HESI PN GERONTOLOGY ACTUAL EXAM 3 2025 LATEST VERSIONS
HESI PN GERONTOLOGY ACTUAL EXAM 3 2025 LATEST
VERSIONS (VERSION A, B AND C) ACCURATE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
NEWEST UPDATE/100% PASS
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?
a. "I feel really cold much of the time."
b. "I wish my children would visit more."
c. "Lately it's harder to drive a car at night."
d. "My stools are sticky and are dark black." - ANSWER-d. "My stools are sticky and are dark
black."
Dark tarry stools are an indication of gastrointestinal bleeding, an adverse effect of the daily
aspirin this client is taking. There is no immediate need to contact the health care provider
about the client feeling cold or wishing children would visit more. This client's inability to drive
at night is a concern, and should be discussed, but gastrointestinal bleeding needs to be dealt
with first.
The nurse is reinforcing education with an older adult regarding smoking cessation. The nurse
recognizes teaching has been effective if the client makes which statement?
a. "Stopping smoking reverses damage from emphysema."
b. "Stopping smoking will not really benefit me at my age anyway."
c. "Stopping smoking can also improve my heart's functioning."
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, HESI PN GERONTOLOGY ACTUAL EXAM 3 2025 LATEST VERSIONS
d. "Stopping smoking is likely impossible for people my age." - ANSWER-c. "Stopping smoking
can also improve my heart's functioning."
Stopping smoking can improve cardiovascular functioning. Smoking cessation will not reverse
damage already done by emphysema. Stopping smoking is possible at any age and will be of
benefit.
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?
a. Notify the health care provider immediately if the urine turns bright orange.
b. Notify health care provider if tremors worsen.
c. Take levodopa-carbidopa with a high-protein meal.
d. Client may discontinue medication if side effects occur. - ANSWER-b. Notify health care
provider if tremors worsen.
The client should call the health care provider if tremors become worse because the dose may
need to be adjusted. A bright orange color to the urine is harmless.
A client who resides in a long-term care facility has a seizure disorder that has been managed
with phenobarbital for several years. Lately, the client has become more difficult to arouse.
What intervention should the PN implement?
a. Carefully monitor the client's intake and output.
b. Hold the medication and notify the health care provider.
c. Continue to monitor the client closely for the next 24 hours.
d. Determine the amount of medication the client has taken. - ANSWER-b. Hold the medication
and notify the health care provider.
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, HESI PN GERONTOLOGY ACTUAL EXAM 3 2025 LATEST VERSIONS
The client is exhibiting signs of antiepileptic drug toxicity (AED), and a serum phenobarbital level
needs to be obtained to determine if the client is experiencing drug toxicity.
The nurse is caring for an older adult who is at high risk for skin breakdown. Which is the best
method for the nurse to determine if the plan of care for this client is effective?
a. Reviewing the documentation of the client's turn schedule
b. Turning the client at least every 2 hours around the clock
c. Assessing the client's skin for pressure ulcers every shift
d. Completing a nutritional assessment to determine protein needs - ANSWER-c. Assessing the
client's skin for pressure ulcers every shift
The best way to determine if the plan of care to prevent skin breakdown is effective is to
actually assess the client's skin. Reviewing documentation and completing a nutritional
assessment will not likely give a complete picture. Turning the client every 2 hours is an
intervention, not a method of evaluating the effectiveness of care.
An older client is discharged from the hospital with a prescription for digoxin 0.25 mg daily.
Which instruction should the practical nurse (PN) include in this client's discharge teaching
plan?
a. Take the medication in the morning before rising.
b. Take and record radial pulse rate daily.
c. Expect some vision changes due to the medication.
d. Increase intake of foods rich in vitamin K. - ANSWER-b. Take and record radial pulse rate daily.
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, HESI PN GERONTOLOGY ACTUAL EXAM 3 2025 LATEST VERSIONS
Monitoring pulse rate is very important when taking digoxin. The client should be further
instructed to report pulse rates below 60 or greater than 110 beats/min and to withhold the
dosage until consulting with the health care provider.
An older client is receiving hospice care and the spouse and family have expressed several
concerns. Which concern expressed by the family should the practical nurses (PN) address first?
a. The spouse asks about the side effects of the client's pain medication.
b. The client's family requests referrals for support groups to help with the grieving process.
c. The spouse reports that the client finally slept for more than 2 hours last night.
d. The client's spouse wants to know when it is time to call 9-1-1. - ANSWER-d. The client's
spouse wants to know when it is time to call 9-1-1.
This statement by the client's spouse about calling 9-1-1 shows that further education is needed
about hospice and the end-of-life process.
The practical nurse (PN) reinforces nutritional counseling to a group of clients with diabetes.
What is the most important purpose of a diabetic diet?
a. To manage adults with type 1 diabetes
b. To be used during periods of high stress
c. To stabilize the blood glucose level through a balanced diet
d. To normalize the blood glucose level by eliminating sugar - ANSWER-c. To stabilize the blood
glucose level through a balanced diet
The purpose of the diabetic diet is to stabilize the blood glucose level by providing balanced
nutrition.
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HESI PN GERONTOLOGY ACTUAL EXAM 3 2025 LATEST
VERSIONS (VERSION A, B AND C) ACCURATE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
NEWEST UPDATE/100% PASS
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?
a. "I feel really cold much of the time."
b. "I wish my children would visit more."
c. "Lately it's harder to drive a car at night."
d. "My stools are sticky and are dark black." - ANSWER-d. "My stools are sticky and are dark
black."
Dark tarry stools are an indication of gastrointestinal bleeding, an adverse effect of the daily
aspirin this client is taking. There is no immediate need to contact the health care provider
about the client feeling cold or wishing children would visit more. This client's inability to drive
at night is a concern, and should be discussed, but gastrointestinal bleeding needs to be dealt
with first.
The nurse is reinforcing education with an older adult regarding smoking cessation. The nurse
recognizes teaching has been effective if the client makes which statement?
a. "Stopping smoking reverses damage from emphysema."
b. "Stopping smoking will not really benefit me at my age anyway."
c. "Stopping smoking can also improve my heart's functioning."
1|Page
, HESI PN GERONTOLOGY ACTUAL EXAM 3 2025 LATEST VERSIONS
d. "Stopping smoking is likely impossible for people my age." - ANSWER-c. "Stopping smoking
can also improve my heart's functioning."
Stopping smoking can improve cardiovascular functioning. Smoking cessation will not reverse
damage already done by emphysema. Stopping smoking is possible at any age and will be of
benefit.
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?
a. Notify the health care provider immediately if the urine turns bright orange.
b. Notify health care provider if tremors worsen.
c. Take levodopa-carbidopa with a high-protein meal.
d. Client may discontinue medication if side effects occur. - ANSWER-b. Notify health care
provider if tremors worsen.
The client should call the health care provider if tremors become worse because the dose may
need to be adjusted. A bright orange color to the urine is harmless.
A client who resides in a long-term care facility has a seizure disorder that has been managed
with phenobarbital for several years. Lately, the client has become more difficult to arouse.
What intervention should the PN implement?
a. Carefully monitor the client's intake and output.
b. Hold the medication and notify the health care provider.
c. Continue to monitor the client closely for the next 24 hours.
d. Determine the amount of medication the client has taken. - ANSWER-b. Hold the medication
and notify the health care provider.
2|Page
, HESI PN GERONTOLOGY ACTUAL EXAM 3 2025 LATEST VERSIONS
The client is exhibiting signs of antiepileptic drug toxicity (AED), and a serum phenobarbital level
needs to be obtained to determine if the client is experiencing drug toxicity.
The nurse is caring for an older adult who is at high risk for skin breakdown. Which is the best
method for the nurse to determine if the plan of care for this client is effective?
a. Reviewing the documentation of the client's turn schedule
b. Turning the client at least every 2 hours around the clock
c. Assessing the client's skin for pressure ulcers every shift
d. Completing a nutritional assessment to determine protein needs - ANSWER-c. Assessing the
client's skin for pressure ulcers every shift
The best way to determine if the plan of care to prevent skin breakdown is effective is to
actually assess the client's skin. Reviewing documentation and completing a nutritional
assessment will not likely give a complete picture. Turning the client every 2 hours is an
intervention, not a method of evaluating the effectiveness of care.
An older client is discharged from the hospital with a prescription for digoxin 0.25 mg daily.
Which instruction should the practical nurse (PN) include in this client's discharge teaching
plan?
a. Take the medication in the morning before rising.
b. Take and record radial pulse rate daily.
c. Expect some vision changes due to the medication.
d. Increase intake of foods rich in vitamin K. - ANSWER-b. Take and record radial pulse rate daily.
3|Page
, HESI PN GERONTOLOGY ACTUAL EXAM 3 2025 LATEST VERSIONS
Monitoring pulse rate is very important when taking digoxin. The client should be further
instructed to report pulse rates below 60 or greater than 110 beats/min and to withhold the
dosage until consulting with the health care provider.
An older client is receiving hospice care and the spouse and family have expressed several
concerns. Which concern expressed by the family should the practical nurses (PN) address first?
a. The spouse asks about the side effects of the client's pain medication.
b. The client's family requests referrals for support groups to help with the grieving process.
c. The spouse reports that the client finally slept for more than 2 hours last night.
d. The client's spouse wants to know when it is time to call 9-1-1. - ANSWER-d. The client's
spouse wants to know when it is time to call 9-1-1.
This statement by the client's spouse about calling 9-1-1 shows that further education is needed
about hospice and the end-of-life process.
The practical nurse (PN) reinforces nutritional counseling to a group of clients with diabetes.
What is the most important purpose of a diabetic diet?
a. To manage adults with type 1 diabetes
b. To be used during periods of high stress
c. To stabilize the blood glucose level through a balanced diet
d. To normalize the blood glucose level by eliminating sugar - ANSWER-c. To stabilize the blood
glucose level through a balanced diet
The purpose of the diabetic diet is to stabilize the blood glucose level by providing balanced
nutrition.
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