Gerontology HESI test
The practical nurse is implementing a self-medication program for an older resident who is newly
admitted to an assisted living community. Which actions should the PN implement to provide the
resident ways to maintain safe medication administration? - correct answer• Locked medication storage
in the clients room
• Medication administration record(MAR)
• Delivery of adequate supply of medication
• List of findings indicating medication effectiveness
Which age-related changes in the cardiovascular system should the practical nurse document when
evaluating an older client? - correct answer• Cardiac Murmurs
• Widening pulse pressure
An older client who recently moved into an assisted living community refuses to eat or join any
activities. When evaluating the client further what should the practical nurse focus on during the next
examination? - correct answerdepression
The practical nurse is caring for an elderly client with functional incontinence who lives in an assisted
living community. The client is alert, mildly confused, and can self ambulate. Which nursing intervention
should the PN implement? - correct answer• Offer assistance with toiling q2 hours.
The healthcare provider prescribes a new medication, atrovastatin(Lipitor), for an older client who
arrives at the clinic for an annual physical examination. What common side effect should the practical
nurse advise the client to observe for with this medication? - correct answerheadaches
The practical nurse 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? - correct answerReport abdominal distention, constipation or any nausea and vomiting
to the health care provider.
, An older male client asks the practical nurse how he can reduce his incidents of hemorrhoidal flare ups.
What information should the PN offer the client to prevent rectal discomfort? - correct answer•
Increase fiber and liquids in diet to help prevent constipation and straining
• Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting.
• Take frequent warm sitz baths and use non abrasive tissue that can tramatize tissues.
• 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? - correct answer• Certain medications may impact
sexual function
During the quarterly evaluations of the clients in the assisted living community, the practical nurse
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? - correct answer• Unintentional
weight loss
• Increased weakness
• Increased amounts of sleep
The practical nurse 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? - correct
answer• Minimize stress level by providing the client quite environment during meals
• Provide food variations that the client can manage without assistance
An older woman asks the practical nurse how she can decrease her chances of getting cystitis. What
information should the PN provide? - correct answer• Void and empty bladder completely q2 to 3 hours
An older male client with Parkinson's disease is discharged home with levopoda-carbidopa (Sinement)
and instructions to his wife for his care. Which statement best indicates tot he practical nurse that his
wife understands her husbands needs? - correct answer• "I will notify the healthcare provider if my
husband has increasing involuntary movement of his extremities."
The home health practical nurse visits an older woman with heart failure who is on complete bed rest.
Which intervention is most important for the practical nurse to suggest to the client to prevent
complications related to immobility? - correct answerPerform leg exercises while in bed
The practical nurse is implementing a self-medication program for an older resident who is newly
admitted to an assisted living community. Which actions should the PN implement to provide the
resident ways to maintain safe medication administration? - correct answer• Locked medication storage
in the clients room
• Medication administration record(MAR)
• Delivery of adequate supply of medication
• List of findings indicating medication effectiveness
Which age-related changes in the cardiovascular system should the practical nurse document when
evaluating an older client? - correct answer• Cardiac Murmurs
• Widening pulse pressure
An older client who recently moved into an assisted living community refuses to eat or join any
activities. When evaluating the client further what should the practical nurse focus on during the next
examination? - correct answerdepression
The practical nurse is caring for an elderly client with functional incontinence who lives in an assisted
living community. The client is alert, mildly confused, and can self ambulate. Which nursing intervention
should the PN implement? - correct answer• Offer assistance with toiling q2 hours.
The healthcare provider prescribes a new medication, atrovastatin(Lipitor), for an older client who
arrives at the clinic for an annual physical examination. What common side effect should the practical
nurse advise the client to observe for with this medication? - correct answerheadaches
The practical nurse 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? - correct answerReport abdominal distention, constipation or any nausea and vomiting
to the health care provider.
, An older male client asks the practical nurse how he can reduce his incidents of hemorrhoidal flare ups.
What information should the PN offer the client to prevent rectal discomfort? - correct answer•
Increase fiber and liquids in diet to help prevent constipation and straining
• Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting.
• Take frequent warm sitz baths and use non abrasive tissue that can tramatize tissues.
• 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? - correct answer• Certain medications may impact
sexual function
During the quarterly evaluations of the clients in the assisted living community, the practical nurse
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? - correct answer• Unintentional
weight loss
• Increased weakness
• Increased amounts of sleep
The practical nurse 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? - correct
answer• Minimize stress level by providing the client quite environment during meals
• Provide food variations that the client can manage without assistance
An older woman asks the practical nurse how she can decrease her chances of getting cystitis. What
information should the PN provide? - correct answer• Void and empty bladder completely q2 to 3 hours
An older male client with Parkinson's disease is discharged home with levopoda-carbidopa (Sinement)
and instructions to his wife for his care. Which statement best indicates tot he practical nurse that his
wife understands her husbands needs? - correct answer• "I will notify the healthcare provider if my
husband has increasing involuntary movement of his extremities."
The home health practical nurse visits an older woman with heart failure who is on complete bed rest.
Which intervention is most important for the practical nurse to suggest to the client to prevent
complications related to immobility? - correct answerPerform leg exercises while in bed
