HESI PN GERONTOLOGY ACTUAL EXAM 3 LATEST VERSIONS (VERSION
A, B AND C) EACH VERSION CONTAINS 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES | ALREADY GRADED 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.) - ANSWER: 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.) - ANSWER: 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? - ANSWER: 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? - ANSWER:
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? - ANSWER: 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? - 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.
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? - ANSWER: "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? -
ANSWER: 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? -
ANSWER: 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? - ANSWER: Rationalization to support narcotic use.
A, B AND C) EACH VERSION CONTAINS 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES | ALREADY GRADED 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.) - ANSWER: 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.) - ANSWER: 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? - ANSWER: 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? - ANSWER:
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? - ANSWER: 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? - 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.
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? - ANSWER: "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? -
ANSWER: 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? -
ANSWER: 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? - ANSWER: Rationalization to support narcotic use.
