HESI PN Gerontology Practice Exam GUARANTEED PASS!!
The practical nurse (PN) 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? (select all that apply.) -
(ANSWER)A. Locked medication storage in the client's room.
B. Medication Administration Record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
Which age-related changes in the cardiovascular system should the practical nurse (PN)
document when evaluating an older client? (select all that apply.) - (ANSWER)C. Cardiac
murmurs.
D. Widening pulse pressure.
An older client who recently moved into an assisted living community refuses to eat or join any
activities. When evaluating the client further, what should the practical nurse (PN) focus on
during the next examination? - (ANSWER)Depression.
The practical nurse (PN) is caring for an elderly client with functional incontinence who lives in
an assisted living community. The client is alert, mildly confused, and can self ambulate. Which
nursing intervention should the PN implement? - (ANSWER)Offer assistance with toileting q2
hours.
The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older client
who arrives at the clinic for an annual physical examination. What common side effect should
the practical nurse (PN) advise the client to observe for with this medication? -
(ANSWER)Headaches.
The practical nurse (PN) is re-enforcing discharge instructions with the family of an older client
who was recently admitted for an intestinal obstruction. Which statement indicates that the
family understands the instructions? - (ANSWER)Report abdominal distention, constipation, or
any nausea and vomiting to the health care provider.
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, An older client asks the practical nurse (PN) how he can reduce his incidents of hemorrhoidal
flare ups. What information should the PN offer the client to prevent rectal discomfort?( Select
all that apply.) - (ANSWER)A. Increase fiber and liquids in the diet to help prevent constipation
and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting.
D. Take frequent warm sitz baths and use non-abrasive tissue that can tramatize tissues.
E. Establish bowel habits by scheduling time where the client is not rushed to defecate daily.
An older male client is seeking counseling about his recent sexual issues with his partner. What
issue should the practical nurse explore in this discussion? - (ANSWER)Certain medications
may impact sexual function.
During the quarterly evaluations of the clients in the assisted living community, the practical
nurse (PN) observes for findings of failure to thrive in the gerian population. Which findings
should the PN document and report as manifestations related to failure to thrive? (selct all that
apply.) - (ANSWER)A. Unintentional weigh loss
B. Increased weakness.
C. Increased amounts of sleep.
The practical nurse (PN) is reinforcing discharge instructions to the family of an older client with
failure to thrive. What information should the PN include to promote nutritional intake for the
client? (Select all that apply.) - (ANSWER)A. Minimize stress level by providing the client a
quiet environment during meals.
B. Provide food variations that the client can manage without assistance.
An older woman asks the practical nurse (PN) how she can decrease her chances of getting
cystitis. What information should the PN provide? - (ANSWER)Void and empty bladder
completely q2 to 3 hours.
An older male client with Parkinson's disease (PD) is discharged home with levopoda-carbidopa
(Sinemet) and instructions to his wife for his care. Which statement best indicated to the practical
nurse that the wife understands her husband's needs? - (ANSWER)"I will notify the healthcare
provider if my husband has increasing involuntary movements of his extremities.
Page 2 of 8
The practical nurse (PN) 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? (select all that apply.) -
(ANSWER)A. Locked medication storage in the client's room.
B. Medication Administration Record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
Which age-related changes in the cardiovascular system should the practical nurse (PN)
document when evaluating an older client? (select all that apply.) - (ANSWER)C. Cardiac
murmurs.
D. Widening pulse pressure.
An older client who recently moved into an assisted living community refuses to eat or join any
activities. When evaluating the client further, what should the practical nurse (PN) focus on
during the next examination? - (ANSWER)Depression.
The practical nurse (PN) is caring for an elderly client with functional incontinence who lives in
an assisted living community. The client is alert, mildly confused, and can self ambulate. Which
nursing intervention should the PN implement? - (ANSWER)Offer assistance with toileting q2
hours.
The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older client
who arrives at the clinic for an annual physical examination. What common side effect should
the practical nurse (PN) advise the client to observe for with this medication? -
(ANSWER)Headaches.
The practical nurse (PN) is re-enforcing discharge instructions with the family of an older client
who was recently admitted for an intestinal obstruction. Which statement indicates that the
family understands the instructions? - (ANSWER)Report abdominal distention, constipation, or
any nausea and vomiting to the health care provider.
Page 1 of 8
, An older client asks the practical nurse (PN) how he can reduce his incidents of hemorrhoidal
flare ups. What information should the PN offer the client to prevent rectal discomfort?( Select
all that apply.) - (ANSWER)A. Increase fiber and liquids in the diet to help prevent constipation
and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting.
D. Take frequent warm sitz baths and use non-abrasive tissue that can tramatize tissues.
E. Establish bowel habits by scheduling time where the client is not rushed to defecate daily.
An older male client is seeking counseling about his recent sexual issues with his partner. What
issue should the practical nurse explore in this discussion? - (ANSWER)Certain medications
may impact sexual function.
During the quarterly evaluations of the clients in the assisted living community, the practical
nurse (PN) observes for findings of failure to thrive in the gerian population. Which findings
should the PN document and report as manifestations related to failure to thrive? (selct all that
apply.) - (ANSWER)A. Unintentional weigh loss
B. Increased weakness.
C. Increased amounts of sleep.
The practical nurse (PN) is reinforcing discharge instructions to the family of an older client with
failure to thrive. What information should the PN include to promote nutritional intake for the
client? (Select all that apply.) - (ANSWER)A. Minimize stress level by providing the client a
quiet environment during meals.
B. Provide food variations that the client can manage without assistance.
An older woman asks the practical nurse (PN) how she can decrease her chances of getting
cystitis. What information should the PN provide? - (ANSWER)Void and empty bladder
completely q2 to 3 hours.
An older male client with Parkinson's disease (PD) is discharged home with levopoda-carbidopa
(Sinemet) and instructions to his wife for his care. Which statement best indicated to the practical
nurse that the wife understands her husband's needs? - (ANSWER)"I will notify the healthcare
provider if my husband has increasing involuntary movements of his extremities.
Page 2 of 8
