ANALYZED GERONTOLOGY HESI
TEST EXAM
The cleansing of the stomach with solution delivered through a nasogastric tube is known as what?
Gavage
Emesis
Lavage
Stomach pumping - CORRECT ANSWER -Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or other toxic
substance. It is delivered through a nasogastric tube
You are providing care to a patient who has recently begun dialysis. Her daughter, with whom she lives
and who prepares many of her meals, asks what types of foods she should incorporate into her diet and
which she should avoid. Which of the following is NOT a food that this patient should be advised to
avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas. - CORRECT ANSWER -Lean red meat
Dialysis patients are encouraged to eat lean meat, including red meat. High quality proteins produce less
waste and help the body heal and maintain regular processes. Dialysis patients should avoid foods high
in potassium, including avocado, banana, and dried fruit, and should eat other potassium-containing
foods in moderation.
,Your m89-year-old mpatient mpresents mwith mdyspepsia mand mnausea. mAfter mtesting, myou mdetermine mshe mis
mpositive mfor mPeptic mUlcer mDisease. mOf mthe mfollowing, mwhich mwould mLEAST mlikely mbe ma mdifferential
mdiagnosis mfor mPeptic mUlcer mDisease? m
m
Cholecystitis. m
Migraines. m
Gastric mcarcinoma. m
Cardiovascular mdisease. m- mCORRECT mANSWER m-Migraines m
m
Peptic mUlcer mDisease mis ma mgastrointestinal mdisorder. mOther mdifferential mdiagnoses mof mthe mcondition
mare mpancreatitis mand mbiliary mtract mdisease. m
m
There mare ma mgood mmany mdiseases maffecting mthe melderly mthat mare mthe mresult mof msmoking. mCounseling
mregarding msmoking mcessation mis mpart mof mthe mGNP's mjob. mThe mcomponents mof mbrief mintervention mfor
mtreating mtobacco muse mare: m
m
Counsel, mDocument, mCaution, mDescribe, mDemonstrate m
Advise, mConfer, mDescribe, mDocument, mPrescribe m
Advise, mCounsel, mIntervene, mPrescribe, mFollow-up m
Ask, mAdvise, mAssess, mAssist, mArrange m- mCORRECT mANSWER m-Ask, mAdvise, mAssess, mAssist, mArrange m
m
Ask mabout mtobacco muse, mAdvise mto mquit, mAssess mwillingness mto mmake man mattempt mto mquit, mAssist min
mthis mquit mattempt. mArrange ma mfollow-up. m
m
Mrs. mFrasier, man m50-year-old mpatient, mpresents mwith ma mmosquito mbite mthat mshe mis mconcerned mabout.
mHow mdo myou mdiagnose mthis? m
m
m Cyst. m
m Bulla. m
m Wheal. m
m Plaques. m- mCORRECT mANSWER m-Wheal m
,m
Cyst: mencapsulated, mfluid-filled mmass mthat mvaries min msize. mBulla: mfluid-filled, melevated, mcircumscribed
mlesion mthat's mlarger mthan m5mm. mWheal: mcircumscribed, mreddening mwith mtransient melevation mlesion
mthat's m0.5 mto m10mm mdiameter. mPlaques: musually ma mgrouping mof mpapules; melevated mand ma mvariety mof
mshapes; mlarger mthan m5mm. m
m
Which mof mthe mfollowing mgroups mshould mbe mtested mfor mabdominal maortic maneurysm? m
m
m males maged m65-75 mwho mhave mever msmoked m mfemales maged m65-75 mwho
m have mhypertension m mmales mand mfemales mover m75 m mfemales mover m75 m-
m CORRECT mANSWER m-males maged m65-75 mwho mhave mever msmoked m
m
Abdominal maortic maneurysm m(AAA) mis mmore mprevalent min mmales mthan min mfemales. mThe mAmerican
mHeart mAssociation mrecommends mscreening mmales monce mbetween mages m65-75 mif mthey mhave mever
msmoked msince mthat mincreases mthe mrisk mof mAAA. m
m
With ma mgiardia mlamblia mdiagnosis, mthe mNP mwould mMOST mlikely mprescribe mwhat mmedication? m
m
m Metronidazole. m
m Erythromycin. m
m Ampicillin. m
m Trimethoprim-sulfamethoxazole. m- mCORRECT mANSWER m-Metronidazole. m
The mpreceding mdrugs mare mtypically mused min mtreating mthe mfollowing: m- mCampylobacter mjejuni:
mErythromycin m- m
Salmonella: mAmpicillin m- mShigella: mTrimethoprim-sulfamethoxazole m- mGiardia mlamblia: mMetronidazole m
m
A m65-year-old mCaucasian mmale mcalls myour moffice. mHe mtells myou mhe mjust mcame min mfrom mthe mwoods mand
mdiscovered ma mtick mon mhis mupper mright mthigh. mHe mreports mself mremoval mof mthe mtick mand mnow mthe
marea mis mslightly mred. mWhat mshould myou madvise mhim mto mdo? m
m
He mshould mcome mto mthe moffice mfor ma mceftriaxone m(Rocephin) minjection. m
, He mshould mbe mprescribed mdoxycycline. m
He mneeds mno mtreatment. m
He mneeds ma mtopical mscrub mto mprevent mLyme mDisease. m- mCORRECT mANSWER m-He mneeds mno mtreatment.
m
m
To mdevelop mLyme mDisease mfrom ma mtick mbite, mmany mfactors mmust mbe mpresent. mThe mtick mmust mbelong
mto mIxodes mspecies mand mmust mhave mbeen mattached mfor mat mleast m48 mhours mbefore mthe mdisease mcan
mspread. mThere mis mno mneed mfor mprophylactic mtreatment min mthis mcase mbecause mthe mtick mhas mnot mbeen
mpresent mlong menough. m
m
As mpart mof mthe mtreatment mplan mfor myour melderly mpatient, myou mrecommend mhe msee man
mOphthalmologist. mWhat mbody mpart(s) mwill mthis mdoctor mevaluate? m
m
m Brain m/ mnerves. m
m Eyes. m
m Bones m/ mJoints m/ mMuscles. m
m Ears m/ mThroat. m- mCORRECT mANSWER m-Eyes m
m
Neurologist m- mBrain m/ mnerves mOphthalmologist m- mEyes mOrthopedist m- mBones m/ mJoints m/ mMuscles
mOtolaryngologist m- mEars m/ mThroat m
m
As ma mGNP myou munderstand mthat mdue mto mphysiological mchanges mof maging, msome mlaboratory mtest
mresults mwill mhave mage-related mchanges. mWhich mof mthe mfollowing mvalues mwould mbe mthe mleast mlikely mto
mbe maffected? m
m
m red mblood mcell mvalues m mwhite mblood mcell mcounts m
m platelet mrange m mhemoglobin mvalues m- mCORRECT
m ANSWER m-platelet mrange m
m
Due mto mthe mphysiological mchanges mof maging, mred mblood mcell mvalues mtend mto mdecrease, mwhite mblood
mcell mcounts mtend mto mdecrease mslightly, mhemoglobin mvalues mslightly mdecrease, mbut mplatelet mrange
mdoes mnot mvary. m
TEST EXAM
The cleansing of the stomach with solution delivered through a nasogastric tube is known as what?
Gavage
Emesis
Lavage
Stomach pumping - CORRECT ANSWER -Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or other toxic
substance. It is delivered through a nasogastric tube
You are providing care to a patient who has recently begun dialysis. Her daughter, with whom she lives
and who prepares many of her meals, asks what types of foods she should incorporate into her diet and
which she should avoid. Which of the following is NOT a food that this patient should be advised to
avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas. - CORRECT ANSWER -Lean red meat
Dialysis patients are encouraged to eat lean meat, including red meat. High quality proteins produce less
waste and help the body heal and maintain regular processes. Dialysis patients should avoid foods high
in potassium, including avocado, banana, and dried fruit, and should eat other potassium-containing
foods in moderation.
,Your m89-year-old mpatient mpresents mwith mdyspepsia mand mnausea. mAfter mtesting, myou mdetermine mshe mis
mpositive mfor mPeptic mUlcer mDisease. mOf mthe mfollowing, mwhich mwould mLEAST mlikely mbe ma mdifferential
mdiagnosis mfor mPeptic mUlcer mDisease? m
m
Cholecystitis. m
Migraines. m
Gastric mcarcinoma. m
Cardiovascular mdisease. m- mCORRECT mANSWER m-Migraines m
m
Peptic mUlcer mDisease mis ma mgastrointestinal mdisorder. mOther mdifferential mdiagnoses mof mthe mcondition
mare mpancreatitis mand mbiliary mtract mdisease. m
m
There mare ma mgood mmany mdiseases maffecting mthe melderly mthat mare mthe mresult mof msmoking. mCounseling
mregarding msmoking mcessation mis mpart mof mthe mGNP's mjob. mThe mcomponents mof mbrief mintervention mfor
mtreating mtobacco muse mare: m
m
Counsel, mDocument, mCaution, mDescribe, mDemonstrate m
Advise, mConfer, mDescribe, mDocument, mPrescribe m
Advise, mCounsel, mIntervene, mPrescribe, mFollow-up m
Ask, mAdvise, mAssess, mAssist, mArrange m- mCORRECT mANSWER m-Ask, mAdvise, mAssess, mAssist, mArrange m
m
Ask mabout mtobacco muse, mAdvise mto mquit, mAssess mwillingness mto mmake man mattempt mto mquit, mAssist min
mthis mquit mattempt. mArrange ma mfollow-up. m
m
Mrs. mFrasier, man m50-year-old mpatient, mpresents mwith ma mmosquito mbite mthat mshe mis mconcerned mabout.
mHow mdo myou mdiagnose mthis? m
m
m Cyst. m
m Bulla. m
m Wheal. m
m Plaques. m- mCORRECT mANSWER m-Wheal m
,m
Cyst: mencapsulated, mfluid-filled mmass mthat mvaries min msize. mBulla: mfluid-filled, melevated, mcircumscribed
mlesion mthat's mlarger mthan m5mm. mWheal: mcircumscribed, mreddening mwith mtransient melevation mlesion
mthat's m0.5 mto m10mm mdiameter. mPlaques: musually ma mgrouping mof mpapules; melevated mand ma mvariety mof
mshapes; mlarger mthan m5mm. m
m
Which mof mthe mfollowing mgroups mshould mbe mtested mfor mabdominal maortic maneurysm? m
m
m males maged m65-75 mwho mhave mever msmoked m mfemales maged m65-75 mwho
m have mhypertension m mmales mand mfemales mover m75 m mfemales mover m75 m-
m CORRECT mANSWER m-males maged m65-75 mwho mhave mever msmoked m
m
Abdominal maortic maneurysm m(AAA) mis mmore mprevalent min mmales mthan min mfemales. mThe mAmerican
mHeart mAssociation mrecommends mscreening mmales monce mbetween mages m65-75 mif mthey mhave mever
msmoked msince mthat mincreases mthe mrisk mof mAAA. m
m
With ma mgiardia mlamblia mdiagnosis, mthe mNP mwould mMOST mlikely mprescribe mwhat mmedication? m
m
m Metronidazole. m
m Erythromycin. m
m Ampicillin. m
m Trimethoprim-sulfamethoxazole. m- mCORRECT mANSWER m-Metronidazole. m
The mpreceding mdrugs mare mtypically mused min mtreating mthe mfollowing: m- mCampylobacter mjejuni:
mErythromycin m- m
Salmonella: mAmpicillin m- mShigella: mTrimethoprim-sulfamethoxazole m- mGiardia mlamblia: mMetronidazole m
m
A m65-year-old mCaucasian mmale mcalls myour moffice. mHe mtells myou mhe mjust mcame min mfrom mthe mwoods mand
mdiscovered ma mtick mon mhis mupper mright mthigh. mHe mreports mself mremoval mof mthe mtick mand mnow mthe
marea mis mslightly mred. mWhat mshould myou madvise mhim mto mdo? m
m
He mshould mcome mto mthe moffice mfor ma mceftriaxone m(Rocephin) minjection. m
, He mshould mbe mprescribed mdoxycycline. m
He mneeds mno mtreatment. m
He mneeds ma mtopical mscrub mto mprevent mLyme mDisease. m- mCORRECT mANSWER m-He mneeds mno mtreatment.
m
m
To mdevelop mLyme mDisease mfrom ma mtick mbite, mmany mfactors mmust mbe mpresent. mThe mtick mmust mbelong
mto mIxodes mspecies mand mmust mhave mbeen mattached mfor mat mleast m48 mhours mbefore mthe mdisease mcan
mspread. mThere mis mno mneed mfor mprophylactic mtreatment min mthis mcase mbecause mthe mtick mhas mnot mbeen
mpresent mlong menough. m
m
As mpart mof mthe mtreatment mplan mfor myour melderly mpatient, myou mrecommend mhe msee man
mOphthalmologist. mWhat mbody mpart(s) mwill mthis mdoctor mevaluate? m
m
m Brain m/ mnerves. m
m Eyes. m
m Bones m/ mJoints m/ mMuscles. m
m Ears m/ mThroat. m- mCORRECT mANSWER m-Eyes m
m
Neurologist m- mBrain m/ mnerves mOphthalmologist m- mEyes mOrthopedist m- mBones m/ mJoints m/ mMuscles
mOtolaryngologist m- mEars m/ mThroat m
m
As ma mGNP myou munderstand mthat mdue mto mphysiological mchanges mof maging, msome mlaboratory mtest
mresults mwill mhave mage-related mchanges. mWhich mof mthe mfollowing mvalues mwould mbe mthe mleast mlikely mto
mbe maffected? m
m
m red mblood mcell mvalues m mwhite mblood mcell mcounts m
m platelet mrange m mhemoglobin mvalues m- mCORRECT
m ANSWER m-platelet mrange m
m
Due mto mthe mphysiological mchanges mof maging, mred mblood mcell mvalues mtend mto mdecrease, mwhite mblood
mcell mcounts mtend mto mdecrease mslightly, mhemoglobin mvalues mslightly mdecrease, mbut mplatelet mrange
mdoes mnot mvary. m
