HESI RN GERONTOLOGY EXIT EXAM
VERSION 2 /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
The RN is assigned to the care of an older client with venous stasis ulcers. A primary goal in the
client's plan of care is to decrease swelling in the extremities. What action should the RN take to
meet this goal?
A. Elevate the legs on pillows
B. Decrease fluid intake
C. Decrease salt intake in diet
D. Increase protein intake in diet
A. Elevate the legs on pillows
After taking a 10-day course of an antibiotic that was ineffective, a frail, elderly client with COPD
is admitted for pneumonia. The client has a long history of smoking and still smokes a pack of
cigarettes a day. Which finding should the RN report to the HCP?
A. Barrel chest with increased chest diameter
B. Crackles and pulse oximetry level of 88%
C. Low hemoglobin and hematocrit levels.
D. Arterial blood gases indicating respiratory acidosis.
B. Crackles and pulse oximetry level of 88%
The home health RN visits an older female client with an ileal conduit who has been
experiencing chronic UTIs. Which intervention should the RN recommend to the client to
1|Page
,manage the frequency of UTIs?
A. Force fluid intake to 1000 mL daily.
B. Change appliance every 4 hours
C. Attach a larger drainage bag while sleeping
D. Allow bag to fill completely before emptying
C. Attach a larger drainage bag while sleeping
An older male client returns to the hospital after discharge 4 days ago for a transurethral
resection of the prostate (TURP). The RN evaluates the function of the 3-way indwelling urinary
catheter and the continuous bladder irrigation system. Which finding should the RN report to
the healthcare provider?
A. Irrigation bag of normal saline is hanging at the level of the client's head.
B. The urinary output is greater that the amount of irrigation fluid instilled.
C. The irrigation tubing is attached to the irrigation port on the 3-way catheter.
D. The tubing that drains the urinary bladder has bright red urine with clots.
D. The tubing that drains the urinary bladder has bright red urine with clots.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left
forearm for hemodialysis. After palpating the AV fistula, which finding is an indication that the
AV fistula is functioning properly?
A. Enlarged veins
B. Redness around the site
C. Decreased pulses below fistula
D. Marked ecchymotic areas
A. Enlarged veins
After a transurethral resection of the prostate (TURP), an older man returns to the medical
surgical floor with a 3-way indwelling urinary catheter. The registered nurse (RN) observes the
catheter's tubing for drainage when the client states that he needs to void. What should the RN
implement based on this finding?
A. Irrigate the bladder throught the catheter port.
B. Remove the indwelling catheter
C. Explain that urgency is expected
D. Notify the healthcare provider of the symptom.
2|Page
, A. Irrigate the bladder throught the catheter port.
The RN is caring for an older female client with a 20 year history of rheumatoid arthritis (RA),
who is admitted for carpal tunnel release. Which finding associated with RA should the RN
document?
A. Asymmetrical joint deformity.
B. Small joint involvement in fingers.
C. Crepitation or grating sensation in joints.
D. Weight bearing joint involvement
B. Small joint involvement in fingers.
A 64-year-old client is admitted to the hospital with a fractured right hip. One of the concerns
following surgical repair is to promote dorsiflexion. Which intervention would a nurse
implement?
A. Begin early ambulation
B. Monitor pain level
C. Provide PCA instructions
D. Provide a foot board
D. Provide a foot board
After a recent total hip replacement, an older female client, who transferred to a rehabilitation
facility placement, asks the registered nurse (RN) if she broke her hip because she is old. How
should the RN best respond?
A. Hip fractures can occur in any age group and require strength conditioning
B. With aging, everything tends to break down more easily the older one gets
C. Older people tend to look down instead of ahead, increasing the risk of falls
D. Older women commonly lose bone calcium, which increases the risk of fracture
D. Older women commonly lose bone calcium, which increases the risk of fracture
An older client is admitted a preliminary diagnosis of Addison's disease. Which skin finding
should the RN document that is typical with Addison's disease?
A. Moon face
B. Hyperpigmentation
C. Excessive acne
D. Multiple skin tags
3|Page
VERSION 2 /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
The RN is assigned to the care of an older client with venous stasis ulcers. A primary goal in the
client's plan of care is to decrease swelling in the extremities. What action should the RN take to
meet this goal?
A. Elevate the legs on pillows
B. Decrease fluid intake
C. Decrease salt intake in diet
D. Increase protein intake in diet
A. Elevate the legs on pillows
After taking a 10-day course of an antibiotic that was ineffective, a frail, elderly client with COPD
is admitted for pneumonia. The client has a long history of smoking and still smokes a pack of
cigarettes a day. Which finding should the RN report to the HCP?
A. Barrel chest with increased chest diameter
B. Crackles and pulse oximetry level of 88%
C. Low hemoglobin and hematocrit levels.
D. Arterial blood gases indicating respiratory acidosis.
B. Crackles and pulse oximetry level of 88%
The home health RN visits an older female client with an ileal conduit who has been
experiencing chronic UTIs. Which intervention should the RN recommend to the client to
1|Page
,manage the frequency of UTIs?
A. Force fluid intake to 1000 mL daily.
B. Change appliance every 4 hours
C. Attach a larger drainage bag while sleeping
D. Allow bag to fill completely before emptying
C. Attach a larger drainage bag while sleeping
An older male client returns to the hospital after discharge 4 days ago for a transurethral
resection of the prostate (TURP). The RN evaluates the function of the 3-way indwelling urinary
catheter and the continuous bladder irrigation system. Which finding should the RN report to
the healthcare provider?
A. Irrigation bag of normal saline is hanging at the level of the client's head.
B. The urinary output is greater that the amount of irrigation fluid instilled.
C. The irrigation tubing is attached to the irrigation port on the 3-way catheter.
D. The tubing that drains the urinary bladder has bright red urine with clots.
D. The tubing that drains the urinary bladder has bright red urine with clots.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left
forearm for hemodialysis. After palpating the AV fistula, which finding is an indication that the
AV fistula is functioning properly?
A. Enlarged veins
B. Redness around the site
C. Decreased pulses below fistula
D. Marked ecchymotic areas
A. Enlarged veins
After a transurethral resection of the prostate (TURP), an older man returns to the medical
surgical floor with a 3-way indwelling urinary catheter. The registered nurse (RN) observes the
catheter's tubing for drainage when the client states that he needs to void. What should the RN
implement based on this finding?
A. Irrigate the bladder throught the catheter port.
B. Remove the indwelling catheter
C. Explain that urgency is expected
D. Notify the healthcare provider of the symptom.
2|Page
, A. Irrigate the bladder throught the catheter port.
The RN is caring for an older female client with a 20 year history of rheumatoid arthritis (RA),
who is admitted for carpal tunnel release. Which finding associated with RA should the RN
document?
A. Asymmetrical joint deformity.
B. Small joint involvement in fingers.
C. Crepitation or grating sensation in joints.
D. Weight bearing joint involvement
B. Small joint involvement in fingers.
A 64-year-old client is admitted to the hospital with a fractured right hip. One of the concerns
following surgical repair is to promote dorsiflexion. Which intervention would a nurse
implement?
A. Begin early ambulation
B. Monitor pain level
C. Provide PCA instructions
D. Provide a foot board
D. Provide a foot board
After a recent total hip replacement, an older female client, who transferred to a rehabilitation
facility placement, asks the registered nurse (RN) if she broke her hip because she is old. How
should the RN best respond?
A. Hip fractures can occur in any age group and require strength conditioning
B. With aging, everything tends to break down more easily the older one gets
C. Older people tend to look down instead of ahead, increasing the risk of falls
D. Older women commonly lose bone calcium, which increases the risk of fracture
D. Older women commonly lose bone calcium, which increases the risk of fracture
An older client is admitted a preliminary diagnosis of Addison's disease. Which skin finding
should the RN document that is typical with Addison's disease?
A. Moon face
B. Hyperpigmentation
C. Excessive acne
D. Multiple skin tags
3|Page
