HESI GERIATRICS EXAM TEST BANK 300 QUESTIONS
WITH 100% CORRECT ANSWERS
LATEST UPDATED 2023/2024.GRADED A+
A nurse practitioner is performing an annual checkup for a female patient. In
the physical
examination of the breast for which of the following should the nurse
practitioner assess? Select all that apply. 1. Temperature
2. Symmetry
3. Dimpling
4. Lumps
5. Size ---CORRECT ANSWER-- 2 3 4
. A patient asks the nurse practitioner what is meant by health promotion.
Which of the following is the nurse practitioner's best response? Health
promotion:
1. Includes activities that an individual performs proactively to increase
health and wellbeing.
2. Is a process of keeping track of immunizations.
3. Includes a set of programs that help people cope with the disease.
4. Includes strategies that prolong life.
---CORRECT ANSWER-- 1. Includes activities that an individual performs
proactively to increase health and well-being.
. Which of the following is most affected by pharmacokinetic
change? 1. Distribution of drugs.
2. Elimination of
drugs. 3. Absorption
of drugs.
4. Metabolism of drugs.
---CORRECT ANSWER-- 2. Elimination of drugs.
In the assessment for peripheral vascular disorders the clinician should begin with which
of the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally .
4. Order diagnostic testing. ---CORRECT ANS WER-- 1. Auscultation of the carotid
arteries bilaterally.1.
1. Neurological assessment of the older adult requires specific tools and
considerations
to assess patient mental status. Which of the following should be used to
assess patient cognition?
1. Administer SLUMS a short dementia assessment.
2. Administer MoCA v 7.1 a 12-item assessment to detect mild
neurocognitive disorders.
,2. A clinician is performing sensory assessment on a patient presenting signs and symptoms of
neurological disease. During the assessment the clinician notices that the patient has a
decreased sense of both pain and temperature. Which of the following
may be affected?
1. Spinothalamic tract
Cranial nerve VII
Posterior column
4. Posterior horn ---CORRECT ANSWER-- 1. Spinothalamic tract
3. Gayle is a 55-year-old woman who is suspected of having a brain tumor.
The clinician orders diagnostic testing for thyroid-stimulating hormone (TSH)
and magnetic resonance imaging (MRI) to confirm this. Which of the
following statements is true regarding a brain tumor?
1. The symp tom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
4.
lesBrain
than tumors occur more ANSWER--
males. ---CORRECT commonly in fema
2. A brain tumor can be a malignant or benign neoplasm.
Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder resulting in the
loss of dopamine-producing cells in the brain. Which part of the brain is
Substantia
affected nigra
with PD?
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus ---CORRECT ANSWER-- 1. Substantia nigra
5. Which of the following is a neurological disorder characterized by leg
cramping pulling and tugging sensations and may have a genetic
component?
1. Radiculopathy
2. Nerve compression
3. Restless legs syndrome (RLS)
4. Sleep impairment ---CORRECT ANSWER-- 3. Restless legs syndrome (RLS)
6. According to studies which of the following is true regarding
cerebrovascular disease?
1. It accounts for 20% to 50% of seizures in older adults.
2. It accounts for 10% of seizures in older adults.
3. Sixty percent of patients with stroke are at risk of developing seizures
within 5 years.
,4. Transient ischemic attacks have a relatively high incidence of seizures. ---
CORRECT ANSWER-- 1. Cerebrovascular disease accounts for 20% to 50%
of seizures in older adults.
1. Referral to an internist.
2. Lifestyle considerations.
3. Use of protective gear.
4. Referral for group therapy. ---CORRECT ANSWER-- 2. Lifestyle
considerations.
8. Mr. Newman developed a sudden onset of severe headache weakness on
one side of his body difficulty speaking and loss of balance. He was
immediately admitted to the hospital with the diagnosis of hemorrhagic
stroke. Which of the following is the manifestation of a hemorrhagic stroke?
1. Leak or rupture in an artery wall.
2. Leak or rupture in a venous wall.
3. Blockage in the heart.
4. Blockage of an artery. ---CORRECT ANSWER-- 1. Leak or rupture in an artery
wall.
1. The nurse practitioner is serving in a
clinic dedicated to patients over age 65
years.
The nurse practitioner observes several
common characteristics in the posture o
elderly patients. Which of the following
is common?
1. Increase in the length of the trunk in
, 2. Head tips backward.
3. Disappearance of bony prominences.
4. Increase in the range of motion
(ROM). ---
CORRECT ANSWER-- 2. Head tips
backward.
2. While conducting a thorough examination of the musculoskeletal system
the patient asks why such detail is necessary. Which of the following is the
nurse practitioner's best response?
1. I don't want to miss any signs of something serious.
2. The purpose of conducting this examination is to regulate your medications.
3. I am looking for symptoms that form a pattern.
4. This is routine for all patients over 65 years of age. ---CORRECT ANSWER-- 3. I am
looking for symptoms that form a patte
rn.
3. Mrs. Wilbur reports the presence of pain in her lower and upper back. The nurse
practitioner responds by doing which of the following?
1. Determining where the pain is coming from.
2. Ignoring any history of injury.
3. Ruling out the presence of anything inflammatory.
4. Determining that this pain does not affect activities of daily living (ADLs)
as the
patient came in independently. ---CORRECT ANSWER-- 1. Determining
where the pain is coming from.
4. When assessing a patient with a possible musculoskeletal condition it is
important to: 1. Know how much sleep the patient gets per night.
2. Be aware that older patients report any and all pains.
3. Determine ROM in all limbs.
4. Not refer to past injuries or conditions. ---CORRECT ANSWER-- 3. Determine
ROM
in. all limbs
5. Mr. Cummins a 69-year-old Caucasian male presents with an inability to move h is
right arm sufficiently. The nurse practitioner tells him that she will
perform a physical examination and order tests to rule out which of the
following?
1. Gout
2. Rheumatoid arthritis (RA)
3. Muscle weakness from a systemic condition
4. Osteoarthritis (OA) ---CORRECT ANSWER-- 3. Muscle weakness from a
systemic condition
WITH 100% CORRECT ANSWERS
LATEST UPDATED 2023/2024.GRADED A+
A nurse practitioner is performing an annual checkup for a female patient. In
the physical
examination of the breast for which of the following should the nurse
practitioner assess? Select all that apply. 1. Temperature
2. Symmetry
3. Dimpling
4. Lumps
5. Size ---CORRECT ANSWER-- 2 3 4
. A patient asks the nurse practitioner what is meant by health promotion.
Which of the following is the nurse practitioner's best response? Health
promotion:
1. Includes activities that an individual performs proactively to increase
health and wellbeing.
2. Is a process of keeping track of immunizations.
3. Includes a set of programs that help people cope with the disease.
4. Includes strategies that prolong life.
---CORRECT ANSWER-- 1. Includes activities that an individual performs
proactively to increase health and well-being.
. Which of the following is most affected by pharmacokinetic
change? 1. Distribution of drugs.
2. Elimination of
drugs. 3. Absorption
of drugs.
4. Metabolism of drugs.
---CORRECT ANSWER-- 2. Elimination of drugs.
In the assessment for peripheral vascular disorders the clinician should begin with which
of the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally .
4. Order diagnostic testing. ---CORRECT ANS WER-- 1. Auscultation of the carotid
arteries bilaterally.1.
1. Neurological assessment of the older adult requires specific tools and
considerations
to assess patient mental status. Which of the following should be used to
assess patient cognition?
1. Administer SLUMS a short dementia assessment.
2. Administer MoCA v 7.1 a 12-item assessment to detect mild
neurocognitive disorders.
,2. A clinician is performing sensory assessment on a patient presenting signs and symptoms of
neurological disease. During the assessment the clinician notices that the patient has a
decreased sense of both pain and temperature. Which of the following
may be affected?
1. Spinothalamic tract
Cranial nerve VII
Posterior column
4. Posterior horn ---CORRECT ANSWER-- 1. Spinothalamic tract
3. Gayle is a 55-year-old woman who is suspected of having a brain tumor.
The clinician orders diagnostic testing for thyroid-stimulating hormone (TSH)
and magnetic resonance imaging (MRI) to confirm this. Which of the
following statements is true regarding a brain tumor?
1. The symp tom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
4.
lesBrain
than tumors occur more ANSWER--
males. ---CORRECT commonly in fema
2. A brain tumor can be a malignant or benign neoplasm.
Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder resulting in the
loss of dopamine-producing cells in the brain. Which part of the brain is
Substantia
affected nigra
with PD?
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus ---CORRECT ANSWER-- 1. Substantia nigra
5. Which of the following is a neurological disorder characterized by leg
cramping pulling and tugging sensations and may have a genetic
component?
1. Radiculopathy
2. Nerve compression
3. Restless legs syndrome (RLS)
4. Sleep impairment ---CORRECT ANSWER-- 3. Restless legs syndrome (RLS)
6. According to studies which of the following is true regarding
cerebrovascular disease?
1. It accounts for 20% to 50% of seizures in older adults.
2. It accounts for 10% of seizures in older adults.
3. Sixty percent of patients with stroke are at risk of developing seizures
within 5 years.
,4. Transient ischemic attacks have a relatively high incidence of seizures. ---
CORRECT ANSWER-- 1. Cerebrovascular disease accounts for 20% to 50%
of seizures in older adults.
1. Referral to an internist.
2. Lifestyle considerations.
3. Use of protective gear.
4. Referral for group therapy. ---CORRECT ANSWER-- 2. Lifestyle
considerations.
8. Mr. Newman developed a sudden onset of severe headache weakness on
one side of his body difficulty speaking and loss of balance. He was
immediately admitted to the hospital with the diagnosis of hemorrhagic
stroke. Which of the following is the manifestation of a hemorrhagic stroke?
1. Leak or rupture in an artery wall.
2. Leak or rupture in a venous wall.
3. Blockage in the heart.
4. Blockage of an artery. ---CORRECT ANSWER-- 1. Leak or rupture in an artery
wall.
1. The nurse practitioner is serving in a
clinic dedicated to patients over age 65
years.
The nurse practitioner observes several
common characteristics in the posture o
elderly patients. Which of the following
is common?
1. Increase in the length of the trunk in
, 2. Head tips backward.
3. Disappearance of bony prominences.
4. Increase in the range of motion
(ROM). ---
CORRECT ANSWER-- 2. Head tips
backward.
2. While conducting a thorough examination of the musculoskeletal system
the patient asks why such detail is necessary. Which of the following is the
nurse practitioner's best response?
1. I don't want to miss any signs of something serious.
2. The purpose of conducting this examination is to regulate your medications.
3. I am looking for symptoms that form a pattern.
4. This is routine for all patients over 65 years of age. ---CORRECT ANSWER-- 3. I am
looking for symptoms that form a patte
rn.
3. Mrs. Wilbur reports the presence of pain in her lower and upper back. The nurse
practitioner responds by doing which of the following?
1. Determining where the pain is coming from.
2. Ignoring any history of injury.
3. Ruling out the presence of anything inflammatory.
4. Determining that this pain does not affect activities of daily living (ADLs)
as the
patient came in independently. ---CORRECT ANSWER-- 1. Determining
where the pain is coming from.
4. When assessing a patient with a possible musculoskeletal condition it is
important to: 1. Know how much sleep the patient gets per night.
2. Be aware that older patients report any and all pains.
3. Determine ROM in all limbs.
4. Not refer to past injuries or conditions. ---CORRECT ANSWER-- 3. Determine
ROM
in. all limbs
5. Mr. Cummins a 69-year-old Caucasian male presents with an inability to move h is
right arm sufficiently. The nurse practitioner tells him that she will
perform a physical examination and order tests to rule out which of the
following?
1. Gout
2. Rheumatoid arthritis (RA)
3. Muscle weakness from a systemic condition
4. Osteoarthritis (OA) ---CORRECT ANSWER-- 3. Muscle weakness from a
systemic condition
