HESI RN GERONTOLOGY EXIT EXAM
VERSION 1 /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
You prescribe a medication for your elderly patient and note it should be p.o. What does this
mean?
A) Three times a day.
B) As directed.
C) In each eye.
D) Taken by mouth.
D
Correct answer:
Taken by mouth
O.U. - In each eye; p.o. - Taken by mouth; t.i.d. - Three times a day; ut dict. - As directed.
Mr. Billings, an elderly patient is within the normal range for Hct. Which of these would it be?
A) 38%.
B) 56%.
C) 48%.
D) 59%.
C
Correct answer:
1|Page
,48%
That which is considered a "normal" Hematocrit reading depends on the gender of the
patient. A normal reading in an elderly male is 40 to 50%.
The GNP has knowledge that effective communication includes all of the following except:
A) All communication is privileged and confidential
B) Recording information and sharing information is not part of the communication process.
C) Good communication is a necessity when providers are interviewing and teaching patients.
D) Written documentation is subject to specific standards.
B
Correct answer:
Recording information and sharing information is not part of the communication process.
Recording information and decisions, and sharing or clarifying information with others
involved in the patient's care is part of the communication process as well as the other
choices.
Your elderly patient's MCHC indicates that he is Hyperchromic. Of the following figures, which
does NOT indicate a Hyperchromic reading?
A) 30 g/dL.
B) 42 g/dL.
C) 39 g/dL.
D) 37 g/dL.
C
Correct answer:
30 g/dL
MCHC (Mean Corpuscular Hemoglobin Concentration) figures are: Normochromic = 32-36
g/dL Hypochromic = < 32 g/dL Hyperchromic = > 36 g/dL
Late adulthood involves all of the following ranges except:
A) young-old (65-74 years old)
B) old (75-84 years old)
C) older-old (80-90 years old)
D) old-old (85 years of age and older)
2|Page
,C
Correct answer:
older-old (80-90 years old)
There is no such classification. The main classifications are listed in the other three choices.
There has been a recent shift of the health care delivery toward the provision of nonacute care
from the hospital setting to the ambulatory care setting and the home. Nursing research that
was previously conducted in hospitals:
A) is now applicable to all in-hospital providers of care.
B) is now relevant in the new settings, as patient care is unchanged.
C) is no longer applicable to the delivery of patient care.
D) is needed to be applied directly to patient care that is provided in the new settings.
C
Correct answer:is no longer applicable to the delivery of patient care.
The restructuring of the health care delivery system and the changes that have occurred make
previous studies no longer applicable to nursing care. The other choices are incorrect because
the nonacute care is not provided in-hospital; because of the phrase "as patient care is
unchanged" in that the delivery of nursing care has changed settings; and previous studies
were about care delivered in-hospital and it cannot be applied to care provided in the new
settings.
You are educating a patient who is being discharged after a colostomy. The patient asks what
type of dietary changes he needs to make for the period until his colostomy is removed. Which
of the following should NOT be part of this patient's education?
A) The patient should avoid gas producing foods such as cabbage, broccoli, and cauliflower.
B) The patient should eat a very low-fiber diet.
C) The patient should eat normal foods and avoid those that cause him discomfort. A food diary
may be helpful.
D) The patient should choose higher fiber foods such as whole grains.
B
Correct Answer: The patient should eat a very low-fiber diet Colostomy patients may actually
have better success with a higher-fiber diet. Avoiding foods which cause gas and which cause
discomfort are key to living with a colostomy. Patients can eat a normal diet for the most part
3|Page
, while living with a colostomy. If the patient does not prepare his own meals, it is key to
educate his primary caregiver or food preparer about dietary changes that can make living
with a colostomy easier.
You are educating other nurse practitioners about some of the myths surrounding aging. Which
of the following is one of these myths?
A) Mental function declines with age.
B) People age in different ways.
C) Sexuality is still important and needed.
D) People learn until very late in life.
A
Correct answer: Mental function declines with age.
The correct answer and one of the myths about aging is that mental function declines with
age. Even if older persons are slower to process information, this does not mean that their
mental function has declined. Older persons can have very high levels of mental function.
Which of the following is NOT a potential complication when managing persistent pain in an
older adult patient?
A) Older patients often take several daily medications to manage a chronic condition.
B) Older adults are a higher risk of drug interactions than younger patients.
C) Older adults tend to have a higher sensitivity to analgesics than do younger patients.
D) Older adults often exaggerate pain.
D
Correct Answer Older adults often exaggerate pain Older patients may actually underreport
pain. Pain management can be complicated by a patient taking multiple medications.
Increased sensitivity to analgesics and increased risk for drug interactions may also
complicate pain management in older patients.
After assessing your patient, you write in her chart that she is exhibiting signs of dyspepsia. She
happens to look over as you write the term and asks what it means. What do you tell her?
A) Upset stomach.
B) Severe headache.
4|Page
VERSION 1 /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
You prescribe a medication for your elderly patient and note it should be p.o. What does this
mean?
A) Three times a day.
B) As directed.
C) In each eye.
D) Taken by mouth.
D
Correct answer:
Taken by mouth
O.U. - In each eye; p.o. - Taken by mouth; t.i.d. - Three times a day; ut dict. - As directed.
Mr. Billings, an elderly patient is within the normal range for Hct. Which of these would it be?
A) 38%.
B) 56%.
C) 48%.
D) 59%.
C
Correct answer:
1|Page
,48%
That which is considered a "normal" Hematocrit reading depends on the gender of the
patient. A normal reading in an elderly male is 40 to 50%.
The GNP has knowledge that effective communication includes all of the following except:
A) All communication is privileged and confidential
B) Recording information and sharing information is not part of the communication process.
C) Good communication is a necessity when providers are interviewing and teaching patients.
D) Written documentation is subject to specific standards.
B
Correct answer:
Recording information and sharing information is not part of the communication process.
Recording information and decisions, and sharing or clarifying information with others
involved in the patient's care is part of the communication process as well as the other
choices.
Your elderly patient's MCHC indicates that he is Hyperchromic. Of the following figures, which
does NOT indicate a Hyperchromic reading?
A) 30 g/dL.
B) 42 g/dL.
C) 39 g/dL.
D) 37 g/dL.
C
Correct answer:
30 g/dL
MCHC (Mean Corpuscular Hemoglobin Concentration) figures are: Normochromic = 32-36
g/dL Hypochromic = < 32 g/dL Hyperchromic = > 36 g/dL
Late adulthood involves all of the following ranges except:
A) young-old (65-74 years old)
B) old (75-84 years old)
C) older-old (80-90 years old)
D) old-old (85 years of age and older)
2|Page
,C
Correct answer:
older-old (80-90 years old)
There is no such classification. The main classifications are listed in the other three choices.
There has been a recent shift of the health care delivery toward the provision of nonacute care
from the hospital setting to the ambulatory care setting and the home. Nursing research that
was previously conducted in hospitals:
A) is now applicable to all in-hospital providers of care.
B) is now relevant in the new settings, as patient care is unchanged.
C) is no longer applicable to the delivery of patient care.
D) is needed to be applied directly to patient care that is provided in the new settings.
C
Correct answer:is no longer applicable to the delivery of patient care.
The restructuring of the health care delivery system and the changes that have occurred make
previous studies no longer applicable to nursing care. The other choices are incorrect because
the nonacute care is not provided in-hospital; because of the phrase "as patient care is
unchanged" in that the delivery of nursing care has changed settings; and previous studies
were about care delivered in-hospital and it cannot be applied to care provided in the new
settings.
You are educating a patient who is being discharged after a colostomy. The patient asks what
type of dietary changes he needs to make for the period until his colostomy is removed. Which
of the following should NOT be part of this patient's education?
A) The patient should avoid gas producing foods such as cabbage, broccoli, and cauliflower.
B) The patient should eat a very low-fiber diet.
C) The patient should eat normal foods and avoid those that cause him discomfort. A food diary
may be helpful.
D) The patient should choose higher fiber foods such as whole grains.
B
Correct Answer: The patient should eat a very low-fiber diet Colostomy patients may actually
have better success with a higher-fiber diet. Avoiding foods which cause gas and which cause
discomfort are key to living with a colostomy. Patients can eat a normal diet for the most part
3|Page
, while living with a colostomy. If the patient does not prepare his own meals, it is key to
educate his primary caregiver or food preparer about dietary changes that can make living
with a colostomy easier.
You are educating other nurse practitioners about some of the myths surrounding aging. Which
of the following is one of these myths?
A) Mental function declines with age.
B) People age in different ways.
C) Sexuality is still important and needed.
D) People learn until very late in life.
A
Correct answer: Mental function declines with age.
The correct answer and one of the myths about aging is that mental function declines with
age. Even if older persons are slower to process information, this does not mean that their
mental function has declined. Older persons can have very high levels of mental function.
Which of the following is NOT a potential complication when managing persistent pain in an
older adult patient?
A) Older patients often take several daily medications to manage a chronic condition.
B) Older adults are a higher risk of drug interactions than younger patients.
C) Older adults tend to have a higher sensitivity to analgesics than do younger patients.
D) Older adults often exaggerate pain.
D
Correct Answer Older adults often exaggerate pain Older patients may actually underreport
pain. Pain management can be complicated by a patient taking multiple medications.
Increased sensitivity to analgesics and increased risk for drug interactions may also
complicate pain management in older patients.
After assessing your patient, you write in her chart that she is exhibiting signs of dyspepsia. She
happens to look over as you write the term and asks what it means. What do you tell her?
A) Upset stomach.
B) Severe headache.
4|Page
