HESI GERONTOLOGY REVIEW QUESTIONS
WITH ANSWERS
When observing an older client with dementia for symptoms of
Sundowning syndrome, it is most important that the practical nurse
(PN) assesses for which finding? - CORRECT ANSWERS ✔✔Observe
for agitation at the end of the day.
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? - CORRECT ANSWERS ✔✔Assess the
client for urinary hesitancy and weak or split urinary stream.
An older adult client is seen in the clinic for problems with urinary
frequency, urgency, and nocturia. The symptoms are an example of
which condition? - CORRECT ANSWERS ✔✔Normal aging changes
The oral temperature of a client with a urinary tract infection is
103°F. Which intervention should the practical nurse (PN)
implement first? - CORRECT ANSWERS ✔✔Encourage fluid intake.
A client has had cataract surgery. What is the most important post-
surgery instruction that the practical nurse (PN) should implement?
- CORRECT ANSWERS ✔✔Avoid bending at the waist.
,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? - CORRECT
ANSWERS ✔✔Powerlessness
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? - CORRECT ANSWERS ✔✔To allow the client to die with as
much comfort and dignity as possible
The practical nurse (PN) working at an assisted living facility is
visiting with a client whose spouse died 8 months ago. Which
behavior by the client suggests ineffective coping with the spouse's
death? - CORRECT ANSWERS ✔✔Frequently neglects to shower
and shave.
The hospitalized client with end-stage renal disease has expressed
verbal and written wishes not to be resuscitated. Which action
should the practical nurse (PN) take? - CORRECT ANSWERS
✔✔Keep the client as comfortable as possible.
An older client diagnosed with benign prostatic hypertrophy (BPH)
asks the practical nurse (PN) what will happen if he decides not to
, have it treated. Which information given by the PN is most accurate
regarding BPH? - CORRECT ANSWERS ✔✔Untreated BPH causes
urinary reflux and possibly hydronephrosis.
The practical nurse (PN) emphasizes ways to prevent constipation
to the older adult client. Which instruction should the PN reinforce
in the client's discharge teaching plan? - CORRECT ANSWERS
✔✔Drink several glasses of water throughout the day.
An older adult client is recovering from a hip fracture. The
healthcare provider has prescribed home healthcare nursing upon
discharge. Which statement describes the primary goal for the
client? - CORRECT ANSWERS ✔✔Establish self-care and
independence.
The practical nurse (PN) reinforces the instructions to the client
after a hip replacement. Which client action indicates the need for
further education? - CORRECT ANSWERS ✔✔Crossing the feet
while lying in bed
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? -
CORRECT ANSWERS ✔✔Keep the client well hydrated.
WITH ANSWERS
When observing an older client with dementia for symptoms of
Sundowning syndrome, it is most important that the practical nurse
(PN) assesses for which finding? - CORRECT ANSWERS ✔✔Observe
for agitation at the end of the day.
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? - CORRECT ANSWERS ✔✔Assess the
client for urinary hesitancy and weak or split urinary stream.
An older adult client is seen in the clinic for problems with urinary
frequency, urgency, and nocturia. The symptoms are an example of
which condition? - CORRECT ANSWERS ✔✔Normal aging changes
The oral temperature of a client with a urinary tract infection is
103°F. Which intervention should the practical nurse (PN)
implement first? - CORRECT ANSWERS ✔✔Encourage fluid intake.
A client has had cataract surgery. What is the most important post-
surgery instruction that the practical nurse (PN) should implement?
- CORRECT ANSWERS ✔✔Avoid bending at the waist.
,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? - CORRECT
ANSWERS ✔✔Powerlessness
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? - CORRECT ANSWERS ✔✔To allow the client to die with as
much comfort and dignity as possible
The practical nurse (PN) working at an assisted living facility is
visiting with a client whose spouse died 8 months ago. Which
behavior by the client suggests ineffective coping with the spouse's
death? - CORRECT ANSWERS ✔✔Frequently neglects to shower
and shave.
The hospitalized client with end-stage renal disease has expressed
verbal and written wishes not to be resuscitated. Which action
should the practical nurse (PN) take? - CORRECT ANSWERS
✔✔Keep the client as comfortable as possible.
An older client diagnosed with benign prostatic hypertrophy (BPH)
asks the practical nurse (PN) what will happen if he decides not to
, have it treated. Which information given by the PN is most accurate
regarding BPH? - CORRECT ANSWERS ✔✔Untreated BPH causes
urinary reflux and possibly hydronephrosis.
The practical nurse (PN) emphasizes ways to prevent constipation
to the older adult client. Which instruction should the PN reinforce
in the client's discharge teaching plan? - CORRECT ANSWERS
✔✔Drink several glasses of water throughout the day.
An older adult client is recovering from a hip fracture. The
healthcare provider has prescribed home healthcare nursing upon
discharge. Which statement describes the primary goal for the
client? - CORRECT ANSWERS ✔✔Establish self-care and
independence.
The practical nurse (PN) reinforces the instructions to the client
after a hip replacement. Which client action indicates the need for
further education? - CORRECT ANSWERS ✔✔Crossing the feet
while lying in bed
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? -
CORRECT ANSWERS ✔✔Keep the client well hydrated.
