HESI PN Gerontology Practice Exam/50 Questions and Answers.
The practical nurse (PN) is implementing a self
-medication program for an older resident who is newly
admitted to an assisted living community. Which actions should the PN implement to provide the
resident ways to maintain safe medication administration? (select all that apply.)
- Correct Answer-A.
Locked medication storage in the client's room.
B. Medication Administration Record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
Which age-related changes in the cardiovascular system should the practical nurse (PN) document when
evaluating an older client? (select all that apply.)
- Correct Answer-C. Cardiac murmurs.
D. Widening pulse pressure.
An older client who recently moved into an assisted living community refuses to eat or join any
activities. When evaluating the client further, what should the practical nurse (PN) focus on during the
next examination?- Correct Answer-Depression.
The practical nurse (PN) is caring for an elderly client with functional incontinence who lives in an
assisted living community. The client is alert, mildly confused, and can self ambulate. Which nursing
intervention should the PN implement? - Correct Answer-Offer assistance with toileting q2 hours.
The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older client who
arrives at the clinic for an annual physical examination. What common side effect should the practical
nurse (PN) advise the client to observe for with this medication?
- Correct Answer-Headaches.
The practical nurse (PN) is re
-enforcing discharge instructions with the family of an older client who
was recently admitted for an intestinal obstruction. Which statement indicates that the family
understands the instructions? - Correct Answer-Report abdominal distention, constipation, or any
nausea and vomiting to the health care provider.
An older client asks the practical nurse (PN) how he can reduce his incidents of hemorrhoidal flare ups.
What information should the PN offer the client to prevent rectal discomfort?( Select all that- apply.)
Correct Answer-A. Increase fiber and liquids in the diet to help prevent constipation and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting.
D. Take frequent warm sitz baths and use non-abrasive tissue that can tramatize tissues.
E. Establish bowel habits by scheduling time where the client is not rushed to defecate daily.
, An older male client is seeking counseling about his recent sexual issues with his partner. What issue
should the practical nurse explore in this discussion?
- Correct Answer-Certain medications may
impact sexual function.
During the quarterly evaluations of the clients in the assisted living community, the practical nurse (PN)
observes for findings of failure to thrive in the gerian population. Which findings should the PN
document and report as manifestations related to failure to thrive? (selct all that- apply.)
Correct
Answer-A. Unintentional weigh loss
B. Increased weakness.
C. Increased amounts of sleep.
The practical nurse (PN) is reinforcing discharge instructions to the family of an older client with failure
to thrive. What information should the PN include to promote nutritional intake for the client? (Select
all that apply.)- Correct Answer-A. Minimize stress level by providing the client a quiet environment
during meals.
B. Provide food variations that the client can manage without assistance.
An older woman asks the practical nurse (PN) how she can decrease her chances of getting cystitis.
What information should the PN provide?
- Correct Answer-Void and empty bladder completely q2 to
3 hours.
An older male client with Parkinson's disease (PD) is discharged home with levopoda-carbidopa
(Sinemet) and instructions to his wife for his care. Which statement best indicated to the practical nurse
that the wife understands her husband's needs?- Correct Answer-"I will notify the healthcare provider if
my husband has increasing involuntary movements of his extremities.
The home health practical nurse (PN) visits an older woman with heart failure (HF) who is on complete
bed rest. Which intervention is most important for the practical nurse (PN) to suggest to the client to
prevent complications related to immobility?
- Correct Answer-Perform leg exercises while in bed.
An older male client is admitted to the hospital with left sided heart failure (HF). Which finding should
the practical nurse document that is consistent of -HF?
Correct Answer-Coarse and fine crackles.
An older female client who has been taking hydrocodone/ acetaminophen (Lortab) q4 hours for chronic
back pain for the past 5 years, tells the practical nurse (PN) that she cannot live without her pain pills.
When asked if she is addicted, the client states that she is not an addict because the healthcare provider
prescribed the pain pills. Which coping mechanism should the PN determine the client is using about
her addiction?- Correct Answer-Rationalization to support narcotic use.
The practical nurse (PN) is implementing a self
-medication program for an older resident who is newly
admitted to an assisted living community. Which actions should the PN implement to provide the
resident ways to maintain safe medication administration? (select all that apply.)
- Correct Answer-A.
Locked medication storage in the client's room.
B. Medication Administration Record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
Which age-related changes in the cardiovascular system should the practical nurse (PN) document when
evaluating an older client? (select all that apply.)
- Correct Answer-C. Cardiac murmurs.
D. Widening pulse pressure.
An older client who recently moved into an assisted living community refuses to eat or join any
activities. When evaluating the client further, what should the practical nurse (PN) focus on during the
next examination?- Correct Answer-Depression.
The practical nurse (PN) is caring for an elderly client with functional incontinence who lives in an
assisted living community. The client is alert, mildly confused, and can self ambulate. Which nursing
intervention should the PN implement? - Correct Answer-Offer assistance with toileting q2 hours.
The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older client who
arrives at the clinic for an annual physical examination. What common side effect should the practical
nurse (PN) advise the client to observe for with this medication?
- Correct Answer-Headaches.
The practical nurse (PN) is re
-enforcing discharge instructions with the family of an older client who
was recently admitted for an intestinal obstruction. Which statement indicates that the family
understands the instructions? - Correct Answer-Report abdominal distention, constipation, or any
nausea and vomiting to the health care provider.
An older client asks the practical nurse (PN) how he can reduce his incidents of hemorrhoidal flare ups.
What information should the PN offer the client to prevent rectal discomfort?( Select all that- apply.)
Correct Answer-A. Increase fiber and liquids in the diet to help prevent constipation and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting.
D. Take frequent warm sitz baths and use non-abrasive tissue that can tramatize tissues.
E. Establish bowel habits by scheduling time where the client is not rushed to defecate daily.
, An older male client is seeking counseling about his recent sexual issues with his partner. What issue
should the practical nurse explore in this discussion?
- Correct Answer-Certain medications may
impact sexual function.
During the quarterly evaluations of the clients in the assisted living community, the practical nurse (PN)
observes for findings of failure to thrive in the gerian population. Which findings should the PN
document and report as manifestations related to failure to thrive? (selct all that- apply.)
Correct
Answer-A. Unintentional weigh loss
B. Increased weakness.
C. Increased amounts of sleep.
The practical nurse (PN) is reinforcing discharge instructions to the family of an older client with failure
to thrive. What information should the PN include to promote nutritional intake for the client? (Select
all that apply.)- Correct Answer-A. Minimize stress level by providing the client a quiet environment
during meals.
B. Provide food variations that the client can manage without assistance.
An older woman asks the practical nurse (PN) how she can decrease her chances of getting cystitis.
What information should the PN provide?
- Correct Answer-Void and empty bladder completely q2 to
3 hours.
An older male client with Parkinson's disease (PD) is discharged home with levopoda-carbidopa
(Sinemet) and instructions to his wife for his care. Which statement best indicated to the practical nurse
that the wife understands her husband's needs?- Correct Answer-"I will notify the healthcare provider if
my husband has increasing involuntary movements of his extremities.
The home health practical nurse (PN) visits an older woman with heart failure (HF) who is on complete
bed rest. Which intervention is most important for the practical nurse (PN) to suggest to the client to
prevent complications related to immobility?
- Correct Answer-Perform leg exercises while in bed.
An older male client is admitted to the hospital with left sided heart failure (HF). Which finding should
the practical nurse document that is consistent of -HF?
Correct Answer-Coarse and fine crackles.
An older female client who has been taking hydrocodone/ acetaminophen (Lortab) q4 hours for chronic
back pain for the past 5 years, tells the practical nurse (PN) that she cannot live without her pain pills.
When asked if she is addicted, the client states that she is not an addict because the healthcare provider
prescribed the pain pills. Which coping mechanism should the PN determine the client is using about
her addiction?- Correct Answer-Rationalization to support narcotic use.
