1|Page
HESI GERONTOLOGY EXAM|| ACCURATE AND FREQUENTLY
TESTED QUESTIONS AND 100% CORRECT ANSWERS WITH
RATIONALES|| LATEST AND COMPLETE UPDATE WITH EXPERT
VERIFIED SOLUTIONS
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?
Observe for agitation at the end of the day.
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?
Assess the client for urinary hesitancy and weak or split urinary stream.
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?
Normal aging changes
The oral temperature of a client with a urinary tract infection is 103°F. Which
intervention should the practical nurse (PN) implement first?
Encourage fluid intake.
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A client has had cataract surgery. What is the most important post-surgery
instruction that the practical nurse (PN) should implement?
Avoid bending at the waist
An older client verbalizes to the practical nurse (PN) that he feels a lack of
control over his life. The family member who came with the client states that his
father has been exhibiting increased passive behavior and an unwillingness to
participate in family functions. What word best describes this client's behavior?
Powerlessness
The client has end-stage Alzheimer disease and is admitted into hospice care.
Which focus does the nurse expect to note in the plan of care?
To allow the client to die with as much comfort and dignity as possible
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?
Frequently neglects to shower and shave.
The hospitalized client with end-stage renal disease has expressed verbal and
written wishes not to be resuscitated. Which action should the practical nurse
(PN) take?
Keep the client as comfortable as possible.
, 3|Page
An older client diagnosed with benign prostatic hypertrophy (BPH) asks the
practical nurse (PN) what will happen if he decides not to have it treated. Which
information given by the PN is most accurate regarding BPH?
Untreated BPH causes urinary reflux and possibly hydronephrosis.
The practical nurse (PN) emphasizes ways to prevent constipation to the older
adult client. Which instruction should the PN reinforce in the client's discharge
teaching plan?
Drink several glasses of water throughout the day.
An older adult client is recovering from a hip fracture. The healthcare provider
has prescribed home healthcare nursing upon discharge. Which statement
describes the primary goal for the client?
Establish self-care and independence.
The practical nurse (PN) reinforces the instructions to the client after a hip
replacement. Which client action indicates the need for further education?
Crossing the feet while lying in bed
The practical nurse (PN) assesses the older adult client's skin for signs of
breakdown and observes that the skin is intact. What interventions by the PN
will help maintain healthy skin integrity?
HESI GERONTOLOGY EXAM|| ACCURATE AND FREQUENTLY
TESTED QUESTIONS AND 100% CORRECT ANSWERS WITH
RATIONALES|| LATEST AND COMPLETE UPDATE WITH EXPERT
VERIFIED SOLUTIONS
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?
Observe for agitation at the end of the day.
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?
Assess the client for urinary hesitancy and weak or split urinary stream.
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?
Normal aging changes
The oral temperature of a client with a urinary tract infection is 103°F. Which
intervention should the practical nurse (PN) implement first?
Encourage fluid intake.
,2|Page
A client has had cataract surgery. What is the most important post-surgery
instruction that the practical nurse (PN) should implement?
Avoid bending at the waist
An older client verbalizes to the practical nurse (PN) that he feels a lack of
control over his life. The family member who came with the client states that his
father has been exhibiting increased passive behavior and an unwillingness to
participate in family functions. What word best describes this client's behavior?
Powerlessness
The client has end-stage Alzheimer disease and is admitted into hospice care.
Which focus does the nurse expect to note in the plan of care?
To allow the client to die with as much comfort and dignity as possible
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?
Frequently neglects to shower and shave.
The hospitalized client with end-stage renal disease has expressed verbal and
written wishes not to be resuscitated. Which action should the practical nurse
(PN) take?
Keep the client as comfortable as possible.
, 3|Page
An older client diagnosed with benign prostatic hypertrophy (BPH) asks the
practical nurse (PN) what will happen if he decides not to have it treated. Which
information given by the PN is most accurate regarding BPH?
Untreated BPH causes urinary reflux and possibly hydronephrosis.
The practical nurse (PN) emphasizes ways to prevent constipation to the older
adult client. Which instruction should the PN reinforce in the client's discharge
teaching plan?
Drink several glasses of water throughout the day.
An older adult client is recovering from a hip fracture. The healthcare provider
has prescribed home healthcare nursing upon discharge. Which statement
describes the primary goal for the client?
Establish self-care and independence.
The practical nurse (PN) reinforces the instructions to the client after a hip
replacement. Which client action indicates the need for further education?
Crossing the feet while lying in bed
The practical nurse (PN) assesses the older adult client's skin for signs of
breakdown and observes that the skin is intact. What interventions by the PN
will help maintain healthy skin integrity?
