HESI PN GERONTOLOGY NEWEST 2024 BUNDLED EXAMS 5 LATEST VERSIONS QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+<\/p>\n\n\n\n
HESI PN GERONTOLOGY ACTUAL EXAM 3 LATEST
VERSIONS (VERSION A, B AND C) 2023-2024 EACH
VERSION CONTAINS 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |
ALREADY GRADED A+
HESI PN GERONTOLOGY EXAM VERSION A
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.
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.
Rationale: 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?<\/p>\n\n\n\n
a. Decrease tremors.
b. Slow disease progression.
c. Cure Parkinson disease.
d. Improve short-term memory. – ANSWER- a. Decrease tremors.
Rationale: 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
b. Jogging, but only weekly
c. Sprinting, but only on weekends
d. Exercise is rarely recommended for older adults – ANSWER- a. Walking on a
daily basis
Rationale: Exercise for older adults should be regular and low impact. Daily
walking fits this criterion. Weekly or weekend only exercise is not frequent
enough. Most health older adults can perform some type of increased activity.
The practical nurse (PN) gives written discharge instructions to an older adult
client who has undergone cataract surgery on the right eye. Which discharge
instruction should the PN reinforce?
a. Avoid sleeping on your right side.<\/p>\n\n\n\n
b. Follow up with the surgeon in 6 weeks.
c. Remove the dressing when showering tonight.
d. Expect to have a headache for the next 2 to 3 days. – ANSWER- a. Avoid
sleeping on your right side.
Rationale: The client should be advised about any limitations such as not
sleeping on the operative side, limiting reading, no heavy lifting, and no
strenuous activity. The client usually has a follow up visit with the surgeon in
the first week after surgery.
An older adult client who has Alzheimer’s disease tries to slap a social worker.
Which action is most appropriate for the nurse to take first?
a. Ask staff members to assist with applying restraints on the client.
b. Ask the client to walk away and come join others in the dining room.
c. Ask the client to explain the reason he is trying to hurt the employee.
d. Calmly explain it is against facility policy to hit facility personnel. – ANSWERb. Ask the client to walk away and come join others in the dining room.
Rationale: It is most appropriate to redirect the client’s activity if the client’s
behavior is combative. This is usually effective in reducing the risk of harm to
self or staff and should be attempted before applying restraints. When a client
has Alzheimer’s disease, it is futile to ask the client to explain behavior or to
provide detailed information about facility policies.
An older client is admitted to the hospital after experiencing confusion, nausea and
vomiting, and headache for several days. The client’s pulse rate is 43 beats\/min.
The practical nurse (PN) is most concerned about the client’s history related to
what medication?<\/p>\n\n\n\n
a. Warfarin HESI PN-GERONTOLOGY LATEST 2024 ACTUAL b. Frequent oral care reduces halitosis, or bad breath, in older adults b. The client states that the left foot is usually warm. The nurse is meeting with a group of older adults to encourage the adults 1 | P a g e 2 | P a g e HESI PN GERONTOLOGY NEWEST 2024 BUNDLED EXAMS 5 LATEST VERSIONS QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ HESI PN GERONTOLOGY ACTUAL EXAM 3 LATESTVERSIONS (VERSION A, B AND C) 2023-2024 EACHVERSION CONTAINS 55 QUESTIONS AND CORRECTDETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+HESI PN GERONTOLOGY EXAM VERSION AAn 83-year-old client diagnosed with type […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-132747","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/132747","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=132747"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/132747\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=132747"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=132747"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=132747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
b. Ibuprofen
c. Nitroglycerin
d. Digoxin – ANSWER- d. Digoxin
Rationale: Older adult persons are particularly susceptible to the buildup of
cardiac glycosides such as digoxin which leads to a toxic level within their
systems. Toxicity can cause anorexia, nausea, vomiting, diarrhea, headache,
and fatigue.
The practical nurse (PN) emphasizes ways to prevent constipation to the older
adult client. Which instruction should the PN reinforce in the client’s discharge
teaching plan?
a. Avoid caffeinated beverages.
b. Take a stool softener once a week.
c. Drink several glasses of water throughout the day.
d. Make sure to chew food completely before swallowing. – ANSWER- c. Drink
several glasses of water throughout the day.
Rationale: Adequate hydration is an important measure for preventing
constipation.
The nurse is providing instructions for safely bathing older clients to a group of
newly employed unlicensed assistive personnel (UAPs) in a long-term care unit.
Which instruction is most crucial to provide?
a. Make sure to bathe the residents according to the facility schedule.
get pdf at https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\n
EXAM ALL 55 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
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
Rationale: 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<\/p>\n\n\n\n
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
Rationale: 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.<\/p>\n\n\n\n
c. Flexion and extension of the left foot will be limited.
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.
Rationale: 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.
Rationale: Drug therapy for Parkinson disease is used to reduce
symptoms, such as tremors, to improve the client’s quality of life.<\/p>\n\n\n\n
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
b. Jogging, but only weekly
c. Sprinting, but only on weekends
d. Exercise is rarely recommended for older adults – ANSWER- a.
Walking on a daily basis
Rationale: Exercise for older adults should be regular and low
impact. Daily walking fits this criterion. Weekly or weekend only
exercise is not frequent enough. Most health older adults can
perform some type of increased activity.
The practical nurse (PN) gives written discharge instructions to an older
adult client who has undergone cataract surgery on the right eye. Which
discharge instruction should the PN reinforce?
a. Avoid sleeping on your right side.
b. Follow up with the surgeon in 6 weeks.
c. Remove the dressing when showering tonight.
d. Expect to have a headache for the next 2 to 3 days. – ANSWER- a.
Avoid sleeping on your right side.
get pdf at https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\n
HESI PN GERONTOLOGY NEWEST 2024 VERSION 3
ACTUAL EXAM COMPLETE 55 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
An older male client with heart failure (HF) complains of
chronic constipation and wants to retrain his bowel. Which
information should the practical nurse (PN) offer the client in
establishing regular bowel habits – ANSWER- Add whole grain
foods and fibrous vegetables to diet.
The home health practical nurse (PN) is visiting an older client
with chronic hypertension. What evaluation is most important
for the PN to complete with each visit? – ANSWEREffectiveness of medication.
An older client is admitted for emergency treatment of acute
closed-angle glaucoma. The practical nurse (PN) begins
administering the prescribed miotic medications and glycerin
(Glycol) therapy. Which intervention is most important for the
PN to maintain during the client’s therapy? – ANSWERMonitor intake and output q2 hours for 24 hours.<\/p>\n\n\n\n
The practical nurse (PN) is assigned the care of an older client
who returns to the unit after surgery for closed angle glaucoma.
Which intervention in the plan of care should the PN bring to the
attention of the charge nurse? – ANSWER- Administer
morphine 4 mg IM q2 hour PRN pain.
The home health practical nurse (PN) is reinforcing instructions
to the the family about how to prevent pressure ulcers for their
older family member who is bedridden. Which measure should
the PN discuss? – ANSWER- Lift the client when turning
instead of sliding.
The home health practical nurse (PN) is changing an older
client’s wet to dry dressing. Which observation should the PN
evaluate as a therapeutic response with the removal of the dry
dressing? – ANSWER- Debridment and removal of slough and
eschar.
The home health practical nurse (PN) is observing an older
client for a pressure ulcer. Which finding should the PN observe
the area for a stage I pressure ulcer? – ANSWER- Deep pink,
red, or mottled skin.
A frail elderly woman visits the healthcare provider because she
has been getting out of breath easily when walking long
distances. Which pulmonary function change should the
get pdf at https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"