HESI PN GERONTOLOGY EXAM 290 2026
ELDERLY CARE STUDY GUIDE COMPLETE
QUESTIONS AND ANSWERS
◉ The practical nurse (PN) 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? Answer: Report abdominal distention,
constipation, or any nausea and vomiting to the health care provider.
◉ An older client asks the practical nurse (PN) how he can reduce
his incidents of hemorrhoidal flare ups. What information should
the PN offer the client to prevent rectal discomfort?( Select all that
apply.) Answer: A. Increase fiber and liquids in the diet to help
prevent constipation and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of
prolonged sitting.
D. Take frequent warm sitz baths and use non-abrasive tissue that
can tramatize tissues.
E. Establish bowel habits by scheduling time where the client is not
rushed to defecate daily.
◉ An older male client is seeking counseling about his recent sexual
issues with his partner. What issue should the practical nurse
, explore in this discussion? Answer: Certain medications may impact
sexual function.
◉ During the quarterly evaluations of the clients in the assisted
living community, the practical nurse (PN) observes for findings of
failure to thrive in the gerian population. Which findings should the
PN document and report as manifestations related to failure to
thrive? (selct all that apply.) Answer: A. Unintentional weigh loss
B. Increased weakness.
C. Increased amounts of sleep.
◉ The practical nurse (PN) is reinforcing discharge instructions to
the family of an older client with failure to thrive. What information
should the PN include to promote nutritional intake for the client?
(Select all that apply.) Answer: A. Minimize stress level by providing
the client a quiet environment during meals.
B. Provide food variations that the client can manage without
assistance.
◉ An older woman asks the practical nurse (PN) how she can
decrease her chances of getting cystitis. What information should
the PN provide? Answer: Void and empty bladder completely q2 to 3
hours.
ELDERLY CARE STUDY GUIDE COMPLETE
QUESTIONS AND ANSWERS
◉ The practical nurse (PN) 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? Answer: Report abdominal distention,
constipation, or any nausea and vomiting to the health care provider.
◉ An older client asks the practical nurse (PN) how he can reduce
his incidents of hemorrhoidal flare ups. What information should
the PN offer the client to prevent rectal discomfort?( Select all that
apply.) Answer: A. Increase fiber and liquids in the diet to help
prevent constipation and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of
prolonged sitting.
D. Take frequent warm sitz baths and use non-abrasive tissue that
can tramatize tissues.
E. Establish bowel habits by scheduling time where the client is not
rushed to defecate daily.
◉ An older male client is seeking counseling about his recent sexual
issues with his partner. What issue should the practical nurse
, explore in this discussion? Answer: Certain medications may impact
sexual function.
◉ During the quarterly evaluations of the clients in the assisted
living community, the practical nurse (PN) observes for findings of
failure to thrive in the gerian population. Which findings should the
PN document and report as manifestations related to failure to
thrive? (selct all that apply.) Answer: A. Unintentional weigh loss
B. Increased weakness.
C. Increased amounts of sleep.
◉ The practical nurse (PN) is reinforcing discharge instructions to
the family of an older client with failure to thrive. What information
should the PN include to promote nutritional intake for the client?
(Select all that apply.) Answer: A. Minimize stress level by providing
the client a quiet environment during meals.
B. Provide food variations that the client can manage without
assistance.
◉ An older woman asks the practical nurse (PN) how she can
decrease her chances of getting cystitis. What information should
the PN provide? Answer: Void and empty bladder completely q2 to 3
hours.
