HESI PN Gerontology Practice Exam (2022 – 2023)
RATED A+.
The practical nurse (PN) 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? (select all that apply.)
A. Locked medication storage in the client's room.
B. Medication Administration Record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
Which age-related changes in the cardiovascular system should the practical
nurse (PN) document when evaluating an older client? (select all that apply.)
C. Cardiac murmurs.
D. 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 (PN) focus on during the next examination?
Depression.
The practical nurse (PN) 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?
Offer assistance with toileting 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 (PN) advise the client to observe
for with this medication?
Headaches.
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?
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.)
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?
, 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.)
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.)
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?
Void and empty bladder completely q2 to 3 hours.
An older male client with Parkinson's disease (PD) is discharged home with
levopoda-carbidopa (Sinemet) and instructions to his wife for his care. Which
statement best indicated to the practical nurse that the wife understands her
husband's needs?
"I will notify the healthcare provider if my husband has increasing involuntary
movements of his extremities.
The home health practical nurse (PN) visits an older woman with heart failure (HF)
who is on complete bed rest. Which intervention is most important for the
practical nurse (PN) to suggest to the client to prevent complications related to
immobility?
Perform leg exercises while in bed.
An older male client is admitted to the hospital with left sided heart failure (HF).
Which finding should the practical nurse document that is consistent of HF?
Coarse and fine crackles.
An older female client who has been taking hydrocodone/ acetaminophen
(Lortab) q4 hours for chronic back pain for the past 5 years, tells the practical
nurse (PN) that she cannot live without her pain pills. When asked if she is
addicted, the client states that she is not an addict because the healthcare
provider prescribed the pain pills. Which coping mechanism should the PN
determine the client is using about her addiction?
Rationalization to support narcotic use.
An older male client with heart failure (HF) complains of chronic constipation and
wants to retrain his bowel. Which information should the practical nurse (PN)
offer the client in establishing regular bowel habits
Add whole grain foods and fibrous vegetables to diet.
The home health practical nurse (PN) is visiting an older client with chronic
hypertension. What evaluation is most important for the PN to complete with each
visit?
Effectiveness of medication.
RATED A+.
The practical nurse (PN) 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? (select all that apply.)
A. Locked medication storage in the client's room.
B. Medication Administration Record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
Which age-related changes in the cardiovascular system should the practical
nurse (PN) document when evaluating an older client? (select all that apply.)
C. Cardiac murmurs.
D. 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 (PN) focus on during the next examination?
Depression.
The practical nurse (PN) 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?
Offer assistance with toileting 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 (PN) advise the client to observe
for with this medication?
Headaches.
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?
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.)
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?
, 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.)
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.)
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?
Void and empty bladder completely q2 to 3 hours.
An older male client with Parkinson's disease (PD) is discharged home with
levopoda-carbidopa (Sinemet) and instructions to his wife for his care. Which
statement best indicated to the practical nurse that the wife understands her
husband's needs?
"I will notify the healthcare provider if my husband has increasing involuntary
movements of his extremities.
The home health practical nurse (PN) visits an older woman with heart failure (HF)
who is on complete bed rest. Which intervention is most important for the
practical nurse (PN) to suggest to the client to prevent complications related to
immobility?
Perform leg exercises while in bed.
An older male client is admitted to the hospital with left sided heart failure (HF).
Which finding should the practical nurse document that is consistent of HF?
Coarse and fine crackles.
An older female client who has been taking hydrocodone/ acetaminophen
(Lortab) q4 hours for chronic back pain for the past 5 years, tells the practical
nurse (PN) that she cannot live without her pain pills. When asked if she is
addicted, the client states that she is not an addict because the healthcare
provider prescribed the pain pills. Which coping mechanism should the PN
determine the client is using about her addiction?
Rationalization to support narcotic use.
An older male client with heart failure (HF) complains of chronic constipation and
wants to retrain his bowel. Which information should the practical nurse (PN)
offer the client in establishing regular bowel habits
Add whole grain foods and fibrous vegetables to diet.
The home health practical nurse (PN) is visiting an older client with chronic
hypertension. What evaluation is most important for the PN to complete with each
visit?
Effectiveness of medication.
