1|Page
HESI PN GERONTOLOGY V1 & V2 NEWEST 2026/ 2027
TEST BANK| EVOLVE HESI (PN) GERONTOLOGY
EXIT EXAM PREP WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
HESI PN GERONTOLOGY V1
An older adult client is seen in the clinic for problems with urinary
frequency, urgency, and nocturia. The symptoms are an example of
which condition?
a. Urinary tract infection (UTI)
b. Normal aging changes
c. Side effect of the diuretic furosemide
d. Partial obstruction of the urethra - Correct Answer - b. Normal aging
changes
Normal aging changes in the bladder are decreased capacity, increased
irritability, and incomplete emptying; these changes lead to frequency,
nocturia, urgency, and vulnerability to infection. The majority of UTIs in
the older adult are asymptomatic. Classic signs of UTIs are fever,
dysuria, and flank pain.
An older client is admitted to the hospital after experiencing confusion,
nausea and vomiting, and headache for several days. The client's pulse
rate is 43 beats/min. The practical nurse (PN) is most concerned about
the client's history related to what medication?
a. Warfarin
b. Ibuprofen
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c. Nitroglycerin
d. Digoxin - Correct Answer - d. Digoxin
Older adult persons are particularly susceptible to the buildup of cardiac
glycosides such as digoxin which leads to a toxic level within their
systems. Toxicity can cause anorexia, nausea, vomiting, diarrhea,
headache, and fatigue.
The practical nurse (PN) is caring for a client who has been diagnosed
with early Alzheimer disease. With which activity does the PN expect
the client to experience the most difficulty?
a. Balancing a checkbook
b. Remembering his name
c. Performing activities of daily living (ADLs)
d. Recognizing friends and family members - Correct Answer - a.
Balancing a checkbook
In the early stages of Alzheimer disease, the client has difficulty with
complex tasks, such as balancing a checkbook.
The practical nurse (PN) performs a skin assessment on an older adult
client who is on bed rest. The PN notes a circular area of nonblanchable
erythema on the coccyx. Which type of skin condition does this
indicate?
a. Fungal rash
b. First-degree burn
c. Stage 1 pressure ulcer
d. Stage 2 pressure ulcer - Correct Answer - c. Stage 1 pressure ulcer
An area of nonblanchable erythema over a bony prominence caused by
pressure is a stage 1 pressure ulcer.
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The older adult client diagnosed with a pulmonary embolus is taking
warfarin 5 mg daily. The practical nurse (PN) notes that the most recent
international normalized ratio (INR) value is 5.0. Which intervention
should the practical nurse (PN) anticipate?
a. The provider will increase the dose of warfarin.
b. The provider will decrease the dose of warfarin.
c. The provider will not change the warfarin order.
d. The provider will add heparin to the client's medications. - Correct
Answer - b. The provider will decrease the dose of warfarin.
Warfarin is an anticoagulant, and the INR measures the clotting time of
the blood. The therapeutic range for INR is 2 to 4.5, depending on the
client's disease process. An INR above the recommended range means
that the warfarin should be reduced to prevent bleeding.
An older client diagnosed with benign prostatic hypertrophy (BPH) asks
the practical nurse (PN) what will happen if he decides not to have it
treated. Which information given by the PN is most accurate regarding
BPH?
a. Prostatitis results from untreated BPH.
b. Painful kidney stones will develop if you do not treat BPH.
c. If left untreated, BPH will develop into a severe bladder infection.
d. Untreated BPH causes urinary reflux and possibly hydronephrosis. -
Correct Answer - d. Untreated BPH causes urinary reflux and possibly
hydronephrosis.
Untreated BPH leads to urinary reflux and possibly hydronephrosis
because of increased pressure in the bladder.
, 4|Page
When caring for a client on digoxin therapy, the practical nurse (PN)
knows to be alert for digoxin toxicity. Which finding would predispose
this client to developing digoxin toxicity?
a. Low serum magnesium level
b. High serum magnesium level
c. Low serum potassium level
d. High serum potassium level - Correct Answer - c. Low serum
potassium level
Hypokalemia predisposes the client on digoxin to digitalis toxicity,
usually presenting as abdominal pain, anorexia, nausea, vomiting, visual
disturbances, bradycardia, and atrioventricular (AV) dissociation.
Assessment of the serum potassium level with prompt correction of
hypokalemia is an important intervention for the client taking digoxin.
An older adult client diagnosed with Alzheimer disease has been
receiving donepezil for the past 6 weeks. Which change would indicate
that the medication has been effective?
a. Increased muscle strength and tone
b. Fewer episodes of urinary incontinence
c. Increased ability to solve simple problems
d. Increased feelings of well-being - Correct Answer - c. Increased
ability to solve simple problems
Donepezil is used to improve cognitive functioning in those suffering
from Alzheimer disease. Improvement in cognitive functioning is most
clearly assessed when the client exhibits increased memory, attention,
reasoning, and problem solving.
The practical nurse (PN) teaches the client how to administer regular and
NPH insulins and requests a return demonstration from the client. Which
HESI PN GERONTOLOGY V1 & V2 NEWEST 2026/ 2027
TEST BANK| EVOLVE HESI (PN) GERONTOLOGY
EXIT EXAM PREP WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
HESI PN GERONTOLOGY V1
An older adult client is seen in the clinic for problems with urinary
frequency, urgency, and nocturia. The symptoms are an example of
which condition?
a. Urinary tract infection (UTI)
b. Normal aging changes
c. Side effect of the diuretic furosemide
d. Partial obstruction of the urethra - Correct Answer - b. Normal aging
changes
Normal aging changes in the bladder are decreased capacity, increased
irritability, and incomplete emptying; these changes lead to frequency,
nocturia, urgency, and vulnerability to infection. The majority of UTIs in
the older adult are asymptomatic. Classic signs of UTIs are fever,
dysuria, and flank pain.
An older client is admitted to the hospital after experiencing confusion,
nausea and vomiting, and headache for several days. The client's pulse
rate is 43 beats/min. The practical nurse (PN) is most concerned about
the client's history related to what medication?
a. Warfarin
b. Ibuprofen
,2|Page
c. Nitroglycerin
d. Digoxin - Correct Answer - d. Digoxin
Older adult persons are particularly susceptible to the buildup of cardiac
glycosides such as digoxin which leads to a toxic level within their
systems. Toxicity can cause anorexia, nausea, vomiting, diarrhea,
headache, and fatigue.
The practical nurse (PN) is caring for a client who has been diagnosed
with early Alzheimer disease. With which activity does the PN expect
the client to experience the most difficulty?
a. Balancing a checkbook
b. Remembering his name
c. Performing activities of daily living (ADLs)
d. Recognizing friends and family members - Correct Answer - a.
Balancing a checkbook
In the early stages of Alzheimer disease, the client has difficulty with
complex tasks, such as balancing a checkbook.
The practical nurse (PN) performs a skin assessment on an older adult
client who is on bed rest. The PN notes a circular area of nonblanchable
erythema on the coccyx. Which type of skin condition does this
indicate?
a. Fungal rash
b. First-degree burn
c. Stage 1 pressure ulcer
d. Stage 2 pressure ulcer - Correct Answer - c. Stage 1 pressure ulcer
An area of nonblanchable erythema over a bony prominence caused by
pressure is a stage 1 pressure ulcer.
,3|Page
The older adult client diagnosed with a pulmonary embolus is taking
warfarin 5 mg daily. The practical nurse (PN) notes that the most recent
international normalized ratio (INR) value is 5.0. Which intervention
should the practical nurse (PN) anticipate?
a. The provider will increase the dose of warfarin.
b. The provider will decrease the dose of warfarin.
c. The provider will not change the warfarin order.
d. The provider will add heparin to the client's medications. - Correct
Answer - b. The provider will decrease the dose of warfarin.
Warfarin is an anticoagulant, and the INR measures the clotting time of
the blood. The therapeutic range for INR is 2 to 4.5, depending on the
client's disease process. An INR above the recommended range means
that the warfarin should be reduced to prevent bleeding.
An older client diagnosed with benign prostatic hypertrophy (BPH) asks
the practical nurse (PN) what will happen if he decides not to have it
treated. Which information given by the PN is most accurate regarding
BPH?
a. Prostatitis results from untreated BPH.
b. Painful kidney stones will develop if you do not treat BPH.
c. If left untreated, BPH will develop into a severe bladder infection.
d. Untreated BPH causes urinary reflux and possibly hydronephrosis. -
Correct Answer - d. Untreated BPH causes urinary reflux and possibly
hydronephrosis.
Untreated BPH leads to urinary reflux and possibly hydronephrosis
because of increased pressure in the bladder.
, 4|Page
When caring for a client on digoxin therapy, the practical nurse (PN)
knows to be alert for digoxin toxicity. Which finding would predispose
this client to developing digoxin toxicity?
a. Low serum magnesium level
b. High serum magnesium level
c. Low serum potassium level
d. High serum potassium level - Correct Answer - c. Low serum
potassium level
Hypokalemia predisposes the client on digoxin to digitalis toxicity,
usually presenting as abdominal pain, anorexia, nausea, vomiting, visual
disturbances, bradycardia, and atrioventricular (AV) dissociation.
Assessment of the serum potassium level with prompt correction of
hypokalemia is an important intervention for the client taking digoxin.
An older adult client diagnosed with Alzheimer disease has been
receiving donepezil for the past 6 weeks. Which change would indicate
that the medication has been effective?
a. Increased muscle strength and tone
b. Fewer episodes of urinary incontinence
c. Increased ability to solve simple problems
d. Increased feelings of well-being - Correct Answer - c. Increased
ability to solve simple problems
Donepezil is used to improve cognitive functioning in those suffering
from Alzheimer disease. Improvement in cognitive functioning is most
clearly assessed when the client exhibits increased memory, attention,
reasoning, and problem solving.
The practical nurse (PN) teaches the client how to administer regular and
NPH insulins and requests a return demonstration from the client. Which
