HESI GERIATRICS EXAM 2026 ADVANCED
PRACTICE TEST FULL QUESTIONS WITH
ACCURATE SOLUTIONS AND EXPERT
ANALYSIS
⩥ The oral temperature of a client with a urinary tract infection is 103°
F. Which intervention should the practical nurse (PN) implement first?
a. Instruct the client on proper hygienic practices.
b. Observe the color or odor of urine.
c. Recheck the temperature rectally.
d. Encourage fluid intake. Answer: d. Encourage fluid intake.
Fluids help to reduce fever as quickly and it is important to lower the
temperature as soon as possible.
⩥ An older adult client is being treated for toxicity related to medication
use. When reviewing the client's medical records, the nurse is most
likely to find which factor is correlated with this problem?
a. The client has forgotten to take several doses of medication.
,b. The client's white blood cell count has steadily increased.
c. The client's liver function has decreased since last year.
d. The client has gained 40 pounds (18.2 kg) over 3 years.. Answer: c.
The client's liver function has decreased since last year.
With aging, liver function decreases, affecting drug metabolism and
detoxification. Forgetting to take doses of medication would not cause
drug toxicity; excessive doses could cause toxicity. Elevated white blood
cell counts and weight gain would not likely cause drug toxicity.
⩥ The practical nurse (PN) assesses the older adult client's skin for signs
of breakdown and observes that the skin is intact. What interventions by
the PN will help maintain healthy skin integrity?
a. Keep the client well hydrated.
b. Remove adhesive tape quickly from the skin.
c. Avoid creams or lotions to ensure that the skin stays dry.
d. Scrub the perineum with a wet cloth after a bowel movement..
Answer: a. Keep the client well hydrated.
Keeping the client well hydrated helps prevent skin cracking and
infection.
,⩥ The nurse has reinforced education regarding safety aspects for
antihypertensive medication with an older adult. Which statement by the
client best indicates learning has been effective?
a. "I should rest in bed most of the day when I take this medication."
b. "I will be sure to keep this medication out of the reach of children."
c. "I will need to make sure that I take this medication with some food."
d. "I will make sure that I stand up slowly if I have been sitting down.".
Answer: d. "I will make sure that I stand up slowly if I have been sitting
down."
Older adults are particularly likely to develop orthostatic hypotension
after taking medications to treat hypertension. It is not necessary for the
older adult to stay in bed while taking this medication. Some
medications should be taken with food, others on an empty stomach.
Each medication should be individually researched. While it is important
to prevent children from consuming medications intended for the older
adult, the focus of this question is the safety of the older adult.
⩥ An older adult client tells the nurse "I do not understand how I could
have a sexually transmitted disease! My partner seems like such a nice,
clean person." Which explanation should the nurse provide?
a. Most people in your age are not interested in sexual relationships.
b. You should have discussed this with your family before you started
dating.
, c. Maybe you should go back to just holding hands and hugging on
dates.
d. Sexually transmitted diseases are possible to have at any age of your
life.. Answer: d. Sexually transmitted diseases are possible to have at
any age of your life.
Sexually transmitted diseases are possible at any age. It is inappropriate,
untrue, and ageist to comment that older adults are not interested in
sexual relations. It is very judgmental for the nurse to suggest the older
adult should have sought their family's input or that the older adult
should stop having sexual relations.
⩥ When observing an older client with dementia for symptoms of
Sundowning syndrome, it is most important that the practical nurse (PN)
assesses for which finding?
a. Observe for agitation at the end of the day.
b. Perform a neurological and mental status examination.
c. Monitor for medication side effects.
d. Assess for decreased gross motor movement.. Answer: a. Observe for
agitation at the end of the day.
Sundowning syndrome is a pattern of agitated behavior in the evening,
believed to be associated with tiredness at the end of the day combined
with fewer orienting stimuli, such as activities and interactions.
PRACTICE TEST FULL QUESTIONS WITH
ACCURATE SOLUTIONS AND EXPERT
ANALYSIS
⩥ The oral temperature of a client with a urinary tract infection is 103°
F. Which intervention should the practical nurse (PN) implement first?
a. Instruct the client on proper hygienic practices.
b. Observe the color or odor of urine.
c. Recheck the temperature rectally.
d. Encourage fluid intake. Answer: d. Encourage fluid intake.
Fluids help to reduce fever as quickly and it is important to lower the
temperature as soon as possible.
⩥ An older adult client is being treated for toxicity related to medication
use. When reviewing the client's medical records, the nurse is most
likely to find which factor is correlated with this problem?
a. The client has forgotten to take several doses of medication.
,b. The client's white blood cell count has steadily increased.
c. The client's liver function has decreased since last year.
d. The client has gained 40 pounds (18.2 kg) over 3 years.. Answer: c.
The client's liver function has decreased since last year.
With aging, liver function decreases, affecting drug metabolism and
detoxification. Forgetting to take doses of medication would not cause
drug toxicity; excessive doses could cause toxicity. Elevated white blood
cell counts and weight gain would not likely cause drug toxicity.
⩥ The practical nurse (PN) assesses the older adult client's skin for signs
of breakdown and observes that the skin is intact. What interventions by
the PN will help maintain healthy skin integrity?
a. Keep the client well hydrated.
b. Remove adhesive tape quickly from the skin.
c. Avoid creams or lotions to ensure that the skin stays dry.
d. Scrub the perineum with a wet cloth after a bowel movement..
Answer: a. Keep the client well hydrated.
Keeping the client well hydrated helps prevent skin cracking and
infection.
,⩥ The nurse has reinforced education regarding safety aspects for
antihypertensive medication with an older adult. Which statement by the
client best indicates learning has been effective?
a. "I should rest in bed most of the day when I take this medication."
b. "I will be sure to keep this medication out of the reach of children."
c. "I will need to make sure that I take this medication with some food."
d. "I will make sure that I stand up slowly if I have been sitting down.".
Answer: d. "I will make sure that I stand up slowly if I have been sitting
down."
Older adults are particularly likely to develop orthostatic hypotension
after taking medications to treat hypertension. It is not necessary for the
older adult to stay in bed while taking this medication. Some
medications should be taken with food, others on an empty stomach.
Each medication should be individually researched. While it is important
to prevent children from consuming medications intended for the older
adult, the focus of this question is the safety of the older adult.
⩥ An older adult client tells the nurse "I do not understand how I could
have a sexually transmitted disease! My partner seems like such a nice,
clean person." Which explanation should the nurse provide?
a. Most people in your age are not interested in sexual relationships.
b. You should have discussed this with your family before you started
dating.
, c. Maybe you should go back to just holding hands and hugging on
dates.
d. Sexually transmitted diseases are possible to have at any age of your
life.. Answer: d. Sexually transmitted diseases are possible to have at
any age of your life.
Sexually transmitted diseases are possible at any age. It is inappropriate,
untrue, and ageist to comment that older adults are not interested in
sexual relations. It is very judgmental for the nurse to suggest the older
adult should have sought their family's input or that the older adult
should stop having sexual relations.
⩥ When observing an older client with dementia for symptoms of
Sundowning syndrome, it is most important that the practical nurse (PN)
assesses for which finding?
a. Observe for agitation at the end of the day.
b. Perform a neurological and mental status examination.
c. Monitor for medication side effects.
d. Assess for decreased gross motor movement.. Answer: a. Observe for
agitation at the end of the day.
Sundowning syndrome is a pattern of agitated behavior in the evening,
believed to be associated with tiredness at the end of the day combined
with fewer orienting stimuli, such as activities and interactions.
