10/18/24, 3:56 PM
Gerontology HESI test Exam with complete solution
Terms in this set (100)
The cleansing of the stomach with solution Lavage
delivered through a nasogastric tube is
known as what? 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
Gavage
Emesis
Lavage
Stomach pumping
You are providing care to a patient who has Lean red meat
recently begun dialysis. Her daughter, with
whom she lives and who prepares many of Dialysis patients are encouraged to eat lean meat, including red meat. High quality
her meals, asks what types of foods she proteins produce less waste and help the body heal and maintain regular processes.
should incorporate into her diet and which Dialysis patients should avoid foods high in potassium, including avocado, banana,
she should avoid. Which of the following is and dried fruit, and should eat other potassium-containing foods in moderation.
NOT a food that this patient should be
advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas.
Your 89-year-old patient presents with Migraines
dyspepsia and nausea. After testing, you
determine she is positive for Peptic Ulcer Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the
Disease. Of the following, which would condition are pancreatitis and biliary tract disease.
LEAST likely be a differential diagnosis for
Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease.
There are a good many diseases affecting Ask, Advise, Assess, Assist, Arrange
the elderly that are the result of smoking.
Counseling regarding smoking cessation is Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to quit,
part of the GNP's job. The components of Assist in this quit attempt. Arrange a follow-up.
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
1/22
,10/18/24, 3:56 PM
Mrs. Frasier, an 50-year-old patient, Wheal
presents with a mosquito bite that she is
concerned about. How do you diagnose Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated,
this? 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
Cyst. papules; elevated and a variety of shapes; larger than 5mm.
Bulla.
Wheal.
Plaques.
Which of the following groups should be males aged 65-75 who have ever smoked
tested for abdominal aortic aneurysm?
Abdominal aortic aneurysm (AAA) is more prevalent in males than in females. The
males aged 65-75 who have ever smoked American Heart Association recommends screening males once between ages 65-
females aged 65-75 who have 75 if they have ever smoked since that increases the risk of AAA.
hypertension
males and females over 75
females over 75
With a giardia lamblia diagnosis, the NP Metronidazole.
would MOST likely prescribe what
medication? The preceding drugs are typically used in treating the following: - Campylobacter
jejuni: Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-
Metronidazole. sulfamethoxazole - Giardia lamblia: Metronidazole
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole.
A 65-year-old Caucasian male calls your He needs no treatment.
office. He tells you he just came in from the
woods and discovered a tick on his upper To develop Lyme Disease from a tick bite, many factors must be present. The tick
right thigh. He reports self removal of the must belong to Ixodes species and must have been attached for at least 48 hours
tick and now the area is slightly red. What before the disease can spread. There is no need for prophylactic treatment in this
should you advise him to do? case because the tick has not been present long enough.
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.
2/22
, 10/18/24, 3:56 PM
As part of the treatment plan for your Eyes
elderly patient, you recommend he see an
Ophthalmologist. What body part(s) will Neurologist - Brain / nerves Ophthalmologist - Eyes Orthopedist - Bones / Joints /
this doctor evaluate? Muscles Otolaryngologist - Ears / Throat
Brain / nerves.
Eyes.
Bones / Joints / Muscles.
Ears / Throat.
As a GNP you understand that due to platelet range
physiological changes of aging, some
laboratory test results will have age-related Due to the physiological changes of aging, red blood cell values tend to decrease,
changes. Which of the following values white blood cell counts tend to decrease slightly, hemoglobin values slightly
would be the least likely to be affected? decrease, but platelet range does not vary.
red blood cell values
white blood cell counts
platelet range
hemoglobin values
The family of a patient with dementia has 50% of the older adult population suffer from some form of dementia.
asked you to tell them more about this
condition. You would tell them all of the This statement is not true. It is estimated that between 10 and 20% of the older adult
following except: population suffer from some form of dementia. There are 1.2 million cases in the
United States in people over the age of 65.
Dementia is the leading reason for
institutionalization of older adults.
Some persons diagnosed with dementia
have reversible pseudodementia.
Irreversible dementia has a gradual onset
and a progressive downward course.
50% of the older adult population suffer
from some form of dementia.
What is true regarding deep vein Because the presentation of DVT varies, making the diagnosis from clinical
thrombosis (DVT)? presentation alone is problematic.
Contrast venography is the most commonly Choice B is the right answer. Contrast venography has the greatest sensitivity and
used test to diagnose this. specificity for the condition but due to the cost and nature of the test, ultrasound is
Because the presentation of DVT varies, more common as first-line diagnostic technique (choice A). A hypercoagulation state
making the diagnosis from clinical presents a considerable risk for DVT (choice C). Therapy for patients with DVT is
presentation alone is problematic. aimed at minimizing the risk of pulmonary embolism and extension of peripheral
Hypocoagulation state presents a thrombus (choice D).
considerable risk for DVT.
Therapy for patients with DVT is aimed at
easing the pain.
It has been determined that an elderly Environmental changes.
patient is suffering from long term
insomnia. Which of the following is LESS There are various causes of insomnia in the elderly. While some may be the cause of
likely to be considered a long term cause short term insomnia and others long term insomnia, long term insomnia is more
of the condition? common in the elderly than short term.
Nocturia.
Environmental changes.
Congestive heart failure.
Gerontology HESI
Alcohol and substance test
abuse.
3/22
Gerontology HESI test Exam with complete solution
Terms in this set (100)
The cleansing of the stomach with solution Lavage
delivered through a nasogastric tube is
known as what? 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
Gavage
Emesis
Lavage
Stomach pumping
You are providing care to a patient who has Lean red meat
recently begun dialysis. Her daughter, with
whom she lives and who prepares many of Dialysis patients are encouraged to eat lean meat, including red meat. High quality
her meals, asks what types of foods she proteins produce less waste and help the body heal and maintain regular processes.
should incorporate into her diet and which Dialysis patients should avoid foods high in potassium, including avocado, banana,
she should avoid. Which of the following is and dried fruit, and should eat other potassium-containing foods in moderation.
NOT a food that this patient should be
advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas.
Your 89-year-old patient presents with Migraines
dyspepsia and nausea. After testing, you
determine she is positive for Peptic Ulcer Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the
Disease. Of the following, which would condition are pancreatitis and biliary tract disease.
LEAST likely be a differential diagnosis for
Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease.
There are a good many diseases affecting Ask, Advise, Assess, Assist, Arrange
the elderly that are the result of smoking.
Counseling regarding smoking cessation is Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to quit,
part of the GNP's job. The components of Assist in this quit attempt. Arrange a follow-up.
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
1/22
,10/18/24, 3:56 PM
Mrs. Frasier, an 50-year-old patient, Wheal
presents with a mosquito bite that she is
concerned about. How do you diagnose Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated,
this? 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
Cyst. papules; elevated and a variety of shapes; larger than 5mm.
Bulla.
Wheal.
Plaques.
Which of the following groups should be males aged 65-75 who have ever smoked
tested for abdominal aortic aneurysm?
Abdominal aortic aneurysm (AAA) is more prevalent in males than in females. The
males aged 65-75 who have ever smoked American Heart Association recommends screening males once between ages 65-
females aged 65-75 who have 75 if they have ever smoked since that increases the risk of AAA.
hypertension
males and females over 75
females over 75
With a giardia lamblia diagnosis, the NP Metronidazole.
would MOST likely prescribe what
medication? The preceding drugs are typically used in treating the following: - Campylobacter
jejuni: Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-
Metronidazole. sulfamethoxazole - Giardia lamblia: Metronidazole
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole.
A 65-year-old Caucasian male calls your He needs no treatment.
office. He tells you he just came in from the
woods and discovered a tick on his upper To develop Lyme Disease from a tick bite, many factors must be present. The tick
right thigh. He reports self removal of the must belong to Ixodes species and must have been attached for at least 48 hours
tick and now the area is slightly red. What before the disease can spread. There is no need for prophylactic treatment in this
should you advise him to do? case because the tick has not been present long enough.
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.
2/22
, 10/18/24, 3:56 PM
As part of the treatment plan for your Eyes
elderly patient, you recommend he see an
Ophthalmologist. What body part(s) will Neurologist - Brain / nerves Ophthalmologist - Eyes Orthopedist - Bones / Joints /
this doctor evaluate? Muscles Otolaryngologist - Ears / Throat
Brain / nerves.
Eyes.
Bones / Joints / Muscles.
Ears / Throat.
As a GNP you understand that due to platelet range
physiological changes of aging, some
laboratory test results will have age-related Due to the physiological changes of aging, red blood cell values tend to decrease,
changes. Which of the following values white blood cell counts tend to decrease slightly, hemoglobin values slightly
would be the least likely to be affected? decrease, but platelet range does not vary.
red blood cell values
white blood cell counts
platelet range
hemoglobin values
The family of a patient with dementia has 50% of the older adult population suffer from some form of dementia.
asked you to tell them more about this
condition. You would tell them all of the This statement is not true. It is estimated that between 10 and 20% of the older adult
following except: population suffer from some form of dementia. There are 1.2 million cases in the
United States in people over the age of 65.
Dementia is the leading reason for
institutionalization of older adults.
Some persons diagnosed with dementia
have reversible pseudodementia.
Irreversible dementia has a gradual onset
and a progressive downward course.
50% of the older adult population suffer
from some form of dementia.
What is true regarding deep vein Because the presentation of DVT varies, making the diagnosis from clinical
thrombosis (DVT)? presentation alone is problematic.
Contrast venography is the most commonly Choice B is the right answer. Contrast venography has the greatest sensitivity and
used test to diagnose this. specificity for the condition but due to the cost and nature of the test, ultrasound is
Because the presentation of DVT varies, more common as first-line diagnostic technique (choice A). A hypercoagulation state
making the diagnosis from clinical presents a considerable risk for DVT (choice C). Therapy for patients with DVT is
presentation alone is problematic. aimed at minimizing the risk of pulmonary embolism and extension of peripheral
Hypocoagulation state presents a thrombus (choice D).
considerable risk for DVT.
Therapy for patients with DVT is aimed at
easing the pain.
It has been determined that an elderly Environmental changes.
patient is suffering from long term
insomnia. Which of the following is LESS There are various causes of insomnia in the elderly. While some may be the cause of
likely to be considered a long term cause short term insomnia and others long term insomnia, long term insomnia is more
of the condition? common in the elderly than short term.
Nocturia.
Environmental changes.
Congestive heart failure.
Gerontology HESI
Alcohol and substance test
abuse.
3/22
