Hesi PN Gerontology Reviewed Multiple Choices Questions Latest 2025/2026 with Correct Answers Complete

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Hesi PN Gerontology Reviewed Multiple Choices Questions Latest 2025/2026 with Correct Answers Complete

• 1.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?

• Urinary tract infection (UTI)
• Normal aging changes
• Side effect of the diuretic furosemide
• Partial obstruction of the urethra

Correct Answer: b. Normal aging changes

• 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.)

• Change in the level of consciousness
• Increasing muscular weakness
• Changes in pupil size bilaterally
• Progressive nuchal rigidity
• Onset of nausea and vomiting

Correct Answer: a. Change in the level of consciousness, e. Onset of nausea and vomiting

• 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?

• Frequently neglects to shower and shave.
• Insists on visiting the gravesite once a month.
• Joins an exercise class at the assisted living facility.

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• Keeps their photo albums out and looks through them frequently.

Correct Answer: a. Frequently neglects to shower and shave.

• 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?

• Observe for agitation at the end of the day.
• Perform a neurological and mental status examination.
• Monitor for medication side effects.
• Assess for decreased gross motor movement.

Correct Answer: a. Observe for agitation at the end of the day.

• 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?

• Most people in your age are not interested in sexual relationships.
• You should have discussed this with your family before you started dating.
• Maybe you should go back to just holding hands and hugging on dates.
• Sexually transmitted diseases are possible to have at any age of your life.

Correct Answer: d. Sexually transmitted diseases are possible to have at any age of your life.

• The nurse has reinforced education regarding safety aspects for antihypertensive

medication with an older adult. Which statement by the client best indicates learning has been effective?

• "I should rest in bed most of the day when I take this medication."
• "I will be sure to keep this medication out of the reach of children."
• "I will need to make sure that I take this medication with some food."
• "I will make sure that I stand up slowly if I have been sitting down."

Correct Answer: d. "I will make sure that I stand up slowly if I have been sitting down."

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• 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?

• Keep the client well hydrated.
• Remove adhesive tape quickly from the skin.
• Avoid creams or lotions to ensure that the skin stays dry.
• Scrub the perineum with a wet cloth after a bowel movement.

Correct Answer: a. Keep the client well hydrated.

• An older adult client is being treated for toxicity related to medication use. When

reviewing the client's medical records, the nurse is most likely to find which factor is correlated with this problem?

• The client has forgotten to take several doses of medication.
• The client's white blood cell count has steadily increased.
• The client's liver function has decreased since last year.
• The client has gained 40 pounds (18.2 kg) over 3 years.

Correct Answer: c. The client's liver function has decreased since last year.

• The oral temperature of a client with a urinary tract infection is 103° F. Which

intervention should the practical nurse (PN) implement first?

• Instruct the client on proper hygienic practices.
• Observe the color or odor of urine.
• Recheck the temperature rectally.
• Encourage fluid intake.

Correct Answer: d. Encourage fluid intake.

• 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?

• Reeducate the client about limiting fluid intake.
• Reassure the client that his BPH is a non-life-threatening condition.
• Assess the client for urinary hesitancy and weak or split urinary stream.

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• Inform the client that there may be a genetic predisposition for male family members.

Correct Answer: c. Assess the client for urinary hesitancy and weak or split urinary stream.

• 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?

• Return the client to his or her previous lifestyle.
• Avoid dependency on medication therapy.
• Establish self-care and independence.
• Maintain a friendly relationship with family members.

Correct Answer: c. Establish self-care and independence.

• 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.)

• Fever
• Abnormal breath sounds
• Tachycardia
• Confusion
• Tachypnea

Correct Answer: c. Tachycardia, d. Confusion, e. Tachypnea

• The nurse is assisting with data collection for an older adult who is taking daily

aspirin to reduce the risk of a cardiovascular event. Which concern should the nurse report to the health care provider as soon as possible?

• "I feel really cold much of the time."
• "I wish my children would visit more."
• "Lately it's harder to drive a car at night."
• "My stools are sticky and are dark black."

Correct Answer: d. "My stools are sticky and are dark black."