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HESI PN GERONTOLOGY Exam Actual Exam Version 4 /Gerontology Hesi Exit Exam Newest 2025/2026 Complete Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version!!
When initially monitoring a client after a fall, which information should the practical nurse (PN) communicate immediately to the health care provider? (Select all that apply.)
- Change in the level of consciousness
- Increasing muscular weakness
- Changes in pupil size bilaterally
- Progressive nuchal rigidity
- Onset of nausea and vomiting - ANSWER-a. Change in the level of
- Onset of nausea and vomiting
consciousness
A decrease or change in the level of consciousness is usually the first indication of neurological deterioration. Nausea and vomiting may also be present.
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An older adult client is seen in the clinic for problems with urinary frequency, urgency, and nocturia. The symptoms are an example of which condition?
- Urinary tract infection (UTI)
- Normal aging changes
- Side effect of the diuretic furosemide
- Partial obstruction of the urethra - ANSWER-b. Normal aging
changes
Normal aging changes in the bladder are decreased capacity, increased irritability, and incomplete emptying; these changes lead to frequency, nocturia, urgency, and vulnerability to infection. The majority of UTIs in the older adult are asymptomatic. Classic signs of UTIs are fever, dysuria, and flank pain.
An older adult client is recovering from a hip fracture. The health care provider has prescribed home health care nursing upon discharge. Which statement describes the primary goal for the client?
- Return the client to his or her previous lifestyle.
- Avoid dependency on medication therapy.
- Establish self-care and independence.
- Maintain a friendly relationship with family members. - ANSWER-c.
Establish self-care and independence. 2 / 4
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Loss of independence is a significant issue with the aging population and is one of the most important issues for the home health practical nurse (PN) to establish with the client. Establishing the client's individual goals is the primary concern of the home health care PN.
An older client at a long-term care facility is to be monitored for early signs of pneumonia. The practical nurse's (PN) observation of the client will most likely show which early sign(s)/symptom(s)? (Select all that apply.)
- Fever
- Abnormal breath sounds
- Tachycardia
- Confusion
- Tachypnea - ANSWER-c. Tachycardia
- Confusion
- Tachypnea
The onset of pneumonia in the older adult may be signaled by general deterioration, confusion, increased heart rate, or increased respiratory rate. Fever and abnormal breath sounds occur later with the older adult.
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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?
- "I feel really cold much of the time."
- "I wish my children would visit more."
- "Lately it's harder to drive a car at night."
- "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?
- "Stopping smoking reverses damage from emphysema."
- "Stopping smoking will not really benefit me at my age anyway."
- "Stopping smoking can also improve my heart's functioning."
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