HESI Case Study Questions and

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Alzheimer's Disease (Advanced Stages) HESI Case Study Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Which stage of Alzheimer’s disease is characterized by severe memory loss and loss of recognition of loved ones?

• Mild stage
• Early stage

✔✔C. Advanced stage

• Moderate stage

What is the priority nursing intervention for a patient in the advanced stage of Alzheimer’s disease?

• Encourage problem-solving
• Provide detailed explanations

✔✔C. Ensure safety and prevent injury

• Assign complex activities

Which communication technique is most effective in advanced Alzheimer’s? 1 / 4

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• Use abstract reasoning
• Speak quickly and loudly

✔✔C. Use simple, short sentences

• Provide lengthy explanations

Which is the most common cause of death in advanced Alzheimer’s disease?

• Kidney failure

✔✔B. Pneumonia

• Liver disease
• Heart attack

Which nutritional intervention is appropriate in late-stage Alzheimer’s disease?

• Allow independent cooking

✔✔B. Provide finger foods and hand feeding

• Restrict all snacks
• Use only IV nutrition

Which behavioral symptom is common in advanced Alzheimer’s? 2 / 4

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• Hyperactivity
• Insomnia

✔✔C. Wandering

• Increased socialization

Which safety measure should be prioritized for an Alzheimer’s patient who wanders at night?

• Allow unsupervised walks

✔✔B. Install door alarms

• Encourage late-night exercise
• Lock the patient’s room

Which nursing diagnosis is most appropriate in advanced Alzheimer’s disease?

• Readiness for enhanced knowledge

✔✔B. Risk for injury

• Risk for obesity
• Health-seeking behavior

Which intervention reduces agitation in advanced Alzheimer’s patients? 3 / 4

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• Sudden room changes
• Complex group activities

✔✔C. Consistent daily routine

• Loud television

What is the nurse’s best response when a patient with advanced Alzheimer’s does not recognize their spouse?

• Correct the patient immediately
• Ignore the behavior

✔✔C. Provide comfort and redirect conversation

• Insist on reality orientation repeatedly

Which medication is sometimes used to manage agitation in advanced Alzheimer’s disease?

• Antibiotics

✔✔B. Antipsychotics (with caution)

• Anticoagulants
• Antihypertensives
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