GERONTOLOGY HESI PRACTICE TEST
QUESTIONS 2026/2027 (ACTUAL EXAM)
WITH CORRECT DETAILED ANSWERS ||
ALREADY GRADED A+ RECENT VERSION
An older male client with heart failure complains of chronic constipation and
wants to retrain his bowel. Which information should the RN offer the client for
establishing regular bowel habits?
A. Add whole-grain foods and fibrous vegetables to the diet.
B. Drink water and fluids up to 3000 mL daily.
C. Use a stool softener or glycerin suppository PRN.
D. Plan daily exercise based on fatigue level. - ANSWER A. Add whole-grain
foods and fibrous vegetables to the diet.
The home health RN is visiting an older client with chronic hypertension. What
evaluation is most important for the RN to complete with each visit?
A. Effectiveness of medication
B. Ability to ambulate
C. Signs of dehydration
D. Familial support - ANSWER A. Effectiveness of medication
,An older male client is admitted for emergency treatment of acute closed-angle
glaucoma. The RN begins administering the prescribed miotic medications and
glycerin (Glycol) therapy. Which intervention is most important for the RN to
maintain during the client's therapy?
A. Maintain lighting control in the room during therapy.
B. Monitor intake and output q2 hours for 24 hours.
C. Place an eye patch over the affected eye during sleep.
D. Administer the eye drops at the scheduled intervals. - ANSWER B. Monitor
intake and output q2 hours for 24 hours.
The RN is assigned the care of an older client who returns to the unit after surgery
for closed-angle glaucoma. Which intervention in the plan of care should the RN
bring to the attention of the healthcare team?
A. Assist with ambulating to the commode.
B. Monitor intake and output q8 hours.
C. Administer morphine 4 mg IM q2 hour PRN for pain.
D. Place an eye patch on the operative eye during sleep. - ANSWER C.
Administer morphine 4 mg IM q2 hour PRN for pain.
The home health RN is reinforcing instructions to the family about how to prevent
pressure ulcers for their older family member who is bedridden. Which measure
should the RN discuss?
A. Lift the client when turning instead of sliding.
B. Massage directly over reddened sites.
,C. Change the client's position every 4 hours.
D. Place pillows under both knees. - ANSWER A. Lift the client when turning
instead of sliding.
The home health RN is changing an older client's wet-to-dry dressing. Which
observation should the RN evaluate as a therapeutic response with the removal of
the dry dressing?
A. Debridement and removal of slough and eschar
B. Drainage of purulent exudate from the wound
C. Moist skin edges around the wound field.
D. Presence of capillary growth in the wound - ANSWER A. Debridement and
removal of slough and eschar
The home health RN is assessing an older client for a pressure ulcer. Which
finding should the RN observe in the area for a Stage 1 pressure ulcer?
A. Superficial skin breakdown and flaking
B. Deep pink, red, or mottled skin.
C. Subcutaneous damage or necrosis
D. Skin that blanches pink when pressed. - ANSWER B. Deep pink, red, or
mottled skin.
A frail elderly woman visits the healthcare provider because she has been getting
out of breath easily when walking long distances. Which pulmonary function
change should the RN expect to commonly occur with aging?
, A. Decreased residual volume
B. Mild respiratory acidosis
C. Reduced vital capacity
D. Increased alveoli function - ANSWER C. Reduced vital capacity
An older female client arrives for an annual visit by the urologist due to a history
of changes in serum values related to renal function. What changes should the RN
expect for an older client due to normal aging?
A. Decrease in glomerular filtration rate (GFR)
B. Hematuria during urinalysis
C. Chronic bladder infections
D. Urinary incontinence - ANSWER A. Decrease in glomerular filtration rate
(GFR)
A frail elderly couple asks the registered nurse (RN) if they have to watch their
salt intake because food does not taste as good as it used to, so they have to season
most foods. What information should the RN offer the couple?
A. Boredom may influence how the taste of food is perceived, and different
seasonings can stimulate taste.
B. With age, an increase in sodium intake is needed to compensate for a decrease
in renal function.
C. Short-term memory loss and confusion may be the reason they want to over-
season their food.
QUESTIONS 2026/2027 (ACTUAL EXAM)
WITH CORRECT DETAILED ANSWERS ||
ALREADY GRADED A+ RECENT VERSION
An older male client with heart failure complains of chronic constipation and
wants to retrain his bowel. Which information should the RN offer the client for
establishing regular bowel habits?
A. Add whole-grain foods and fibrous vegetables to the diet.
B. Drink water and fluids up to 3000 mL daily.
C. Use a stool softener or glycerin suppository PRN.
D. Plan daily exercise based on fatigue level. - ANSWER A. Add whole-grain
foods and fibrous vegetables to the diet.
The home health RN is visiting an older client with chronic hypertension. What
evaluation is most important for the RN to complete with each visit?
A. Effectiveness of medication
B. Ability to ambulate
C. Signs of dehydration
D. Familial support - ANSWER A. Effectiveness of medication
,An older male client is admitted for emergency treatment of acute closed-angle
glaucoma. The RN begins administering the prescribed miotic medications and
glycerin (Glycol) therapy. Which intervention is most important for the RN to
maintain during the client's therapy?
A. Maintain lighting control in the room during therapy.
B. Monitor intake and output q2 hours for 24 hours.
C. Place an eye patch over the affected eye during sleep.
D. Administer the eye drops at the scheduled intervals. - ANSWER B. Monitor
intake and output q2 hours for 24 hours.
The RN is assigned the care of an older client who returns to the unit after surgery
for closed-angle glaucoma. Which intervention in the plan of care should the RN
bring to the attention of the healthcare team?
A. Assist with ambulating to the commode.
B. Monitor intake and output q8 hours.
C. Administer morphine 4 mg IM q2 hour PRN for pain.
D. Place an eye patch on the operative eye during sleep. - ANSWER C.
Administer morphine 4 mg IM q2 hour PRN for pain.
The home health RN is reinforcing instructions to the family about how to prevent
pressure ulcers for their older family member who is bedridden. Which measure
should the RN discuss?
A. Lift the client when turning instead of sliding.
B. Massage directly over reddened sites.
,C. Change the client's position every 4 hours.
D. Place pillows under both knees. - ANSWER A. Lift the client when turning
instead of sliding.
The home health RN is changing an older client's wet-to-dry dressing. Which
observation should the RN evaluate as a therapeutic response with the removal of
the dry dressing?
A. Debridement and removal of slough and eschar
B. Drainage of purulent exudate from the wound
C. Moist skin edges around the wound field.
D. Presence of capillary growth in the wound - ANSWER A. Debridement and
removal of slough and eschar
The home health RN is assessing an older client for a pressure ulcer. Which
finding should the RN observe in the area for a Stage 1 pressure ulcer?
A. Superficial skin breakdown and flaking
B. Deep pink, red, or mottled skin.
C. Subcutaneous damage or necrosis
D. Skin that blanches pink when pressed. - ANSWER B. Deep pink, red, or
mottled skin.
A frail elderly woman visits the healthcare provider because she has been getting
out of breath easily when walking long distances. Which pulmonary function
change should the RN expect to commonly occur with aging?
, A. Decreased residual volume
B. Mild respiratory acidosis
C. Reduced vital capacity
D. Increased alveoli function - ANSWER C. Reduced vital capacity
An older female client arrives for an annual visit by the urologist due to a history
of changes in serum values related to renal function. What changes should the RN
expect for an older client due to normal aging?
A. Decrease in glomerular filtration rate (GFR)
B. Hematuria during urinalysis
C. Chronic bladder infections
D. Urinary incontinence - ANSWER A. Decrease in glomerular filtration rate
(GFR)
A frail elderly couple asks the registered nurse (RN) if they have to watch their
salt intake because food does not taste as good as it used to, so they have to season
most foods. What information should the RN offer the couple?
A. Boredom may influence how the taste of food is perceived, and different
seasonings can stimulate taste.
B. With age, an increase in sodium intake is needed to compensate for a decrease
in renal function.
C. Short-term memory loss and confusion may be the reason they want to over-
season their food.
