HESI GERIATRICS FINAL EXAM
QUESTIONS AND CORRECT
VERIFIED SOLUTIONS 2025/2026
GRADED A+ .
,1. Your older female patient is complaining because she is having frequent UTIs. Which normal age-related
change is most likely to be a contributing factor?
ch. 3 CORRECT ANSWER Decreased bladder muscle tone
2. Which are normal age-related changes? (Select all that apply.) ch. 3 CORRECT ANSWER
1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
3. What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all that apply.)
ch. 3 CORRECT ANSWER 1 Rigidity and tremors when at
rest 3 Dementia
4. An older adult is coming to your clinic for treatment for a gastric ulcer.Which treatment would the nurse expect to
be ordered?
ch.3 CORRECT ANSWER Antibiotics
5. What should the nurse explain when discussing expected changes in the female reproductive system to an
older adult?
ch. 3 CORRECT ANSWER Production of vaginal secretions decreases
6. The nurse performs a skin assessment of an older adult. Which finding is abnormal and needs to be
reported?
ch. 3 CORRECT ANSWER A dark, elevated patch that bleeds when touched
7. The nurse encourages the patient to maintain a steady weight in the recom- mended range to decrease risk of
which common endocrine disease observed in older adults?
ch. 3 CORRECT ANSWER Diabetes mellitus
8. What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 CORRECT ANSWER One 30-minute walk, 3 to 5 times a week
9. The nurse recognizes that regular dental visits are CORRECT ANSWER
ch.4 CORRECT ANSWER Recommended on a yearly basis for all older adults, even those with dentures.
10. An older adult does not follow through with health recommendations from the primary health care provider.
The older adult does not take prescribed medications or keep medical appointments.Which patient problem should
the LPN/LVN anticipate seeing on the care plan?
ch. 4 CORRECT ANSWER Nonadherence with the treatment plan
11. Which immunizations should older adults receive on a yearly basis? (Se- lect all that apply.)
ch. 4 CORRECT ANSWER Influenza vaccine
, 12. When attempting to help an older adult improve his or her health mainte- nance practices, the nurse will
need to assess which factors? (Select all that apply.)
ch.4 CORRECT ANSWER
Cultural beliefs Socioeconomic
status Religious beliefs
Educational level
13. Your patient tells you she understands that she is at greater risk of certain diseases because of her Hispanic
American heritage. Based on what you have learned, which disorder(s) might she be at greater risk for? (Select all
that apply.)
ch.4 CORRECT ANSWER
Obesity Stomach cancer
Diabetes mellitus Cervical
cancer
14. Which interventions would be appropriate when teaching a patient with presbycusis? (Select all that
apply.)
ch. 5 CORRECT ANSWER Use visual cues or written
materials. Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
15. The nurse is caring for an older adult in a rehabilitation unit.Which actions by the nurse are most likely to
enhance communication with the patient? (Select all that apply.)
ch. 5 CORRECT ANSWER Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
16. A nurse is caring for an older adult who is upset about having to move into a skilled nursing facility. Which
communication technique used by the nurse is most effective at establishing an empathetic climate?
ch. 5 CORRECT ANSWER Open-ended responses
17. A nurse is discharging an older adult patient from a rehabilitation facility after a left hip replacement. The
nurse providing discharge teaching knows that older adults are most responsive to what type of information?
ch. 5 CORRECT ANSWER When the information is relevant to their lives
18. An older adult who resides in a long-term care facility has been refusing food and fluids for the past 2 days.
He repeatedly says, "Leave me alone!" What is the best initial nursing intervention?
QUESTIONS AND CORRECT
VERIFIED SOLUTIONS 2025/2026
GRADED A+ .
,1. Your older female patient is complaining because she is having frequent UTIs. Which normal age-related
change is most likely to be a contributing factor?
ch. 3 CORRECT ANSWER Decreased bladder muscle tone
2. Which are normal age-related changes? (Select all that apply.) ch. 3 CORRECT ANSWER
1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
3. What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all that apply.)
ch. 3 CORRECT ANSWER 1 Rigidity and tremors when at
rest 3 Dementia
4. An older adult is coming to your clinic for treatment for a gastric ulcer.Which treatment would the nurse expect to
be ordered?
ch.3 CORRECT ANSWER Antibiotics
5. What should the nurse explain when discussing expected changes in the female reproductive system to an
older adult?
ch. 3 CORRECT ANSWER Production of vaginal secretions decreases
6. The nurse performs a skin assessment of an older adult. Which finding is abnormal and needs to be
reported?
ch. 3 CORRECT ANSWER A dark, elevated patch that bleeds when touched
7. The nurse encourages the patient to maintain a steady weight in the recom- mended range to decrease risk of
which common endocrine disease observed in older adults?
ch. 3 CORRECT ANSWER Diabetes mellitus
8. What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 CORRECT ANSWER One 30-minute walk, 3 to 5 times a week
9. The nurse recognizes that regular dental visits are CORRECT ANSWER
ch.4 CORRECT ANSWER Recommended on a yearly basis for all older adults, even those with dentures.
10. An older adult does not follow through with health recommendations from the primary health care provider.
The older adult does not take prescribed medications or keep medical appointments.Which patient problem should
the LPN/LVN anticipate seeing on the care plan?
ch. 4 CORRECT ANSWER Nonadherence with the treatment plan
11. Which immunizations should older adults receive on a yearly basis? (Se- lect all that apply.)
ch. 4 CORRECT ANSWER Influenza vaccine
, 12. When attempting to help an older adult improve his or her health mainte- nance practices, the nurse will
need to assess which factors? (Select all that apply.)
ch.4 CORRECT ANSWER
Cultural beliefs Socioeconomic
status Religious beliefs
Educational level
13. Your patient tells you she understands that she is at greater risk of certain diseases because of her Hispanic
American heritage. Based on what you have learned, which disorder(s) might she be at greater risk for? (Select all
that apply.)
ch.4 CORRECT ANSWER
Obesity Stomach cancer
Diabetes mellitus Cervical
cancer
14. Which interventions would be appropriate when teaching a patient with presbycusis? (Select all that
apply.)
ch. 5 CORRECT ANSWER Use visual cues or written
materials. Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
15. The nurse is caring for an older adult in a rehabilitation unit.Which actions by the nurse are most likely to
enhance communication with the patient? (Select all that apply.)
ch. 5 CORRECT ANSWER Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
16. A nurse is caring for an older adult who is upset about having to move into a skilled nursing facility. Which
communication technique used by the nurse is most effective at establishing an empathetic climate?
ch. 5 CORRECT ANSWER Open-ended responses
17. A nurse is discharging an older adult patient from a rehabilitation facility after a left hip replacement. The
nurse providing discharge teaching knows that older adults are most responsive to what type of information?
ch. 5 CORRECT ANSWER When the information is relevant to their lives
18. An older adult who resides in a long-term care facility has been refusing food and fluids for the past 2 days.
He repeatedly says, "Leave me alone!" What is the best initial nursing intervention?
