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HESI PN GERONTOLOGY ACTUAL EXAM 2025/2026
COMPLETE EXAM WITH 200 ACCURATE QUESTIONS
AND CORRECT VERIFIED ANSWERS (A NEW
UPDATED VERSION) |GUARANTEED PASS A+ (BRAND
NEW!!) PN HESI GERONTOLOGY EXAM
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?
a. Observe for agitation at the end of the day.
b. Perform a neurological and mental status examination.
c. Monitor for medication side effects.
d. Assess for decreased gross motor movement. ......answer.....a. Observe
for agitation at the end of the day.
Sundowning syndrome is a pattern of agitated behavior in the evening,
believed to be associated with tiredness at the end of the day combined with
fewer orienting stimuli, such as activities and interactions.
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?
a. Frequently neglects to shower and shave.
b. Insists on visiting the gravesite once a month.
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c. Joins an exercise class at the assisted living facility.
d. Keeps their photo albums out and looks through them frequently.
......answer.....a. Frequently neglects to shower and shave.
Ineffective coping is manifested by behaviors that may be physically or
psychologically harmful to the individual. Neglecting personal hygiene is an
example of ineffective coping.
When initially monitoring a client after a fall, which information should the
practical nurse (PN) communicate immediately to the health care provider?
(Select all that apply.)
a. Change in the level of consciousness
b. Increasing muscular weakness
c. Changes in pupil size bilaterally
d. Progressive nuchal rigidity
e. Onset of nausea and vomiting ......answer.....a. Change in the level of
consciousness
e. Onset of nausea and vomiting
A decrease or change in the level of consciousness is usually the first
indication of neurological deterioration. Nausea and vomiting may also be
present.
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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?
a. Urinary tract infection (UTI)
b. Normal aging changes
c. Side effect of the diuretic furosemide
d. Partial obstruction of the urethra ......answer.....b. Normal aging
changes
Normal aging changes in the bladder are decreased capacity, increased
irritability, and incomplete emptying; these changes lead to frequency,
nocturia, urgency, and vulnerability to infection. The majority of UTIs in the
older adult are asymptomatic. Classic signs of UTIs are fever, dysuria, and
flank pain.
An older adult client is recovering from a hip fracture. The health care
provider has prescribed home health care nursing upon discharge. Which
statement describes the primary goal for the client?
a. Return the client to his or her previous lifestyle.
b. Avoid dependency on medication therapy.
c. Establish self-care and independence.
d. Maintain a friendly relationship with family members. ......answer.....c.
Establish self-care and independence.
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Loss of independence is a significant issue with the aging population and is
one of the most important issues for the home health practical nurse (PN) to
establish with the client. Establishing the client's individual goals is the
primary concern of the home health care PN.
An older client at a long-term care facility is to be monitored for early signs
of pneumonia. The practical nurse's (PN) observation of the client will most
likely show which early sign(s)/symptom(s)? (Select all that apply.)
a. Fever
b. Abnormal breath sounds
c. Tachycardia
d. Confusion
e. Tachypnea ......answer.....c. Tachycardia
d. Confusion
e. Tachypnea
The onset of pneumonia in the older adult may be signaled by general
deterioration, confusion, increased heart rate, or increased respiratory rate.
Fever and abnormal breath sounds occur later with the older adult.
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.
HESI PN GERONTOLOGY ACTUAL EXAM 2025/2026
COMPLETE EXAM WITH 200 ACCURATE QUESTIONS
AND CORRECT VERIFIED ANSWERS (A NEW
UPDATED VERSION) |GUARANTEED PASS A+ (BRAND
NEW!!) PN HESI GERONTOLOGY EXAM
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?
a. Observe for agitation at the end of the day.
b. Perform a neurological and mental status examination.
c. Monitor for medication side effects.
d. Assess for decreased gross motor movement. ......answer.....a. Observe
for agitation at the end of the day.
Sundowning syndrome is a pattern of agitated behavior in the evening,
believed to be associated with tiredness at the end of the day combined with
fewer orienting stimuli, such as activities and interactions.
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?
a. Frequently neglects to shower and shave.
b. Insists on visiting the gravesite once a month.
,2|Page
c. Joins an exercise class at the assisted living facility.
d. Keeps their photo albums out and looks through them frequently.
......answer.....a. Frequently neglects to shower and shave.
Ineffective coping is manifested by behaviors that may be physically or
psychologically harmful to the individual. Neglecting personal hygiene is an
example of ineffective coping.
When initially monitoring a client after a fall, which information should the
practical nurse (PN) communicate immediately to the health care provider?
(Select all that apply.)
a. Change in the level of consciousness
b. Increasing muscular weakness
c. Changes in pupil size bilaterally
d. Progressive nuchal rigidity
e. Onset of nausea and vomiting ......answer.....a. Change in the level of
consciousness
e. Onset of nausea and vomiting
A decrease or change in the level of consciousness is usually the first
indication of neurological deterioration. Nausea and vomiting may also be
present.
,3|Page
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?
a. Urinary tract infection (UTI)
b. Normal aging changes
c. Side effect of the diuretic furosemide
d. Partial obstruction of the urethra ......answer.....b. Normal aging
changes
Normal aging changes in the bladder are decreased capacity, increased
irritability, and incomplete emptying; these changes lead to frequency,
nocturia, urgency, and vulnerability to infection. The majority of UTIs in the
older adult are asymptomatic. Classic signs of UTIs are fever, dysuria, and
flank pain.
An older adult client is recovering from a hip fracture. The health care
provider has prescribed home health care nursing upon discharge. Which
statement describes the primary goal for the client?
a. Return the client to his or her previous lifestyle.
b. Avoid dependency on medication therapy.
c. Establish self-care and independence.
d. Maintain a friendly relationship with family members. ......answer.....c.
Establish self-care and independence.
, 4|Page
Loss of independence is a significant issue with the aging population and is
one of the most important issues for the home health practical nurse (PN) to
establish with the client. Establishing the client's individual goals is the
primary concern of the home health care PN.
An older client at a long-term care facility is to be monitored for early signs
of pneumonia. The practical nurse's (PN) observation of the client will most
likely show which early sign(s)/symptom(s)? (Select all that apply.)
a. Fever
b. Abnormal breath sounds
c. Tachycardia
d. Confusion
e. Tachypnea ......answer.....c. Tachycardia
d. Confusion
e. Tachypnea
The onset of pneumonia in the older adult may be signaled by general
deterioration, confusion, increased heart rate, or increased respiratory rate.
Fever and abnormal breath sounds occur later with the older adult.
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.
