IGNATAVCIUS GERONTOLOGY HESI EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
The RN is caring for an older female client with a 20 year history of rheumatoid
arthritis (RA), who is admitted for carpel tunnel release. Which finding
associated with RA should the RN document?
A) Asymmetrical joint deformity
B) Small joint involvement in fingers
C) Crepitation or grating sensation in joints
D) Weight bearing joint involvement - ANSWERS-B
Small joint involvement is common in rheumatoid arthritis
,A 64-year-old is admitted to the hospital with a fractured right hip. One of the
concerns following surgical repair is to promote dorsiflexion. Which
intervention would a nurse implement?
A) Begin early ambulation
B) Monitor pain level
C) provide PCA instructions
D) Provide a foot board - ANSWERS-D
A footboard supports the feet in dorsiflexion and helps prevent foot drop
throughout the recovery. Early ambulation and good body alignment may also
reduce the possibility of foot drop however the footboard is maintained
throughout recovery
After a recent total hip replacement, an older female client, who transferred to
a rehabilitation facility placement, asks the RN if she broke her hip because she
is old. How should the RN best respond?
A) Hip fractures can occur in any age group and require strength conditioning
B) With aging, everything tends to break down more easily the older one gets
C) Older people tend to look down instead of ahead, increasing the risk of falls
D) Older women commonly lose bone calcium which increases the risk of
fracture - ANSWERS-D
, The best response is to provide the client with an explanation based on aging
and demineralization of the bone in older females, especially after menopause
An older client is admitted a preliminary diagnosis of Addison's disease. Which
skin finding should the RN document that is typical with Addison's disease?
A) Moon face
B) Hyperpigmentation
C) Excessive acne
D) Multiple skin tags - ANSWERS-B
Addison's disease is characterized by a deficiency in the production of adrenal
cortex hormones, which results in anterior pituitary feedback to secrete
stimulating hormones, such as melanocyte stimulating hormone (MSH) that
increases melanin production. Hyperpigmentation is seen in clients with
Addison's disease. Moon face and Excessive acne are associated with Cushing's
disease.
An older client who recently moved into an assisted living community refuses to
eat or join any activities. When evaluating the client further, what should the
registered nurse (RN) focus on during the next examination?
A) Anxiety
B) Depression
C) Exhaustion
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
The RN is caring for an older female client with a 20 year history of rheumatoid
arthritis (RA), who is admitted for carpel tunnel release. Which finding
associated with RA should the RN document?
A) Asymmetrical joint deformity
B) Small joint involvement in fingers
C) Crepitation or grating sensation in joints
D) Weight bearing joint involvement - ANSWERS-B
Small joint involvement is common in rheumatoid arthritis
,A 64-year-old is admitted to the hospital with a fractured right hip. One of the
concerns following surgical repair is to promote dorsiflexion. Which
intervention would a nurse implement?
A) Begin early ambulation
B) Monitor pain level
C) provide PCA instructions
D) Provide a foot board - ANSWERS-D
A footboard supports the feet in dorsiflexion and helps prevent foot drop
throughout the recovery. Early ambulation and good body alignment may also
reduce the possibility of foot drop however the footboard is maintained
throughout recovery
After a recent total hip replacement, an older female client, who transferred to
a rehabilitation facility placement, asks the RN if she broke her hip because she
is old. How should the RN best respond?
A) Hip fractures can occur in any age group and require strength conditioning
B) With aging, everything tends to break down more easily the older one gets
C) Older people tend to look down instead of ahead, increasing the risk of falls
D) Older women commonly lose bone calcium which increases the risk of
fracture - ANSWERS-D
, The best response is to provide the client with an explanation based on aging
and demineralization of the bone in older females, especially after menopause
An older client is admitted a preliminary diagnosis of Addison's disease. Which
skin finding should the RN document that is typical with Addison's disease?
A) Moon face
B) Hyperpigmentation
C) Excessive acne
D) Multiple skin tags - ANSWERS-B
Addison's disease is characterized by a deficiency in the production of adrenal
cortex hormones, which results in anterior pituitary feedback to secrete
stimulating hormones, such as melanocyte stimulating hormone (MSH) that
increases melanin production. Hyperpigmentation is seen in clients with
Addison's disease. Moon face and Excessive acne are associated with Cushing's
disease.
An older client who recently moved into an assisted living community refuses to
eat or join any activities. When evaluating the client further, what should the
registered nurse (RN) focus on during the next examination?
A) Anxiety
B) Depression
C) Exhaustion
