8/22/25, 6:14 PM Hesi PN-Gerontology
Hesi PN-Gerontology Practice exam 2025-2026 complete
questions and accurate detailed answers \latest update
(RATIONALES)
The practical nurse (PN) a. Keep the client well hydrated.
assesses the older adult
client's skin for signs of Keeping the client well hydrated helps prevent skin cracking and
infection.
breakdown
and observes that the skin is
intact. What interventions by
the PN will help maintain
healthy skin integrity?
a. Keep the client well
hydrated.
b. Remove adhesive tape
quickly from the skin.
c. Avoid creams or lotions
to ensure that the skin
stays dry.
d. Scrub the perineum
with a wet cloth after a
bowel movement.
The nurse has reinforced d. "I will make sure that I stand up slowly if I have been sitting
education regarding safety down."
aspects for
Older adults are particularly likely to develop
antihypertensive medication
orthostatic hypotension after taking medications to
with an older adult. Which
treat hypertension. It is not necessary for the older
statement by the client best
indicates learning has been adult to stay in bed while taking this medication.
effective? Some medications should be taken with food,
others on an empty stomach. Each medication should
a. "I should rest in bed
be individually researched. While it is important to
1/50
,8/22/25, 6:14 PM Hesi PN-Gerontology
most of the day when I prevent children from consuming medications intended
take this medication." for the older adult, the focus of this question is the
b. "I will be sure to keep this safety of the older adult.
medication out of the reach
of children."
c. "I will need to make sure
that I take this medication
with some food."
d. "I will make sure that I
stand up slowly if I have
been sitting down."
An older adult client tells the d. Sexually transmitted diseases are possible to have at any age
nurse "I do of your life.
not understand how I could
have a sexually transmitted Sexually transmitted diseases are possible at any age. It
disease! My partner seems is inappropriate, untrue, and ageist to comment that
like such a nice, clean older adults are not interested in sexual relations. It is
person." Which very
explanation should the nurse judgmental for the nurse to suggest the older adult
provide?
a. Most people in your
should have sought their family's input or that the
age are not older adult should stop having sexual relations.
interested in sexual
relationships.
b. You should have discussed
this with your family before
you started dating.
c. Maybe you should go
back to just holding
hands and hugging on
dates.
d. Sexually transmitted diseases
are
possible to have at any age of
your life.
2/50
,8/22/25, 6:14 PM Hesi PN-Gerontology
When observing an older a. Observe for agitation at the end of the day.
client with
dementia for symptoms of Sundowning syndrome is a pattern of agitated behavior
Sundowning syndrome, it is in the evening, believed to be associated with tiredness
most important that the at the end of the day combined with fewer orienting
practical nurse (PN) stimuli, such as activities and interactions.
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.
The practical nurse (PN) a. Frequently neglects to shower and shave.
working at an assisted living
facility is visiting with a client Ineffective coping is manifested by behaviors that
whose spouse died 8 may be physically or psychologically harmful to the
months ago. Which individual. Neglecting personal hygiene is an example
behavior by the client of ineffective coping.
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.
3/50
, 8/22/25, 6:14 PM Hesi PN-Gerontology
When initially monitoring a a. Change in the level of consciousness
client after a e. Onset of nausea and vomiting
fall, which information
should the practical nurse A decrease or change in the level of consciousness is
(PN) communicate usually the first indication of neurological
immediately to the health deterioration. Nausea and vomiting may also be
care provider? (Select all present.
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
An older adult client is seen b. Normal aging changes
in the clinic for problems
with urinary frequency, Normal aging changes in the bladder are decreased
urgency, and nocturia. The capacity, increased irritability, and incomplete
symptoms are an emptying; these changes lead to frequency, nocturia,
example of which condition? urgency, and vulnerability to infection. The majority of
UTIs in the older adult are asymptomatic. Classic signs
a. Urinary tract infection (UTI) of UTIs are fever, dysuria, and flank pain.
b. Normal aging changes
c. Side effect of the diuretic
furosemide
d. Partial obstruction of the
urethra
4/50
Hesi PN-Gerontology Practice exam 2025-2026 complete
questions and accurate detailed answers \latest update
(RATIONALES)
The practical nurse (PN) a. Keep the client well hydrated.
assesses the older adult
client's skin for signs of Keeping the client well hydrated helps prevent skin cracking and
infection.
breakdown
and observes that the skin is
intact. What interventions by
the PN will help maintain
healthy skin integrity?
a. Keep the client well
hydrated.
b. Remove adhesive tape
quickly from the skin.
c. Avoid creams or lotions
to ensure that the skin
stays dry.
d. Scrub the perineum
with a wet cloth after a
bowel movement.
The nurse has reinforced d. "I will make sure that I stand up slowly if I have been sitting
education regarding safety down."
aspects for
Older adults are particularly likely to develop
antihypertensive medication
orthostatic hypotension after taking medications to
with an older adult. Which
treat hypertension. It is not necessary for the older
statement by the client best
indicates learning has been adult to stay in bed while taking this medication.
effective? Some medications should be taken with food,
others on an empty stomach. Each medication should
a. "I should rest in bed
be individually researched. While it is important to
1/50
,8/22/25, 6:14 PM Hesi PN-Gerontology
most of the day when I prevent children from consuming medications intended
take this medication." for the older adult, the focus of this question is the
b. "I will be sure to keep this safety of the older adult.
medication out of the reach
of children."
c. "I will need to make sure
that I take this medication
with some food."
d. "I will make sure that I
stand up slowly if I have
been sitting down."
An older adult client tells the d. Sexually transmitted diseases are possible to have at any age
nurse "I do of your life.
not understand how I could
have a sexually transmitted Sexually transmitted diseases are possible at any age. It
disease! My partner seems is inappropriate, untrue, and ageist to comment that
like such a nice, clean older adults are not interested in sexual relations. It is
person." Which very
explanation should the nurse judgmental for the nurse to suggest the older adult
provide?
a. Most people in your
should have sought their family's input or that the
age are not older adult should stop having sexual relations.
interested in sexual
relationships.
b. You should have discussed
this with your family before
you started dating.
c. Maybe you should go
back to just holding
hands and hugging on
dates.
d. Sexually transmitted diseases
are
possible to have at any age of
your life.
2/50
,8/22/25, 6:14 PM Hesi PN-Gerontology
When observing an older a. Observe for agitation at the end of the day.
client with
dementia for symptoms of Sundowning syndrome is a pattern of agitated behavior
Sundowning syndrome, it is in the evening, believed to be associated with tiredness
most important that the at the end of the day combined with fewer orienting
practical nurse (PN) stimuli, such as activities and interactions.
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.
The practical nurse (PN) a. Frequently neglects to shower and shave.
working at an assisted living
facility is visiting with a client Ineffective coping is manifested by behaviors that
whose spouse died 8 may be physically or psychologically harmful to the
months ago. Which individual. Neglecting personal hygiene is an example
behavior by the client of ineffective coping.
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.
3/50
, 8/22/25, 6:14 PM Hesi PN-Gerontology
When initially monitoring a a. Change in the level of consciousness
client after a e. Onset of nausea and vomiting
fall, which information
should the practical nurse A decrease or change in the level of consciousness is
(PN) communicate usually the first indication of neurological
immediately to the health deterioration. Nausea and vomiting may also be
care provider? (Select all present.
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
An older adult client is seen b. Normal aging changes
in the clinic for problems
with urinary frequency, Normal aging changes in the bladder are decreased
urgency, and nocturia. The capacity, increased irritability, and incomplete
symptoms are an emptying; these changes lead to frequency, nocturia,
example of which condition? urgency, and vulnerability to infection. The majority of
UTIs in the older adult are asymptomatic. Classic signs
a. Urinary tract infection (UTI) of UTIs are fever, dysuria, and flank pain.
b. Normal aging changes
c. Side effect of the diuretic
furosemide
d. Partial obstruction of the
urethra
4/50
