1
HESI PN GERONTOLOGY VERSION 1 & VERSION 2 NEWEST
2026/ 2027 FINAL TEST BANK EXAM| EVOLVE HESI (PN)
GERONTOLOGY EXIT EXAM PREP WITH COMPLETE REAL
EXAM 400 QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES / ALREADY GRADED A+ (MOST
RECENT!!)
THE EXAM CONTAIN 400 COMPLETE QUESTIONS & ACCURATE DETAILED
ANSWERS IN TOTAL
VERSION 1 WITH 200 Q & ACCURATE DETAILED ANSWERS
VERSION 2 WITH 200 Q & ACCURATE DETAILED ANSWERS
LATEST HESI PN GERONTOLOGY 2026 -2027
2026 EDITION EXAM
SECTION 1: SAFE MEDICATION ADMINISTRATION IN OLDER ADULTS
Question 1
The practical nurse 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?
A. Allow the resident to self-administer medications without supervision
B. Provide locked medication storage in the client's room, a medication
administration record, delivery of adequate supply of medication, and a list of
findings indicating medication effectiveness
C. Store all medications at the nurses station and administer them without
resident involvement
D. Have family members manage all medications for the resident
, 2
Answer: B
Rationale: For a self-medication program to be safe and effective, the nurse
should ensure locked medication storage in the client's room, maintain a
medication administration record, ensure delivery of adequate medication
supply, and provide a list of findings that indicate medication effectiveness.
This promotes independence while maintaining safety.
Question 2
An older client who is a new resident in an assisted living facility is having
difficulty going to sleep since his arrival. Which intervention should the
practical nurse implement first?
A. Administer a prescribed sleeping medication
B. Ask the client what has helped him in the past
C. Encourage the client to stay up later
D. Move the client to a quieter room
Answer: B
Rationale: The first intervention should be to ask the client what has helped
him sleep in the past. This assessment helps identify the client's usual sleep
patterns and preferences before implementing any interventions. Non-
pharmacological interventions should be tried first.
, 3
Question 3
The practical nurse is giving medications through a gastric tube to an older
client who is a resident in a long-term care facility. The PN interrupts the
continuous gastric tube feeding. In which sequence should the PN implement
these actions for administration of crushed medications?
A. Flush the gastric tube, administer each medication separately, flush again,
reconnect feeding
B. Crush the medication into fine powder, dissolve each crushed medication in
a medicine cup, flush the feeding tube of feeding solution, administer each
medication separately, flush gastric tube to clear medication from tubing,
reconnect the gastric feeding tube
C. Administer medications all at once, flush, and reconnect feeding
D. Dissolve medications together, administer, and resume feeding
immediately
Answer: B
Rationale: The correct sequence is: crush the medication into a fine powder,
dissolve each crushed medication in a medicine cup, flush the feeding tube of
feeding solution, administer each medication separately, flush the gastric tube
to clear the medication from the tubing, and reconnect the gastric feeding
tube. This ensures proper medication delivery and prevents tube clogging.
, 4
Question 4
An older client is admitted to the hospital with left-sided heart failure. Which
finding should the practical nurse document that is consistent with heart
failure?
A. Coarse and fine crackles
B. Peripheral edema
C. Jugular venous distension
D. Hepatomegaly
Answer: A
Rationale: Coarse and fine crackles are consistent with left-sided heart failure
due to fluid accumulation in the lungs. Peripheral edema, jugular venous
distension, and hepatomegaly are signs of right-sided heart failure.
Question 5
The healthcare provider prescribes a new medication, atorvastatin (Lipitor),
for an older client who arrives at the clinic for an annual physical examination.
What common side effect should the practical nurse advise the client to
observe for with this medication?
HESI PN GERONTOLOGY VERSION 1 & VERSION 2 NEWEST
2026/ 2027 FINAL TEST BANK EXAM| EVOLVE HESI (PN)
GERONTOLOGY EXIT EXAM PREP WITH COMPLETE REAL
EXAM 400 QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES / ALREADY GRADED A+ (MOST
RECENT!!)
THE EXAM CONTAIN 400 COMPLETE QUESTIONS & ACCURATE DETAILED
ANSWERS IN TOTAL
VERSION 1 WITH 200 Q & ACCURATE DETAILED ANSWERS
VERSION 2 WITH 200 Q & ACCURATE DETAILED ANSWERS
LATEST HESI PN GERONTOLOGY 2026 -2027
2026 EDITION EXAM
SECTION 1: SAFE MEDICATION ADMINISTRATION IN OLDER ADULTS
Question 1
The practical nurse 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?
A. Allow the resident to self-administer medications without supervision
B. Provide locked medication storage in the client's room, a medication
administration record, delivery of adequate supply of medication, and a list of
findings indicating medication effectiveness
C. Store all medications at the nurses station and administer them without
resident involvement
D. Have family members manage all medications for the resident
, 2
Answer: B
Rationale: For a self-medication program to be safe and effective, the nurse
should ensure locked medication storage in the client's room, maintain a
medication administration record, ensure delivery of adequate medication
supply, and provide a list of findings that indicate medication effectiveness.
This promotes independence while maintaining safety.
Question 2
An older client who is a new resident in an assisted living facility is having
difficulty going to sleep since his arrival. Which intervention should the
practical nurse implement first?
A. Administer a prescribed sleeping medication
B. Ask the client what has helped him in the past
C. Encourage the client to stay up later
D. Move the client to a quieter room
Answer: B
Rationale: The first intervention should be to ask the client what has helped
him sleep in the past. This assessment helps identify the client's usual sleep
patterns and preferences before implementing any interventions. Non-
pharmacological interventions should be tried first.
, 3
Question 3
The practical nurse is giving medications through a gastric tube to an older
client who is a resident in a long-term care facility. The PN interrupts the
continuous gastric tube feeding. In which sequence should the PN implement
these actions for administration of crushed medications?
A. Flush the gastric tube, administer each medication separately, flush again,
reconnect feeding
B. Crush the medication into fine powder, dissolve each crushed medication in
a medicine cup, flush the feeding tube of feeding solution, administer each
medication separately, flush gastric tube to clear medication from tubing,
reconnect the gastric feeding tube
C. Administer medications all at once, flush, and reconnect feeding
D. Dissolve medications together, administer, and resume feeding
immediately
Answer: B
Rationale: The correct sequence is: crush the medication into a fine powder,
dissolve each crushed medication in a medicine cup, flush the feeding tube of
feeding solution, administer each medication separately, flush the gastric tube
to clear the medication from the tubing, and reconnect the gastric feeding
tube. This ensures proper medication delivery and prevents tube clogging.
, 4
Question 4
An older client is admitted to the hospital with left-sided heart failure. Which
finding should the practical nurse document that is consistent with heart
failure?
A. Coarse and fine crackles
B. Peripheral edema
C. Jugular venous distension
D. Hepatomegaly
Answer: A
Rationale: Coarse and fine crackles are consistent with left-sided heart failure
due to fluid accumulation in the lungs. Peripheral edema, jugular venous
distension, and hepatomegaly are signs of right-sided heart failure.
Question 5
The healthcare provider prescribes a new medication, atorvastatin (Lipitor),
for an older client who arrives at the clinic for an annual physical examination.
What common side effect should the practical nurse advise the client to
observe for with this medication?
