HESI PN GERONTOLOGY EXIT EXAM
VERSION 3 /GERONTOLOGY HESI EXIT
EXAM 2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!|LATEST UPDATE
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 practical
nurse expect to commonly occur with aging?
Reduced vital capacity.
An older female client arrives for an annual visit by the urologist due to a history of changes in
serum values related to renal function. What changes should the practical nurse expect for an
older client due to normal aging?
Decrease in glomerular filtration rate (GFR)
A frail elderly couple ask the practical nurse (PN) if they have to watch their salt intake because
food does not taste as good as it used to so they have to season most foods. What information
should the PN offer the couple?
Taste buds often are dull due to atrophy so older client should use other seasonings instead of
salt.
An older client who is unconscious is admitted after experiencing a head injury from a fall.
Glasgow Coma Scale (GCS) is prescribed to evaluate the client. Which focused assessments
should the practical nurse use to determine the client's GCS score? (Select all that apply.)
A. Verbal response.
B. Motor response.
C. Eye opening.
1|Page
, The practical nurse (PN) is assigned the care of an older client with venous stasis ulcers. A
primary goal in the client's plan of care is to decrease swelling in the extremities. What should
the PN do to meet this goal?
Elevate the legs on pillows.
A frail elderly client with chronic obstructive pulmonary disease (COPD) is admitted for
pneumonia after taking a 10 day course of an antibiotic that was ineffective. The client has a
long history of smoking and still smokes a pack of cigarettes a day. Which finding should the
practical nurse (PN) report to the charge nurse?
Crackles and pulse oximetry level of 88%
The home health practical nurse (PN) visits an older female client with an illegal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the PN
recommend the client do to manage the frequency of UTIs?
Attach a larger drainage bag while sleeping.
An older male client returns to the hospital after discharge 4 days ago for a transurethral
resection of the prostate (TURP). The practical nurse (PN) evaluates the function of the 3-way
indwelling urinary catheter and the continuous bladder irrigation system. Which finding should
the PN report to the charge nurse?
The tubing that drains the urinary bladder has bright red urine with clots.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left
forearm for hemodialysis. After palpating the AV fistula, which finding is an indication that the
AV fistula is functioning properly?
Enlarged veins.
An older man returns to the medical surgical floor with a 3-way indwelling urinary catheter after
a transurethral resection of the proslate (TURP). The practical nurse (PN) observes the
catheter's tubing for drainage when he states he needs to void. What should the PN implement
based on this finding?
Irrigate the bladder through the catheter port.
The practical nurse (PN) is caring for an older female client with a 20 year history of rheumatoid
arthritis (RS) who is admitted for carpel tunnel release. Which finding associated with RA should
the PN document?
Small joint involvement in fingers.
2|Page
VERSION 3 /GERONTOLOGY HESI EXIT
EXAM 2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!|LATEST UPDATE
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 practical
nurse expect to commonly occur with aging?
Reduced vital capacity.
An older female client arrives for an annual visit by the urologist due to a history of changes in
serum values related to renal function. What changes should the practical nurse expect for an
older client due to normal aging?
Decrease in glomerular filtration rate (GFR)
A frail elderly couple ask the practical nurse (PN) if they have to watch their salt intake because
food does not taste as good as it used to so they have to season most foods. What information
should the PN offer the couple?
Taste buds often are dull due to atrophy so older client should use other seasonings instead of
salt.
An older client who is unconscious is admitted after experiencing a head injury from a fall.
Glasgow Coma Scale (GCS) is prescribed to evaluate the client. Which focused assessments
should the practical nurse use to determine the client's GCS score? (Select all that apply.)
A. Verbal response.
B. Motor response.
C. Eye opening.
1|Page
, The practical nurse (PN) is assigned the care of an older client with venous stasis ulcers. A
primary goal in the client's plan of care is to decrease swelling in the extremities. What should
the PN do to meet this goal?
Elevate the legs on pillows.
A frail elderly client with chronic obstructive pulmonary disease (COPD) is admitted for
pneumonia after taking a 10 day course of an antibiotic that was ineffective. The client has a
long history of smoking and still smokes a pack of cigarettes a day. Which finding should the
practical nurse (PN) report to the charge nurse?
Crackles and pulse oximetry level of 88%
The home health practical nurse (PN) visits an older female client with an illegal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the PN
recommend the client do to manage the frequency of UTIs?
Attach a larger drainage bag while sleeping.
An older male client returns to the hospital after discharge 4 days ago for a transurethral
resection of the prostate (TURP). The practical nurse (PN) evaluates the function of the 3-way
indwelling urinary catheter and the continuous bladder irrigation system. Which finding should
the PN report to the charge nurse?
The tubing that drains the urinary bladder has bright red urine with clots.
An older client with chronic kidney disease (CKD) has an arteriovenous fistula (AV) in the left
forearm for hemodialysis. After palpating the AV fistula, which finding is an indication that the
AV fistula is functioning properly?
Enlarged veins.
An older man returns to the medical surgical floor with a 3-way indwelling urinary catheter after
a transurethral resection of the proslate (TURP). The practical nurse (PN) observes the
catheter's tubing for drainage when he states he needs to void. What should the PN implement
based on this finding?
Irrigate the bladder through the catheter port.
The practical nurse (PN) is caring for an older female client with a 20 year history of rheumatoid
arthritis (RS) who is admitted for carpel tunnel release. Which finding associated with RA should
the PN document?
Small joint involvement in fingers.
2|Page
