HESI PN GERONTOLOGY EXIT EXAM
VERSION 2 /GERONTOLOGY HESI EXIT
EXAM 2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!|LATEST UPDATE
A nurse is transferring an older adult client who has right-sided weakness from a bed to a
wheelchair. Which of the following actions should the nurse take to promote a safe transfer?
A. Keep the client at arm's length while performing the transfer.
B. Bend at the waist to get down to the client's level.
C. Maintain a straight back and bend at the knees.
D. Place the wheelchair at the end of the bed on the client's right side.
C. Maintain a straight back and bend at the knees.
A nurse is teaching a group of older adult clients about dietary needs. Which of the following
dietary recommendations should the nurse include in the teaching?
A. "You should consume 1,200 mg of calcium daily."
B. "Consume 4% of your diet as fat."
C. "You should drink 1,500 mL of fluid daily."
D. "Consume 40% of your diet as protein."
A. "You should consume 1,200 mg of calcium daily."
A nurse is teaching an older adult client who had a total hip arthroplasty about ambulating with
a standard walker. Which of the following actions by the client indicated an understanding of
the teaching?
1|Page
,A. The client adjusts the height of the walker so the hand grips are at the level of his waist.
B. The client moves the walker ahead about 15.24cm (6 in) and then steps into the walker.
C. The client uses the walker to pull himself from a sitting to a standing position.
D. The client uses the walker to climb the stairs.
B. The client moves the walker ahead about 15.24cm (6 in) and then steps into the walker.
A nurse is teaching a group of older adults. Which of the following behaviors should the nurse
identify as relating to Erickson's expected developmental task for this age group?
A. Beginning to plan care for aging parents
B. Discussing weekend plans for a date
C. Initiating plans to purchase a first home
D. Accepting the possibility of the need for long-term care
D. Accepting the possibility of the need for long-term care
A nurse is caring for an older adult client who asks why she has developed greater difficulty
sleeping as she ages. Which of the following responses should the nurse provide?
A. "Perhaps you are spending more of your sleep time in deep sleep."
B. "Maybe you need less sleep now than when you were younger."
C. "It's normal to fall asleep easily but wake up later."
D. "The body rhythms that control the sleep-wake cycle weaken a bit with aging."
D. "The body rhythms that control the sleep-wake cycle weaken a bit with aging."
An older adult client in a cardiac clinic asks the nurse how the cardiovascular system changes
with aging. The nurse's explanation should include which of the following alterations?
A. Hypotension when standing up
B. Increased elasticity of blood vessel walls
C. Decreased thickness of the valves of the heart
D. Non-palpable peripheral pulses
A. Hypotension when standing up
A nurse is discussing medication administration for an older adult client with a newly licensed
nurse. Due to physiological changes of aging, older adult clients may need dosage adjustments
because of an increase in which of the following parameters?
A. Total body water
2|Page
,B. Body fat
C. Splanchnic blood flow
D. Gastric emptying
B. Body fat
A nurse is planning to administer diphenhydramine hydrochloride to an older adult client.
Which of the following actions should the nurse plan to take prior to administration?
A. Review the medical record for a history of glaucoma
B. Plan to administer the medication 30 min prior to a meal
C. Explain that the client will need to restrict his fluid intake once he takes the medication
D. Remind the client that his appetite might increase when starting the medication
A. Review the medical record for a history of glaucoma
A nurse is completing medication reconciliation for an older adult client who is receiving
multiple medications. Which of the following actions should the nurse perform first?
A. Clarify the client's list of medications with the pharmacist
B. Compare the current list against the new medication prescriptions
C. Investigate any discrepancies on the list
D. Ask the client about any over-the-counter medications she is taking
D. Ask the client about any over-the-counter medications she is taking
A nurse in a long-term care facility is promoting reminiscence among older adult clients. Which
of the following actions should the nurse take?
A. Establish a weekly pet therapy visitation program
B. Place a calendar and a clock in each resident's room
C. Institute a daily storytelling hour
D. Encourage all clients to eat their meals in the dining room
C. Institute a daily storytelling hour
A nurse is teaching the son of an older female client how to care for his mother, who is home-
bound. Which of the following signs of possible acute illness should the nurse instruct the family
member to report to the care provider?
A. Difficulty staying asleep each night
B. Increased social isolation
3|Page
, C. Abrupt decrease in the ability to perform ADLs
D. Urinary urgency
C. Abrupt decrease in the ability to perform ADLs
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult
client who has dementia with periods of confusion. Which of the following statements should
indicate that the AP requires further teaching?
A. "We will be serving breakfast in 10 min. I will stay here while you get ready."
B. "It's Monday morning. I know that your favorite television shows are on this evening."
C. "I see that you have a new photo on the wall. Can you tell me who that girl is?"
D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth."
D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth."
A nurse is planning care for an older adult client following abdominal surgery for a bowel
obstruction. Which of the following pieces of information about pain management should the
nurse consider when planning care?
A. Older adult clients have a diminished ability to perceive pain
B. Older adult clients should not take narcotics for pain control
C. Older adult clients have increase pain as a normal part of aging
D. Older adult clients are sensitive to the analgesic effect of opiates
D. Older adult clients are sensitive to the analgesic effect of opiates
A nurse is caring for an older client who has gout and refuses to eat. The client's provider
authorized the client's family to bring food from home. Which of the following foods should the
nurse recommend that the client avoid?
A. Lentil Soup
B. Cheese sandwich
C. Yogurt
D. Raisins
A. Lentil Soup
A nurse is caring for an older client who has a new onset of type 2 diabetes mellitus. Which of
the following psychological changes can contribute to the development of type 2 diabetes?
A. Increased production of insulin by the pancreas
4|Page
VERSION 2 /GERONTOLOGY HESI EXIT
EXAM 2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!|LATEST UPDATE
A nurse is transferring an older adult client who has right-sided weakness from a bed to a
wheelchair. Which of the following actions should the nurse take to promote a safe transfer?
A. Keep the client at arm's length while performing the transfer.
B. Bend at the waist to get down to the client's level.
C. Maintain a straight back and bend at the knees.
D. Place the wheelchair at the end of the bed on the client's right side.
C. Maintain a straight back and bend at the knees.
A nurse is teaching a group of older adult clients about dietary needs. Which of the following
dietary recommendations should the nurse include in the teaching?
A. "You should consume 1,200 mg of calcium daily."
B. "Consume 4% of your diet as fat."
C. "You should drink 1,500 mL of fluid daily."
D. "Consume 40% of your diet as protein."
A. "You should consume 1,200 mg of calcium daily."
A nurse is teaching an older adult client who had a total hip arthroplasty about ambulating with
a standard walker. Which of the following actions by the client indicated an understanding of
the teaching?
1|Page
,A. The client adjusts the height of the walker so the hand grips are at the level of his waist.
B. The client moves the walker ahead about 15.24cm (6 in) and then steps into the walker.
C. The client uses the walker to pull himself from a sitting to a standing position.
D. The client uses the walker to climb the stairs.
B. The client moves the walker ahead about 15.24cm (6 in) and then steps into the walker.
A nurse is teaching a group of older adults. Which of the following behaviors should the nurse
identify as relating to Erickson's expected developmental task for this age group?
A. Beginning to plan care for aging parents
B. Discussing weekend plans for a date
C. Initiating plans to purchase a first home
D. Accepting the possibility of the need for long-term care
D. Accepting the possibility of the need for long-term care
A nurse is caring for an older adult client who asks why she has developed greater difficulty
sleeping as she ages. Which of the following responses should the nurse provide?
A. "Perhaps you are spending more of your sleep time in deep sleep."
B. "Maybe you need less sleep now than when you were younger."
C. "It's normal to fall asleep easily but wake up later."
D. "The body rhythms that control the sleep-wake cycle weaken a bit with aging."
D. "The body rhythms that control the sleep-wake cycle weaken a bit with aging."
An older adult client in a cardiac clinic asks the nurse how the cardiovascular system changes
with aging. The nurse's explanation should include which of the following alterations?
A. Hypotension when standing up
B. Increased elasticity of blood vessel walls
C. Decreased thickness of the valves of the heart
D. Non-palpable peripheral pulses
A. Hypotension when standing up
A nurse is discussing medication administration for an older adult client with a newly licensed
nurse. Due to physiological changes of aging, older adult clients may need dosage adjustments
because of an increase in which of the following parameters?
A. Total body water
2|Page
,B. Body fat
C. Splanchnic blood flow
D. Gastric emptying
B. Body fat
A nurse is planning to administer diphenhydramine hydrochloride to an older adult client.
Which of the following actions should the nurse plan to take prior to administration?
A. Review the medical record for a history of glaucoma
B. Plan to administer the medication 30 min prior to a meal
C. Explain that the client will need to restrict his fluid intake once he takes the medication
D. Remind the client that his appetite might increase when starting the medication
A. Review the medical record for a history of glaucoma
A nurse is completing medication reconciliation for an older adult client who is receiving
multiple medications. Which of the following actions should the nurse perform first?
A. Clarify the client's list of medications with the pharmacist
B. Compare the current list against the new medication prescriptions
C. Investigate any discrepancies on the list
D. Ask the client about any over-the-counter medications she is taking
D. Ask the client about any over-the-counter medications she is taking
A nurse in a long-term care facility is promoting reminiscence among older adult clients. Which
of the following actions should the nurse take?
A. Establish a weekly pet therapy visitation program
B. Place a calendar and a clock in each resident's room
C. Institute a daily storytelling hour
D. Encourage all clients to eat their meals in the dining room
C. Institute a daily storytelling hour
A nurse is teaching the son of an older female client how to care for his mother, who is home-
bound. Which of the following signs of possible acute illness should the nurse instruct the family
member to report to the care provider?
A. Difficulty staying asleep each night
B. Increased social isolation
3|Page
, C. Abrupt decrease in the ability to perform ADLs
D. Urinary urgency
C. Abrupt decrease in the ability to perform ADLs
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult
client who has dementia with periods of confusion. Which of the following statements should
indicate that the AP requires further teaching?
A. "We will be serving breakfast in 10 min. I will stay here while you get ready."
B. "It's Monday morning. I know that your favorite television shows are on this evening."
C. "I see that you have a new photo on the wall. Can you tell me who that girl is?"
D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth."
D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth."
A nurse is planning care for an older adult client following abdominal surgery for a bowel
obstruction. Which of the following pieces of information about pain management should the
nurse consider when planning care?
A. Older adult clients have a diminished ability to perceive pain
B. Older adult clients should not take narcotics for pain control
C. Older adult clients have increase pain as a normal part of aging
D. Older adult clients are sensitive to the analgesic effect of opiates
D. Older adult clients are sensitive to the analgesic effect of opiates
A nurse is caring for an older client who has gout and refuses to eat. The client's provider
authorized the client's family to bring food from home. Which of the following foods should the
nurse recommend that the client avoid?
A. Lentil Soup
B. Cheese sandwich
C. Yogurt
D. Raisins
A. Lentil Soup
A nurse is caring for an older client who has a new onset of type 2 diabetes mellitus. Which of
the following psychological changes can contribute to the development of type 2 diabetes?
A. Increased production of insulin by the pancreas
4|Page
