HESI PN Gerontology Exam – 2026/2027
Updated Questions, Answers & Rationales
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.) - correct answer-A. Locked
medication storage in the client's room.
B. Medication Administration Record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
Which age-related changes in the cardiovascular system should the practical
nurse (PN) document when evaluating an older client? (select all that apply.) -
correct 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? - correct 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? -
correct 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? - correct 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? - correct
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.) - correct 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? - correct
answer-Certain medications may impact sexual function.
Updated Questions, Answers & Rationales
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.) - correct answer-A. Locked
medication storage in the client's room.
B. Medication Administration Record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
Which age-related changes in the cardiovascular system should the practical
nurse (PN) document when evaluating an older client? (select all that apply.) -
correct 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? - correct 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? -
correct 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? - correct 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? - correct
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.) - correct 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? - correct
answer-Certain medications may impact sexual function.
