2025 Gerontology HESI Practice Questions
with Correct Answers
The nursing assessment of an older female elicits information that the client is diagnosed with R
aynaud's phenomenon. Which exposure should the nurse instruct the client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise - CORRECT ANSWER -Cold Climates
-
Can cause prolonged painful vasoconstriction of the peripheral extremities (especially hands) in
client's with Raynaud's phenomenon.
A family member brings their aging father to the clinic because he has been alert and oriented d
uring the day but agitated and disoriented in the evening. The registered nurse (RN) reviews the
client's list of current medications with the client and family. Which action taken by the RN is m
ost important?
a) Medication review with family caregivers is the PN's responsibility
b) Multiple medications can contribute to sundowner like symptoms
c) Medication recall is the best way to evaluate the client's memory
d) Reviewing medication actions is a component of effective client care - CORRECT ANSWER -
Multiple medications can contribute to sundowner like symptoms
-
Older clients may see a variety of healthcare providers which can increase the change of polyph
armacy that compounds the workload of metabolicRpathways that may be less efficient due to t
he aging process. Multiple medication interactions may contribute to sundowner like symptoms.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left for
earm for hemodialysis. After palpating the AV fistula, which finding is an indication that the AV fi
stula is functioning properly?
,a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas - CORRECT ANSWER -Enlarged Veins
-
The mixing of arterial and venous blood in an AV fistula causes the veins to enlarge, which facilit
ate cannulation for hemodialysis
When assessing an older client, which age-
related changes in the cardiovascular system should the registered nurse (RN) document? (Selec
t all that apply).
a) Dyspnea
b) Chest pain
c) Cardiac murmurs
d) WideningRpulse pressure
e) Irregular heart rate - CORRECT ANSWER --Cardiac murmurs
-Widening pulse pressure
The home health registered nurse (RN) is changing an older client's wet to dry dressing. Which o
bservation should the RN evaluate as a therapeutic response with the removal of the dry dressi
ng?
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 - CORRECT ANSWER -
Debridement and removal of slough and eschar
-
Wet to dry dressings begin with a wet packing inside of the wound, and then a dry gauze is used
to cover the wet packing to wick drainage and bacteria away from the wound to promote heali
, ng.KRemovalKofKdriedKdressingKprovidesKdebridementKbyKremovingKexudate,KsloughingKtissue,KandK
eschar.
OlderKclientsKareKatKhighestKriskRforKabuseKandKneglectKdueKtoKwhichKfactors?K(SelectKallKthatKapply
)
a) NeedsKareKgreaterKthanKtheKcaretaker'sKability
b) Client'sKdecliningKstrength
c) FixedKincome
d) LongerKlifeKexpectancy
e) LackKofKexposureKtoKtechnologyKandKtrendsK-KCORRECTKANSWERK--
NeedsKareKgreaterKthanKtheKcaretaker'sKabilitiesK(whenKneedsKareKnotKbeingKmetKdueKtoKlackKofKabKi
lityKofKtheKcaretaker,KstressKandKfeelingsKofKfailureKofKtheKcareKproviderKmayKbeKexpressedKthrougKh
KneglectKandKabuse).
-
Client'sKdecliningKstrengthK(declineKinKstrengthKincreasesKtheKolderKclient'sKvulnerabilityKtoKresistKoK
rKrespondKtoKelderKabuse).
AK64-year-
oldKclientKisKadmittedKtoKtheKhospitalKwithKaKfracturedKrightKhip.KOneKofKtheKconcernsKfollowingKsuKrgic
alKrepairKisKtoKpromoteKdorsiflexion.KWhichKinterventionKwouldKaKnurseKimplement?
a) BeginKearlyKambulation
b) MonitorKpainKlevel
c) ProvideKPCAKinstructions
d) ProvideKaKfootKboardK-KCORRECTKANSWERK-ProvideKaKfootKboard
-
AKfootboardKsupportsKtheKfeetKinKdorsiflexionKandKhelpsKpreventKfootKdropKthroughoutKtheKrecoveK
ry.
DuringKtheKquarterlyKevaluationsKofKtheKclientsKinKtheKassistedKlivingKcommunity,KtheKregisteredKnK
urseK(RN)KassessesKforKfindingsKofKfailureKtoKthriveKinKtheKolderKpopulation.KWhichKfindingsKshould
with Correct Answers
The nursing assessment of an older female elicits information that the client is diagnosed with R
aynaud's phenomenon. Which exposure should the nurse instruct the client to avoid?
a) Alcohol consumption
b) Warm climates
c) Cold climates
d) Active exercise - CORRECT ANSWER -Cold Climates
-
Can cause prolonged painful vasoconstriction of the peripheral extremities (especially hands) in
client's with Raynaud's phenomenon.
A family member brings their aging father to the clinic because he has been alert and oriented d
uring the day but agitated and disoriented in the evening. The registered nurse (RN) reviews the
client's list of current medications with the client and family. Which action taken by the RN is m
ost important?
a) Medication review with family caregivers is the PN's responsibility
b) Multiple medications can contribute to sundowner like symptoms
c) Medication recall is the best way to evaluate the client's memory
d) Reviewing medication actions is a component of effective client care - CORRECT ANSWER -
Multiple medications can contribute to sundowner like symptoms
-
Older clients may see a variety of healthcare providers which can increase the change of polyph
armacy that compounds the workload of metabolicRpathways that may be less efficient due to t
he aging process. Multiple medication interactions may contribute to sundowner like symptoms.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left for
earm for hemodialysis. After palpating the AV fistula, which finding is an indication that the AV fi
stula is functioning properly?
,a) Enlarged veins
b) Redness around the site
c) Decreased pulses below the fistula
d) Marked ecchymotic areas - CORRECT ANSWER -Enlarged Veins
-
The mixing of arterial and venous blood in an AV fistula causes the veins to enlarge, which facilit
ate cannulation for hemodialysis
When assessing an older client, which age-
related changes in the cardiovascular system should the registered nurse (RN) document? (Selec
t all that apply).
a) Dyspnea
b) Chest pain
c) Cardiac murmurs
d) WideningRpulse pressure
e) Irregular heart rate - CORRECT ANSWER --Cardiac murmurs
-Widening pulse pressure
The home health registered nurse (RN) is changing an older client's wet to dry dressing. Which o
bservation should the RN evaluate as a therapeutic response with the removal of the dry dressi
ng?
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 - CORRECT ANSWER -
Debridement and removal of slough and eschar
-
Wet to dry dressings begin with a wet packing inside of the wound, and then a dry gauze is used
to cover the wet packing to wick drainage and bacteria away from the wound to promote heali
, ng.KRemovalKofKdriedKdressingKprovidesKdebridementKbyKremovingKexudate,KsloughingKtissue,KandK
eschar.
OlderKclientsKareKatKhighestKriskRforKabuseKandKneglectKdueKtoKwhichKfactors?K(SelectKallKthatKapply
)
a) NeedsKareKgreaterKthanKtheKcaretaker'sKability
b) Client'sKdecliningKstrength
c) FixedKincome
d) LongerKlifeKexpectancy
e) LackKofKexposureKtoKtechnologyKandKtrendsK-KCORRECTKANSWERK--
NeedsKareKgreaterKthanKtheKcaretaker'sKabilitiesK(whenKneedsKareKnotKbeingKmetKdueKtoKlackKofKabKi
lityKofKtheKcaretaker,KstressKandKfeelingsKofKfailureKofKtheKcareKproviderKmayKbeKexpressedKthrougKh
KneglectKandKabuse).
-
Client'sKdecliningKstrengthK(declineKinKstrengthKincreasesKtheKolderKclient'sKvulnerabilityKtoKresistKoK
rKrespondKtoKelderKabuse).
AK64-year-
oldKclientKisKadmittedKtoKtheKhospitalKwithKaKfracturedKrightKhip.KOneKofKtheKconcernsKfollowingKsuKrgic
alKrepairKisKtoKpromoteKdorsiflexion.KWhichKinterventionKwouldKaKnurseKimplement?
a) BeginKearlyKambulation
b) MonitorKpainKlevel
c) ProvideKPCAKinstructions
d) ProvideKaKfootKboardK-KCORRECTKANSWERK-ProvideKaKfootKboard
-
AKfootboardKsupportsKtheKfeetKinKdorsiflexionKandKhelpsKpreventKfootKdropKthroughoutKtheKrecoveK
ry.
DuringKtheKquarterlyKevaluationsKofKtheKclientsKinKtheKassistedKlivingKcommunity,KtheKregisteredKnK
urseK(RN)KassessesKforKfindingsKofKfailureKtoKthriveKinKtheKolderKpopulation.KWhichKfindingsKshould
