HESI MANAGEMENT AND GERONTOLOGY PRACTICE TEST 2025

An older male client refuses to take medication, stating that it burns his stomach. Which action should the practical nurse implement? A) Crush the medication and mix it in the client's food. B) Insist that the client take the medication as prescribed. C) Circle and initial the dose time missed to show non-administration. D) Document the reason for refusal and report to the charge nurse. - D) Document the reason for refusal and report to the charge nurse. The practical nurse (PN) is documenting weekly nutritional status on all the clients in the assisted living community. Which activity can the PN assign to the unlicensed assistive personnel (UAP)? A) Review the clients' diet from the past week. B) Evaluate the clients' skin for irritation or breakdown. C) Obtain an individual height and weight for each client. D) Document nutritional findings in the clients' charts. - C) Obtain an individual height and weight for each client. The practical nurse (PN) working in an assisted-living community reviews the guidelines for completing new resident paperwork. What amount of time is required to complete the initial comprehensive plan of care by the interdisciplinary team? A) 24 hours. B) 72 hours. C) 7 days. D) 14 days. - C) 7 days. The primary care practical nurse (PN) is working with a newly employed PN to prioritize several unit procedures. When the primary PN evaluates the decision, which selection indicates that the newly employed PN has identified the priority task? A) Managing time for all client care during the shift. B) Completing care for clients scheduled for discharge. C) Obtaining needed supplies for each client's room. D) Evaluating clients who are unstable or most critical. - D) Evaluating clients who are unstable or most critical. Gerontology Gerontology The practical nurse (PN) is evaluating a new client's risk for osteoporosis who has recently moved into an assisted living community. Which task should the PN assign to the unlicensed assistive personnel (UAP)? A) Take weekly height and weight measurements. B) Review medical record for disease history and compare findings. C) Perform full range of motion (ROM) of all extremities. D) Inspect and palpate the client's vertebral column from neck to hip. - A) Take weekly height and weight measurements. The practical nurse (PN) supervises unlicensed assistive personnel (UAPs) during the implementation of standards of practice for isolation precautions. Which organization's publication should the PN reference to identify these standards and guidelines? A) The Joint Commission (TJC). B) Center for Disease Control (CDC). C) Occupational Safety and Health Administration (OSHA). D) Health Care Facilities Accreditation Program (HFAP). - B) Center for Disease Control (CDC). The practical nurse (PN) is caring for a client who has cirrhosis with pruritus. Which task can the PN assign to the unlicensed assistive personnel (UAP)? A) Rub warm lotion to soothe the skin. B) Assess skin for open areas from scratching. C) Evaluate the client's intake and output of fluid. D) Educate the client about diet options to decrease symptoms. - A) Rub warm lotion to soothe the skin. The practical nurse (PN) notifies the nurse manager that a resident was found on the floor when the PN entered the room to give medications. After a complete assessment of the client, the health care provider and the family are notified. The nurse manager reminds the PN to complete an incident report. What information should the PN provide in the incident? A) The client's risk for falls contributed to the fall to floor. B) The client fell out of bed trying to go to the bathroom. C) The client was found lying on the floor next to the bed. D) The client stumbled on shoes by the bed and fell down. - C) The client was found lying on the floor next to the bed. The practical nurse (PN) who is managing the staff for a unit in an assisted living community receives a call from one of the nursing staff who is unable to come to work today. There are no other nursing staff available to cover the shift. Which action should the PN take first? Gerontology Gerontology A) Restrict new admissions to the assisted living community until the next day. B) Ask family to visit their resident who may be at the highest risk during the shift. C) Use ancillary staff to assist at the unit desk until a nursing personnel can come. D) Call the staff to determine the reason for calling in without additional notice. - A) Restrict new admissions to the assisted living community until the next day. The practical nurse (PN) is assisting the nurse manager in developing a client's plan of care. Which method should the PN consider as the best source in determining the client's needs? A) Health history of the client and extended family. B) The client's participation in developing the plan of care. C) The healthcare provider's input regarding the client's care. D) Summary from previous health care records. - B) The client's participation in developing the plan of care. A client receives a preoperative sedative before going to surgery. One of the family members asks the practical nurse (PN) to explain the surgical procedure that the client is going to have today. Who should the PN direct the family member to further discuss their question? A) The preoperative nurse who is preparing the client for the surgery. B) The surgical circulating nurse who is assisting in surgery. C) The healthcare provider who is performing the surgery. D) The anesthesiologist who is assisting during surgery. - C) The healthcare provider who is performing the surgery. The practical nurse (PN) observes the unlicensed assistive personnel (UAP) for principles of body mechanics while moving an immobile client. Which observed action indicates that the UAP is using proper body mechanics? A) Positioning the client as close as possible to the UAP's body. B) Leaning forward at the waist while turning a client in the bed. C) Pulling the upper extremities of the client for added leverage. D) Assisting a total care client into a chair without additional assistance. - A) Positioning the client as close as possible to the UAP's body. The practical nurse (PN) is caring for a frail elderly client who is recovering on the skilled nursing facility unit for dehydration and confusion. Which task should the PN assign to the unlicensed assistive personnel (UAP)? A) Assist client to use urinal or bedpan while in bed. B) Evaluate the client for orthostatic hypotension. C) Assist the incontinent client to the bathroom toilet. Gerontology Gerontology D) Direct UAP to have family assist client to toilet. - A) Assist client to use urinal or bedpan while in bed. The practical nurse (PN) is eating in the cafeteria and overhears two staff members discussing care needs of a new client on your unit. What action should the PN take? A) Say nothing but report the behavior to the nurse manager. B) Respect the privacy of the conversation among coworkers and say nothing. C) Remind coworkers that discussing the client publicly is violation of client privacy. D) Offer suggestions to the coworkers regarding the client's care. - C) Remind coworkers that discussing the client publicly is violation of client privacy. The practical nurse (PN) is asked to perform a task by a healthcare provider that is not within the PN's scope of practice. Which action should the PN take? A) Perform the task to maintain continuity of care and then notify supervisor about the request. B) Ask the healthcare provider to obtain permission from a supervisor so the PN can do the task. C) Implement the task because the healthcare provider is responsible any task delegated to the PN. D) Advise the healthcare provider that the PN cannot perform a task outside of the scope of practice. - D) Advise the healthcare provider that the PN cannot perform a task outside of the scope of practice. The practical nurse (PN) is completing an unusual occurrence report after a client is found on the floor of the restroom in an assisted living facility. Which statement best describes the purpose of this report? A) Places responsibility on the involved staff member. B) Informs the state of safety risks concerning client care. C) Alerts quality control nurse of possible breeches in safety. D) Protects the facility against legal action by the client. - C) Alerts quality control nurse of possible breeches in safety. A client visiting from Vietnam has been admitted for chest pain. The client only speaks Vietnamese. The practical nurse (PN) decides to utilize an interpreter to complete the admission focused assessment. What information is most important for the PN to ask the interpreter to communicate? A) Validate sentences to ensure that the client has a clear understanding of the situation. B) Avoid asking cultural questions that or stereotypical or might offend the client. C) Obtain the health history summary and description of past illnesses from the client. D) Compare the history given by the client and what the family provides. - A) Validate sentences to ensure that the client has a clear understanding of the situation. Gerontology Gerontology The practical nurse (PN) is assisting a unlicensed assistive personnel (UAP) with bathing a client who is bedridden. The PN suggests that the UAP wash the client's hair using a different method than using a wash board. The UAP argues that the client prefers the wash board instead of the dry product. After consideration, the UAP agrees to use the PN's method. Which type of conflict management technique is being described? A) Compromise. B) Accommodation. C) Avoidance. D) Competition. - B) Accommodation. During a meeting, the practical nurse (PN) shares possible strategies to solve a unit problem. A vote on the best strategy is taken to determine which approach to implement. Which decision strategy is being used during this meeting? A) Majority rule. B) Collaboration. C) Compromise. D) Mediation. - A) Majority rule. The practical nurse (PN) observes another nurse take 2 ampules of morphine out of the scheduled drug dispensing system and put one ampule in the pocket of a laboratory coat, but documents administration of the total drug dose of both ampules. What action should the PN do next? A) Report to the charge nurse or nursing supervisor. B) Confront the nurse who retrieved both ampules. C) Notify the facility security officer and local police. D) Document the incident in the client's medical record. - A) Report to the charge nurse or nursing supervisor. After an older client refuses to take bupropion ( Wellbutrin XL) , the practical nurse (PN) crushes the tablet to disguises it in a chocolate pudding cup. The PN directs the unlicensed assistive personnel (UAP) to feed the client the pudding. Which actions should the PN report as a medication error? (Select all that apply.) A) Violation of client's right to refuse medication. B) Assignment of medication administration to the UAP. C) Alteration of medication form without notifying the healthcare provider. D) Prior authorization not obtained before crushing extended-release medication. E) Alteration of taste of the food that is given to the client. F) Documentation of medication alteration in medication administration record (MAR). - A) Violation of client's right to refuse medication. B) Assignment of medication administration to the UAP. Gerontology Gerontology C) Alteration of medication form without notifying the healthcare provider. D) Prior authorization not obtained be