HESI PN GERONTOLOGICAL NURSING ACCURATE
PRACTICE EXAM WITH ALL POSSIBLE APPROVED
WELL ELABORATED PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY (100% CORRECT VERIFIED SOLUTIONS) 2026-
2027 CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
Question 1
The practical nurse (PN) is implementing a self-
medication program for an older resident who is
newly admitted to an assisted living community.
Which actions should the PN implement to provide
the resident ways to maintain safe medication
administration? (Select all that apply.)
A. Locked medication storage in the client's room.
B. A medication record for the client to document
,administration.
C. Removal of all over-the-counter medications
from the room.
D. Pill organizers prepared weekly by the PN.
E. Instruction on medication purpose and side
effects.
A. Locked medication storage in the client's room.
Rationale: Safe self-medication programs include
locked storage to prevent accidental or
unauthorized access, a medication record, and client
education. Pill organizers prepared by staff and
removing all OTC medications are not typically part
of a self-medication program.
Question 2
Which age-related changes in the cardiovascular
system should the practical nurse (PN) document
when evaluating an older client? (Select all that
apply.)
A. Increased cardiac output.
B. Decreased peripheral vascular resistance.
C. Cardiac murmurs.
,D. Increased blood pressure.
E. Decreased compliance of the heart.
C. Cardiac murmurs.
D. Increased blood pressure.
E. Decreased compliance of the heart.
Rationale: Age-related cardiovascular changes
include decreased cardiac output, increased
peripheral vascular resistance, cardiac murmurs
(often from sclerotic valve changes), increased blood
pressure (systolic), and decreased compliance.
Cardiac output typically decreases, not increases.
Question 3
An older client who recently moved into an assisted
living community refuses to eat or join any
activities. The PN should first assess the client for
which condition?
A. Dementia.
B. Grief.
C. Depression.
D. Malnutrition.
, C. Depression.
Rationale: Depression is common in older adults,
especially after relocation or loss. It often manifests
with apathy, social withdrawal, and anorexia. While
grief is possible, refusal to eat and participate in
activities suggests a depressive episode requiring
assessment.
Question 4
The practical nurse (PN) is caring for an elderly
client with functional incontinence who lives in an
assisted living community. Which intervention
should the PN implement?
A. Apply an external condom catheter.
B. Insert an indwelling urinary catheter.
C. Restrict fluids in the evening.
D. Offer assistance with toileting every 2 hours.
D. Offer assistance with toileting every 2 hours.
Rationale: Functional incontinence occurs when the
client cannot get to the bathroom in time due to
mobility or cognitive issues. Scheduled toileting
(e.g., every 2 hours) is the first-line intervention.
PRACTICE EXAM WITH ALL POSSIBLE APPROVED
WELL ELABORATED PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY (100% CORRECT VERIFIED SOLUTIONS) 2026-
2027 CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
Question 1
The practical nurse (PN) is implementing a self-
medication program for an older resident who is
newly admitted to an assisted living community.
Which actions should the PN implement to provide
the resident ways to maintain safe medication
administration? (Select all that apply.)
A. Locked medication storage in the client's room.
B. A medication record for the client to document
,administration.
C. Removal of all over-the-counter medications
from the room.
D. Pill organizers prepared weekly by the PN.
E. Instruction on medication purpose and side
effects.
A. Locked medication storage in the client's room.
Rationale: Safe self-medication programs include
locked storage to prevent accidental or
unauthorized access, a medication record, and client
education. Pill organizers prepared by staff and
removing all OTC medications are not typically part
of a self-medication program.
Question 2
Which age-related changes in the cardiovascular
system should the practical nurse (PN) document
when evaluating an older client? (Select all that
apply.)
A. Increased cardiac output.
B. Decreased peripheral vascular resistance.
C. Cardiac murmurs.
,D. Increased blood pressure.
E. Decreased compliance of the heart.
C. Cardiac murmurs.
D. Increased blood pressure.
E. Decreased compliance of the heart.
Rationale: Age-related cardiovascular changes
include decreased cardiac output, increased
peripheral vascular resistance, cardiac murmurs
(often from sclerotic valve changes), increased blood
pressure (systolic), and decreased compliance.
Cardiac output typically decreases, not increases.
Question 3
An older client who recently moved into an assisted
living community refuses to eat or join any
activities. The PN should first assess the client for
which condition?
A. Dementia.
B. Grief.
C. Depression.
D. Malnutrition.
, C. Depression.
Rationale: Depression is common in older adults,
especially after relocation or loss. It often manifests
with apathy, social withdrawal, and anorexia. While
grief is possible, refusal to eat and participate in
activities suggests a depressive episode requiring
assessment.
Question 4
The practical nurse (PN) is caring for an elderly
client with functional incontinence who lives in an
assisted living community. Which intervention
should the PN implement?
A. Apply an external condom catheter.
B. Insert an indwelling urinary catheter.
C. Restrict fluids in the evening.
D. Offer assistance with toileting every 2 hours.
D. Offer assistance with toileting every 2 hours.
Rationale: Functional incontinence occurs when the
client cannot get to the bathroom in time due to
mobility or cognitive issues. Scheduled toileting
(e.g., every 2 hours) is the first-line intervention.
