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HESI PN Gerontology EXAM NEWEST 400
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: 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.
b. You should have discussed this with your family before you started dating.
c. Maybe you should go back to just holding hands and hugging on dates.
d. Sexually transmitted diseases are possible to have at any age of your life. - ANSWER-d.
Sexually transmitted diseases are possible to have at any age of your life.
Sexually transmitted diseases are possible at any age. It is inappropriate, untrue, and ageist to
comment that older adults are not interested in sexual relations. It is very judgmental for the
nurse to suggest the older adult should have sought their family's input or that the older adult
should stop having sexual relations.
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QUESTION: 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.
QUESTION: 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?
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a. Frequently neglects to shower and shave.
b. Insists on visiting the gravesite once a month.
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.
QUESTION: 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
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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.
Q;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. -
ANSWER-c. Assess the client for urinary hesitancy and weak or split urinary stream.
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HESI PN Gerontology EXAM NEWEST 400
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: 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.
b. You should have discussed this with your family before you started dating.
c. Maybe you should go back to just holding hands and hugging on dates.
d. Sexually transmitted diseases are possible to have at any age of your life. - ANSWER-d.
Sexually transmitted diseases are possible to have at any age of your life.
Sexually transmitted diseases are possible at any age. It is inappropriate, untrue, and ageist to
comment that older adults are not interested in sexual relations. It is very judgmental for the
nurse to suggest the older adult should have sought their family's input or that the older adult
should stop having sexual relations.
1
, Page 2 of 127
QUESTION: 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.
QUESTION: 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?
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, Page 3 of 127
a. Frequently neglects to shower and shave.
b. Insists on visiting the gravesite once a month.
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.
QUESTION: 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
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, Page 4 of 127
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.
Q;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. -
ANSWER-c. Assess the client for urinary hesitancy and weak or split urinary stream.
4
