HESI GERIATRICS EXAM 2026 MASTER
REVIEW QUESTION SET 300 QUESTIONS
WITH COMPLETE SOLUTIONS AND STEP
BY STEP RATIONALES
⩥ 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.
⩥ The practical nurse (PN) working at an assisted living facility is
visiting with a client whose spouse died 8 months ago. Which behavior
by the client suggests ineffective coping with the spouse's death?
a. Frequently neglects to shower and shave.
b. Insists on visiting the gravesite once a month.
c. Joins an exercise class at the assisted living facility.
d. Keeps their photo albums out and looks through them frequently..
Answer: a. Frequently neglects to shower and shave.
Ineffective coping is manifested by behaviors that may be physically or
psychologically harmful to the individual. Neglecting personal hygiene
is an example of ineffective coping.
⩥ When initially monitoring a client after a fall, which information
should the practical nurse (PN) communicate immediately to the health
care provider? (Select all that apply.)
, a. Change in the level of consciousness
b. Increasing muscular weakness
c. Changes in pupil size bilaterally
d. Progressive nuchal rigidity
e. Onset of nausea and vomiting. Answer: a. Change in the level of
consciousness
e. Onset of nausea and vomiting
A decrease or change in the level of consciousness is usually the first
indication of neurological deterioration. Nausea and vomiting may also
be present.
⩥ An older adult client is seen in the clinic for problems with urinary
frequency, urgency, and nocturia. The symptoms are an example of
which condition?
a. Urinary tract infection (UTI)
b. Normal aging changes
c. Side effect of the diuretic furosemide
d. Partial obstruction of the urethra. Answer: b. Normal aging changes
Normal aging changes in the bladder are decreased capacity, increased
irritability, and incomplete emptying; these changes lead to frequency,
nocturia, urgency, and vulnerability to infection. The majority of UTIs in
REVIEW QUESTION SET 300 QUESTIONS
WITH COMPLETE SOLUTIONS AND STEP
BY STEP RATIONALES
⩥ 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.
⩥ The practical nurse (PN) working at an assisted living facility is
visiting with a client whose spouse died 8 months ago. Which behavior
by the client suggests ineffective coping with the spouse's death?
a. Frequently neglects to shower and shave.
b. Insists on visiting the gravesite once a month.
c. Joins an exercise class at the assisted living facility.
d. Keeps their photo albums out and looks through them frequently..
Answer: a. Frequently neglects to shower and shave.
Ineffective coping is manifested by behaviors that may be physically or
psychologically harmful to the individual. Neglecting personal hygiene
is an example of ineffective coping.
⩥ When initially monitoring a client after a fall, which information
should the practical nurse (PN) communicate immediately to the health
care provider? (Select all that apply.)
, a. Change in the level of consciousness
b. Increasing muscular weakness
c. Changes in pupil size bilaterally
d. Progressive nuchal rigidity
e. Onset of nausea and vomiting. Answer: a. Change in the level of
consciousness
e. Onset of nausea and vomiting
A decrease or change in the level of consciousness is usually the first
indication of neurological deterioration. Nausea and vomiting may also
be present.
⩥ An older adult client is seen in the clinic for problems with urinary
frequency, urgency, and nocturia. The symptoms are an example of
which condition?
a. Urinary tract infection (UTI)
b. Normal aging changes
c. Side effect of the diuretic furosemide
d. Partial obstruction of the urethra. Answer: b. Normal aging changes
Normal aging changes in the bladder are decreased capacity, increased
irritability, and incomplete emptying; these changes lead to frequency,
nocturia, urgency, and vulnerability to infection. The majority of UTIs in
