Hesi PN-Gerontology | 2025/2026/ RN Exam | latest update
Questions in this set (73)
A male client is seen in the clinic for benign c. Assess the client for urinary hesitancy and weak or split urinary stream.
prostatic hypertrophy (BPH). Which
intervention is essential for the practical
nurse (PN) to include in the client's These symptoms may indicate progression of BPH to partial obstruction of the
visit? 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.
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.
The oral temperature of a client with a d. Encourage fluid intake.
urinary tract infection is 103° F. Which
intervention should the practical nurse
(PN) implement first? Fluids help to reduce fever as quickly and it is important to lower the temperature as
soon as possible.
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.
,An older adult client is being treated for c. The client's liver function has decreased since last year.
toxicity related to medication use. When
reviewing the client's medical records, the With aging, liver function decreases, affecting drug metabolism and detoxification.
nurse is most likely to find which factor is Forgetting to take doses of medication would not cause drug toxicity; excessive
correlated with this problem? doses could cause toxicity. Elevated white blood cell counts and weight gain would
not likely cause drug toxicity.
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.
The practical nurse (PN) assesses the a. Keep the client well hydrated.
older adult client's skin for signs of
breakdown and observes that the skin is Keeping the client well hydrated helps prevent skin cracking and infection.
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.
The nurse has reinforced education d. "I will make sure that I stand up slowly if I have been sitting down."
regarding safety aspects for
antihypertensive medication with an older Older adults are particularly likely to develop orthostatic hypotension after
adult. Which statement by the client best taking medications to treat hypertension. It is not necessary for the older adult to
indicates learning has been effective? stay in bed while taking this medication. Some medications should be taken with
food, others on an empty stomach. Each medication should be individually
a."I should rest in bed most of the researched. While it is important to prevent children from consuming medications
day when I take this medication." intended for the older adult, the focus of this question is the safety of the older
b."I will be sure to keep this medication adult.
out of the reach of children."
c. "I will need to make sure that I take this
medication with some food."
d."I will make sure that I stand up slowly if I
have been sitting down."
, An older adult client tells the nurse "I do d. Sexually transmitted diseases are possible to have at any age of your life.
not understand how I could have a
sexually transmitted disease! My partner Sexually transmitted diseases are possible at any age. It is inappropriate, untrue, and
seems like such a nice, clean person." ageist to comment that older adults are not interested in sexual relations. It is very
Which explanation should the nurse judgmental for the nurse to suggest the older adult should have sought their
provide? family's input or that the older adult should stop having sexual relations.
a.Most people in your age are
not interested in sexual
relationships.
b.You should have discussed this with
your family before you started dating.
c. Maybe you should go back to
just holding hands and hugging on
dates.
d. Sexually transmitted diseases are
possible to have at any age of your
life.
When observing an older client a. Observe for agitation at the end of the day.
with dementia for symptoms of
Sundowning syndrome, it is most Sundowning syndrome is a pattern of agitated behavior in the evening, believed to
important that the practical nurse (PN) be associated with tiredness at the end of the day combined with fewer
assesses for which finding? orienting stimuli, such as activities and interactions.
a.Observe for agitation at the end of
the day.
b.Perform a neurological and mental
status examination.
c. Monitor for medication side effects.
d.Assess for decreased gross motor
movement.
The practical nurse (PN) working at an a. Frequently neglects to shower and shave.
assisted living facility is visiting with a client
whose spouse died 8 months ago. Ineffective coping is manifested by behaviors that may be physically or
Which behavior by the client suggests psychologically harmful to the individual. Neglecting personal hygiene is an
ineffective coping with the spouse's example of ineffective coping.
death?
a.Frequently neglects to shower and
shave.
b.Insists on visiting the gravesite once
a month.
c.Joins an exercise class at the
assisted living facility.
d.Keeps their photo albums out and looks
through them frequently.
When initially monitoring a client after a a. Change in the level of consciousness
fall, which information should the practical e. Onset of nausea and vomiting
nurse (PN) communicate immediately to the
health care provider? (Select all that A decrease or change in the level of consciousness is usually the first indication of
apply.) neurological deterioration. Nausea and vomiting may also be present.
a.Change in the level of consciousness
b.Increasing muscular weakness
c. Changes in pupil size bilaterally
d.Progressive nuchal rigidity
e.Onset of nausea and vomiting
Questions in this set (73)
A male client is seen in the clinic for benign c. Assess the client for urinary hesitancy and weak or split urinary stream.
prostatic hypertrophy (BPH). Which
intervention is essential for the practical
nurse (PN) to include in the client's These symptoms may indicate progression of BPH to partial obstruction of the
visit? 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.
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.
The oral temperature of a client with a d. Encourage fluid intake.
urinary tract infection is 103° F. Which
intervention should the practical nurse
(PN) implement first? Fluids help to reduce fever as quickly and it is important to lower the temperature as
soon as possible.
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.
,An older adult client is being treated for c. The client's liver function has decreased since last year.
toxicity related to medication use. When
reviewing the client's medical records, the With aging, liver function decreases, affecting drug metabolism and detoxification.
nurse is most likely to find which factor is Forgetting to take doses of medication would not cause drug toxicity; excessive
correlated with this problem? doses could cause toxicity. Elevated white blood cell counts and weight gain would
not likely cause drug toxicity.
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.
The practical nurse (PN) assesses the a. Keep the client well hydrated.
older adult client's skin for signs of
breakdown and observes that the skin is Keeping the client well hydrated helps prevent skin cracking and infection.
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.
The nurse has reinforced education d. "I will make sure that I stand up slowly if I have been sitting down."
regarding safety aspects for
antihypertensive medication with an older Older adults are particularly likely to develop orthostatic hypotension after
adult. Which statement by the client best taking medications to treat hypertension. It is not necessary for the older adult to
indicates learning has been effective? stay in bed while taking this medication. Some medications should be taken with
food, others on an empty stomach. Each medication should be individually
a."I should rest in bed most of the researched. While it is important to prevent children from consuming medications
day when I take this medication." intended for the older adult, the focus of this question is the safety of the older
b."I will be sure to keep this medication adult.
out of the reach of children."
c. "I will need to make sure that I take this
medication with some food."
d."I will make sure that I stand up slowly if I
have been sitting down."
, An older adult client tells the nurse "I do d. Sexually transmitted diseases are possible to have at any age of your life.
not understand how I could have a
sexually transmitted disease! My partner Sexually transmitted diseases are possible at any age. It is inappropriate, untrue, and
seems like such a nice, clean person." ageist to comment that older adults are not interested in sexual relations. It is very
Which explanation should the nurse judgmental for the nurse to suggest the older adult should have sought their
provide? family's input or that the older adult should stop having sexual relations.
a.Most people in your age are
not interested in sexual
relationships.
b.You should have discussed this with
your family before you started dating.
c. Maybe you should go back to
just holding hands and hugging on
dates.
d. Sexually transmitted diseases are
possible to have at any age of your
life.
When observing an older client a. Observe for agitation at the end of the day.
with dementia for symptoms of
Sundowning syndrome, it is most Sundowning syndrome is a pattern of agitated behavior in the evening, believed to
important that the practical nurse (PN) be associated with tiredness at the end of the day combined with fewer
assesses for which finding? orienting stimuli, such as activities and interactions.
a.Observe for agitation at the end of
the day.
b.Perform a neurological and mental
status examination.
c. Monitor for medication side effects.
d.Assess for decreased gross motor
movement.
The practical nurse (PN) working at an a. Frequently neglects to shower and shave.
assisted living facility is visiting with a client
whose spouse died 8 months ago. Ineffective coping is manifested by behaviors that may be physically or
Which behavior by the client suggests psychologically harmful to the individual. Neglecting personal hygiene is an
ineffective coping with the spouse's example of ineffective coping.
death?
a.Frequently neglects to shower and
shave.
b.Insists on visiting the gravesite once
a month.
c.Joins an exercise class at the
assisted living facility.
d.Keeps their photo albums out and looks
through them frequently.
When initially monitoring a client after a a. Change in the level of consciousness
fall, which information should the practical e. Onset of nausea and vomiting
nurse (PN) communicate immediately to the
health care provider? (Select all that A decrease or change in the level of consciousness is usually the first indication of
apply.) neurological deterioration. Nausea and vomiting may also be present.
a.Change in the level of consciousness
b.Increasing muscular weakness
c. Changes in pupil size bilaterally
d.Progressive nuchal rigidity
e.Onset of nausea and vomiting
