HESI GERIATRICS Questions With Rationale And
Correct Answers Latest Version (A+Graded)
Your older female patient is complaining because she is having frequent UTIs. Which
normal age-related change is most likely to be a contributing factor?
ch. 3 - ANSWER: Decreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.)
ch. 3 - ANSWER: 1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
What are patients who have had Parkinson disease for 10 years likely to exhibit?
(Select all that apply.)
ch. 3 - ANSWER: 1 Rigidity and tremors when at rest
3 Dementia
An older adult is coming to your clinic for treatment for a gastric ulcer. Which
treatment would the nurse expect to be ordered?
ch.3 - ANSWER: Antibiotics
What should the nurse explain when discussing expected changes in the female
reproductive system to an older adult?
ch. 3 - ANSWER: Production of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal
and needs to be reported?
ch. 3 - ANSWER: A dark, elevated patch that bleeds when touched
The nurse encourages the patient to maintain a steady weight in the recommended
range to decrease risk of which common endocrine disease observed in older adults?
ch. 3 - ANSWER: Diabetes mellitus
What is the activity that best promotes health maintenance for the typical older
adult?
ch. 4 - ANSWER: One 30-minute walk, 3 to 5 times a week
The nurse recognizes that regular dental visits are:
ch.4 - ANSWER: Recommended on a yearly basis for all older adults, even those with
dentures.
An older adult does not follow through with health recommendations from the
primary health care provider. The older adult does not take prescribed medications
or keep medical appointments. Which patient problem should the LPN/LVN
anticipate seeing on the care plan?
, ch. 4 - ANSWER: Nonadherence with the treatment plan
Which immunizations should older adults receive on a yearly basis? (Select all that
apply.)
ch. 4 - ANSWER: Influenza vaccine
When attempting to help an older adult improve his or her health maintenance
practices, the nurse will need to assess which factors? (Select all that apply.)
ch.4 - ANSWER: Cultural beliefs
Socioeconomic status
Religious beliefs
Educational level
Your patient tells you she understands that she is at greater risk of certain diseases
because of her Hispanic American heritage. Based on what you have learned, which
disorder(s) might she be at greater risk for? (Select all that apply.)
ch.4 - ANSWER: Obesity
Stomach cancer
Diabetes mellitus
Cervical cancer
Which interventions would be appropriate when teaching a patient with
presbycusis? (Select all that apply.)
ch. 5 - ANSWER: Use visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the
nurse are most likely to enhance communication with the patient? (Select all that
apply.)
ch. 5 - ANSWER: Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
A nurse is caring for an older adult who is upset about having to move into a skilled
nursing facility. Which communication technique used by the nurse is most effective
at establishing an empathetic climate?
ch. 5 - ANSWER: Open-ended responses
A nurse is discharging an older adult patient from a rehabilitation facility after a left
hip replacement. The nurse providing discharge teaching knows that older adults are
most responsive to what type of information?
ch. 5 - ANSWER: When the information is relevant to their lives
Correct Answers Latest Version (A+Graded)
Your older female patient is complaining because she is having frequent UTIs. Which
normal age-related change is most likely to be a contributing factor?
ch. 3 - ANSWER: Decreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.)
ch. 3 - ANSWER: 1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
What are patients who have had Parkinson disease for 10 years likely to exhibit?
(Select all that apply.)
ch. 3 - ANSWER: 1 Rigidity and tremors when at rest
3 Dementia
An older adult is coming to your clinic for treatment for a gastric ulcer. Which
treatment would the nurse expect to be ordered?
ch.3 - ANSWER: Antibiotics
What should the nurse explain when discussing expected changes in the female
reproductive system to an older adult?
ch. 3 - ANSWER: Production of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal
and needs to be reported?
ch. 3 - ANSWER: A dark, elevated patch that bleeds when touched
The nurse encourages the patient to maintain a steady weight in the recommended
range to decrease risk of which common endocrine disease observed in older adults?
ch. 3 - ANSWER: Diabetes mellitus
What is the activity that best promotes health maintenance for the typical older
adult?
ch. 4 - ANSWER: One 30-minute walk, 3 to 5 times a week
The nurse recognizes that regular dental visits are:
ch.4 - ANSWER: Recommended on a yearly basis for all older adults, even those with
dentures.
An older adult does not follow through with health recommendations from the
primary health care provider. The older adult does not take prescribed medications
or keep medical appointments. Which patient problem should the LPN/LVN
anticipate seeing on the care plan?
, ch. 4 - ANSWER: Nonadherence with the treatment plan
Which immunizations should older adults receive on a yearly basis? (Select all that
apply.)
ch. 4 - ANSWER: Influenza vaccine
When attempting to help an older adult improve his or her health maintenance
practices, the nurse will need to assess which factors? (Select all that apply.)
ch.4 - ANSWER: Cultural beliefs
Socioeconomic status
Religious beliefs
Educational level
Your patient tells you she understands that she is at greater risk of certain diseases
because of her Hispanic American heritage. Based on what you have learned, which
disorder(s) might she be at greater risk for? (Select all that apply.)
ch.4 - ANSWER: Obesity
Stomach cancer
Diabetes mellitus
Cervical cancer
Which interventions would be appropriate when teaching a patient with
presbycusis? (Select all that apply.)
ch. 5 - ANSWER: Use visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the
nurse are most likely to enhance communication with the patient? (Select all that
apply.)
ch. 5 - ANSWER: Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
A nurse is caring for an older adult who is upset about having to move into a skilled
nursing facility. Which communication technique used by the nurse is most effective
at establishing an empathetic climate?
ch. 5 - ANSWER: Open-ended responses
A nurse is discharging an older adult patient from a rehabilitation facility after a left
hip replacement. The nurse providing discharge teaching knows that older adults are
most responsive to what type of information?
ch. 5 - ANSWER: When the information is relevant to their lives
