Hesi PN-Gerontology EXAM WITH
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?
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.
,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.
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
consuming medications intended for the older adult, the focus of
this question is the safety of the older adult.
An older adult client tells the nurse "I do not understand how I could
have a sexually transmitted disease! My partner seems like such a
nice, clean person." Which explanation should the nurse provide?
a. Most people in your age are not interested in sexual relationships.
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?
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.
,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.
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
consuming medications intended for the older adult, the focus of
this question is the safety of the older adult.
An older adult client tells the nurse "I do not understand how I could
have a sexually transmitted disease! My partner seems like such a
nice, clean person." Which explanation should the nurse provide?
a. Most people in your age are not interested in sexual relationships.
