5/21/25, 8:25 PM HESI PN GERONTOLOGY ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS WITH RATIONALES AND A READINESS …
HESI PN GERONTOLOGY ACTUAL EXAM QUESTIONS
WITH DETAILED ANSWERS WITH RATIONALES AND A
READINESS PRACTICE EXAM TEST BANK WITH A
STUDY GUIDE | LATEST UPDATED AND VERIFIED FOR
GUARANTEED PASS
The practical nurse (PN) a. Frequently neglects to shower and shave.
working at an assisted living
facility is visiting with a client Ineffective coping is manifested by behaviors that
whose spouse died 8 may be physically or psychologically harmful to the
months ago. Which individual. Neglecting personal hygiene is an example
behavior by the client of ineffective coping.
suggests ineffective coping
with the spouse's death?
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.
1/49
,5/21/25, 8:25 PM HESI PN GERONTOLOGY ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS WITH RATIONALES AND A READINESS …
When initially monitoring a a. Change in the level of consciousness
client after a e. Onset of nausea and vomiting
fall, which information
should the practical nurse A decrease or change in the level of consciousness is
(PN) communicate usually the first indication of neurological
immediately to the health deterioration. Nausea and vomiting may also be
care provider? (Select all present.
that
apply.)
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 b. Normal aging changes
in the clinic for problems
with urinary frequency, Normal aging changes in the bladder are decreased
urgency, and nocturia. The capacity, increased irritability, and incomplete
symptoms are an emptying; these changes lead to frequency, nocturia,
example of which condition? urgency, and vulnerability to infection. The majority of
UTIs in the older adult are asymptomatic. Classic signs
a. Urinary tract infection (UTI) 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
2/49
,5/21/25, 8:25 PM HESI PN GERONTOLOGY ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS WITH RATIONALES AND A READINESS …
An older adult client is c. Establish self-care and independence.
recovering from a hip
fracture. The health care Loss of independence is a significant issue with the
provider has prescribed aging population and is one of the most important
home health care nursing issues for the home health practical nurse (PN) to
upon discharge. Which establish with the client. Establishing the client's
statement describes the individual goals is the primary concern of the home
primary goal for the health care PN.
client?
a. Return the client to his or
her previous lifestyle.
b. Avoid dependency on
medication therapy.
c. Establish self-care and
independence.
d. Maintain a friendly
relationship with family
members.
An older client at a long- c. Tachycardia
term care facility is to be d. Confusion
monitored for early signs e. Tachypnea
of pneumonia. The
The onset of pneumonia in the older adult may be
practical nurse's (PN)
signaled by general deterioration, confusion, increased
observation of the client will
heart rate, or increased respiratory rate. Fever and
most likely show which early
abnormal
sign(s)/symptom(s)?
breath sounds occur later with the older adult.
(Select all that apply.)
a. Fever
b. Abnormal breath sounds
c. Tachycardia
d. Confusion
e. Tachypnea
3/49
, 5/21/25, 8:25 PM HESI PN GERONTOLOGY ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS WITH RATIONALES AND A READINESS …
The nurse is assisting with d. "My stools are sticky and are dark black."
data collection for an older
adult who is taking daily Dark tarry stools are an indication of gastrointestinal
aspirin to reduce the risk of a bleeding, an adverse effect of the daily aspirin this client
cardiovascular event. Which is taking. There is no immediate need to contact the
concern should the nurse health care provider about the client feeling cold or
report to the health care wishing children would visit more. This client's inability
provider as soon as to drive at night is a concern, and should be discussed,
possible? but
gastrointestinal bleeding needs to be dealt with first.
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."
The nurse is reinforcing c. "Stopping smoking can also improve my heart's functioning."
education with an older adult
regarding smoking Stopping smoking can improve cardiovascular
cessation. The nurse functioning. Smoking cessation will not reverse damage
recognizes teaching has already done by emphysema. Stopping smoking is
been effective if the client possible at any age and will be of benefit.
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."
4/49
HESI PN GERONTOLOGY ACTUAL EXAM QUESTIONS
WITH DETAILED ANSWERS WITH RATIONALES AND A
READINESS PRACTICE EXAM TEST BANK WITH A
STUDY GUIDE | LATEST UPDATED AND VERIFIED FOR
GUARANTEED PASS
The practical nurse (PN) a. Frequently neglects to shower and shave.
working at an assisted living
facility is visiting with a client Ineffective coping is manifested by behaviors that
whose spouse died 8 may be physically or psychologically harmful to the
months ago. Which individual. Neglecting personal hygiene is an example
behavior by the client of ineffective coping.
suggests ineffective coping
with the spouse's death?
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.
1/49
,5/21/25, 8:25 PM HESI PN GERONTOLOGY ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS WITH RATIONALES AND A READINESS …
When initially monitoring a a. Change in the level of consciousness
client after a e. Onset of nausea and vomiting
fall, which information
should the practical nurse A decrease or change in the level of consciousness is
(PN) communicate usually the first indication of neurological
immediately to the health deterioration. Nausea and vomiting may also be
care provider? (Select all present.
that
apply.)
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 b. Normal aging changes
in the clinic for problems
with urinary frequency, Normal aging changes in the bladder are decreased
urgency, and nocturia. The capacity, increased irritability, and incomplete
symptoms are an emptying; these changes lead to frequency, nocturia,
example of which condition? urgency, and vulnerability to infection. The majority of
UTIs in the older adult are asymptomatic. Classic signs
a. Urinary tract infection (UTI) 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
2/49
,5/21/25, 8:25 PM HESI PN GERONTOLOGY ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS WITH RATIONALES AND A READINESS …
An older adult client is c. Establish self-care and independence.
recovering from a hip
fracture. The health care Loss of independence is a significant issue with the
provider has prescribed aging population and is one of the most important
home health care nursing issues for the home health practical nurse (PN) to
upon discharge. Which establish with the client. Establishing the client's
statement describes the individual goals is the primary concern of the home
primary goal for the health care PN.
client?
a. Return the client to his or
her previous lifestyle.
b. Avoid dependency on
medication therapy.
c. Establish self-care and
independence.
d. Maintain a friendly
relationship with family
members.
An older client at a long- c. Tachycardia
term care facility is to be d. Confusion
monitored for early signs e. Tachypnea
of pneumonia. The
The onset of pneumonia in the older adult may be
practical nurse's (PN)
signaled by general deterioration, confusion, increased
observation of the client will
heart rate, or increased respiratory rate. Fever and
most likely show which early
abnormal
sign(s)/symptom(s)?
breath sounds occur later with the older adult.
(Select all that apply.)
a. Fever
b. Abnormal breath sounds
c. Tachycardia
d. Confusion
e. Tachypnea
3/49
, 5/21/25, 8:25 PM HESI PN GERONTOLOGY ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS WITH RATIONALES AND A READINESS …
The nurse is assisting with d. "My stools are sticky and are dark black."
data collection for an older
adult who is taking daily Dark tarry stools are an indication of gastrointestinal
aspirin to reduce the risk of a bleeding, an adverse effect of the daily aspirin this client
cardiovascular event. Which is taking. There is no immediate need to contact the
concern should the nurse health care provider about the client feeling cold or
report to the health care wishing children would visit more. This client's inability
provider as soon as to drive at night is a concern, and should be discussed,
possible? but
gastrointestinal bleeding needs to be dealt with first.
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."
The nurse is reinforcing c. "Stopping smoking can also improve my heart's functioning."
education with an older adult
regarding smoking Stopping smoking can improve cardiovascular
cessation. The nurse functioning. Smoking cessation will not reverse damage
recognizes teaching has already done by emphysema. Stopping smoking is
been effective if the client possible at any age and will be of benefit.
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."
4/49
