GERONTOLOGY HESI PRACTICE QUESTIONS WITH CORRECT ANSWERS 2026

GERONTOLOGY HESI PRACTICE QUESTIONS
WITH CORRECT ANSWERS 2026

AJfrail,JelderlyJclientJisJadmittedJtoJtheJunitJwithJaJdiagnosisJofJpneumonia.JWhichJfindingJisJmostJim
portantJforJtheJregisteredJnurseJ(RN)JtoJreportJtoJtheJhealthcareJprovider?



A.JFeverJandJchills

B.JConfusionJandJdehydration

C.JCracklesJinJtheJlungJfields

D.JNauseaJandJvomitingJ-JCORRECTJANSWERSJ-B.JConfusionJandJdehydration



Rationale:JConfusionJandJdehydrationJ(B)JareJfindingsJofJinadequateJoxygenationJandJperfusionJinJt
hisJfrailJelderlyJclient.J(A),J(C)JandJ(D)JareJallJcommonJwithJpneumonia,JbutJtheJmostJimportantJfindi
ngJisJconfusionJandJevidenceJofJdehydration,JwhichJrequireJtreatmentJforJthisJfrailJelderlyJclient.



AJfrailJelderlyJcoupleJasksJtheJregisteredJnurseJ(RN)JifJtheyJhaveJtoJwatchJtheirJsaltJintakeJbecauseJfo
odJdoesJnotJtasteJasJgoodJasJitJusedJtoJsoJtheyJhaveJtoJseasonJmostJfoods.JWhatJinformationJshouldJ
theJRNJofferJtheJcouple?



A.JBoredomJmayJinfluenceJhowJtheJtasteJofJfoodJisJperceived,JandJdifferentJseasoningsJcanJstimulat
eJtaste.

B.JWithJage,JanJincreaseJinJsodiumJintakeJisJneededJtoJcompensateJforJaJdecreaseJinJrenalJfunction.

C.JShort-termJmemoryJlossJandJconfusionJmayJbeJtheJreasonJtheyJwantJtoJover-seasonJtheirJfood.

D.JTasteJbudsJoftenJareJdullJdueJtoJatrophyJsoJolderJclientsJshouldJuseJotherJseasoningsJinsteadJofJsa
lt.J-JCORRECTJANSWERSJ-
D.JTasteJbudsJareJoftenJdullJdueJtoJatrophyJsoJolderJclientsJshouldJuseJotherJseasoningsJinsteadJofJsa
lt.

,Rationale:JTasteJbudsJatrophyJwithJnormalJaging,JwhichJinfluencesJanJolderJclient'sJsensitivityJtoJtas
teJandJisJoftenJcompensatedJforJtheJuseJofJstrongerJtastingJseasonings.J(A),J(B),JandJ(C)JareJnotJnor
malJagingJprocessesJrelatedJtoJtaste.



AfterJtakingJaJ10-
dayJcourseJofJanJantibioticJthatJwasJineffective,JaJfrail,JelderlyJclientJwithJchronicJobstructiveJpulmo
naryJdiseaseJ(COPD)JisJadmittedJforJpneumonia.JTheJclientJhasJaJlongJhistoryJofJsmokingJandJstillJsm
okesJaJpackJofJcigarettesJaJday.JWhichJfindingJshouldJtheJregisteredJnurseJ(RN)JreportJtoJtheJhealthc
areJprovider?

A.JBarrelJchestJwithJincreasedJchestJdiameter

B.JCracklesJandJpulseJoximetryJlevelJofJ88%

C.JLowJhemoglobinJandJhematocritJlevels

D.JArterialJbloodJgasesJindicatingJrespiratoryJacidosisJ-JCORRECTJANSWERSJ-
B.JCracklesJandJpulseJoximetryJlevelJofJ88%



Rationale:JWithJpneumonia,JcracklesJinJtheJlungsJandJlowJO2JsaturationJ(B)JcanJimpactJadequateJox
ygenation,JwhichJshouldJbeJreportedJtoJtheJHCP.J(A)JoccursJdueJtoJchronicJhyperinflationJofJtheJlung
sJandJisJcommonJinJclientsJwithJCOPD.JAnemiaJ(C)JisJfrequentlyJidentifiedJinJclientsJwithJCOPD,JandJr
espiratoryJacidosisJ(D)JdueJtoJCO2JretentionJcontributesJtoJaJlowerJbloodJpH.



AnJolderJfemaleJclientJrecentlyJmovedJtoJanJassistedJlivingJfacility.JTheJfamilyJexplainsJtoJtheJregiste
redJnurseJ(RN)JthatJtheJclientJisJunmanageableJandJalwaysJconfused,JdisorientedJandJdepressed.JTh
eJclientJasksJtheJRNJrepeatedly,J"WhereJamJI?".JHowJshouldJtheJRNJrespond?

A.JExplainJthatJsheJisJinJaJnewJhomeJcalledJanJassistedJlivingJcommunity

B.JQuestionJtheJclientJaboutJherJperceptionJofJwhereJsheJmightJbeJnow.

C.JDistractJtheJclientJwithJaJscenarioJthatJsheJisJonJanJoutingJwithJherJfamily.

D.JReassureJtheJclientJnotJtoJworryJbecauseJsheJwillJmeetJnewJfriends.J-JCORRECTJANSWERSJ-
A.JExplainJthatJsheJisJinJaJnewJhomeJcalledJanJassistedJlivingJcommunity.

, Rationale:JRealityJre-
orientationJ(A)JisJtheJbestJresponseJforJaJclientJwhoJisJconfusedJbecauseJtheJresponseJisJconsistentJa
ndJtrue.J(B,JC,JandJD)JdoJnotJprovideJtheJclientJwithJfeedbackJthatJisJrealityJbased.



AJnewJresidentJinJanJassistedJlivingJfacilityJisJanJolderJclientJwhoJisJexperiencingJshort-
termJmemoryJlossJandJconfusion.JWhichJactivityJshouldJtheJregisteredJnurseJ(RN)JscheduleJtheJclie
ntJtoJdoJduringJtheJday?

A.JArtsJandJcrafts

B.JCurrentJeventsJdiscussionJgroup

C.JGroupJsing-along

D.JDailyJexerciseJgroupJ-JCORRECTJANSWERSJ-D.JDailyJexerciseJgroup



Rationale:JAJdailyJexerciseJgroupJ(D)JallowsJtheJclientJtoJmirrorJtheJleaderJandJminimizesJtheJclient's
JstressJtoJremember.J(A),J(C),JandJaJcurrentJeventsJdiscussionJgroupJ(B)JareJthought-


provokingJactivitiesJthatJrequireJattentionJtoJdetailJandJshort-
termJmemoryJtoJparticipateJinJtheJgroupJactivityJwhichJmayJbeJstressfulJandJfrustratingJtoJtheJresid
entJwhoJhasJdifficultyJrememberingJsequenceJofJtheJdetails.



TheJhospiceJnurseJisJcompletingJaJfocusedJassessmentJofJanJolderJfemaleJclientJwithJendJstageJAlzh
eimer'sJdisease,JwhoJrecentlyJfracturedJherJhip.JWhatJtechniqueJshouldJtheJregisteredJnurseJ(RN)Ju
seJtoJdetermineJtheJclient'sJpain?

A.JUseJtheJFACEJpainJscale

B.JAskJtheJclientJtoJrateJpainJonJaJscaleJofJ1JtoJ10

C.JObserveJforJfacialJgrimacing

D.JReviewJdocumentationJofJrecentJeatingJhabitsJ-JCORRECTJANSWERSJ-
C.JObserveJforJfacialJgrimacing



Rationale:JObservingJforJfacialJgrimacingJ(C)JisJtheJbestJmethodJforJevaluatingJpainJforJaJclientJwhoJc
annotJcommunicateJdueJtoJAlzheimerJdisease.J(A)JandJ(B)JmayJnotJbeJunderstoodJbyJaJclientJwithJe
nd-stageJAlzheimer'sJdisease.J(D)JisJnotJaJhelpfulJtoolJforJpainJassessment.