GERONTOLOGY HESI PRACTICE
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ When treating a client with allergic rhinitis what education information
should the GNP include?A) Remain inside during allergy season.B) Avoid
working in the garden or yard.C) Use a surgical-type mask when going
outdoors.D) Monitor air quality and the allergy index..
Answer: DCorrect answer:Monitor air quality and the allergy index. In
patients with allergic rhinitis, they should be aware of the air quality and
allergy index in their area. Remaining indoors is unrealistic and if they
monitor what is in their garden, patients can enjoy a summer garden. A
surgical mask will not filter out small allergens.
◍ Your elderly patient has developed a disorder as a result of toxin-induced
aminoglycosides. Of the following, which type of disorder did he MOST
likely develop?A) Neuromuscular.B) Central nervous system.C) Increased
CO2 production.D) Pleural..
Answer: ACorrect answer:NeuromuscularThere are a variety of disorders in
which acute respiratory failure may occur. Others include airway,
parenchymal lung, and pulmonary vascular disorders.
◍ When assessing a patient with heart failure, the nurse can determine side of
the failure based on the signs or symptoms. A sign of right-sided heart
failure includes:A) Cough with blood-tinged sputum.B) Pulsus alternans.C)
Dyspnea.D) Hepatomegaly with hepatojugular reflex..
Answer: DCorrect answer: Hepatomegaly with Hepatojugular reflex When
assessing a heart failure patient, the GNP can distinguish the side of failure
based on the symptoms. Rarely does failure remain isolate to one side of the
heart. Hepatomegaly with hepatojugalr reflex, however, are signs right-sided
, failure.
◍ Name two risk factors and older adult might have that puts them at a higher
risk for experiencing elder mistreatment.
Answer: Dementia, being physically dependent on someone else for care,
people who experienced social isolation
◍ A patient who otherwise eats independently but requires help cutting meat
or buttering bread would receive which of the following scores on the
Barthel Index?A) 5B) 2C) 0D) 1.
Answer: DCorrect Answer:1The feeding domains on the Barthel Index is
worth up to 2 points. A patient who can feed him/herself but who requires
assistance cutting food or buttering bread would receive a score of 1.
Patients who require a modified diet in order to feed independently also are
scored a 1.
◍ Oral lesions are often asymptomatic and commonly found during routine
examination, especially in patients with dentures. An additional risk for oral
candidiasis includes:A) Beta blockers.B) Non-steroidal anti-inflammatory
drugs (NSAID).C) Insulin.D) Topical steroids..
Answer: CCorrect answer: Insulin Oral candidiasis results in lesions in the
mouth. Patients at risk for oral candidiasis include those who use inhaled or
oral steroids, recent antibiotics, and insulin.
◍ How does cardiac output change for older adult adults?.
Answer: Cardiac output decreases due to the decrease and efficacy and
strength of the cardiac muscles
◍ You prescribe a medication for your elderly patient and note it should be
taken t.i.d. What does this mean?A) Three times a day.B) As directed.C) In
each eye.D) Taken by mouth..
Answer: ACorrect Answer:Three times a day.O.U. - In each eye; p.o. -
Taken by mouth; t.i.d. - Three times a day; ut dict. - As directed
◍ What are three examples of risk factors that contribute to an increased risk
for falling?.
, Answer: - prior Falls-impaired vision-impaired balance
◍ What three changes in the respiratory system lead to an increase in work or
effort of breathing.
Answer: -Decrease in lung capacity-Decrease in lung elasticity-Decrease in
respiratory muscles.
◍ Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is
concerned about. How do you diagnose this?A) Cyst.B) Bulla.C) Wheal.D)
Plaques..
Answer: CCorrect answer:Wheal Cyst: encapsulated, fluid-filled mass that
varies in size. Bulla: fluid-filled, elevated, circumscribed lesion that's larger
than 5mm. Wheal: circumscribed, reddening with transient elevation lesion
that's 0.5 to 10mm diameter. Plaques: usually a grouping of papules;
elevated and a variety of shapes; larger than 5mm.
◍ Which of the following is true when using the Tinetti Assessment?A) The
lower the patient's score, the lower his/her risk of fall.B) The higher the
patient's score, the higher his/her risk of fall.C) The lower the patient's
score, the higher his/her risk for falls.D) None of the above..
Answer: CCorrect Answer:The lower the patient's score, the higher his/her
risk for falls.The Tinetti Balance and Gait Assessment is a 28 point
assessment. Balance is rated up to 16 points and gait is worth up to 12 points
for a combined score of 28. A patient with a score closer to 28 has a lower
risk for falls. This is different than the Morse Scale, where a high score
indicates high risk.
◍ You see a 65-year-old Native American female in the office who is on an
antiepileptic medication for seizure disorder. The GNP understands that this
medication:A) is usually discontinued after 4 years of no seizure activity and
a normal EEGB) must be given to all patients who experience a seizureC)
must be taken indefinitelyD) is usually given in combination with other
antiepileptics or sedatives to reduce the seizure threshold.
Answer: ACorrect answer:is usually discontinued after 4 years of no seizure
activity and a normal EEGMost antiepileptic medication is discontinued
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ When treating a client with allergic rhinitis what education information
should the GNP include?A) Remain inside during allergy season.B) Avoid
working in the garden or yard.C) Use a surgical-type mask when going
outdoors.D) Monitor air quality and the allergy index..
Answer: DCorrect answer:Monitor air quality and the allergy index. In
patients with allergic rhinitis, they should be aware of the air quality and
allergy index in their area. Remaining indoors is unrealistic and if they
monitor what is in their garden, patients can enjoy a summer garden. A
surgical mask will not filter out small allergens.
◍ Your elderly patient has developed a disorder as a result of toxin-induced
aminoglycosides. Of the following, which type of disorder did he MOST
likely develop?A) Neuromuscular.B) Central nervous system.C) Increased
CO2 production.D) Pleural..
Answer: ACorrect answer:NeuromuscularThere are a variety of disorders in
which acute respiratory failure may occur. Others include airway,
parenchymal lung, and pulmonary vascular disorders.
◍ When assessing a patient with heart failure, the nurse can determine side of
the failure based on the signs or symptoms. A sign of right-sided heart
failure includes:A) Cough with blood-tinged sputum.B) Pulsus alternans.C)
Dyspnea.D) Hepatomegaly with hepatojugular reflex..
Answer: DCorrect answer: Hepatomegaly with Hepatojugular reflex When
assessing a heart failure patient, the GNP can distinguish the side of failure
based on the symptoms. Rarely does failure remain isolate to one side of the
heart. Hepatomegaly with hepatojugalr reflex, however, are signs right-sided
, failure.
◍ Name two risk factors and older adult might have that puts them at a higher
risk for experiencing elder mistreatment.
Answer: Dementia, being physically dependent on someone else for care,
people who experienced social isolation
◍ A patient who otherwise eats independently but requires help cutting meat
or buttering bread would receive which of the following scores on the
Barthel Index?A) 5B) 2C) 0D) 1.
Answer: DCorrect Answer:1The feeding domains on the Barthel Index is
worth up to 2 points. A patient who can feed him/herself but who requires
assistance cutting food or buttering bread would receive a score of 1.
Patients who require a modified diet in order to feed independently also are
scored a 1.
◍ Oral lesions are often asymptomatic and commonly found during routine
examination, especially in patients with dentures. An additional risk for oral
candidiasis includes:A) Beta blockers.B) Non-steroidal anti-inflammatory
drugs (NSAID).C) Insulin.D) Topical steroids..
Answer: CCorrect answer: Insulin Oral candidiasis results in lesions in the
mouth. Patients at risk for oral candidiasis include those who use inhaled or
oral steroids, recent antibiotics, and insulin.
◍ How does cardiac output change for older adult adults?.
Answer: Cardiac output decreases due to the decrease and efficacy and
strength of the cardiac muscles
◍ You prescribe a medication for your elderly patient and note it should be
taken t.i.d. What does this mean?A) Three times a day.B) As directed.C) In
each eye.D) Taken by mouth..
Answer: ACorrect Answer:Three times a day.O.U. - In each eye; p.o. -
Taken by mouth; t.i.d. - Three times a day; ut dict. - As directed
◍ What are three examples of risk factors that contribute to an increased risk
for falling?.
, Answer: - prior Falls-impaired vision-impaired balance
◍ What three changes in the respiratory system lead to an increase in work or
effort of breathing.
Answer: -Decrease in lung capacity-Decrease in lung elasticity-Decrease in
respiratory muscles.
◍ Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is
concerned about. How do you diagnose this?A) Cyst.B) Bulla.C) Wheal.D)
Plaques..
Answer: CCorrect answer:Wheal Cyst: encapsulated, fluid-filled mass that
varies in size. Bulla: fluid-filled, elevated, circumscribed lesion that's larger
than 5mm. Wheal: circumscribed, reddening with transient elevation lesion
that's 0.5 to 10mm diameter. Plaques: usually a grouping of papules;
elevated and a variety of shapes; larger than 5mm.
◍ Which of the following is true when using the Tinetti Assessment?A) The
lower the patient's score, the lower his/her risk of fall.B) The higher the
patient's score, the higher his/her risk of fall.C) The lower the patient's
score, the higher his/her risk for falls.D) None of the above..
Answer: CCorrect Answer:The lower the patient's score, the higher his/her
risk for falls.The Tinetti Balance and Gait Assessment is a 28 point
assessment. Balance is rated up to 16 points and gait is worth up to 12 points
for a combined score of 28. A patient with a score closer to 28 has a lower
risk for falls. This is different than the Morse Scale, where a high score
indicates high risk.
◍ You see a 65-year-old Native American female in the office who is on an
antiepileptic medication for seizure disorder. The GNP understands that this
medication:A) is usually discontinued after 4 years of no seizure activity and
a normal EEGB) must be given to all patients who experience a seizureC)
must be taken indefinitelyD) is usually given in combination with other
antiepileptics or sedatives to reduce the seizure threshold.
Answer: ACorrect answer:is usually discontinued after 4 years of no seizure
activity and a normal EEGMost antiepileptic medication is discontinued
