HESI PN GERONTOLOGY ACTUAL EXAM LATEST
VERSION 2025-2026 CONTAINS 80QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES |
ALREADY GRADED A+
Overview:
This comprehensive study guide mirrors the content and difficulty level of the
actual HESI PN Gerontology exam. Each question is accompanied by a detailed
answer explanation (rationale), reinforcing understanding of essential nursing
concepts, evidence-based interventions, and patient safety principles in geriatric
care.
Key Features:
✅ 80 verified and correct exam questions
✅ Each question includes detailed rationales for deeper learning
✅ Fully updated for 2025–2026 HESI standards
✅ A+ graded content for guaranteed accuracy and reliability
✅ Ideal for PN students, instructors, and NCLEX-PN preparation
Purpose:
To provide complete and verified preparation for the HESI PN
Gerontology Exam
To build strong clinical reasoning and evidence-based decision-making
skills
To improve readiness for both HESI and NCLEX-PN gerontology-related
questions
Recommended For:
, Practical Nursing (PN) students preparing for the HESI Gerontology
Exam
Educators and tutors providing HESI-aligned instruction and review
NCLEX-PN candidates seeking to strengthen gerontological nursing
knowledge
✅ With 80 verified questions, detailed rationales, and A+ graded accuracy,
the HESI PN Gerontology Exam 2025–2026 is your most complete and reliable
study companion for mastering geriatric nursing concepts and achieving top exam
performance
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?
a. Avoid caffeinated beverages.
b. Take a stool softener once a week.
c. Drink several glasses of water throughout the day.
d. Make sure to chew food completely before swallowing. - ANSWER-c. Drink several glasses of water
throughout the day.
Adequate hydration is an important measure for preventing constipation.
The nurse is providing instructions for safely bathing older clients to a group of newly employed
unlicensed assistive personnel (UAPs) in a long-term care unit. Which instruction is most crucial to
provide?
a. Make sure to bathe the residents according to the facility schedule.
b. Check the bath water temperature carefully to prevent burn injuries.
c. Ask each resident which type of bath soap the resident prefers to use.
d. Ask the resident if a tub bath or shower is the preferred method. - ANSWER-b. Check the bath water
temperature carefully to prevent burn injuries.
The most crucial aspect of bathing an older adult is to make sure the bath water is neither too hot nor
too cold, as decreased peripheral sensation is common with older adults. Bathing residents according to
the facility schedule would not improve safety. Asking about personal preference with bathing promotes
independence, but it does not necessarily ensure safety.
,The nurse is reviewing medical records at a long-term care facility to determine if the older adult clients
have received immunization for influenza. The nurse should ensure the clients receive this immunization
according to which guideline?
a. Annually
b. Every 10 years
c. After contracting influenza
d. Before having major surgery - ANSWER-a. Annually
Older adults should receive the influenza immunization annually.
The practical nurse (PN) is caring for a client who has been diagnosed with early Alzheimer disease. With
which activity does the PN expect the client to experience the most difficulty?
a. Balancing a checkbook
b. Remembering his name
c. Performing activities of daily living (ADLs)
d. Recognizing friends and family members - ANSWER-a. Balancing a checkbook
In the early stages of Alzheimer disease, the client has difficulty with complex tasks, such as balancing a
checkbook.
The practical nurse (PN) performs a skin assessment on an older adult client who is on bed rest. The PN
notes a circular area of nonblanchable erythema on the coccyx. Which type of skin condition does this
indicate?
a. Fungal rash
b. First-degree burn
c. Stage 1 pressure ulcer
d. Stage 2 pressure ulcer - ANSWER-c. Stage 1 pressure ulcer
An area of nonblanchable erythema over a bony prominence caused by pressure is a stage 1 pressure
ulcer.
, The older adult client diagnosed with a pulmonary embolus is taking warfarin 5 mg daily. The practical
nurse (PN) notes that the most recent international normalized ratio (INR) value is 5.0. Which
intervention should the practical nurse (PN) anticipate?
a. The provider will increase the dose of warfarin.
b. The provider will decrease the dose of warfarin.
c. The provider will not change the warfarin order.
d. The provider will add heparin to the client's medications. - ANSWER-b. The provider will decrease the
dose of warfarin.
Warfarin is an anticoagulant, and the INR measures the clotting time of the blood. The therapeutic range
for INR is 2 to 4.5, depending on the client's disease process. An INR above the recommended range
means that the warfarin should be reduced to prevent bleeding.
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?
a. Prostatitis results from untreated BPH.
b. Painful kidney stones will develop if you do not treat BPH.
c. If left untreated, BPH will develop into a severe bladder infection.
d. Untreated BPH causes urinary reflux and possibly hydronephrosis. - ANSWER-d. Untreated BPH causes
urinary reflux and possibly hydronephrosis.
Untreated BPH leads to urinary reflux and possibly hydronephrosis because of increased pressure in the
bladder.
When caring for a client on digoxin therapy, the practical nurse (PN) knows to be alert for digoxin
toxicity. Which finding would predispose this client to developing digoxin toxicity?
a. Low serum magnesium level
b. High serum magnesium level
c. Low serum potassium level
d. High serum potassium level - ANSWER-c. Low serum potassium level
Hypokalemia predisposes the client on digoxin to digitalis toxicity, usually presenting as abdominal pain,
anorexia, nausea, vomiting, visual disturbances, bradycardia, and atrioventricular (AV) dissociation.
VERSION 2025-2026 CONTAINS 80QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES |
ALREADY GRADED A+
Overview:
This comprehensive study guide mirrors the content and difficulty level of the
actual HESI PN Gerontology exam. Each question is accompanied by a detailed
answer explanation (rationale), reinforcing understanding of essential nursing
concepts, evidence-based interventions, and patient safety principles in geriatric
care.
Key Features:
✅ 80 verified and correct exam questions
✅ Each question includes detailed rationales for deeper learning
✅ Fully updated for 2025–2026 HESI standards
✅ A+ graded content for guaranteed accuracy and reliability
✅ Ideal for PN students, instructors, and NCLEX-PN preparation
Purpose:
To provide complete and verified preparation for the HESI PN
Gerontology Exam
To build strong clinical reasoning and evidence-based decision-making
skills
To improve readiness for both HESI and NCLEX-PN gerontology-related
questions
Recommended For:
, Practical Nursing (PN) students preparing for the HESI Gerontology
Exam
Educators and tutors providing HESI-aligned instruction and review
NCLEX-PN candidates seeking to strengthen gerontological nursing
knowledge
✅ With 80 verified questions, detailed rationales, and A+ graded accuracy,
the HESI PN Gerontology Exam 2025–2026 is your most complete and reliable
study companion for mastering geriatric nursing concepts and achieving top exam
performance
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?
a. Avoid caffeinated beverages.
b. Take a stool softener once a week.
c. Drink several glasses of water throughout the day.
d. Make sure to chew food completely before swallowing. - ANSWER-c. Drink several glasses of water
throughout the day.
Adequate hydration is an important measure for preventing constipation.
The nurse is providing instructions for safely bathing older clients to a group of newly employed
unlicensed assistive personnel (UAPs) in a long-term care unit. Which instruction is most crucial to
provide?
a. Make sure to bathe the residents according to the facility schedule.
b. Check the bath water temperature carefully to prevent burn injuries.
c. Ask each resident which type of bath soap the resident prefers to use.
d. Ask the resident if a tub bath or shower is the preferred method. - ANSWER-b. Check the bath water
temperature carefully to prevent burn injuries.
The most crucial aspect of bathing an older adult is to make sure the bath water is neither too hot nor
too cold, as decreased peripheral sensation is common with older adults. Bathing residents according to
the facility schedule would not improve safety. Asking about personal preference with bathing promotes
independence, but it does not necessarily ensure safety.
,The nurse is reviewing medical records at a long-term care facility to determine if the older adult clients
have received immunization for influenza. The nurse should ensure the clients receive this immunization
according to which guideline?
a. Annually
b. Every 10 years
c. After contracting influenza
d. Before having major surgery - ANSWER-a. Annually
Older adults should receive the influenza immunization annually.
The practical nurse (PN) is caring for a client who has been diagnosed with early Alzheimer disease. With
which activity does the PN expect the client to experience the most difficulty?
a. Balancing a checkbook
b. Remembering his name
c. Performing activities of daily living (ADLs)
d. Recognizing friends and family members - ANSWER-a. Balancing a checkbook
In the early stages of Alzheimer disease, the client has difficulty with complex tasks, such as balancing a
checkbook.
The practical nurse (PN) performs a skin assessment on an older adult client who is on bed rest. The PN
notes a circular area of nonblanchable erythema on the coccyx. Which type of skin condition does this
indicate?
a. Fungal rash
b. First-degree burn
c. Stage 1 pressure ulcer
d. Stage 2 pressure ulcer - ANSWER-c. Stage 1 pressure ulcer
An area of nonblanchable erythema over a bony prominence caused by pressure is a stage 1 pressure
ulcer.
, The older adult client diagnosed with a pulmonary embolus is taking warfarin 5 mg daily. The practical
nurse (PN) notes that the most recent international normalized ratio (INR) value is 5.0. Which
intervention should the practical nurse (PN) anticipate?
a. The provider will increase the dose of warfarin.
b. The provider will decrease the dose of warfarin.
c. The provider will not change the warfarin order.
d. The provider will add heparin to the client's medications. - ANSWER-b. The provider will decrease the
dose of warfarin.
Warfarin is an anticoagulant, and the INR measures the clotting time of the blood. The therapeutic range
for INR is 2 to 4.5, depending on the client's disease process. An INR above the recommended range
means that the warfarin should be reduced to prevent bleeding.
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?
a. Prostatitis results from untreated BPH.
b. Painful kidney stones will develop if you do not treat BPH.
c. If left untreated, BPH will develop into a severe bladder infection.
d. Untreated BPH causes urinary reflux and possibly hydronephrosis. - ANSWER-d. Untreated BPH causes
urinary reflux and possibly hydronephrosis.
Untreated BPH leads to urinary reflux and possibly hydronephrosis because of increased pressure in the
bladder.
When caring for a client on digoxin therapy, the practical nurse (PN) knows to be alert for digoxin
toxicity. Which finding would predispose this client to developing digoxin toxicity?
a. Low serum magnesium level
b. High serum magnesium level
c. Low serum potassium level
d. High serum potassium level - ANSWER-c. Low serum potassium level
Hypokalemia predisposes the client on digoxin to digitalis toxicity, usually presenting as abdominal pain,
anorexia, nausea, vomiting, visual disturbances, bradycardia, and atrioventricular (AV) dissociation.
