HESI PN GERONTOLOGY ACTUAL EXAM 3
LATEST VERSIONS (VERSION A, B AND C) 2024-
2025 EACH VERSION CONTAINS 55 QUESTIONS
AND CORRECT DETAILED ANSWERS
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Terms in this set (73)
,An 83-year-old client a. Pedal pulses will be weak or absent in the left foot.
diagnosed with type 2 e. The client denies any pain in the left foot.
diabetes mellitus has been
admitted to home health Symptoms associated with decreased blood supply
care for an ulcer on the are weak or absent pedal and tibial pulses. The client
heel of the left foot. Which denying any pain is a common complication with type
changes in the foot should 2 diabetes in the elderly.
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.
,A 90-year-old client is c. Since the symptoms began so rapidly, it is not likely
brought to the emergency dementia.
room by a niece who visits
him twice a week. The Acute delirium, rather than dementia, is more likely
client lives independently, because delirium is associated with an abrupt onset
has several hobbies, and and a systemic illness. In this case the client has only
interacts well with his had symptoms since last night and has been
friends and relatives. Last diagnosed with a urinary tract infection. Once the
night, the client suddenly infection has been treated successfully, it is likely the
became agitated, and client will return to his usual state. Dementia is
started hallucinating. characterized by a slower onset of symptoms. It is
Urinalysis and complete nontherapeutic to tell a client's family member he
blood count reveal a should have been treated earlier.
urinary tract infection. The
niece asks "Is my uncle
developing dementia?"
Which answer is most
appropriate to provide?
a. Unfortunately, these are
early signs of dementia.
b. It is unfortunate he did
not get treatment for
dementia earlier.
c. Since the symptoms
began so rapidly, it is not
likely dementia.
d. The hallucinations he is
having indicate he may
have dementia.
, The client complains of d. Closely monitor the blood glucose level and watch
nausea and vomiting for signs of hypoglycemia.
about 1 hour after taking
the morning dose of an When a client who has taken an oral antidiabetic
oral antidiabetic agent, agent vomits, the practical nurse (PN) should monitor
glyburide. What is the the blood glucose level and watch for signs of
priority nursing hypoglycemia.
intervention?
a. Administer an additional
dose of glyburide.
b. Take the client's blood
glucose levels and
administer insulin
subcutaneously.
c. Check the blood
glucose level and monitor
for signs of
hyperglycemia.
d. Closely monitor the
blood glucose level and
watch for signs of
hypoglycemia.
LATEST VERSIONS (VERSION A, B AND C) 2024-
2025 EACH VERSION CONTAINS 55 QUESTIONS
AND CORRECT DETAILED ANSWERS
Practice questions for this set
Learn
Studied 7 terms
Nice work, you're crushing it
Continue studying in Learn
Terms in this set (73)
,An 83-year-old client a. Pedal pulses will be weak or absent in the left foot.
diagnosed with type 2 e. The client denies any pain in the left foot.
diabetes mellitus has been
admitted to home health Symptoms associated with decreased blood supply
care for an ulcer on the are weak or absent pedal and tibial pulses. The client
heel of the left foot. Which denying any pain is a common complication with type
changes in the foot should 2 diabetes in the elderly.
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.
,A 90-year-old client is c. Since the symptoms began so rapidly, it is not likely
brought to the emergency dementia.
room by a niece who visits
him twice a week. The Acute delirium, rather than dementia, is more likely
client lives independently, because delirium is associated with an abrupt onset
has several hobbies, and and a systemic illness. In this case the client has only
interacts well with his had symptoms since last night and has been
friends and relatives. Last diagnosed with a urinary tract infection. Once the
night, the client suddenly infection has been treated successfully, it is likely the
became agitated, and client will return to his usual state. Dementia is
started hallucinating. characterized by a slower onset of symptoms. It is
Urinalysis and complete nontherapeutic to tell a client's family member he
blood count reveal a should have been treated earlier.
urinary tract infection. The
niece asks "Is my uncle
developing dementia?"
Which answer is most
appropriate to provide?
a. Unfortunately, these are
early signs of dementia.
b. It is unfortunate he did
not get treatment for
dementia earlier.
c. Since the symptoms
began so rapidly, it is not
likely dementia.
d. The hallucinations he is
having indicate he may
have dementia.
, The client complains of d. Closely monitor the blood glucose level and watch
nausea and vomiting for signs of hypoglycemia.
about 1 hour after taking
the morning dose of an When a client who has taken an oral antidiabetic
oral antidiabetic agent, agent vomits, the practical nurse (PN) should monitor
glyburide. What is the the blood glucose level and watch for signs of
priority nursing hypoglycemia.
intervention?
a. Administer an additional
dose of glyburide.
b. Take the client's blood
glucose levels and
administer insulin
subcutaneously.
c. Check the blood
glucose level and monitor
for signs of
hyperglycemia.
d. Closely monitor the
blood glucose level and
watch for signs of
hypoglycemia.
