HESI PN GERONTOLOGY ACTUAL EXAM 3
LATEST VERSIONS (VERSIONS A, B AND C) 2026 EACH
VERSION CONTAINS 55 QUESTIONS AND CORRECT
DETAILED ANSWERS
,A male client is seen in the c. Assess the client for urinary hesitancy and weak or split
clinic for benign prostatic urinary stream.
hypertrophy (BPH). Which
intervention is essential for
the practical nurse (PN) to These symptoms may indicate progression of BPH to partial
include in the client's visit? obstruction of the urethra, a medical emergency, and need
to be reported to the health care provider. Fluids should be
encouraged, not limited; hydration needs to be maintained.
a. Reeducate the
clientabout limiting fluid
intake.
b. Reassure the client
thathis BPH is a non-
lifethreatening condition.
c. Assess the client
forurinary hesitancy and
weak or split urinary stream.
d. Inform the client
thatthere may be a genetic
predisposition for male
family members.
The oral temperature of a d. Encourage fluid intake.
client with a urinary tract
infection is 103° F. Which
intervention should the Fluids help to reduce fever as quickly and it is important to
practical nurse (PN) lower the temperature as soon as possible.
implement first?
a. Instruct the client on
proper hygienic practices. b.
Observe the color or odor of
urine.
c. Recheck
thetemperature rectally.
d. Encourage fluid
intake.
,An older adult client is being c. The client's liver function has decreased since last year.
treated for toxicity related to
medication use. When With aging, liver function decreases, affecting drug
reviewing the client's medical metabolism and detoxification. Forgetting to take doses of
medication would not cause drug toxicity; excessive doses
records, the nurse is most
could cause toxicity. Elevated white blood cell counts and
likely to find which factor is weight gain would not likely cause drug toxicity.
correlated with this problem?
a. The client has
forgottento take several doses
of medication.
b. The client's white
bloodcell count has steadily
increased.
c. The client's liver
functionhas decreased since
last year.
d. The client has gained
40pounds (18.2 kg) over 3
years.
, 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
breakdown and observes infection.
that the skin is intact. What
interventions by the PN will
help maintain healthy skin
integrity?
a. Keep the client
wellhydrated.
b. Remove adhesive
tapequickly from the skin.
c. Avoid creams or
lotionsto ensure that the
skin stays dry.
d. Scrub the
perineumwith a wet cloth
after a bowel movement.
LATEST VERSIONS (VERSIONS A, B AND C) 2026 EACH
VERSION CONTAINS 55 QUESTIONS AND CORRECT
DETAILED ANSWERS
,A male client is seen in the c. Assess the client for urinary hesitancy and weak or split
clinic for benign prostatic urinary stream.
hypertrophy (BPH). Which
intervention is essential for
the practical nurse (PN) to These symptoms may indicate progression of BPH to partial
include in the client's visit? obstruction of the urethra, a medical emergency, and need
to be reported to the health care provider. Fluids should be
encouraged, not limited; hydration needs to be maintained.
a. Reeducate the
clientabout limiting fluid
intake.
b. Reassure the client
thathis BPH is a non-
lifethreatening condition.
c. Assess the client
forurinary hesitancy and
weak or split urinary stream.
d. Inform the client
thatthere may be a genetic
predisposition for male
family members.
The oral temperature of a d. Encourage fluid intake.
client with a urinary tract
infection is 103° F. Which
intervention should the Fluids help to reduce fever as quickly and it is important to
practical nurse (PN) lower the temperature as soon as possible.
implement first?
a. Instruct the client on
proper hygienic practices. b.
Observe the color or odor of
urine.
c. Recheck
thetemperature rectally.
d. Encourage fluid
intake.
,An older adult client is being c. The client's liver function has decreased since last year.
treated for toxicity related to
medication use. When With aging, liver function decreases, affecting drug
reviewing the client's medical metabolism and detoxification. Forgetting to take doses of
medication would not cause drug toxicity; excessive doses
records, the nurse is most
could cause toxicity. Elevated white blood cell counts and
likely to find which factor is weight gain would not likely cause drug toxicity.
correlated with this problem?
a. The client has
forgottento take several doses
of medication.
b. The client's white
bloodcell count has steadily
increased.
c. The client's liver
functionhas decreased since
last year.
d. The client has gained
40pounds (18.2 kg) over 3
years.
, 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
breakdown and observes infection.
that the skin is intact. What
interventions by the PN will
help maintain healthy skin
integrity?
a. Keep the client
wellhydrated.
b. Remove adhesive
tapequickly from the skin.
c. Avoid creams or
lotionsto ensure that the
skin stays dry.
d. Scrub the
perineumwith a wet cloth
after a bowel movement.
