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Hesi PN-Gerontology Exam Question with 300 Correct Detailed Answers.docx

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Hesi PN-Gerontology Exam Question
with 300 Correct Detailed Answers
A male client is seen in the clinic for benign prostatic
hypertrophy (BPH). Which intervention is essential for the
practical nurse (PN) to include in the client's visit?


a. Reeducate the client about limiting fluid 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. - CORRECT
ANSWERS ✅c. Assess the client for urinary hesitancy
and weak or split urinary stream.




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.
Fluids should be encouraged, not limited; hydration needs
to be maintained.


The oral temperature of a client with a urinary tract
infection is 103° F. Which intervention should the
practical nurse (PN) implement first?

,Hesi PN-Gerontology Exam Question
with 300 Correct Detailed Answers

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. - CORRECT ANSWERS ✅d.
Encourage fluid intake.




Fluids help to reduce fever as quickly and it is important
to lower the temperature as soon as possible.


An older adult client is being treated for toxicity related to
medication use. When reviewing the client's medical
records, the nurse is most likely to find which factor is
correlated with this problem?


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.

,Hesi PN-Gerontology Exam Question
with 300 Correct Detailed Answers
d. The client has gained 40 pounds (18.2 kg) over 3
years. - CORRECT ANSWERS ✅c. The client's liver
function has decreased since last year.


With aging, liver function decreases, affecting drug
metabolism and detoxification. Forgetting to take doses
of medication would not cause drug toxicity; excessive
doses could cause toxicity. Elevated white blood cell
counts and weight gain would not likely cause drug
toxicity.


The practical nurse (PN) assesses the older adult client's
skin for signs of breakdown and observes that the skin is
intact. What 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. - CORRECT ANSWERS ✅a. Keep the
client well hydrated.

, Hesi PN-Gerontology Exam Question
with 300 Correct Detailed Answers
Keeping the client well hydrated helps prevent skin
cracking and infection.


The nurse has reinforced education regarding safety
aspects for antihypertensive medication with an older
adult. Which statement by the client best indicates
learning has been effective?


a. "I should rest in bed most of the day when I take this
medication."
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." - CORRECT ANSWERS ✅d. "I will make
sure that I stand up slowly if I have been sitting down."


Older adults are particularly likely to develop orthostatic
hypotension after taking medications to treat
hypertension. It is not necessary for the older adult to
stay in bed while taking this medication. Some
medications should be taken with food, others on an
empty stomach. Each medication should be individually
researched. While it is important to prevent children from

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