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HESI PN GERONTOLOGY EXAM|| ACCURATE AND
FREQUENTLY TESTED QUESTIONS AND 100% CORRECT
ANSWERS WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS|| SURE PASS!!
When observing an older client with dementia for symptoms of Sundowning syndrome,
it is mostimportantthatthepracticalnurse(PN) assessesfor which finding?
a. Observefor agitationat theend of theday.
b. Performa neurologicaland mentalstatusexamination.
c. Monitorfor medicationsideeffects.
d. Assessfor decreasedgrossmotormovement.- ANSWER: a. Observefor
agitation at the end of the day.
Sundowningsyndromeis a patternof agitatedbehaviorin theevening,believedto be
associated with tiredness at the end of the day combined with fewer orienting stimuli,
such as activities and interactions.
The practicalnurse(PN) working at an assistedliving facility is visiting with a client
whose spouse died8 months ago. Whichbehavior bythe client suggests ineffective
coping with the spouse's death?
a. Frequentlyneglectsto showerand shave.
b. Insists on visiting thegravesiteoncea month.
c. Joins an exerciseclassat theassistedliving facility.
d. Keepstheirphotoalbumsout and looks throughthemfrequently.- ANSWER:
,a. Frequentlyneglectsto showerand shave.
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Ineffective coping is manifested by behaviors that may be physically or psychologically
harmfulto theindividual.Neglectingpersonalhygieneis an example of ineffective
coping.
When initially monitoring a client after a fall, which information should the practical
nurse(PN) communicateimmediatelyto thehealthcareprovider?(Select all that apply.)
a. Changein thelevelof consciousness
b. Increasingmuscularweakness
c. Changesin pupil size bilaterally
d. Progressivenuchalrigidity
e. Onsetof nauseaand vomiting- ANSWER: a. Changein thelevelof
consciousness
e. Onsetof nauseaand vomiting
A decreaseor changein thelevelof consciousnessis usuallythefirst indicationof
neurological deterioration. Nausea and vomiting may also be present.
An olderadultclientis seenin theclinic for problemswith urinary frequency, urgency,
and nocturia. The symptoms are an example of which condition?
a. Urinary tractinfection(UTI)
b. Normal aging changes
c. Side effectof thediureticfurosemide
, d. Partialobstructionof theurethra- ANSWER: b. Normal aging changes
HESI PN GERONTOLOGY EXAM|| ACCURATE AND
FREQUENTLY TESTED QUESTIONS AND 100% CORRECT
ANSWERS WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS|| SURE PASS!!
When observing an older client with dementia for symptoms of Sundowning syndrome,
it is mostimportantthatthepracticalnurse(PN) assessesfor which finding?
a. Observefor agitationat theend of theday.
b. Performa neurologicaland mentalstatusexamination.
c. Monitorfor medicationsideeffects.
d. Assessfor decreasedgrossmotormovement.- ANSWER: a. Observefor
agitation at the end of the day.
Sundowningsyndromeis a patternof agitatedbehaviorin theevening,believedto be
associated with tiredness at the end of the day combined with fewer orienting stimuli,
such as activities and interactions.
The practicalnurse(PN) working at an assistedliving facility is visiting with a client
whose spouse died8 months ago. Whichbehavior bythe client suggests ineffective
coping with the spouse's death?
a. Frequentlyneglectsto showerand shave.
b. Insists on visiting thegravesiteoncea month.
c. Joins an exerciseclassat theassistedliving facility.
d. Keepstheirphotoalbumsout and looks throughthemfrequently.- ANSWER:
,a. Frequentlyneglectsto showerand shave.
,2 |P a g e
Ineffective coping is manifested by behaviors that may be physically or psychologically
harmfulto theindividual.Neglectingpersonalhygieneis an example of ineffective
coping.
When initially monitoring a client after a fall, which information should the practical
nurse(PN) communicateimmediatelyto thehealthcareprovider?(Select all that apply.)
a. Changein thelevelof consciousness
b. Increasingmuscularweakness
c. Changesin pupil size bilaterally
d. Progressivenuchalrigidity
e. Onsetof nauseaand vomiting- ANSWER: a. Changein thelevelof
consciousness
e. Onsetof nauseaand vomiting
A decreaseor changein thelevelof consciousnessis usuallythefirst indicationof
neurological deterioration. Nausea and vomiting may also be present.
An olderadultclientis seenin theclinic for problemswith urinary frequency, urgency,
and nocturia. The symptoms are an example of which condition?
a. Urinary tractinfection(UTI)
b. Normal aging changes
c. Side effectof thediureticfurosemide
, d. Partialobstructionof theurethra- ANSWER: b. Normal aging changes
