ADULT Gerontology HESI Exam
ADULT Gerontology HESI Exam 1 (2026) |
RN Geriatric Exam Prep | NGN Nursing
Questions (Pdf) Questions and Revised
Correct Answers, 100% Guarantee Pass
GRADED A+
The home health registered nurse (RN) visits an older woman with heart failure (HF) who is on
complete bed rest. Which intervention is most important for the RN to suggest to the client
to prevent complications related to immobility?
A. Get as much sleep as possible
B. Perform leg exercises while in bed
C. increase protein intake to combat fatigue
D. Invite friends to visit to decrease risk for depression –
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, ADULT Gerontology HESI Exam
Correct Answer :(B) Perform leg exercises while in bed.
Rationale:
The client is at risk for complications related to immobility. (B) should be performed
frequently to decrease the risk for thrombophlebitis.
An older client is admitted with a preliminary diagnosis of Addison's disease. Which skin
finding should the registered nurse (RN) document that is typical with Addison's disease?
A. Moon face
B. Hyperpigmentation
C. Excessive acne
D. Multiple skin tags –
Correct Answer :(B) Hyperpigmentation
Rationale:
Addision's disease is characterized by a deficiency in the production of adrenal cortex
hormones, which results in anterior pituitary feedback to secrete stimulating hormones, such
as melanocyte stimulating hormone (MSH) that increases melanin production. (B) is seen in
clients with Addison's disease.
Osteoporosis increases the risk for a hip fracture in older adults, and women are more likely to
have osteoporosis than men. Women of which ethnic group have the highest risk for a hip
fracture? (Arrange with the highest risk first and the lowest risk last.) - Correct Answer :(B)
Caucasian
(C) Asian
(D) Hispanic
(A) African American
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, ADULT Gerontology HESI Exam
Rationale:
Caucasian women have the highest risk for hip fractures secondary to osteoporosis. Women
of Asian descent have the second highest risk, followed by Hispanic women and African
American women.
An older male client returns to the hospital after discharge 4 days ago for a TURP. The
registered nurse (RN) evaluates the function of the 3-way indwelling urinary catheter and the
continuous bladder irrigation system. Which finding should the RN report to the healthcare
provider? –
Correct Answer :(D) The tubing that drains the urinary bladder has bright red urine with clots.
Rationale: The presence of bright red urine with clots in the tubing draining the bladder (D) is
an abnormal finding indicating active bleeding, which should have resolved 36-72 hours
postoperatively and should be reported.
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 - Correct Answer :(B) Depression
Rationale: 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,
(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
P a g e 3 | 258
, ADULT Gerontology HESI Exam
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 - Correct Answer :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? - Correct Answer :(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.
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
P a g e 4 | 258
ADULT Gerontology HESI Exam 1 (2026) |
RN Geriatric Exam Prep | NGN Nursing
Questions (Pdf) Questions and Revised
Correct Answers, 100% Guarantee Pass
GRADED A+
The home health registered nurse (RN) visits an older woman with heart failure (HF) who is on
complete bed rest. Which intervention is most important for the RN to suggest to the client
to prevent complications related to immobility?
A. Get as much sleep as possible
B. Perform leg exercises while in bed
C. increase protein intake to combat fatigue
D. Invite friends to visit to decrease risk for depression –
P a g e 1 | 258
, ADULT Gerontology HESI Exam
Correct Answer :(B) Perform leg exercises while in bed.
Rationale:
The client is at risk for complications related to immobility. (B) should be performed
frequently to decrease the risk for thrombophlebitis.
An older client is admitted with a preliminary diagnosis of Addison's disease. Which skin
finding should the registered nurse (RN) document that is typical with Addison's disease?
A. Moon face
B. Hyperpigmentation
C. Excessive acne
D. Multiple skin tags –
Correct Answer :(B) Hyperpigmentation
Rationale:
Addision's disease is characterized by a deficiency in the production of adrenal cortex
hormones, which results in anterior pituitary feedback to secrete stimulating hormones, such
as melanocyte stimulating hormone (MSH) that increases melanin production. (B) is seen in
clients with Addison's disease.
Osteoporosis increases the risk for a hip fracture in older adults, and women are more likely to
have osteoporosis than men. Women of which ethnic group have the highest risk for a hip
fracture? (Arrange with the highest risk first and the lowest risk last.) - Correct Answer :(B)
Caucasian
(C) Asian
(D) Hispanic
(A) African American
P a g e 2 | 258
, ADULT Gerontology HESI Exam
Rationale:
Caucasian women have the highest risk for hip fractures secondary to osteoporosis. Women
of Asian descent have the second highest risk, followed by Hispanic women and African
American women.
An older male client returns to the hospital after discharge 4 days ago for a TURP. The
registered nurse (RN) evaluates the function of the 3-way indwelling urinary catheter and the
continuous bladder irrigation system. Which finding should the RN report to the healthcare
provider? –
Correct Answer :(D) The tubing that drains the urinary bladder has bright red urine with clots.
Rationale: The presence of bright red urine with clots in the tubing draining the bladder (D) is
an abnormal finding indicating active bleeding, which should have resolved 36-72 hours
postoperatively and should be reported.
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 - Correct Answer :(B) Depression
Rationale: 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,
(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
P a g e 3 | 258
, ADULT Gerontology HESI Exam
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 - Correct Answer :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? - Correct Answer :(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.
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
P a g e 4 | 258
