HESI PN-GERONTOLOGY LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

HESI PN-GERONTOLOGY LATEST 2024
WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
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.
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.
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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.
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.
These symptoms may indicate progression of BPH to partial
obstruction of the urethra, a medical emergency, and need to be
reported to the health care provider. Fluids should be
encouraged, not limited; hydration needs to be maintained.
The oral temperature of a client with a urinary tract infection is
103° F. Which intervention should the practical nurse (PN)
implement first?
a. Instruct the client on proper hygienic practices.
b. Observe the color or odor of urine.
c. Recheck the temperature rectally.
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d. Encourage fluid intake. - ANSWER-d. Encourage fluid intake.
Fluids help to reduce fever as quickly and it is important to lower
the temperature as soon as possible.
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?
a. The client has forgotten to take several doses of medication.
b. The client's white blood cell count has steadily increased.
c. The client's liver function has decreased since last year.
d. The client has gained 40 pounds (18.2 kg) over 3 years. -
ANSWER-c. The client's liver function has decreased since last
year.
With aging, liver function decreases, affecting drug metabolism
and detoxification. Forgetting to take doses of medication would
not cause drug toxicity; excessive doses could cause toxicity.
Elevated white blood cell counts and weight gain would not likely
cause drug toxicity.
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?
a. Keep the client well hydrated.
b. Remove adhesive tape quickly from the skin.
c. Avoid creams or lotions to ensure that the skin stays dry.
d. Scrub the perineum with a wet cloth after a bowel movement. -
ANSWER-a. Keep the client well hydrated.
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Keeping the client well hydrated helps prevent skin cracking and
infection.
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?
a. "I should rest in bed most of the day when I take this
medication."
b. "I will be sure to keep this medication out of the reach of
children."
c. "I will need to make sure that I take this medication with some
food."
d. "I will make sure that I stand up slowly if I have been sitting
down." - ANSWER-d. "I will make sure that I stand up slowly if I
have been sitting down."