HESI RN Gerontology Practice Questions
with 100% Correct Answers
An older female client recently moved to an assisted living facility. The family explain to
the RN that the client is unmanageable and always confused, disoriented, and
depressed. The client asks the RN repeatedly, "Where am I?" How should the nurse
respond?
A. Explain that she is in a new home called an assisted living community.
B. Question the client about her perception of where she might be now.
C. Distract the client with a scenario that she is on an outing with her family.
D. Reassure the client not to worry because she will meet new friends. - Answer-A.
Explain that she is in a new home called an assisted living community.
An older female client who is a new resident at an assisted living facility cannot
remember how to get to her room. What action should the RN implement?
A. Schedule therapy and social activities in her room
B. Ask another resident to help the client
C. Show client how to follow hallway signs to her room
D. Move client to a room close to nurses' station - Answer-C. Show client how to follow
hallway signs to her room
A new resident in an assisted living facility is an older client who is experiencing short-
term memory loss and confusion. Which activity should the RN schedule the client to do
during the day?
A. Arts and crafts
B. Current events discussion group
C. Group sing-along
D. Daily exercise group - Answer-D. Daily exercise group
Since his arrival in an assisted living community, an older male client is having difficulty
going to sleep. Which intervention should the registered nurse implement first?
A. Encourage client to take a warm bath at night.
B. Ask the client what has helped him in the past.
C. Recommend that the client not take daytime naps
D. Offer the client a glass of warm milk before bedtime - Answer-B. Ask the client what
has helped him in the past.
, An older male client arrives at the clinic for an annual physical examination. While the
nurse assesses the client, the client states that he is having intimacy problems with his
wife. Which information should the nurse provide to elicit more information from the
client?
A. Query client to clarify the client's idea of an intimacy problem
B. Discuss benign prostatic hypertrophy (BPH) and ejaculation
C. Explore frequency that he experiences erectile dysfunction (ED)
D. Determine if the client's wife is young enough to get pregnant - Answer-A. Query
client to clarify the client's idea of an intimacy problem
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 nurse implement these actions for administration of crushed
medications? (Arrange in the order from first to last step.)
- Flush GT to clear the medication from the tubing.
- Dissolve each crushed medication in a medicine cup.
- Crush the medication into a powder or fine granules.
- Flush the feeding tube of feeding solution
- Reconnect the gastric feeding tube
- Administer each medication separately - Answer-1. Crush the medication into a
powder or fine granules.
2. Dissolve each crushed medication in a medicine cup.
3. Flush the feeding tube of feeding solution
4. Administer each medication separately
5. Flush GT to clear the medication from the tubing
6. Reconnect the gastric feeding tube
The hospice nurse is completing a focused assessment of an older female client with
end stage Alzheimer's disease, who recently fractured her hip. What technique should
the RN sue to determine the client's pain?
A. Use the FACES pain scale
B. Ask client to rate pain on a scale of 1 to 10
C. Observe for facial grimacing
D. Review documentation of recent eating habits - Answer-C. Observe for facial
grimacing
Older clients are at highest risk for abuse and neglect due to which factors? (Select all
that apply.)
A. Needs are greater than the caretaker's abilities.
B. Client's declining strength.
C. Fixed income
D. Longer life expectancy
with 100% Correct Answers
An older female client recently moved to an assisted living facility. The family explain to
the RN that the client is unmanageable and always confused, disoriented, and
depressed. The client asks the RN repeatedly, "Where am I?" How should the nurse
respond?
A. Explain that she is in a new home called an assisted living community.
B. Question the client about her perception of where she might be now.
C. Distract the client with a scenario that she is on an outing with her family.
D. Reassure the client not to worry because she will meet new friends. - Answer-A.
Explain that she is in a new home called an assisted living community.
An older female client who is a new resident at an assisted living facility cannot
remember how to get to her room. What action should the RN implement?
A. Schedule therapy and social activities in her room
B. Ask another resident to help the client
C. Show client how to follow hallway signs to her room
D. Move client to a room close to nurses' station - Answer-C. Show client how to follow
hallway signs to her room
A new resident in an assisted living facility is an older client who is experiencing short-
term memory loss and confusion. Which activity should the RN schedule the client to do
during the day?
A. Arts and crafts
B. Current events discussion group
C. Group sing-along
D. Daily exercise group - Answer-D. Daily exercise group
Since his arrival in an assisted living community, an older male client is having difficulty
going to sleep. Which intervention should the registered nurse implement first?
A. Encourage client to take a warm bath at night.
B. Ask the client what has helped him in the past.
C. Recommend that the client not take daytime naps
D. Offer the client a glass of warm milk before bedtime - Answer-B. Ask the client what
has helped him in the past.
, An older male client arrives at the clinic for an annual physical examination. While the
nurse assesses the client, the client states that he is having intimacy problems with his
wife. Which information should the nurse provide to elicit more information from the
client?
A. Query client to clarify the client's idea of an intimacy problem
B. Discuss benign prostatic hypertrophy (BPH) and ejaculation
C. Explore frequency that he experiences erectile dysfunction (ED)
D. Determine if the client's wife is young enough to get pregnant - Answer-A. Query
client to clarify the client's idea of an intimacy problem
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 nurse implement these actions for administration of crushed
medications? (Arrange in the order from first to last step.)
- Flush GT to clear the medication from the tubing.
- Dissolve each crushed medication in a medicine cup.
- Crush the medication into a powder or fine granules.
- Flush the feeding tube of feeding solution
- Reconnect the gastric feeding tube
- Administer each medication separately - Answer-1. Crush the medication into a
powder or fine granules.
2. Dissolve each crushed medication in a medicine cup.
3. Flush the feeding tube of feeding solution
4. Administer each medication separately
5. Flush GT to clear the medication from the tubing
6. Reconnect the gastric feeding tube
The hospice nurse is completing a focused assessment of an older female client with
end stage Alzheimer's disease, who recently fractured her hip. What technique should
the RN sue to determine the client's pain?
A. Use the FACES pain scale
B. Ask client to rate pain on a scale of 1 to 10
C. Observe for facial grimacing
D. Review documentation of recent eating habits - Answer-C. Observe for facial
grimacing
Older clients are at highest risk for abuse and neglect due to which factors? (Select all
that apply.)
A. Needs are greater than the caretaker's abilities.
B. Client's declining strength.
C. Fixed income
D. Longer life expectancy
