HESI PN GERONTOLOGY EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS || 100% GUARANTEED PASS
NEWEST VERSION
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."
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."
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.
a. 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.
b. Hold the medication and notify the health care provider.
The client is exhibiting signs of antiepileptic drug toxicity (AED), and a
serum phenobarbital level needs to be obtained to determine if the
client is experiencing drug toxicity.
,The nurse is caring for an older adult who is at high risk for skin
breakdown. Which is the best method for the nurse to determine if the
plan of care for this client is effective?
a. Reviewing the documentation of the client's turn schedule
b. Turning the client at least every 2 hours around the clock
c. Assessing the client's skin for pressure ulcers every shift
d. Completing a nutritional assessment to determine protein needs
c. Assessing the client's skin for pressure ulcers every shift
The best way to determine if the plan of care to prevent skin breakdown
is effective is to actually assess the client's skin. Reviewing
documentation and completing a nutritional assessment will not likely
give a complete picture. Turning the client every 2 hours is an
intervention, not a method of evaluating the effectiveness of care.
An older client is discharged from the hospital with a prescription for
digoxin 0.25 mg daily. Which instruction should the practical nurse (PN)
include in this client's discharge teaching plan?
a. Take the medication in the morning before rising.
b. Take and record radial pulse rate daily.
c. Expect some vision changes due to the medication.
d. Increase intake of foods rich in vitamin K.
b. Take and record radial pulse rate daily.
Monitoring pulse rate is very important when taking digoxin. The client
should be further instructed to report pulse rates below 60 or greater
than 110 beats/min and to withhold the dosage until consulting with the
health care provider.
, An older client is receiving hospice care and the spouse and family have
expressed several concerns. Which concern expressed by the family
should the practical nurses (PN) address first?
a. The spouse asks about the side effects of the client's pain medication.
b. The client's family requests referrals for support groups to help with
the grieving process.
c. The spouse reports that the client finally slept for more than 2 hours
last night.
d. The client's spouse wants to know when it is time to call 9-1-1.
d. The client's spouse wants to know when it is time to call 9-1-1.
This statement by the client's spouse about calling 9-1-1 shows that
further education is needed about hospice and the end-of-life process.
The practical nurse (PN) reinforces nutritional counseling to a group of
clients with diabetes. What is the most important purpose of a diabetic
diet?
a. To manage adults with type 1 diabetes
b. To be used during periods of high stress
c. To stabilize the blood glucose level through a balanced diet
d. To normalize the blood glucose level by eliminating sugar
c. To stabilize the blood glucose level through a balanced diet
The purpose of the diabetic diet is to stabilize the blood glucose level
by providing balanced nutrition.
2026/2027 ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS || 100% GUARANTEED PASS
NEWEST VERSION
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."
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."
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.
a. 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.
b. Hold the medication and notify the health care provider.
The client is exhibiting signs of antiepileptic drug toxicity (AED), and a
serum phenobarbital level needs to be obtained to determine if the
client is experiencing drug toxicity.
,The nurse is caring for an older adult who is at high risk for skin
breakdown. Which is the best method for the nurse to determine if the
plan of care for this client is effective?
a. Reviewing the documentation of the client's turn schedule
b. Turning the client at least every 2 hours around the clock
c. Assessing the client's skin for pressure ulcers every shift
d. Completing a nutritional assessment to determine protein needs
c. Assessing the client's skin for pressure ulcers every shift
The best way to determine if the plan of care to prevent skin breakdown
is effective is to actually assess the client's skin. Reviewing
documentation and completing a nutritional assessment will not likely
give a complete picture. Turning the client every 2 hours is an
intervention, not a method of evaluating the effectiveness of care.
An older client is discharged from the hospital with a prescription for
digoxin 0.25 mg daily. Which instruction should the practical nurse (PN)
include in this client's discharge teaching plan?
a. Take the medication in the morning before rising.
b. Take and record radial pulse rate daily.
c. Expect some vision changes due to the medication.
d. Increase intake of foods rich in vitamin K.
b. Take and record radial pulse rate daily.
Monitoring pulse rate is very important when taking digoxin. The client
should be further instructed to report pulse rates below 60 or greater
than 110 beats/min and to withhold the dosage until consulting with the
health care provider.
, An older client is receiving hospice care and the spouse and family have
expressed several concerns. Which concern expressed by the family
should the practical nurses (PN) address first?
a. The spouse asks about the side effects of the client's pain medication.
b. The client's family requests referrals for support groups to help with
the grieving process.
c. The spouse reports that the client finally slept for more than 2 hours
last night.
d. The client's spouse wants to know when it is time to call 9-1-1.
d. The client's spouse wants to know when it is time to call 9-1-1.
This statement by the client's spouse about calling 9-1-1 shows that
further education is needed about hospice and the end-of-life process.
The practical nurse (PN) reinforces nutritional counseling to a group of
clients with diabetes. What is the most important purpose of a diabetic
diet?
a. To manage adults with type 1 diabetes
b. To be used during periods of high stress
c. To stabilize the blood glucose level through a balanced diet
d. To normalize the blood glucose level by eliminating sugar
c. To stabilize the blood glucose level through a balanced diet
The purpose of the diabetic diet is to stabilize the blood glucose level
by providing balanced nutrition.
