HESI PN GERONTOLOGY COMPREHENSIVE
TEST 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ An older adult client is recovering from a hip fracture. The health
care provider has prescribed home health care nursing upon
discharge. Which statement describes the primary goal for the
client?
a. Return the client to his or her previous lifestyle.
b. Avoid dependency on medication therapy.
c. Establish self-care and independence.
d. Maintain a friendly relationship with family members. Answer: c.
Establish self-care and independence.
Loss of independence is a significant issue with the aging population
and is one of the most important issues for the home health practical
nurse (PN) to establish with the client. Establishing the client's
individual goals is the primary concern of the home health care PN.
◉ An older client at a long-term care facility is to be monitored for
early signs of pneumonia. The practical nurse's (PN) observation of
the client will most likely show which early sign(s)/symptom(s)?
(Select all that apply.)
,a. Fever
b. Abnormal breath sounds
c. Tachycardia
d. Confusion
e. Tachypnea Answer: c. Tachycardia
d. Confusion
e. Tachypnea
The onset of pneumonia in the older adult may be signaled by
general deterioration, confusion, increased heart rate, or increased
respiratory rate. Fever and abnormal breath sounds occur later with
the older adult.
◉ The nurse is assisting with data collection for an older adult who
is taking daily aspirin to reduce the risk of a cardiovascular event.
Which concern should the nurse report to the health care provider
as soon as possible?
a. "I feel really cold much of the time."
b. "I wish my children would visit more."
c. "Lately it's harder to drive a car at night."
d. "My stools are sticky and are dark black." Answer: d. "My stools
are sticky and are dark black."
,Dark tarry stools are an indication of gastrointestinal bleeding, an
adverse effect of the daily aspirin this client is taking. There is no
immediate need to contact the health care provider about the client
feeling cold or wishing children would visit more. This client's
inability to drive at night is a concern, and should be discussed, but
gastrointestinal bleeding needs to be dealt with first.
◉ The nurse is reinforcing education with an older adult regarding
smoking cessation. The nurse recognizes teaching has been effective
if the client makes which statement?
a. "Stopping smoking reverses damage from emphysema."
b. "Stopping smoking will not really benefit me at my age anyway."
c. "Stopping smoking can also improve my heart's functioning."
d. "Stopping smoking is likely impossible for people my age."
Answer: c. "Stopping smoking can also improve my heart's
functioning."
Stopping smoking can improve cardiovascular functioning. Smoking
cessation will not reverse damage already done by emphysema.
Stopping smoking is possible at any age and will be of benefit.
◉ The practical nurse (PN) educates the client diagnosed with
Parkinson about levodopa-carbidopa. Which instruction about this
, medication should the PN include in the client's discharge teaching
plan?
a. Notify the health care provider immediately if the urine turns
bright orange.
b. Notify health care provider if tremors worsen.
c. Take levodopa-carbidopa with a high-protein meal.
d. Client may discontinue medication if side effects occur. Answer: b.
Notify health care provider if tremors worsen.
The client should call the health care provider if tremors become
worse because the dose may need to be adjusted. A bright orange
color to the urine is harmless.
◉ A client who resides in a long-term care facility has a seizure
disorder that has been managed with phenobarbital for several
years. Lately, the client has become more difficult to arouse. What
intervention should the PN implement?
a. Carefully monitor the client's intake and output.
b. Hold the medication and notify the health care provider.
c. Continue to monitor the client closely for the next 24 hours.
d. Determine the amount of medication the client has taken. Answer:
b. Hold the medication and notify the health care provider.
TEST 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ An older adult client is recovering from a hip fracture. The health
care provider has prescribed home health care nursing upon
discharge. Which statement describes the primary goal for the
client?
a. Return the client to his or her previous lifestyle.
b. Avoid dependency on medication therapy.
c. Establish self-care and independence.
d. Maintain a friendly relationship with family members. Answer: c.
Establish self-care and independence.
Loss of independence is a significant issue with the aging population
and is one of the most important issues for the home health practical
nurse (PN) to establish with the client. Establishing the client's
individual goals is the primary concern of the home health care PN.
◉ An older client at a long-term care facility is to be monitored for
early signs of pneumonia. The practical nurse's (PN) observation of
the client will most likely show which early sign(s)/symptom(s)?
(Select all that apply.)
,a. Fever
b. Abnormal breath sounds
c. Tachycardia
d. Confusion
e. Tachypnea Answer: c. Tachycardia
d. Confusion
e. Tachypnea
The onset of pneumonia in the older adult may be signaled by
general deterioration, confusion, increased heart rate, or increased
respiratory rate. Fever and abnormal breath sounds occur later with
the older adult.
◉ The nurse is assisting with data collection for an older adult who
is taking daily aspirin to reduce the risk of a cardiovascular event.
Which concern should the nurse report to the health care provider
as soon as possible?
a. "I feel really cold much of the time."
b. "I wish my children would visit more."
c. "Lately it's harder to drive a car at night."
d. "My stools are sticky and are dark black." Answer: d. "My stools
are sticky and are dark black."
,Dark tarry stools are an indication of gastrointestinal bleeding, an
adverse effect of the daily aspirin this client is taking. There is no
immediate need to contact the health care provider about the client
feeling cold or wishing children would visit more. This client's
inability to drive at night is a concern, and should be discussed, but
gastrointestinal bleeding needs to be dealt with first.
◉ The nurse is reinforcing education with an older adult regarding
smoking cessation. The nurse recognizes teaching has been effective
if the client makes which statement?
a. "Stopping smoking reverses damage from emphysema."
b. "Stopping smoking will not really benefit me at my age anyway."
c. "Stopping smoking can also improve my heart's functioning."
d. "Stopping smoking is likely impossible for people my age."
Answer: c. "Stopping smoking can also improve my heart's
functioning."
Stopping smoking can improve cardiovascular functioning. Smoking
cessation will not reverse damage already done by emphysema.
Stopping smoking is possible at any age and will be of benefit.
◉ The practical nurse (PN) educates the client diagnosed with
Parkinson about levodopa-carbidopa. Which instruction about this
, medication should the PN include in the client's discharge teaching
plan?
a. Notify the health care provider immediately if the urine turns
bright orange.
b. Notify health care provider if tremors worsen.
c. Take levodopa-carbidopa with a high-protein meal.
d. Client may discontinue medication if side effects occur. Answer: b.
Notify health care provider if tremors worsen.
The client should call the health care provider if tremors become
worse because the dose may need to be adjusted. A bright orange
color to the urine is harmless.
◉ A client who resides in a long-term care facility has a seizure
disorder that has been managed with phenobarbital for several
years. Lately, the client has become more difficult to arouse. What
intervention should the PN implement?
a. Carefully monitor the client's intake and output.
b. Hold the medication and notify the health care provider.
c. Continue to monitor the client closely for the next 24 hours.
d. Determine the amount of medication the client has taken. Answer:
b. Hold the medication and notify the health care provider.
