Gerontology HESI Exam Prep
GERONTOLOGY HESI EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
The registered nurse (RN) is assigned the care of an older client who returns to the
unit after surgery for closed angle glaucoma. Which 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 4mg IM q2 hour PRN pain
d) Place an eye patch on operative eye during sleep
C) Administer morphine 4mg 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
0.4mg IM q2 hours PRN pain should be discussed with the healthcare team to
determine the risk of the side effects for the client.
An older client is admitted 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
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, Gerontology HESI Exam Prep
c) Excessive acne
d) Multiple skin tags
B) Hyperpigmentation
Rationale: Addison'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. Hyperpigmentation is seen in clients with Addison's
disease. A and C are typical of Cushing's syndrome which is due to excessive
adrenal cortisol.
An older client is transferred to a telemetry unit after placement of a pacemaker.
What action should the registered nurse (RN) taken first?
a) View the incision site
b) Obtain a blood pressure
c) Establish telemetry monitoring
d) Evaluate client for pain
C) Establish telemetry monitoring
Rationale: The first action is to establish continuous telemetry monitoring to
ensure the pacemaker is functioning properly.
An older male client with Parkinson's disease (PD) is discharged home with
levodopa-carbidopa (Sinemet) and instructions to his wife for his care. Which
statement best indicates to the registered nurse (RN) that the wife understands
her husband's needs?
a) "It is important to keep my husband in a chair or in bed as much as possible and
prevent him from falling."
b) "I will notify the healthcare provider if my husband has increasing involuntary
2|Page
, Gerontology HESI Exam Prep
movements of his extremities."
c) "Since it is difficult for my husband to eat, we should stay in the house instead
of going out to dine."
d) "I should expect that my husband will be incontinent of bowel and bladder as
his disease advances."
B) "I will notify the healthcare provider if my husband has increasing involuntary
movements of his extremities."
Rationale: Increasing involuntary movements should be reported during the use of
levodopa; it is an indicator that the body is failing to readjust to the changes in the
level of the intracerebral neurotransmitter dopamine.
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
B) Perform leg exercises while in bed
Rationale: The client is at risk for complications related to immobility. Active leg
exercises should be performed frequently to decrease the risk for
thrombophlebitis.
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
3|Page
, Gerontology HESI Exam Prep
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 decreases chances of friction and shearing
while moving the client.
An older male client is seeking counseling about his recent sexual issues with his
partner. What issue should the registered nurse (RN) explore in this discussion?
a) Certain medications may impact sexual function
b) Normal aging affects sexual function in male clients
c) Safe sex is not necessary with older sexually active elders
d) Sexual interest usually declines with aging in male clients
A) Certain medications may impact sexual function
Rationale: Certain medications can have a direct influence on sexual function and
should be discussed with older clients.
An older male client returns to the hospital after discharge 4 days ago for a
transurethral resection of the prostate (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?
a) Irrigation bag of normal saline is hanging at the level of the client's head
b) The urinary output is greater than the amount of irrigation fluid instilled
c) The irrigation tubing is attached to the irrigation port on the 3-way catheter
d) The tubing that drains the urinary bladder has bright red urine with clots
4|Page
GERONTOLOGY HESI EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
The registered nurse (RN) is assigned the care of an older client who returns to the
unit after surgery for closed angle glaucoma. Which 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 4mg IM q2 hour PRN pain
d) Place an eye patch on operative eye during sleep
C) Administer morphine 4mg 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
0.4mg IM q2 hours PRN pain should be discussed with the healthcare team to
determine the risk of the side effects for the client.
An older client is admitted 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
1|Page
, Gerontology HESI Exam Prep
c) Excessive acne
d) Multiple skin tags
B) Hyperpigmentation
Rationale: Addison'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. Hyperpigmentation is seen in clients with Addison's
disease. A and C are typical of Cushing's syndrome which is due to excessive
adrenal cortisol.
An older client is transferred to a telemetry unit after placement of a pacemaker.
What action should the registered nurse (RN) taken first?
a) View the incision site
b) Obtain a blood pressure
c) Establish telemetry monitoring
d) Evaluate client for pain
C) Establish telemetry monitoring
Rationale: The first action is to establish continuous telemetry monitoring to
ensure the pacemaker is functioning properly.
An older male client with Parkinson's disease (PD) is discharged home with
levodopa-carbidopa (Sinemet) and instructions to his wife for his care. Which
statement best indicates to the registered nurse (RN) that the wife understands
her husband's needs?
a) "It is important to keep my husband in a chair or in bed as much as possible and
prevent him from falling."
b) "I will notify the healthcare provider if my husband has increasing involuntary
2|Page
, Gerontology HESI Exam Prep
movements of his extremities."
c) "Since it is difficult for my husband to eat, we should stay in the house instead
of going out to dine."
d) "I should expect that my husband will be incontinent of bowel and bladder as
his disease advances."
B) "I will notify the healthcare provider if my husband has increasing involuntary
movements of his extremities."
Rationale: Increasing involuntary movements should be reported during the use of
levodopa; it is an indicator that the body is failing to readjust to the changes in the
level of the intracerebral neurotransmitter dopamine.
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
B) Perform leg exercises while in bed
Rationale: The client is at risk for complications related to immobility. Active leg
exercises should be performed frequently to decrease the risk for
thrombophlebitis.
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
3|Page
, Gerontology HESI Exam Prep
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 decreases chances of friction and shearing
while moving the client.
An older male client is seeking counseling about his recent sexual issues with his
partner. What issue should the registered nurse (RN) explore in this discussion?
a) Certain medications may impact sexual function
b) Normal aging affects sexual function in male clients
c) Safe sex is not necessary with older sexually active elders
d) Sexual interest usually declines with aging in male clients
A) Certain medications may impact sexual function
Rationale: Certain medications can have a direct influence on sexual function and
should be discussed with older clients.
An older male client returns to the hospital after discharge 4 days ago for a
transurethral resection of the prostate (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?
a) Irrigation bag of normal saline is hanging at the level of the client's head
b) The urinary output is greater than the amount of irrigation fluid instilled
c) The irrigation tubing is attached to the irrigation port on the 3-way catheter
d) The tubing that drains the urinary bladder has bright red urine with clots
4|Page
