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HESI GERONTOLOGY REVIEW {ALREADY
GRADED A+ } NEWEST VERSION
- Question: An older client diagnosed with benign prostatic hypertrophy (BPH) asks the
- Question: The hospitalized client with end-stage renal disease has expressed verbal and
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 Answer: Untreated BPH causes urinary reflux and possibly hydronephrosis.
written wishes not to be resuscitated. Which action should the practical nurse (PN) take?
Correct Answer: Keep the client as comfortable as possible.
- 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?
Correct Answer: Frequently neglects to shower and shave.
- Question: The client has end-stage Alzheimer disease and is admitted into hospice care.
- Question: An older client verbalizes to the practical nurse (PN) that he feels a lack of
Which focus does the nurse expect to note in the plan of care?Correct Answer: To allow the client to die with as much comfort and dignity as possible.
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 Answer: Powerlessness
- Question: A client has had cataract surgery. What is the most important post-surgery
instruction that the practical nurse (PN) should implement?
Correct Answer: Avoid bending at the waist.
- Question: The oral temperature of a client with a urinary tract infection is 103°F. Which
intervention should the practical nurse (PN) implement first?
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Correct Answer: Encourage fluid intake.
- Question: 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 Answer: Normal aging changes
- Question: A male client is seen in the clinic for benign prostatic hypertrophy (BPH).
- Question: When observing an older client with dementia for symptoms of Sundowning
Which intervention is essential for the practical nurse (PN) to include in the client's visit?Correct Answer: Assess the client for urinary hesitancy and weak or split urinary stream.
syndrome, it is most important that the practical nurse (PN) assesses for which finding?
Correct Answer: Observe for agitation at the end of the day.
- Question: 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 Answer: Drink several glasses of water throughout the day.
- Question: 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 Answer: Establish self-care and independence.
- Question: The practical nurse (PN) reinforces the instructions to the client after a hip
replacement. Which client action indicates the need for further education?
Correct Answer: Crossing the feet while lying in bed
- Question: 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 Answer: Keep the client well hydrated.
- Question: 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?
Correct Answer: Stage 1 pressure ulcer
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- Question: The practical nurse (PN) teaches the client how to administer regular and
- Question: The practical nurse (PN) reinforces nutritional counseling to a group of
NPH insulins and requests a return demonstration from the client. Which action by the client indicates understanding of the medication instruction?Correct Answer: When drawing up insulin in the same syringe, the client drew up the regular insulin first then the NPH insulin.
clients with diabetes. What is the most important purpose of a diabetic diet?
Correct Answer: To stabilize the blood glucose level through a balanced diet
- Question: The client complains of nausea and vomiting about 1 hour after taking the
morning dose of an oral antidiabetic agent, glyburide. What is the priority nursing intervention?
Correct Answer: Closely monitor the blood glucose level and watch for signs of
hypoglycemia.
- Question: 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?
Correct Answer: Balancing a checkbook
- Question: The client is recently diagnosed with Parkinson disease and is to begin
medication therapy. What is the purpose of the client's medication therapy?
Correct Answer: Decrease tremors.
- Question: The practical nurse (PN) is caring for an older client diagnosed with
Alzheimer dementia. Which behavior by the client should the PN be the most concerned about?
Correct Answer: Climbing out of bed
- Question: The practical nurse (PN) educates the client diagnosed with Parkinson about
levodopa-carbidopa. Which instruction about this medication should the PN include in the client's discharge teaching plan?
Correct Answer: Notify healthcare provider if tremors worsen.
- Question: The practical nurse (PN) delivers a food tray to an older adult Jewish person
who has requested a kosher diet. The PN checks the tray and notes that it contains bacon, eggs, toast, oatmeal, and coffee. Which action should the PN take?
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Correct Answer: Call the dietary department and request a new tray.
- Question: The practical nurse (PN) is caring for a client who is having an exacerbation
of congestive heart failure (CHF). The PN should place the client in which position?
Correct Answer: Upright, with the legs in a dependent position
- Question: 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?
Correct Answer: The provider will decrease the dose of warfarin.
- Question: The practical nurse (PN) prepares to administer eye drops and eye ointment
to the client with a left eye infection. Which nursing intervention is the most effective for administering the medications?
Correct Answer: Administer the eye drops first and then the ointment.
- Question: The practical nurse (PN) gives written discharge instructions to an older
adult client who has undergone cataract surgery on the right eye. Which discharge instruction should the PN reinforce?
Correct Answer: Avoid sleeping on your right side.
- Question: The practical nurse (PN) educates the older client about a new hearing aid.
Which instruction is the most important for the PN to give the client about the care of the new hearing aid?
Correct Answer: Inform client to remove it before bathing.
- Question: An older adult client diagnosed with Alzheimer disease has been receiving
donepezil for the past 6 weeks. Which change would indicate that the medication has been effective?
Correct Answer: Increased ability to solve simple problems
- Question: An older client is admitted to the hospital after experiencing confusion,
nausea and vomiting, and headache for several days. The client's pulse rate is 43 beats/min. The practical nurse (PN) is most concerned about the client's history related to what medication?
