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HESI RN GERONTOLOGY EXAM 1 QUESTIONS AND
ANSWERS GRADED A+ ASSURED SUCCESS NEW
UPDATE 2025/2026 (MULTIPLE CHOICES) WITH
RATIONALES.
- Question: An older client is transferred to a telemetry unit after placement of a
pacemaker. What action should the registered nurse (RN) take first?• A. View incision site • B. Obtain a blood pressure • C. Establish telemetry monitoring • D. Evaluate client for pain
Correct Answer: C. Establish telemetry monitoring.
Rationale: The first action is to establish continuous telemetry monitoring (C) to ensure the pacemaker is functioning properly. (A, B and D) should be implemented after the client's heart rate and rhythm are successfully being monitored.
- Question: A new resident in an assisted living facility is an older client who is
experiencing short-term memory loss and confusion. Which activity should the registered nurse (RN) schedule the client to do during the day?• A. Arts and crafts • B. Current events discussion group • C. Group sing-along • D. Daily exercise group
Correct Answer: D. Daily exercise group
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Rationale: A daily exercise group (D) allows the client to mirror the leader and minimizes the client's stress to remember. (A), (C), and a current events discussion group (B) are thought-provoking activities that require attention to detail and short-term memory to participate in the group activity which may be stressful and frustrating to the resident who has difficulty remembering sequence of the details.
- Question: A frail, elderly client is admitted to the unit with a diagnosis of pneumonia.
Which finding is most important for the registered nurse (RN) to report to the healthcare provider?• A. Fever and chills • B. Confusion and dehydration • C. Crackles in the lung fields • D. Nausea and vomiting
Correct Answer: B. Confusion and dehydration
Rationale: Confusion and dehydration (B) are findings of inadequate oxygenation and perfusion in this frail elderly client. (A), (C) and (D) are all common with pneumonia, but the most important finding is confusion and evidence of dehydration, which require treatment for this frail elderly client.
- Question: The registered nurse (RN) is caring for an older female client with a 20 year
history of rheumatoid arthritis (RA), who is admitted for carpel 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
Correct Answer: B. Small joint involvement in fingers.
Rationale: Small joint involvement (B) is common in rheumatoid arthritis. (A), (C) and (D) are findings that differentiate OA from RA.
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- Question: A frail elderly couple asks the registered nurse (RN) if they have to watch their
salt intake because food does not taste as good as it used to so they have to season most foods. What information should the RN offer the couple?• A. Boredom may influence how the taste of food is perceived, and different seasonings can stimulate taste.• B. With age, an increase in sodium intake is needed to compensate for a decrease in renal function.• C. Short-term memory loss and confusion may be the reason they want to over- season their food.• D. Taste buds often are dull due to atrophy so older clients should use other seasonings instead of salt.Correct Answer: D. Taste buds often are dull due to atrophy so older clients should use other seasonings instead of salt.Rationale: Taste buds atrophy with normal aging, which influences an older client's sensitivity to taste and is often compensated for the use of stronger tasting seasonings. (A), (B), and (C) are not normal aging processes related to taste.
- Question: The registered nurse (RN) is re-enforcing discharge instructions with the
family of an older client who was recently admitted for an intestinal obstruction. Which statement indicates that the family understands the instructions?• A. Increase protein and carbohydrates in the daily diet • B. Limit activity to bed rest for the first week and increase mobility incrementally each week • C. Report abdominal distention, constipation or any other nausea and vomiting to the healthcare provider • D. Drink liquids 2 hours after meals instead of during meals
Correct Answer: C. Report abdominal distention, constipation, or any nausea and
vomiting to the healthcare provider.Rationale: (C) are symptoms that occur with intestinal obstruction and should be addressed immediately. (A, B, and D) are not indicated for a client who has been discharged for intestinal obstruction.
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- Question: After taking a 10-day course of an antibiotic that was ineffective, a frail,
elderly client with chronic obstructive pulmonary disease (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 registered nurse (RN) report to the healthcare provider?• 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
Correct Answer: B. Crackles and pulse oximetry level of 88%
Rationale: With pneumonia, crackles in the lungs and low O2 saturation (B) can impact adequate oxygenation, which should be reported to the HCP. (A) occurs due to chronic hyperinflation of the lungs and is common in clients with COPD. Anemia (C) is frequently identified in clients with COPD, and respiratory acidosis (D) due to CO2 retention contributes to a lower blood pH.
- Question: An older male client arrives at the clinic for an annual physical examination.
While the nurse assesses the client, the client states that he is having intimacy problems with his wife. Which information should the nurse provide to elicit more information from the client?• A. Query client to clarify the client's idea of an intimacy problem.• B. Discuss benign prostatic hypertrophy (BPH) and ejaculation.• C. Explore the frequency that he experiences erectile dysfunction (ED) • D. Determine if the client's wife is young enough to get pregnant Correct Answer: A. Query client to clarify the client's idea of an intimacy problem.Rationale: Clarification of the client's concern is needed to appropriately address the specific concern about intimacy issues (A). (B), (C), and (D) are details that the client should present, not the RN.
