Hesi PN-Gerontology Exam 2026
Questions and 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 answer-c. Assess the client for urinary hesitancy and weak or
split urinary stream.
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,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?
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 answer-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?
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,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. - Correct answer-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.
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, 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 answer-
a. Keep the client well hydrated.
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
answer-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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Questions and 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 answer-c. Assess the client for urinary hesitancy and weak or
split urinary stream.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,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?
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 answer-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?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,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. - Correct answer-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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 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 answer-
a. Keep the client well hydrated.
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
answer-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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
