HESI PN GERONTOLOGY EXAM 290 2026
FINAL ASSESSMENT PAPER GERONTOLOGY
NURSING COMPREHENSIVE QUESTIONS AND
ANSWERS VERIFIED A+
◉ The practical nurse (PN) is evaluating a client's self management
of type 1 diabetes mellitus (DM). Which findings provide the best
parameter in the client's goals for the prevention of long-term
complications of DM?
A. Strict adherence to a diabetic diet.
B. Participation in a regular exercise program.
C. Scheduled administration of accurate insulin doses.
D. Consistent hemoglobin A1c levels no greater than 7%. Answer: D.
Consistent hemoglobin A1c levels no greater than 7%.
For optimal diabetic control, evidence-based guidelines recommend
an A1c target level no greater than 7% for a client with DM, which is
the primary goal and indicator of effective treatment and diabetes
management.
,◉ Which action should the practical nurse (PN) implement for a
young girl with pulmonary infection who is receiving chest
physiotherapy?
A. Encourage to hold her breath and then cough.
B. Administer bronchodilators after the procedure.
C. Allow the child to sit in a position of choice.
D. Percuss the chest wall in a rhythmic fashion. Answer: D. Percuss
the chest wall in a rhythmic fashion.
Thick secretions that are difficult to cough up can be loosened by
tapping, or percussing, and vibrating the chest. Percussion is carried
out by cupping the hands and lightly striking the chest wall in a
rhythmic fashion over the lung segment to be drained
◉ The practical nurse (PN) is preparing to administer erythromycin
(Ilotycin) 0.5% ophthalmic ointment to a newborn. The father asks
the PN the purpose of this medication. What rationale should the PN
provide?
,A. To allow the baby's eyes to focus.
B. To lubricate the baby's eyes.
C. To prevent infection in the baby's eyes.
D. Refer the father to the pediatrician. Answer: C. To prevent
infection in the baby's eyes.
Erythromycin is prescribed in the prophylaxis of ophthalmia
neonatorum caused by Neisseria gonorrhea and Chlamydia
trachomatis. The PN should explain the ointment is a prophylactic
treatment to prevent infection in the baby's eyes.
◉ A client's cardiac telemetry reveals sinus bradycardia at 40
beats/minute. An IV dose of atropine is given per protocol. Which
finding should the practical nurse (PN) identify as a therapeutic
response?
A. A decrease in blood pressure.
B. A decrease in premature contractions.
C. An increase in heart rate.
D. An increase in sensorium. Answer: C. An increase in heart rate.
Atropine increases heart rate (C) by its anticholinergic effects on the
sinoatrial (SA) node.
, ◉ A client is admitted with a tumor of the hypothalamus. Which
finding should the practical nurse (PN) report to the charge nurse?
A. A pulse rate of 98 beats/min.
B. Respirations of 20 breaths/min.
C. An oral temperature of 101.8° F.
D. A blood pressure of 130/80 mm Hg. Answer: C. An oral
temperature of 101.8° F.
The hypothalamus controls body temperature, so variation in the
temperature should be reported to determine if the elevation is
related to infection or cerebral pathology.
◉ The practical nurse (PN) is reinforcing instructions to a client who
is scheduled for a bone marrow aspiration. The PN should prepare
the client for the procedure at which site?
A. The femur.
B. The scapula.
C. The antecubital fossa.
D. The posterior iliac crest. Answer: D. The posterior iliac crest.
FINAL ASSESSMENT PAPER GERONTOLOGY
NURSING COMPREHENSIVE QUESTIONS AND
ANSWERS VERIFIED A+
◉ The practical nurse (PN) is evaluating a client's self management
of type 1 diabetes mellitus (DM). Which findings provide the best
parameter in the client's goals for the prevention of long-term
complications of DM?
A. Strict adherence to a diabetic diet.
B. Participation in a regular exercise program.
C. Scheduled administration of accurate insulin doses.
D. Consistent hemoglobin A1c levels no greater than 7%. Answer: D.
Consistent hemoglobin A1c levels no greater than 7%.
For optimal diabetic control, evidence-based guidelines recommend
an A1c target level no greater than 7% for a client with DM, which is
the primary goal and indicator of effective treatment and diabetes
management.
,◉ Which action should the practical nurse (PN) implement for a
young girl with pulmonary infection who is receiving chest
physiotherapy?
A. Encourage to hold her breath and then cough.
B. Administer bronchodilators after the procedure.
C. Allow the child to sit in a position of choice.
D. Percuss the chest wall in a rhythmic fashion. Answer: D. Percuss
the chest wall in a rhythmic fashion.
Thick secretions that are difficult to cough up can be loosened by
tapping, or percussing, and vibrating the chest. Percussion is carried
out by cupping the hands and lightly striking the chest wall in a
rhythmic fashion over the lung segment to be drained
◉ The practical nurse (PN) is preparing to administer erythromycin
(Ilotycin) 0.5% ophthalmic ointment to a newborn. The father asks
the PN the purpose of this medication. What rationale should the PN
provide?
,A. To allow the baby's eyes to focus.
B. To lubricate the baby's eyes.
C. To prevent infection in the baby's eyes.
D. Refer the father to the pediatrician. Answer: C. To prevent
infection in the baby's eyes.
Erythromycin is prescribed in the prophylaxis of ophthalmia
neonatorum caused by Neisseria gonorrhea and Chlamydia
trachomatis. The PN should explain the ointment is a prophylactic
treatment to prevent infection in the baby's eyes.
◉ A client's cardiac telemetry reveals sinus bradycardia at 40
beats/minute. An IV dose of atropine is given per protocol. Which
finding should the practical nurse (PN) identify as a therapeutic
response?
A. A decrease in blood pressure.
B. A decrease in premature contractions.
C. An increase in heart rate.
D. An increase in sensorium. Answer: C. An increase in heart rate.
Atropine increases heart rate (C) by its anticholinergic effects on the
sinoatrial (SA) node.
, ◉ A client is admitted with a tumor of the hypothalamus. Which
finding should the practical nurse (PN) report to the charge nurse?
A. A pulse rate of 98 beats/min.
B. Respirations of 20 breaths/min.
C. An oral temperature of 101.8° F.
D. A blood pressure of 130/80 mm Hg. Answer: C. An oral
temperature of 101.8° F.
The hypothalamus controls body temperature, so variation in the
temperature should be reported to determine if the elevation is
related to infection or cerebral pathology.
◉ The practical nurse (PN) is reinforcing instructions to a client who
is scheduled for a bone marrow aspiration. The PN should prepare
the client for the procedure at which site?
A. The femur.
B. The scapula.
C. The antecubital fossa.
D. The posterior iliac crest. Answer: D. The posterior iliac crest.
