HESI PN Gerontology Proctored Exam |
2026/2027 Study Guide & Practice
Questions
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 89-year-old patient presents with dyspepsia and nausea. After testing, you
determine she is positive for Peptic Ulcer Disease. Of the following, which would
LEAST likely be a differential diagnosis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease. - correct answer-Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of
the condition are pancreatitis and biliary tract disease.
There are a good many diseases affecting the elderly that are the result of
smoking. Counseling regarding smoking cessation is part of the GNP's job. The
components of brief intervention for treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
,Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange - correct answer-Ask, Advise, Assess, Assist,
Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to
quit, Assist in this quit attempt. Arrange a follow-up.
Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is
concerned about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques. - correct 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 groups should be tested for abdominal aortic aneurysm?
males aged 65-75 who have ever smoked
females aged 65-75 who have hypertension
males and females over 75
females over 75 - correct answer-males aged 65-75 who have ever smoked
, Abdominal aortic aneurysm (AAA) is more prevalent in males than in females. The
American Heart Association recommends screening males once between ages 65-
75 if they have ever smoked since that increases the risk of AAA.
With a giardia lamblia diagnosis, the NP would MOST likely prescribe what
medication?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole. - correct answer-Metronidazole.
The preceding drugs are typically used in treating the following: - Campylobacter
jejuni: Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-
sulfamethoxazole - Giardia lamblia: Metronidazole
A 65-year-old Caucasian male calls your office. He tells you he just came in from
the woods and discovered a tick on his upper right thigh. He reports self removal
of the tick and now the area is slightly red. What should you advise him to do?
He should come to the office for a ceftriaxone (Rocephin) injection.
He should be prescribed doxycycline.
He needs no treatment.
He needs a topical scrub to prevent Lyme Disease. - correct answer-He needs no
treatment.
2026/2027 Study Guide & Practice
Questions
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 89-year-old patient presents with dyspepsia and nausea. After testing, you
determine she is positive for Peptic Ulcer Disease. Of the following, which would
LEAST likely be a differential diagnosis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease. - correct answer-Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of
the condition are pancreatitis and biliary tract disease.
There are a good many diseases affecting the elderly that are the result of
smoking. Counseling regarding smoking cessation is part of the GNP's job. The
components of brief intervention for treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
,Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange - correct answer-Ask, Advise, Assess, Assist,
Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to
quit, Assist in this quit attempt. Arrange a follow-up.
Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is
concerned about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques. - correct 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 groups should be tested for abdominal aortic aneurysm?
males aged 65-75 who have ever smoked
females aged 65-75 who have hypertension
males and females over 75
females over 75 - correct answer-males aged 65-75 who have ever smoked
, Abdominal aortic aneurysm (AAA) is more prevalent in males than in females. The
American Heart Association recommends screening males once between ages 65-
75 if they have ever smoked since that increases the risk of AAA.
With a giardia lamblia diagnosis, the NP would MOST likely prescribe what
medication?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole. - correct answer-Metronidazole.
The preceding drugs are typically used in treating the following: - Campylobacter
jejuni: Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-
sulfamethoxazole - Giardia lamblia: Metronidazole
A 65-year-old Caucasian male calls your office. He tells you he just came in from
the woods and discovered a tick on his upper right thigh. He reports self removal
of the tick and now the area is slightly red. What should you advise him to do?
He should come to the office for a ceftriaxone (Rocephin) injection.
He should be prescribed doxycycline.
He needs no treatment.
He needs a topical scrub to prevent Lyme Disease. - correct answer-He needs no
treatment.
