HESI PN GERONTOLOGY FINAL PAPER 2026
QUESTIONS WITH FULL SOLUTION GRADED
A+
◉ An older male client is admitted to the hospital with left sided
heart failure (HF). Which finding should the practical nurse
document that is consistent of HF? Answer: Coarse and fine crackles.
◉ An older female client who has been taking hydrocodone/
acetaminophen (Lortab) q4 hours for chronic back pain for the past
5 years, tells the practical nurse (PN) that she cannot live without
her pain pills. When asked if she is addicted, the client states that
she is not an addict because the healthcare provider prescribed the
pain pills. Which coping mechanism should the PN determine the
client is using about her addiction? Answer: Rationalization to
support narcotic use.
◉ An older male client with heart failure (HF) complains of chronic
constipation and wants to retrain his bowel. Which information
should the practical nurse (PN) offer the client in establishing
regular bowel habits Answer: Add whole grain foods and fibrous
vegetables to diet.
◉ The home health practical nurse (PN) is visiting an older client
with chronic hypertension. What evaluation is most important for
, the PN to complete with each visit? Answer: Effectiveness of
medication.
◉ An older client is admitted for emergency treatment of acute
closed-angle glaucoma. The practical nurse (PN) begins
administering the prescribed miotic medications and glycerin
(Glycol) therapy. Which intervention is most important for the PN to
maintain during the client's therapy? Answer: Monitor intake and
output q2 hours for 24 hours.
◉ The practical nurse (PN) is assigned the care of an older client
who returns to the unit after surgery for closed angle glaucoma.
Which intervention in the plan of care should the PN bring to the
attention of the charge nurse? Answer: Administer morphine 4 mg
IM q2 hour PRN pain.
◉ The home health practical nurse (PN) is reinforcing instructions
to the the family about how to prevent pressure ulcers for their
older family member who is bedridden. Which measure should the
PN discuss? Answer: Lift the client when turning instead of sliding.
◉ The home health practical nurse (PN) is changing an older client's
wet to dry dressing. Which observation should the PN evaluate as a
therapeutic response with the removal of the dry dressing? Answer:
Debridment and removal of slough and eschar.
QUESTIONS WITH FULL SOLUTION GRADED
A+
◉ An older male client is admitted to the hospital with left sided
heart failure (HF). Which finding should the practical nurse
document that is consistent of HF? Answer: Coarse and fine crackles.
◉ An older female client who has been taking hydrocodone/
acetaminophen (Lortab) q4 hours for chronic back pain for the past
5 years, tells the practical nurse (PN) that she cannot live without
her pain pills. When asked if she is addicted, the client states that
she is not an addict because the healthcare provider prescribed the
pain pills. Which coping mechanism should the PN determine the
client is using about her addiction? Answer: Rationalization to
support narcotic use.
◉ An older male client with heart failure (HF) complains of chronic
constipation and wants to retrain his bowel. Which information
should the practical nurse (PN) offer the client in establishing
regular bowel habits Answer: Add whole grain foods and fibrous
vegetables to diet.
◉ The home health practical nurse (PN) is visiting an older client
with chronic hypertension. What evaluation is most important for
, the PN to complete with each visit? Answer: Effectiveness of
medication.
◉ An older client is admitted for emergency treatment of acute
closed-angle glaucoma. The practical nurse (PN) begins
administering the prescribed miotic medications and glycerin
(Glycol) therapy. Which intervention is most important for the PN to
maintain during the client's therapy? Answer: Monitor intake and
output q2 hours for 24 hours.
◉ The practical nurse (PN) is assigned the care of an older client
who returns to the unit after surgery for closed angle glaucoma.
Which intervention in the plan of care should the PN bring to the
attention of the charge nurse? Answer: Administer morphine 4 mg
IM q2 hour PRN pain.
◉ The home health practical nurse (PN) is reinforcing instructions
to the the family about how to prevent pressure ulcers for their
older family member who is bedridden. Which measure should the
PN discuss? Answer: Lift the client when turning instead of sliding.
◉ The home health practical nurse (PN) is changing an older client's
wet to dry dressing. Which observation should the PN evaluate as a
therapeutic response with the removal of the dry dressing? Answer:
Debridment and removal of slough and eschar.
