HESI CASE STUDIES GERONTOLOGY
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
The practical nurse (PN) is caring for an older female client with a 20 year history of
rheumatoid arthritis (RA) who is admitted for carpel tunnel release. Which finding
associated with RA should the PN document? - CORRECT-ANSWERSsmall joint
involvement in finger
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-ANSWERSheadaches
An older client who is unconscious is admitted after experiencing a head injury from a fall.
Glasgow Coma Scale (GCS) is prescribed to evaluate the client. Which focused assessments
should the practical nurse use to determine the client's GCS score? (Select all that apply.) -
CORRECT-ANSWERSverbal response
motor response
, eye opening
The home health practical nurse (PN) visits an older female client with an ileal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the
PN recommend the client do to manage the frequency of UTIs? - CORRECT-
ANSWERSattach a larger drainage bag while sleeping
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-
ANSWERScertain medications may impact sexual functions
Older clients are at highest risk for abuse and neglect due to which factors? (Select all that
apply.) - CORRECT-ANSWERSneeds are greater than caretaker ability
clients declining strength.
When needs are not being met due to lack of ability of the caretaker (A), stress and feelings
of failure of the care provider may be expressed through neglect and abuse. Decline in
strength (B) increases the older client's vulnerability to resist or respond to elder abuse. A
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
The practical nurse (PN) is caring for an older female client with a 20 year history of
rheumatoid arthritis (RA) who is admitted for carpel tunnel release. Which finding
associated with RA should the PN document? - CORRECT-ANSWERSsmall joint
involvement in finger
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-ANSWERSheadaches
An older client who is unconscious is admitted after experiencing a head injury from a fall.
Glasgow Coma Scale (GCS) is prescribed to evaluate the client. Which focused assessments
should the practical nurse use to determine the client's GCS score? (Select all that apply.) -
CORRECT-ANSWERSverbal response
motor response
, eye opening
The home health practical nurse (PN) visits an older female client with an ileal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the
PN recommend the client do to manage the frequency of UTIs? - CORRECT-
ANSWERSattach a larger drainage bag while sleeping
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-
ANSWERScertain medications may impact sexual functions
Older clients are at highest risk for abuse and neglect due to which factors? (Select all that
apply.) - CORRECT-ANSWERSneeds are greater than caretaker ability
clients declining strength.
When needs are not being met due to lack of ability of the caretaker (A), stress and feelings
of failure of the care provider may be expressed through neglect and abuse. Decline in
strength (B) increases the older client's vulnerability to resist or respond to elder abuse. A
