HESI PN GERONTOLOGY EXAM TEST BANK ACTUAL EXAM
/GERONTOLOGY HESI EXAM NEWEST 2025/2026 COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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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.
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.
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, HESI PN GERONTOLOGY EXAM TEST BANK ACTUAL EXAM
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.
The nurse at a long-term care facility is working with a group of unlicensed
assistive personnel (UAPs) and is asking the UAPs to provide oral care to the
residents. The nurse should explain this is important to provide for which vital
reasons? (Select all that apply.)
a. Inspecting agencies review medical records for compliance
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, HESI PN GERONTOLOGY EXAM TEST BANK ACTUAL EXAM
b. Frequent oral care reduces halitosis, or bad breath, in older adults
c. Dental caries, or cavities, can occur in older adults resulting in teeth loss
d. Dry mouth in older adults may cause a decreased appetite, resulting in poor
nutrition
e. If multiple teeth are missing, the older adult has difficulty eating fresh
vegetables - ANSWER-c. Dental caries, or cavities, can occur in older adults
resulting in teeth loss
d. Dry mouth in older adults may cause a decreased appetite, resulting in poor
nutrition
e. If multiple teeth are missing, the older adult has difficulty eating fresh
vegetables
It is important to ensure that older adults receive adequate oral care, because
cavities, dry mouth, and missing teeth can lead to teeth loss. This can cause
severe nutritional problems due to the inability to chew meats, fresh fruits and
vegetables, and other essential food items. While it is true that inspecting
agencies often review medical records, this is not the most crucial reason to
provide this care. Halitosis can be caused by poor oral hygiene, but this is also not
the most crucial reason to provide care.
An 83-year-old client diagnosed with type 2 diabetes mellitus has been admitted
to home health care for an ulcer on the heel of the left foot. Which changes in the
foot should the practical nurse (PN) expect to find? (Select all that apply.)
a. Pedal pulses will be weak or absent in the left foot.
b. The client states that the left foot is usually warm.
c. Flexion and extension of the left foot will be limited.
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, HESI PN GERONTOLOGY EXAM TEST BANK ACTUAL EXAM
d. Capillary refill of the client's left toes is longer than 2 seconds.
e. The client denies any pain in the left foot. - ANSWER-a. Pedal pulses will be
weak or absent in the left foot.
e. The client denies any pain in the left foot.
Symptoms associated with decreased blood supply are weak or absent pedal and
tibial pulses. The client denying any pain is a common complication with type 2
diabetes in the elderly.
The client is recently diagnosed with Parkinson disease and is to begin medication
therapy. What is the purpose of the client's medication therapy?
a. Decrease tremors.
b. Slow disease progression.
c. Cure Parkinson disease.
d. Improve short-term memory. - ANSWER-a. Decrease tremors.
Drug therapy for Parkinson disease is used to reduce symptoms, such as tremors,
to improve the client's quality of life.
The nurse is meeting with a group of older adults to encourage the adults to
incorporate exercise into their healthy lifestyle. Which type of exercise should the
nurse encourage this group to undertake?
a. Walking on a daily basis
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