older woman asks the registered nurse (RN) how she can decrease her chances of getting
g cystitis. What information should the RN provide?
A. Void and empty the bladder completely every 2 to 3 hours
B. Take warm sits baths with bubble bath to cleanse the vulva
C. Decrease fluid volume intake to reduce urgency
D. Test urine pH daily using over-the-counter (OTC) dipsticks
A. Void and empty the bladder completely every 2 to 3 hours
Rationale:
(A) minimizes over distention, which can compromise blood supply to the bladder wall and
cause irritation to the bladder. (B and C) increase irritation to the bladder. Although (D) can
inform the client of the risk of developing cystitis, testing does not help decrease the risk of
bladder infections.
An older female client who is a new resident at an assisted living facility cannot remember
how to get to her room. What action should the registered nurse (RN) implement?
P a g e 4 | 123
