Evolve HESI Practice Exam

Which assessment finding should prompt further evaluation in a geriatric patient?

1. Sudden weight loss

2. Minor cognitive decline

3. Occasional dizziness when standing

4. Frequent sleepiness during the day

The correct answer is: Sudden weight loss

Sudden weight loss in a geriatric patient is a significant concern and warrants further evaluation. In older adults, unintentional weight loss can be an indicator of various underlying health issues, such as malnutrition, chronic illness, or depression. It can also affect strength and the immune system, complicating any existing health conditions and potentially leading to adverse outcomes. While minor cognitive decline, occasional dizziness, and frequent sleepiness may also be noteworthy, they do not present the same immediate implications that sudden weight loss does. Minor cognitive decline can be common in aging but does not necessarily indicate an urgent medical issue, whereas occasional dizziness often relates to benign processes like orthostatic hypotension or medication side effects. Frequent sleepiness, while concerning, can often be attributed to lifestyle factors or medication, but sudden weight loss typically suggests a more serious problem requiring prompt attention to prevent further health deterioration.