10/18/24, 3:55 PM
Hesi PN-Gerontology
Terms in this set (73)
A male client is seen in the clinic for benign c. Assess the client for urinary hesitancy and weak or split urinary stream.
prostatic hypertrophy (BPH). Which
intervention is essential for the practical
nurse (PN) to include in the client's visit? These symptoms may indicate progression of BPH to partial obstruction of the
urethra, a medical emergency, and need to be reported to the health care provider.
a. Reeducate the client about limiting fluid Fluids should be encouraged, not limited; hydration needs to be maintained.
intake.
b. Reassure the client that his BPH is a non-
life-threatening condition.
c. Assess the client for urinary hesitancy
and weak or split urinary stream.
d. Inform the client that there may be a
genetic predisposition for male family
members.
The oral temperature of a client with a d. Encourage fluid intake.
urinary tract infection is 103° F. Which
intervention should the practical nurse (PN)
implement first? Fluids help to reduce fever as quickly and it is important to lower the temperature as
soon as possible.
a. Instruct the client on proper hygienic
practices.
b. Observe the color or odor of urine.
c. Recheck the temperature rectally.
d. Encourage fluid intake.
1/21
,10/18/24, 3:55 PM
An older adult client is being treated for c. The client's liver function has decreased since last year.
toxicity related to medication use. When
reviewing the client's medical records, the With aging, liver function decreases, affecting drug metabolism and detoxification.
nurse is most likely to find which factor is Forgetting to take doses of medication would not cause drug toxicity; excessive
correlated with this problem? doses could cause toxicity. Elevated white blood cell counts and weight gain would
not likely cause drug toxicity.
a. The client has forgotten to take several
doses of medication.
b. The client's white blood cell count has
steadily increased.
c. The client's liver function has decreased
since last year.
d. The client has gained 40 pounds (18.2 kg)
over 3 years.
The practical nurse (PN) assesses the older a. Keep the client well hydrated.
adult client's skin for signs of breakdown
and observes that the skin is intact. What Keeping the client well hydrated helps prevent skin cracking and infection.
interventions by the PN will help maintain
healthy skin integrity?
a. Keep the client well hydrated.
b. Remove adhesive tape quickly from the
skin.
c. Avoid creams or lotions to ensure that
the skin stays dry.
d. Scrub the perineum with a wet cloth
after a bowel movement.
The nurse has reinforced education d. "I will make sure that I stand up slowly if I have been sitting down."
regarding safety aspects for
antihypertensive medication with an older Older adults are particularly likely to develop orthostatic hypotension after taking
adult. Which statement by the client best medications to treat hypertension. It is not necessary for the older adult to stay in
indicates learning has been effective? bed while taking this medication. Some medications should be taken with food,
others on an empty stomach. Each medication should be individually researched.
a. "I should rest in bed most of the day While it is important to prevent children from consuming medications intended for
when I take this medication." the older adult, the focus of this question is the safety of the older adult.
b. "I will be sure to keep this medication out
of the reach of children."
c. "I will need to make sure that I take this
medication with some food."
d. "I will make sure that I stand up slowly if I
have been sitting down."
An older adult client tells the nurse "I do d. Sexually transmitted diseases are possible to have at any age of your life.
not understand how I could have a sexually
transmitted disease! My partner seems like Sexually transmitted diseases are possible at any age. It is inappropriate, untrue, and
such a nice, clean person." Which ageist to comment that older adults are not interested in sexual relations. It is very
explanation should the nurse provide? judgmental for the nurse to suggest the older adult should have sought their family's
a. Most people in your age are not input or that the older adult should stop having sexual relations.
interested in sexual relationships.
b. You should have discussed this with your
family before you started dating.
c. Maybe you should go back to just
holding hands and hugging on dates.
d. Sexually transmitted diseases are
possible to have at any age of your life.
Hesi PN-Gerontology
2/21
, 10/18/24, 3:55 PM
When observing an older client with a. Observe for agitation at the end of the day.
dementia for symptoms of Sundowning
syndrome, it is most important that the Sundowning syndrome is a pattern of agitated behavior in the evening, believed to
practical nurse (PN) assesses for which be associated with tiredness at the end of the day combined with fewer orienting
finding? stimuli, such as activities and interactions.
a. Observe for agitation at the end of the
day.
b. Perform a neurological and mental status
examination.
c. Monitor for medication side effects.
d. Assess for decreased gross motor
movement.
The practical nurse (PN) working at an a. Frequently neglects to shower and shave.
assisted living facility is visiting with a client
whose spouse died 8 months ago. Which Ineffective coping is manifested by behaviors that may be physically or
behavior by the client suggests ineffective psychologically harmful to the individual. Neglecting personal hygiene is an
coping with the spouse's death? example of ineffective coping.
a. Frequently neglects to shower and
shave.
b. Insists on visiting the gravesite once a
month.
c. Joins an exercise class at the assisted
living facility.
d. Keeps their photo albums out and looks
through them frequently.
When initially monitoring a client after a a. Change in the level of consciousness
fall, which information should the practical e. Onset of nausea and vomiting
nurse (PN) communicate immediately to
the health care provider? (Select all that A decrease or change in the level of consciousness is usually the first indication of
apply.) neurological deterioration. Nausea and vomiting may also be present.
a. Change in the level of consciousness
b. Increasing muscular weakness
c. Changes in pupil size bilaterally
d. Progressive nuchal rigidity
e. Onset of nausea and vomiting
An older adult client is seen in the clinic for b. Normal aging changes
problems with urinary frequency, urgency,
and nocturia. The symptoms are an Normal aging changes in the bladder are decreased capacity, increased irritability,
example of which condition? and incomplete emptying; these changes lead to frequency, nocturia, urgency, and
vulnerability to infection. The majority of UTIs in the older adult are asymptomatic.
a. Urinary tract infection (UTI) Classic signs of UTIs are fever, dysuria, and flank pain.
b. Normal aging changes
c. Side effect of the diuretic furosemide
d. Partial obstruction of the urethra
Hesi PN-Gerontology
https://quizlet.com/592078547/hesi-pn-gerontology-flash-cards/ 3/21
Hesi PN-Gerontology
Terms in this set (73)
A male client is seen in the clinic for benign c. Assess the client for urinary hesitancy and weak or split urinary stream.
prostatic hypertrophy (BPH). Which
intervention is essential for the practical
nurse (PN) to include in the client's visit? These symptoms may indicate progression of BPH to partial obstruction of the
urethra, a medical emergency, and need to be reported to the health care provider.
a. Reeducate the client about limiting fluid Fluids should be encouraged, not limited; hydration needs to be maintained.
intake.
b. Reassure the client that his BPH is a non-
life-threatening condition.
c. Assess the client for urinary hesitancy
and weak or split urinary stream.
d. Inform the client that there may be a
genetic predisposition for male family
members.
The oral temperature of a client with a d. Encourage fluid intake.
urinary tract infection is 103° F. Which
intervention should the practical nurse (PN)
implement first? Fluids help to reduce fever as quickly and it is important to lower the temperature as
soon as possible.
a. Instruct the client on proper hygienic
practices.
b. Observe the color or odor of urine.
c. Recheck the temperature rectally.
d. Encourage fluid intake.
1/21
,10/18/24, 3:55 PM
An older adult client is being treated for c. The client's liver function has decreased since last year.
toxicity related to medication use. When
reviewing the client's medical records, the With aging, liver function decreases, affecting drug metabolism and detoxification.
nurse is most likely to find which factor is Forgetting to take doses of medication would not cause drug toxicity; excessive
correlated with this problem? doses could cause toxicity. Elevated white blood cell counts and weight gain would
not likely cause drug toxicity.
a. The client has forgotten to take several
doses of medication.
b. The client's white blood cell count has
steadily increased.
c. The client's liver function has decreased
since last year.
d. The client has gained 40 pounds (18.2 kg)
over 3 years.
The practical nurse (PN) assesses the older a. Keep the client well hydrated.
adult client's skin for signs of breakdown
and observes that the skin is intact. What Keeping the client well hydrated helps prevent skin cracking and infection.
interventions by the PN will help maintain
healthy skin integrity?
a. Keep the client well hydrated.
b. Remove adhesive tape quickly from the
skin.
c. Avoid creams or lotions to ensure that
the skin stays dry.
d. Scrub the perineum with a wet cloth
after a bowel movement.
The nurse has reinforced education d. "I will make sure that I stand up slowly if I have been sitting down."
regarding safety aspects for
antihypertensive medication with an older Older adults are particularly likely to develop orthostatic hypotension after taking
adult. Which statement by the client best medications to treat hypertension. It is not necessary for the older adult to stay in
indicates learning has been effective? bed while taking this medication. Some medications should be taken with food,
others on an empty stomach. Each medication should be individually researched.
a. "I should rest in bed most of the day While it is important to prevent children from consuming medications intended for
when I take this medication." the older adult, the focus of this question is the safety of the older adult.
b. "I will be sure to keep this medication out
of the reach of children."
c. "I will need to make sure that I take this
medication with some food."
d. "I will make sure that I stand up slowly if I
have been sitting down."
An older adult client tells the nurse "I do d. Sexually transmitted diseases are possible to have at any age of your life.
not understand how I could have a sexually
transmitted disease! My partner seems like Sexually transmitted diseases are possible at any age. It is inappropriate, untrue, and
such a nice, clean person." Which ageist to comment that older adults are not interested in sexual relations. It is very
explanation should the nurse provide? judgmental for the nurse to suggest the older adult should have sought their family's
a. Most people in your age are not input or that the older adult should stop having sexual relations.
interested in sexual relationships.
b. You should have discussed this with your
family before you started dating.
c. Maybe you should go back to just
holding hands and hugging on dates.
d. Sexually transmitted diseases are
possible to have at any age of your life.
Hesi PN-Gerontology
2/21
, 10/18/24, 3:55 PM
When observing an older client with a. Observe for agitation at the end of the day.
dementia for symptoms of Sundowning
syndrome, it is most important that the Sundowning syndrome is a pattern of agitated behavior in the evening, believed to
practical nurse (PN) assesses for which be associated with tiredness at the end of the day combined with fewer orienting
finding? stimuli, such as activities and interactions.
a. Observe for agitation at the end of the
day.
b. Perform a neurological and mental status
examination.
c. Monitor for medication side effects.
d. Assess for decreased gross motor
movement.
The practical nurse (PN) working at an a. Frequently neglects to shower and shave.
assisted living facility is visiting with a client
whose spouse died 8 months ago. Which Ineffective coping is manifested by behaviors that may be physically or
behavior by the client suggests ineffective psychologically harmful to the individual. Neglecting personal hygiene is an
coping with the spouse's death? example of ineffective coping.
a. Frequently neglects to shower and
shave.
b. Insists on visiting the gravesite once a
month.
c. Joins an exercise class at the assisted
living facility.
d. Keeps their photo albums out and looks
through them frequently.
When initially monitoring a client after a a. Change in the level of consciousness
fall, which information should the practical e. Onset of nausea and vomiting
nurse (PN) communicate immediately to
the health care provider? (Select all that A decrease or change in the level of consciousness is usually the first indication of
apply.) neurological deterioration. Nausea and vomiting may also be present.
a. Change in the level of consciousness
b. Increasing muscular weakness
c. Changes in pupil size bilaterally
d. Progressive nuchal rigidity
e. Onset of nausea and vomiting
An older adult client is seen in the clinic for b. Normal aging changes
problems with urinary frequency, urgency,
and nocturia. The symptoms are an Normal aging changes in the bladder are decreased capacity, increased irritability,
example of which condition? and incomplete emptying; these changes lead to frequency, nocturia, urgency, and
vulnerability to infection. The majority of UTIs in the older adult are asymptomatic.
a. Urinary tract infection (UTI) Classic signs of UTIs are fever, dysuria, and flank pain.
b. Normal aging changes
c. Side effect of the diuretic furosemide
d. Partial obstruction of the urethra
Hesi PN-Gerontology
https://quizlet.com/592078547/hesi-pn-gerontology-flash-cards/ 3/21
