HESI PN GERONTOLOGY EXAMINATION TEST
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ Which age-related changes in the cardiovascular system should
the practical nurse (PN) document when evaluating an older client?
(select all that apply.) Answer: C. Cardiac murmurs.
D. Widening pulse pressure.
◉ An older client who recently moved into an assisted living
community refuses to eat or join any activities. When evaluating the
client further, what should the practical nurse (PN) focus on during
the next examination? Answer: Depression.
◉ The practical nurse (PN) is caring for an elderly client with
functional incontinence who lives in an assisted living community.
The client is alert, mildly confused, and can self ambulate. Which
nursing intervention should the PN implement? Answer: Offer
assistance with toileting q2 hours.
◉ The healthcare provider prescribes a new medication,
atrovastatin (lipitor), for an older client who arrives at the clinic for
an annual physical examination. What common side effect should
the practical nurse (PN) advise the client to observe for with this
medication? Answer: Headaches.
, ◉ The practical nurse (PN) is re-enforcing discharge instructions
with the family of an older client who was recently admitted for an
intestinal obstruction. Which statement indicates that the family
understands the instructions? Answer: Report abdominal distention,
constipation, or any nausea and vomiting to the health care provider.
◉ An older client asks the practical nurse (PN) how he can reduce
his incidents of hemorrhoidal flare ups. What information should
the PN offer the client to prevent rectal discomfort?( Select all that
apply.) Answer: A. Increase fiber and liquids in the diet to help
prevent constipation and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of
prolonged sitting.
D. Take frequent warm sitz baths and use non-abrasive tissue that
can tramatize tissues.
E. Establish bowel habits by scheduling time where the client is not
rushed to defecate daily.
◉ An older male client is seeking counseling about his recent sexual
issues with his partner. What issue should the practical nurse
explore in this discussion? Answer: Certain medications may impact
sexual function.
◉ During the quarterly evaluations of the clients in the assisted
living community, the practical nurse (PN) observes for findings of
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ Which age-related changes in the cardiovascular system should
the practical nurse (PN) document when evaluating an older client?
(select all that apply.) Answer: C. Cardiac murmurs.
D. Widening pulse pressure.
◉ An older client who recently moved into an assisted living
community refuses to eat or join any activities. When evaluating the
client further, what should the practical nurse (PN) focus on during
the next examination? Answer: Depression.
◉ The practical nurse (PN) is caring for an elderly client with
functional incontinence who lives in an assisted living community.
The client is alert, mildly confused, and can self ambulate. Which
nursing intervention should the PN implement? Answer: Offer
assistance with toileting q2 hours.
◉ The healthcare provider prescribes a new medication,
atrovastatin (lipitor), for an older client who arrives at the clinic for
an annual physical examination. What common side effect should
the practical nurse (PN) advise the client to observe for with this
medication? Answer: Headaches.
, ◉ The practical nurse (PN) is re-enforcing discharge instructions
with the family of an older client who was recently admitted for an
intestinal obstruction. Which statement indicates that the family
understands the instructions? Answer: Report abdominal distention,
constipation, or any nausea and vomiting to the health care provider.
◉ An older client asks the practical nurse (PN) how he can reduce
his incidents of hemorrhoidal flare ups. What information should
the PN offer the client to prevent rectal discomfort?( Select all that
apply.) Answer: A. Increase fiber and liquids in the diet to help
prevent constipation and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of
prolonged sitting.
D. Take frequent warm sitz baths and use non-abrasive tissue that
can tramatize tissues.
E. Establish bowel habits by scheduling time where the client is not
rushed to defecate daily.
◉ An older male client is seeking counseling about his recent sexual
issues with his partner. What issue should the practical nurse
explore in this discussion? Answer: Certain medications may impact
sexual function.
◉ During the quarterly evaluations of the clients in the assisted
living community, the practical nurse (PN) observes for findings of
