Hesi PN-Gerontology Exam Latest 2026/2027
Questions and Correct Detailed Answers Already
Graded A+
When observing an older client with dementia for symptoms of Sundowning
syndrome, it is most important that the practical nurse (PN) assesses for which
finding?
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. - CORRECT ANSWER-a.
Observe for agitation at the end of the day.
Sundowning syndrome is a pattern of agitated behavior in the evening, believed
to be associated with tiredness at the end of the day combined with fewer
orienting stimuli, such as activities and interactions.
The practical nurse (PN) working at an assisted living facility is visiting with a client
whose spouse died 8 months ago. Which behavior by the client suggests
ineffective coping with the spouse's 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. - CORRECT
ANSWER-a. Frequently neglects to shower and shave.
Ineffective coping is manifested by behaviors that may be physically or
psychologically harmful to the individual. Neglecting personal hygiene is an
example of ineffective coping.
When initially monitoring a client after a fall, which information should the
practical nurse (PN) communicate immediately to the health care provider?
(Select all that apply.)
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 - CORRECT ANSWER-a. Change in the level of
consciousness
,e. Onset of nausea and vomiting
A decrease or change in the level of consciousness is usually the first indication of
neurological deterioration. Nausea and vomiting may also be present.
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 adult client is recovering from a hip fracture. The health care provider
has prescribed home health care nursing upon discharge. Which statement
describes the primary goal for the client?
a. Return the client to his or her previous lifestyle.
b. Avoid dependency on medication therapy.
c. Establish self-care and independence.
d. Maintain a friendly relationship with family members. - CORRECT ANSWER-
c. Establish self-care and independence.
Loss of independence is a significant issue with the aging population and is one of
the most important issues for the home health practical nurse (PN) to establish
with the client. Establishing the client's individual goals is the primary concern of
the home health care PN.
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.
Questions and Correct Detailed Answers Already
Graded A+
When observing an older client with dementia for symptoms of Sundowning
syndrome, it is most important that the practical nurse (PN) assesses for which
finding?
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. - CORRECT ANSWER-a.
Observe for agitation at the end of the day.
Sundowning syndrome is a pattern of agitated behavior in the evening, believed
to be associated with tiredness at the end of the day combined with fewer
orienting stimuli, such as activities and interactions.
The practical nurse (PN) working at an assisted living facility is visiting with a client
whose spouse died 8 months ago. Which behavior by the client suggests
ineffective coping with the spouse's 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. - CORRECT
ANSWER-a. Frequently neglects to shower and shave.
Ineffective coping is manifested by behaviors that may be physically or
psychologically harmful to the individual. Neglecting personal hygiene is an
example of ineffective coping.
When initially monitoring a client after a fall, which information should the
practical nurse (PN) communicate immediately to the health care provider?
(Select all that apply.)
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 - CORRECT ANSWER-a. Change in the level of
consciousness
,e. Onset of nausea and vomiting
A decrease or change in the level of consciousness is usually the first indication of
neurological deterioration. Nausea and vomiting may also be present.
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 adult client is recovering from a hip fracture. The health care provider
has prescribed home health care nursing upon discharge. Which statement
describes the primary goal for the client?
a. Return the client to his or her previous lifestyle.
b. Avoid dependency on medication therapy.
c. Establish self-care and independence.
d. Maintain a friendly relationship with family members. - CORRECT ANSWER-
c. Establish self-care and independence.
Loss of independence is a significant issue with the aging population and is one of
the most important issues for the home health practical nurse (PN) to establish
with the client. Establishing the client's individual goals is the primary concern of
the home health care PN.
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.
