Page 1 of 122
“HESI PN GERONTOLOGY “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
A client has had cataract surgery. What is the most important postsurgery
instruction that the practical nurse (PN) should implement?
a. Increase dietary intake of vitamin E.
b. Avoid bending at the waist.
c. Instruct the client to look for halos around objects.
d. Advise the client that there will be significant changes in vision.
b. Avoid bending at the waist.
The client needs to avoid heavy lifting, straining, and bending to prevent intraocular
pressure in the eye.
The practical nurse (PN) is caring for a client who is having an exacerbation of
congestive heart failure (CHF). The PN should place the client in which
position?
a. Trendelenburg position
b. Lateral lying, with the legs slightly bent
c. Upright, with the legs in a dependent position
d. Semi-Fowler, with the legs elevated above the heart
c. Upright, with the legs in a dependent position
Clients with congestive heart failure or pulmonary edema should be positioned
upright, preferably with the legs dangling over the side of the bed, to decrease
venous return and lung congestion.
The client complains of nausea and vomiting about 1 hour after taking the
morning dose of an oral antidiabetic agent, glyburide. What is the priority
nursing intervention?
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a. Administer an additional dose of glyburide.
b. Take the client's blood glucose levels and administer insulin
subcutaneously.
c. Check the blood glucose level and monitor for signs of hyperglycemia.
d. Closely monitor the blood glucose level and watch for signs of
hypoglycemia.
d. Closely monitor the blood glucose level and watch for signs of hypoglycemia.
When a client who has taken an oral antidiabetic agent vomits, the practical nurse
(PN) should monitor the blood glucose level and watch for signs of hypoglycemia.
An older adult client has developed a urinary tract infection and has antibiotics
prescribed. Which instruction is most crucial to reinforce to prevent
recurrence of the infection?
a. You may take half of the prescribed dose once the symptoms resolve.
b. Once symptoms resolve, it is not necessary to continue taking the
medication.
c. Gradually reduce the drug amount taken to prevent antibiotic resistance.
d. Continue taking the antibiotics until the entire prescription is completed.
d. Continue taking the antibiotics until the entire prescription is completed.
In order to prevent recurrence of the infection, it is important to take all prescribed
doses. Reducing the amount of drug taken could actually increase the risk of
recurrence.
An older client verbalizes to the practical nurse (PN) that he feels a lack of
control over his life. The family member who came with the client states that
his father has been exhibiting increased passive behavior and an
unwillingness to participate in family functions. What word best describes this
client's behavior?
a. Anxiety
b. Fear
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c. Altered self-esteem
d. Powerlessness
d. Powerlessness
The behaviors that the client is exhibiting are most characteristic of powerlessness
and could affect the client's safety.
The practical nurse (PN) educates the older client about a new hearing aid.
Which instruction is the most important for the PN to give the client about the
care of the new hearing aid?
a. Instruct client to keep extra batteries on hand.
b. Tell client to clean it with a toothpick or pipe cleaner.
c. Inform client to remove it before bathing.
d. Turn it off and remove the battery when not in use.
c. Inform client to remove it before bathing.
Hearing aids should not be used in and around water; therefore, the client should
remove his hearing aid for bathing.
The client has end-stage Alzheimer disease and is admitted into hospice care.
Which focus does the nurse expect to note in the plan of care?
a. To provide maximum treatment to keep the client alive
b. To focus on caring interventions and symptom management
c. To allow the client to die with as much comfort and dignity as possible
d. To rehabilitate the patient by offering physical and occupational therapies
c. To allow the client to die with as much comfort and dignity as possible
The philosophy of hospice care is to allow the client in the end stages of life to die
with dignity and to be as comfortable as possible. Clients on hospice care are not
provided lifesaving measures; the goal of palliative care is to allow clients to have a
peaceful death focusing on caring interventions and symptom management.
An older male client refuses to take medication, stating that it burns his
stomach. Which action should the practical nurse implement?
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A) Crush the medication and mix it in the client's food.
B) Insist that the client take the medication as prescribed.
C) Circle and initial the dose time missed to show non-administration.
D) Document the reason for refusal and report to the charge nurse.
D) Document the reason for refusal and report to the charge nurse.
The practical nurse (PN) is documenting weekly nutritional status on all the
clients in the assisted living community. Which activity can the PN assign to
the unlicensed assistive personnel (UAP)?
A) Review the clients' diet from the past week.
B) Evaluate the clients' skin for irritation or breakdown.
C) Obtain an individual height and weight for each client.
D) Document nutritional findings in the clients' charts.
C) Obtain an individual height and weight for each client.
The practical nurse (PN) working in an assisted-living community reviews the
guidelines for completing new resident paperwork. What amount of time is
required to complete the initial comprehensive plan of care by the
interdisciplinary team?
A) 24 hours.
B) 72 hours.
C) 7 days.
D) 14 days.
C) 7 days.
The primary care practical nurse (PN) is working with a newly employed PN to
prioritize several unit procedures. When the primary PN evaluates the
decision, which selection indicates that the newly employed PN has identified
the priority task?
A) Managing time for all client care during the shift.
B) Completing care for clients scheduled for discharge.
C) Obtaining needed supplies for each client's room.
D) Evaluating clients who are unstable or most critical.
D) Evaluating clients who are unstable or most critical.
“HESI PN GERONTOLOGY “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
A client has had cataract surgery. What is the most important postsurgery
instruction that the practical nurse (PN) should implement?
a. Increase dietary intake of vitamin E.
b. Avoid bending at the waist.
c. Instruct the client to look for halos around objects.
d. Advise the client that there will be significant changes in vision.
b. Avoid bending at the waist.
The client needs to avoid heavy lifting, straining, and bending to prevent intraocular
pressure in the eye.
The practical nurse (PN) is caring for a client who is having an exacerbation of
congestive heart failure (CHF). The PN should place the client in which
position?
a. Trendelenburg position
b. Lateral lying, with the legs slightly bent
c. Upright, with the legs in a dependent position
d. Semi-Fowler, with the legs elevated above the heart
c. Upright, with the legs in a dependent position
Clients with congestive heart failure or pulmonary edema should be positioned
upright, preferably with the legs dangling over the side of the bed, to decrease
venous return and lung congestion.
The client complains of nausea and vomiting about 1 hour after taking the
morning dose of an oral antidiabetic agent, glyburide. What is the priority
nursing intervention?
, Page 2 of 122
a. Administer an additional dose of glyburide.
b. Take the client's blood glucose levels and administer insulin
subcutaneously.
c. Check the blood glucose level and monitor for signs of hyperglycemia.
d. Closely monitor the blood glucose level and watch for signs of
hypoglycemia.
d. Closely monitor the blood glucose level and watch for signs of hypoglycemia.
When a client who has taken an oral antidiabetic agent vomits, the practical nurse
(PN) should monitor the blood glucose level and watch for signs of hypoglycemia.
An older adult client has developed a urinary tract infection and has antibiotics
prescribed. Which instruction is most crucial to reinforce to prevent
recurrence of the infection?
a. You may take half of the prescribed dose once the symptoms resolve.
b. Once symptoms resolve, it is not necessary to continue taking the
medication.
c. Gradually reduce the drug amount taken to prevent antibiotic resistance.
d. Continue taking the antibiotics until the entire prescription is completed.
d. Continue taking the antibiotics until the entire prescription is completed.
In order to prevent recurrence of the infection, it is important to take all prescribed
doses. Reducing the amount of drug taken could actually increase the risk of
recurrence.
An older client verbalizes to the practical nurse (PN) that he feels a lack of
control over his life. The family member who came with the client states that
his father has been exhibiting increased passive behavior and an
unwillingness to participate in family functions. What word best describes this
client's behavior?
a. Anxiety
b. Fear
, Page 3 of 122
c. Altered self-esteem
d. Powerlessness
d. Powerlessness
The behaviors that the client is exhibiting are most characteristic of powerlessness
and could affect the client's safety.
The practical nurse (PN) educates the older client about a new hearing aid.
Which instruction is the most important for the PN to give the client about the
care of the new hearing aid?
a. Instruct client to keep extra batteries on hand.
b. Tell client to clean it with a toothpick or pipe cleaner.
c. Inform client to remove it before bathing.
d. Turn it off and remove the battery when not in use.
c. Inform client to remove it before bathing.
Hearing aids should not be used in and around water; therefore, the client should
remove his hearing aid for bathing.
The client has end-stage Alzheimer disease and is admitted into hospice care.
Which focus does the nurse expect to note in the plan of care?
a. To provide maximum treatment to keep the client alive
b. To focus on caring interventions and symptom management
c. To allow the client to die with as much comfort and dignity as possible
d. To rehabilitate the patient by offering physical and occupational therapies
c. To allow the client to die with as much comfort and dignity as possible
The philosophy of hospice care is to allow the client in the end stages of life to die
with dignity and to be as comfortable as possible. Clients on hospice care are not
provided lifesaving measures; the goal of palliative care is to allow clients to have a
peaceful death focusing on caring interventions and symptom management.
An older male client refuses to take medication, stating that it burns his
stomach. Which action should the practical nurse implement?
, Page 4 of 122
A) Crush the medication and mix it in the client's food.
B) Insist that the client take the medication as prescribed.
C) Circle and initial the dose time missed to show non-administration.
D) Document the reason for refusal and report to the charge nurse.
D) Document the reason for refusal and report to the charge nurse.
The practical nurse (PN) is documenting weekly nutritional status on all the
clients in the assisted living community. Which activity can the PN assign to
the unlicensed assistive personnel (UAP)?
A) Review the clients' diet from the past week.
B) Evaluate the clients' skin for irritation or breakdown.
C) Obtain an individual height and weight for each client.
D) Document nutritional findings in the clients' charts.
C) Obtain an individual height and weight for each client.
The practical nurse (PN) working in an assisted-living community reviews the
guidelines for completing new resident paperwork. What amount of time is
required to complete the initial comprehensive plan of care by the
interdisciplinary team?
A) 24 hours.
B) 72 hours.
C) 7 days.
D) 14 days.
C) 7 days.
The primary care practical nurse (PN) is working with a newly employed PN to
prioritize several unit procedures. When the primary PN evaluates the
decision, which selection indicates that the newly employed PN has identified
the priority task?
A) Managing time for all client care during the shift.
B) Completing care for clients scheduled for discharge.
C) Obtaining needed supplies for each client's room.
D) Evaluating clients who are unstable or most critical.
D) Evaluating clients who are unstable or most critical.
