1|Page
HESI PN GERONTOLOGY EXAM ACTUAL EXAM VERSION 4
/GERONTOLOGY HESI EXIT EXAM LATEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
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.
b. Check the bath water temperature carefully to prevent burn
injuries.
c. Ask each resident which type of bath soap the resident prefers
to use.
d. Ask the resident if a tub bath or shower is the preferred
method. - ANSWER-b. Check the bath water temperature
carefully to prevent burn injuries.
The most crucial aspect of bathing an older adult is to make
sure the bath water is neither too hot nor too cold, as
,2|Page
decreased peripheral sensation is common with older adults.
Bathing residents according to the facility schedule would
not improve safety. Asking about personal preference with
bathing promotes independence, but it does not necessarily
ensure safety.
The nurse is reviewing medical records at a long-term care facility
to determine if the older adult clients have received immunization
for influenza. The nurse should ensure the clients receive this
immunization according to which guideline?
a. Annually
b. Every 10 years
c. After contracting influenza
d. Before having major surgery - ANSWER-a. Annually
Older adults should receive the influenza immunization
annually.
,3|Page
The practical nurse (PN) is caring for a client who has been
diagnosed with early Alzheimer disease. With which activity does
the PN expect the client to experience the most difficulty?
a. Balancing a checkbook
b. Remembering his name
c. Performing activities of daily living (ADLs)
d. Recognizing friends and family members - ANSWER-a.
Balancing a checkbook
In the early stages of Alzheimer disease, the client has
difficulty with complex tasks, such as balancing a
checkbook.
The practical nurse (PN) performs a skin assessment on an older
adult client who is on bed rest. The PN notes a circular area of
nonblanchable erythema on the coccyx. Which type of skin
condition does this indicate?
a. Fungal rash
, 4|Page
b. First-degree burn
c. Stage 1 pressure ulcer
d. Stage 2 pressure ulcer - ANSWER-c. Stage 1 pressure ulcer
An area of nonblanchable erythema over a bony prominence
caused by pressure is a stage 1 pressure ulcer.
The older adult client diagnosed with a pulmonary embolus is
taking warfarin 5 mg daily. The practical nurse (PN) notes that the
most recent international normalized ratio (INR) value is 5.0.
Which intervention should the practical nurse (PN) anticipate?
a. The provider will increase the dose of warfarin.
b. The provider will decrease the dose of warfarin.
c. The provider will not change the warfarin order.
d. The provider will add heparin to the client's medications. -
ANSWER-b. The provider will decrease the dose of warfarin.
Warfarin is an anticoagulant, and the INR measures the
clotting time of the blood. The therapeutic range for INR is 2
HESI PN GERONTOLOGY EXAM ACTUAL EXAM VERSION 4
/GERONTOLOGY HESI EXIT EXAM LATEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
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.
b. Check the bath water temperature carefully to prevent burn
injuries.
c. Ask each resident which type of bath soap the resident prefers
to use.
d. Ask the resident if a tub bath or shower is the preferred
method. - ANSWER-b. Check the bath water temperature
carefully to prevent burn injuries.
The most crucial aspect of bathing an older adult is to make
sure the bath water is neither too hot nor too cold, as
,2|Page
decreased peripheral sensation is common with older adults.
Bathing residents according to the facility schedule would
not improve safety. Asking about personal preference with
bathing promotes independence, but it does not necessarily
ensure safety.
The nurse is reviewing medical records at a long-term care facility
to determine if the older adult clients have received immunization
for influenza. The nurse should ensure the clients receive this
immunization according to which guideline?
a. Annually
b. Every 10 years
c. After contracting influenza
d. Before having major surgery - ANSWER-a. Annually
Older adults should receive the influenza immunization
annually.
,3|Page
The practical nurse (PN) is caring for a client who has been
diagnosed with early Alzheimer disease. With which activity does
the PN expect the client to experience the most difficulty?
a. Balancing a checkbook
b. Remembering his name
c. Performing activities of daily living (ADLs)
d. Recognizing friends and family members - ANSWER-a.
Balancing a checkbook
In the early stages of Alzheimer disease, the client has
difficulty with complex tasks, such as balancing a
checkbook.
The practical nurse (PN) performs a skin assessment on an older
adult client who is on bed rest. The PN notes a circular area of
nonblanchable erythema on the coccyx. Which type of skin
condition does this indicate?
a. Fungal rash
, 4|Page
b. First-degree burn
c. Stage 1 pressure ulcer
d. Stage 2 pressure ulcer - ANSWER-c. Stage 1 pressure ulcer
An area of nonblanchable erythema over a bony prominence
caused by pressure is a stage 1 pressure ulcer.
The older adult client diagnosed with a pulmonary embolus is
taking warfarin 5 mg daily. The practical nurse (PN) notes that the
most recent international normalized ratio (INR) value is 5.0.
Which intervention should the practical nurse (PN) anticipate?
a. The provider will increase the dose of warfarin.
b. The provider will decrease the dose of warfarin.
c. The provider will not change the warfarin order.
d. The provider will add heparin to the client's medications. -
ANSWER-b. The provider will decrease the dose of warfarin.
Warfarin is an anticoagulant, and the INR measures the
clotting time of the blood. The therapeutic range for INR is 2
