HESI RN GERONTOLOGY EXIT EXAM VERSION 1 / GERONTOLOGY HESI
EXIT EXAM 2025/2026 | COMPLETE REAL EXAM WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS | NEW UPDATED VERSION |
ALREADY GRADED A+
HESI RN Gerontology Exit Exam | Verified Q&A Resource: Covers Aging Process, Chronic
Illness Management, Cognitive Disorders, Pharmacology in the Older Adult, End-of-Life Care,
Patient Safety, Health Promotion, and Ethical/Legal Considerations | 100% Correct Verified
Answers | Graded A+ | NCLEX-RN & Clinical Prep Ready | 2025/2026 Edition
Introduction
This updated 2025/2026 HESI RN Gerontology Exit Exam Version 1 package contains the latest
and fully verified questions with correct answers. It includes high-yield gerontological nursing
concepts, patient-centered interventions, pharmacological safety, and chronic disease
management tailored for the older adult. All answers are expert-verified, already graded A+, and
designed to ensure comprehensive readiness for both HESI Exit and NCLEX-RN success.
Answer Format
All correct answers are highlighted in bold and green, with detailed rationales that reinforce
evidence-based gerontological nursing practice, prioritize safe care, and strengthen clinical
decision-making skills for exam success.
HESI RN Gerontology Exit Exam 2025/2026
Question 1: An 80-year-old patient with arthritis has difficulty with activities of
daily living (ADLs). What is the priority nursing intervention?
A) Recommend a physical therapist
B) Administer pain medication
C) Encourage independence with assistive devices
D) Restrict movement
C) Encourage independence with assistive devices
Rationale: Assistive devices promote autonomy while managing arthritis limitations safely.
Question 2: A 75-year-old patient with dementia wanders at night. What is the best
safety measure?
A) Use physical restraints
B) Install bed alarms
C) Administer sedatives
D) Lock the patient in a room
,B) Install bed alarms
Rationale: Bed alarms alert staff to prevent falls without restricting freedom.
Question 3: A 70-year-old patient with hypertension forgets to take medications.
What is the priority teaching?
A) Use a pill organizer
B) Increase fluid intake
C) Avoid all medications
D) Encourage family to administer
A) Use a pill organizer
Rationale: A pill organizer enhances medication adherence for older adults.
Question 4: An 85-year-old patient with chronic obstructive pulmonary disease
(COPD) has dyspnea. What is the priority intervention?
A) Administer oxygen at 2 L/min
B) Encourage ambulation
C) Increase fluid intake
D) Apply a heating pad
A) Administer oxygen at 2 L/min
Rationale: Low-flow oxygen relieves dyspnea while avoiding CO2 retention.
Question 5: A 78-year-old patient with diabetes has a blood glucose of 50 mg/dL.
What is the priority action?
A) Administer insulin
B) Provide a glucose source
C) Recheck in 1 hour
D) Notify the provider
B) Provide a glucose source
Rationale: A quick glucose source (e.g., juice) treats hypoglycemia promptly.
Question 6: A 72-year-old patient with osteoporosis has a hip fracture. What is the
priority post-operative care?
A) Turn every 2 hours
B) Encourage weight-bearing
C) Administer calcium supplements
D) Apply heat
A) Turn every 2 hours
Rationale: Turning prevents pressure ulcers in immobilized patients.
Question 7: An 82-year-old patient with Alzheimer’s disease is agitated. What is the
best initial approach?
A) Use physical restraints
B) Offer a calm environment
C) Administer antipsychotics
D) Isolate the patient
B) Offer a calm environment
Rationale: A calm setting reduces agitation without medication initially.
, Question 8: A 79-year-old patient with heart failure has edema. What is the
priority assessment?
A) Daily weight
B) Urine output
C) Blood pressure
D) Temperature
A) Daily weight
Rationale: Daily weight monitors fluid retention effectively.
Question 9: A 74-year-old patient is prescribed digoxin. What is the priority
monitoring?
A) Heart rate
B) Blood pressure
C) Respiratory rate
D) Temperature
A) Heart rate
Rationale: Digoxin toxicity risk requires monitoring for bradycardia.
Question 10: An 88-year-old patient with a pressure ulcer has redness. What is the
priority intervention?
A) Reposition every 2 hours
B) Apply topical antibiotics
C) Increase protein intake
D) Use a heating pad
A) Reposition every 2 hours
Rationale: Repositioning relieves pressure to prevent worsening.
Question 11: A 76-year-old patient with arthritis refuses to bathe. What is the best
response?
A) Force the patient to bathe
B) Offer assistance with a warm bath
C) Ignore the behavior
D) Administer sedatives
B) Offer assistance with a warm bath
Rationale: Assistance respects autonomy while ensuring hygiene.
Question 12: A 73-year-old patient with chronic kidney disease has a potassium
level of 6.0 mEq/L. What is the priority?
A) Administer kayexalate
B) Encourage fluids
C) Recheck in 4 hours
D) Administer insulin
A) Administer kayexalate
Rationale: Kayexalate lowers hyperkalemia in renal impairment.
Question 13: An 81-year-old patient with glaucoma is prescribed timolol. What
should the nurse teach?
EXIT EXAM 2025/2026 | COMPLETE REAL EXAM WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS | NEW UPDATED VERSION |
ALREADY GRADED A+
HESI RN Gerontology Exit Exam | Verified Q&A Resource: Covers Aging Process, Chronic
Illness Management, Cognitive Disorders, Pharmacology in the Older Adult, End-of-Life Care,
Patient Safety, Health Promotion, and Ethical/Legal Considerations | 100% Correct Verified
Answers | Graded A+ | NCLEX-RN & Clinical Prep Ready | 2025/2026 Edition
Introduction
This updated 2025/2026 HESI RN Gerontology Exit Exam Version 1 package contains the latest
and fully verified questions with correct answers. It includes high-yield gerontological nursing
concepts, patient-centered interventions, pharmacological safety, and chronic disease
management tailored for the older adult. All answers are expert-verified, already graded A+, and
designed to ensure comprehensive readiness for both HESI Exit and NCLEX-RN success.
Answer Format
All correct answers are highlighted in bold and green, with detailed rationales that reinforce
evidence-based gerontological nursing practice, prioritize safe care, and strengthen clinical
decision-making skills for exam success.
HESI RN Gerontology Exit Exam 2025/2026
Question 1: An 80-year-old patient with arthritis has difficulty with activities of
daily living (ADLs). What is the priority nursing intervention?
A) Recommend a physical therapist
B) Administer pain medication
C) Encourage independence with assistive devices
D) Restrict movement
C) Encourage independence with assistive devices
Rationale: Assistive devices promote autonomy while managing arthritis limitations safely.
Question 2: A 75-year-old patient with dementia wanders at night. What is the best
safety measure?
A) Use physical restraints
B) Install bed alarms
C) Administer sedatives
D) Lock the patient in a room
,B) Install bed alarms
Rationale: Bed alarms alert staff to prevent falls without restricting freedom.
Question 3: A 70-year-old patient with hypertension forgets to take medications.
What is the priority teaching?
A) Use a pill organizer
B) Increase fluid intake
C) Avoid all medications
D) Encourage family to administer
A) Use a pill organizer
Rationale: A pill organizer enhances medication adherence for older adults.
Question 4: An 85-year-old patient with chronic obstructive pulmonary disease
(COPD) has dyspnea. What is the priority intervention?
A) Administer oxygen at 2 L/min
B) Encourage ambulation
C) Increase fluid intake
D) Apply a heating pad
A) Administer oxygen at 2 L/min
Rationale: Low-flow oxygen relieves dyspnea while avoiding CO2 retention.
Question 5: A 78-year-old patient with diabetes has a blood glucose of 50 mg/dL.
What is the priority action?
A) Administer insulin
B) Provide a glucose source
C) Recheck in 1 hour
D) Notify the provider
B) Provide a glucose source
Rationale: A quick glucose source (e.g., juice) treats hypoglycemia promptly.
Question 6: A 72-year-old patient with osteoporosis has a hip fracture. What is the
priority post-operative care?
A) Turn every 2 hours
B) Encourage weight-bearing
C) Administer calcium supplements
D) Apply heat
A) Turn every 2 hours
Rationale: Turning prevents pressure ulcers in immobilized patients.
Question 7: An 82-year-old patient with Alzheimer’s disease is agitated. What is the
best initial approach?
A) Use physical restraints
B) Offer a calm environment
C) Administer antipsychotics
D) Isolate the patient
B) Offer a calm environment
Rationale: A calm setting reduces agitation without medication initially.
, Question 8: A 79-year-old patient with heart failure has edema. What is the
priority assessment?
A) Daily weight
B) Urine output
C) Blood pressure
D) Temperature
A) Daily weight
Rationale: Daily weight monitors fluid retention effectively.
Question 9: A 74-year-old patient is prescribed digoxin. What is the priority
monitoring?
A) Heart rate
B) Blood pressure
C) Respiratory rate
D) Temperature
A) Heart rate
Rationale: Digoxin toxicity risk requires monitoring for bradycardia.
Question 10: An 88-year-old patient with a pressure ulcer has redness. What is the
priority intervention?
A) Reposition every 2 hours
B) Apply topical antibiotics
C) Increase protein intake
D) Use a heating pad
A) Reposition every 2 hours
Rationale: Repositioning relieves pressure to prevent worsening.
Question 11: A 76-year-old patient with arthritis refuses to bathe. What is the best
response?
A) Force the patient to bathe
B) Offer assistance with a warm bath
C) Ignore the behavior
D) Administer sedatives
B) Offer assistance with a warm bath
Rationale: Assistance respects autonomy while ensuring hygiene.
Question 12: A 73-year-old patient with chronic kidney disease has a potassium
level of 6.0 mEq/L. What is the priority?
A) Administer kayexalate
B) Encourage fluids
C) Recheck in 4 hours
D) Administer insulin
A) Administer kayexalate
Rationale: Kayexalate lowers hyperkalemia in renal impairment.
Question 13: An 81-year-old patient with glaucoma is prescribed timolol. What
should the nurse teach?
