HESI PN-GERONTOLOGY EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
A male client is seen in the clinic for benign prostatic hypertrophy (BPH). Which intervention
is essential for the practical nurse (PN) to include in the client's visit?
a. Reeducate the client about limiting fluid intake.
b. Reassure the client that his BPH is a non-life-threatening condition.
c. Assess the client for urinary hesitancy and weak or split urinary stream.
d. Inform the client that there may be a genetic predisposition for male family members. -
CORRECT-ANSWERS*************c. Assess the client for urinary hesitancy and weak or
split urinary stream.
,These symptoms may indicate progression of BPH to partial obstruction of the urethra, a
medical emergency, and need to be reported to the health care provider. Fluids should be
encouraged, not limited; hydration needs to be maintained.
The oral temperature of a client with a urinary tract infection is 103° F. Which intervention
should the practical nurse (PN) implement first?
a. Instruct the client on proper hygienic practices.
b. Observe the color or odor of urine.
c. Recheck the temperature rectally.
d. Encourage fluid intake. - CORRECT-ANSWERS*************d. Encourage fluid intake.
,Fluids help to reduce fever as quickly and it is important to lower the temperature as soon as
possible.
An older adult client is being treated for toxicity related to medication use. When reviewing
the client's medical records, the nurse is most likely to find which factor is correlated with this
problem?
a. The client has forgotten to take several doses of medication.
b. The client's white blood cell count has steadily increased.
c. The client's liver function has decreased since last year.
d. The client has gained 40 pounds (18.2 kg) over 3 years. - CORRECT-
ANSWERS*************c. The client's liver function has decreased since last year.
, With aging, liver function decreases, affecting drug metabolism and detoxification. Forgetting
to take doses of medication would not cause drug toxicity; excessive doses could cause
toxicity. Elevated white blood cell counts and weight gain would not likely cause drug toxicity.
The practical nurse (PN) assesses the older adult client's skin for signs of breakdown and
observes that the skin is intact. What interventions by the PN will help maintain healthy skin
integrity?
a. Keep the client well hydrated.
b. Remove adhesive tape quickly from the skin.
c. Avoid creams or lotions to ensure that the skin stays dry.
d. Scrub the perineum with a wet cloth after a bowel movement. - CORRECT-
ANSWERS*************a. Keep the client well hydrated.
CORRECT QUESTIONS AND ANSWERS
2025
A male client is seen in the clinic for benign prostatic hypertrophy (BPH). Which intervention
is essential for the practical nurse (PN) to include in the client's visit?
a. Reeducate the client about limiting fluid intake.
b. Reassure the client that his BPH is a non-life-threatening condition.
c. Assess the client for urinary hesitancy and weak or split urinary stream.
d. Inform the client that there may be a genetic predisposition for male family members. -
CORRECT-ANSWERS*************c. Assess the client for urinary hesitancy and weak or
split urinary stream.
,These symptoms may indicate progression of BPH to partial obstruction of the urethra, a
medical emergency, and need to be reported to the health care provider. Fluids should be
encouraged, not limited; hydration needs to be maintained.
The oral temperature of a client with a urinary tract infection is 103° F. Which intervention
should the practical nurse (PN) implement first?
a. Instruct the client on proper hygienic practices.
b. Observe the color or odor of urine.
c. Recheck the temperature rectally.
d. Encourage fluid intake. - CORRECT-ANSWERS*************d. Encourage fluid intake.
,Fluids help to reduce fever as quickly and it is important to lower the temperature as soon as
possible.
An older adult client is being treated for toxicity related to medication use. When reviewing
the client's medical records, the nurse is most likely to find which factor is correlated with this
problem?
a. The client has forgotten to take several doses of medication.
b. The client's white blood cell count has steadily increased.
c. The client's liver function has decreased since last year.
d. The client has gained 40 pounds (18.2 kg) over 3 years. - CORRECT-
ANSWERS*************c. The client's liver function has decreased since last year.
, With aging, liver function decreases, affecting drug metabolism and detoxification. Forgetting
to take doses of medication would not cause drug toxicity; excessive doses could cause
toxicity. Elevated white blood cell counts and weight gain would not likely cause drug toxicity.
The practical nurse (PN) assesses the older adult client's skin for signs of breakdown and
observes that the skin is intact. What interventions by the PN will help maintain healthy skin
integrity?
a. Keep the client well hydrated.
b. Remove adhesive tape quickly from the skin.
c. Avoid creams or lotions to ensure that the skin stays dry.
d. Scrub the perineum with a wet cloth after a bowel movement. - CORRECT-
ANSWERS*************a. Keep the client well hydrated.
