Hesi PN-Gerontology Questions and

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Hesi PN-Gerontology Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

An older adult reports frequent nighttime urination. What should the nurse suggest first?

• Restrict fluids entirely

✔✔B. Limit fluid intake in the evening

• Avoid using the toilet at night
• Take extra diuretics before bed

An elderly client shows signs of mild confusion at night but is alert during the day. What condition is most likely?

• Stroke

✔✔B. Sundowning

• Alzheimer’s disease only
• Seizure disorder

Which intervention best prevents constipation in older adults?

• Avoiding all dairy products 1 / 4

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✔✔B. Increasing fiber and fluid intake

• Reducing daily activity
• Limiting meals to once per day

A nurse notices bruises in different stages of healing on an older client. What is the nurse’s priority action?

• Document only
• Ask the client to explain

✔✔C. Report suspected elder abuse

• Apply ice packs

An older adult is prescribed digoxin. Which finding requires immediate intervention?

• Heart rate 88 bpm

✔✔B. Vision changes and halos

• Report of mild headache
• Blood pressure 128/76 mmHg
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An elderly client with arthritis reports difficulty opening medication bottles. What is the best nursing action?

• Instruct to skip doses if too difficult

✔✔B. Request easy-open medication containers

• Place all pills in one unlabeled jar
• Have family crush medications together

Which dietary choice best supports bone health in older adults?

• White bread and butter

✔✔B. Yogurt and leafy green vegetables

• Processed meats and soda
• Coffee and pastries

An older client experiences sudden confusion after surgery. What is the likely cause?

• Dementia progression

✔✔B. Postoperative delirium

• Depression
• Anxiety disorder 3 / 4

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Which nursing action helps prevent falls in an elderly client at home?

• Encourage walking without assistance
• Keep lights dim at night

✔✔C. Remove loose rugs and clutter

• Place frequently used items on high shelves

What is the most effective way to promote medication adherence in older adults?

• Suggest memorization

✔✔B. Provide a pill organizer

• Reduce prescribed medications without order
• Instruct to take all pills at once

An older adult with hearing loss is struggling to understand instructions. What should the nurse do?

• Speak louder from a distance

✔✔B. Face the client and speak slowly

• Write everything in medical terms
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