HESI PN-GERONTOLOGY LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

HESI PN-GERONTOLOGY LATEST 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
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
d. Confusion
e. Tachypnea
2 | P a g e
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.
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
3 | P a g e
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."
4 | P a g e
"Stopping smoking is likely impossible for people my age." -
ANSWER-c. "Stopping smoking can also improve my heart's
functioning."
Stopping smoking can improve cardiovascular functioning.
Smoking cessation will not reverse damage already done by
emphysema. Stopping smoking is possible at any age and will
be of benefit.
The practical nurse (PN) educates the client diagnosed with
Parkinson about levodopa-carbidopa. Which instruction about this
medication should the PN include in the client's discharge teaching
plan?
Notify the health care provider immediately if the urine turns bright
orange.
Notify health care provider if tremors worsen.
Take levodopa-carbidopa with a high-protein meal.
Client may discontinue medication if side effects occur. -
ANSWER-b. Notify health care provider if tremors worsen.