HESI RN GERONTOLOGY Exit Exam Test Bank Actual

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HESI RN GERONTOLOGY Exit Exam Test Bank Actual Exam /Gerontology Hesi Exit Exam Newest 2025/2026 Complete 350 Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version!!

An older client is admitted a preliminary diagnosis of Addison's disease.Which skin finding should the registered nurse (RN) document that is typical with Addison's disease?

a) Moon face

b) Hyperpigmentation

c) Excessive acne

d) Multiple skin tags

• Hyperpigmentation

Rationale: 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. A and C are typical of Cushing's syndrome which is due to excessive adrenal cortisol. 1 / 4

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An older client is transferred to a telemetry unit after placement of a pacemaker. What action should the registered nurse (RN) taken first?

a) View the incision site

b) Obtain a blood pressure

c) Establish telemetry monitoring

d) Evaluate client for pain

• Establish telemetry monitoring

Rationale: The first action is to establish continuous telemetry

monitoring to ensure the pacemaker is functioning properly.

An older male client with Parkinson's disease (PD) is discharged home with levodopa-carbidopa (Sinemet) and instructions to his wife for his care. Which statement best indicates to the registered nurse (RN) that the wife understands her husband's needs?

• "It is important to keep my husband in a chair or in bed as much as

possible and prevent him from falling."

• "I will notify the healthcare provider if my husband has increasing

involuntary movements of his extremities." 2 / 4

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• "Since it is difficult for my husband to eat, we should stay in the

house instead of going out to dine."

• "I should expect that my husband will be incontinent of bowel and

bladder as his disease advances."

• "I will notify the healthcare provider if my husband has increasing

involuntary movements of his extremities."

Rationale: Increasing involuntary movements should be reported during

the use of levodopa; it is an indicator that the body is failing to readjust to the changes in the level of the intracerebral neurotransmitter dopamine.

The home health registered nurse (RN) visits an older woman with heart failure (HF) who is on complete bed rest. Which intervention is most important for the RN to suggest to the client to prevent complications related to immobility?

a) Get as much sleep as possible

b) Perform leg exercises while in bed

c) Increase protein intake to combat fatigue

d) Invite friends to visit to decrease risk for depression

• Perform leg exercises while in bed
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Rationale: The client is at risk for complications related to immobility.

Active leg exercises should be performed frequently to decrease the risk for thrombophlebitis.

The home health registered nurse (RN) is reinforcing instructions to the family about how to prevent pressure ulcers for their older family member who is bedridden. Which measure should the RN discuss?

a) Lift the client when turning instead of sliding

b) Massage directly over reddened sites

c) Change client's position every 4 hours

d) Place pillows under both the knees

• Lift the client when turning instead of sliding

Rationale: Lifting instead of sliding decreases chances of friction and

shearing while moving the client.

An older male client is seeking counseling about his recent sexual issues with his partner. What issue should the registered nurse (RN) explore in this discussion?

a) Certain medications may impact sexual function

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