10/18/24, 3:57 PM
HESI GERONTOLOGY Exam with complete solution
Terms in this set (75)
The cleansing of the stomach with solution C
delivered through a nasogastric tube is
known as what? 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
A) Gavage. nasogastric tube.
B) Emesis.
C) Lavage.
D) Stomach pumping.
You are providing care to a patient who has B
recently begun dialysis. Her daughter, with
whom she lives and who prepares many of Correct Answer: Lean red meat Dialysis patients are encouraged to eat lean meat,
her meals, asks what types of foods she including red meat. High quality proteins produce less waste and help the body heal
should incorporate into her diet and which and maintain regular processes. Dialysis patients should avoid foods high in
she should avoid. Which of the following is potassium, including avocado, banana, and dried fruit, and should eat other
NOT a food that this patient should be potassium-containing foods in moderation.
advised to avoid?
A) Avocado.
B) Lean red meat.
C) Dried fruit.
D) Bananas.
Your 89-year-old patient presents with B
dyspepsia and nausea. After testing, you
determine she is positive for Peptic Ulcer Correct answer: Migraines Peptic Ulcer Disease is a gastrointestinal disorder. Other
Disease. Of the following, which would differential diagnoses of the condition are pancreatitis and biliary tract disease.
LEAST likely be a differential diagnosis for
Peptic Ulcer Disease?
A) Cholecystitis.
B) Migraines.
C) Gastric carcinoma.
D) Cardiovascular disease.
There are a good many diseases affecting D
the elderly that are the result of smoking.
Counseling regarding smoking cessation is Correct Answer:
part of the GNP's job. The components of Ask, Advise, Assess, Assist, Arrange
brief intervention for treating tobacco use Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to quit,
are: Assist in this quit attempt. Arrange a follow-up.
A) Counsel, Document, Caution, Describe,
Demonstrate
B) Advise, Confer, Describe, Document,
Prescribe
C) Advise, Counsel, Intervene, Prescribe,
Follow-up
D) Ask, Advise, Assess, Assist, Arrange
1/16
,10/18/24, 3:57 PM
Mrs. Frasier, an 50-year-old patient, C
presents with a mosquito bite that she is
concerned about. How do you diagnose Correct answer:
this? Wheal
Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated,
A) Cyst. circumscribed lesion that's larger than 5mm. Wheal: circumscribed, reddening with
B) Bulla. transient elevation lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of
C) Wheal. papules; elevated and a variety of shapes; larger than 5mm.
D) Plaques.
Mr. French asks the GNP the maximum B
number he can have for his LDL
Cholesterol level in order to be considered Correct Answer:
at a borderline high amount. What answer 159 mg/dL.
does she give him? The following LDL cholesterol guidelines are outlined by the American Heart
Association: Less than 100 mg/dL = Optimal 100-129 mg/dL = Near or above optimal
A) 62 mg/dL. 130-159 mg/dL = Borderline high 160-189 mg/dL = High 190 mg/dL and above = Very
B) 159 mg/dL. high
C) 83 mg/dL.
D) 95 mg/dL.
In order for effective teaching to take C
place, it is crucial that the GNP use the
proper teaching style for each patient. Correct answer: Authority, expert Matching teaching style (TS) to learning style (LS)
What teaching style would BEST suit a is crucial for effective communication. The following are the BEST matches: TS LS
patient with a "Dependent Learner" style? Authority Dependent Motivator Interested Facilitator Involved Delegator Self-
directed
A) Facilitator.
B) Delegator.
C) Authority, expert.
D) Salesperson, motivator.
A
Ms. Chatham, a 65-year-old patient is
determined to have a systolic blood
Correct Answer:
pressure reading of 125. This patient is _.
Prehypertensive.
As per the 7th report of the Joint National Committee on Prevention, Detection,
A) Prehypertensive.
Evaluation, and Treatment of High Blood Pressure guidelines, the following is true:
B) Stage I Hypertension.
Systolic BP <120 and Diastolic BP <80 = Normal Systolic BP 120 - 139 or Diastolic BP
C) Stage II Hypertension.
80 - 89 = Prehypertensive Systolic BP 140 - 159 or Diastolic BP 90 - 99 = Stage I
D) Normal.
Hypertension Systolic BP ≥160 or Diastolic BP ≥100 = Stage II Hypertension
2/16
, 10/18/24, 3:57 PM
As a GNP you know that the major cause of C
respiratory disability in older adults is which
of the following? Correct answer:COPD
COPD is chronic pulmonary obstructive disorder. Cigarette smoking is the most
A) pneumonia important risk factor for COPD. COPD has no cure and it is the major cause of
B) lung cancer respiratory disability in older adults.
C) COPD
D) heart disease
An older patient has tourette syndrome. B
The GNP knows that part of the
management of this condition includes all Correct answer:high doses of diazepam have been known to be effective
of the following except: Treatment options include stimulants (dextroamphetamine, methylphenidate, etc.),
alpha-2 adrenergic agonists (clonidine), and neuroleptic agents (risperidone,
A) behavior therapy and biofeedback haloperidol, etc.). Tourette's syndrome is a lifelong condition with unknown etiology.
B) high doses of diazepam have been
known to be effective.
C) individual education plans, including
classroom modifications
D) family support and counseling
You are prescribing Lisinopril for your 70- C
year-old patient with heart failure. What is
the maximum daily dosage the patient can Correct Answer:
take of this medication? 40 mg/day.
There are a variety of drugs prescribed to patients to help manage heart failure. For
A) 4 mg/day. example, the maximum daily dosage for Lisinopril is 40 mg once per day. The daily
B) 20 mg once per day. max. for Fosinopril is 40 mg/day. The daily maximum for Perindopril is 16 mg/day and
C) 40 mg/day. Trandolapril, 4 mg/day.
D) 16 mg/day.
The GNP knows that when treating B
depression with selective serotonin
reuptake inhibitors the patient may exhibit: Correct answer:
weight loss and decreased libido
A) weight gain and hypoglycemia The SSRIs are commonly associated with decreased libido after several weeks of
B) weight loss and decrased libido taking them. Patients who take tricyclic antidepressants have more weight gain and
C) cognitive changes and urinary retention the tricyclic and heterocyclic compounds are more often associated with blood
D) sleepiness and decreased libido sugar elevations. Jitteriness and restlessness are commonly associated with SSRI use.
For alcohol withdrawal symptoms, the B
preferred benzodiazepine is lorazepam.
This is used when there is concomitant Correct answer:hepatic disease
history of: Librium or Valium are good therapeutic agents for patients with adequate hepatic
function, but lorazepam is the preferred agent for those with impaired hepatic
A) folate-deficiency anemia function because of its short half life.
B) hepatic disease
C) seizure disorder
D) multiple substance abuse
HESI GERONTOLOGY
3/16
HESI GERONTOLOGY Exam with complete solution
Terms in this set (75)
The cleansing of the stomach with solution C
delivered through a nasogastric tube is
known as what? 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
A) Gavage. nasogastric tube.
B) Emesis.
C) Lavage.
D) Stomach pumping.
You are providing care to a patient who has B
recently begun dialysis. Her daughter, with
whom she lives and who prepares many of Correct Answer: Lean red meat Dialysis patients are encouraged to eat lean meat,
her meals, asks what types of foods she including red meat. High quality proteins produce less waste and help the body heal
should incorporate into her diet and which and maintain regular processes. Dialysis patients should avoid foods high in
she should avoid. Which of the following is potassium, including avocado, banana, and dried fruit, and should eat other
NOT a food that this patient should be potassium-containing foods in moderation.
advised to avoid?
A) Avocado.
B) Lean red meat.
C) Dried fruit.
D) Bananas.
Your 89-year-old patient presents with B
dyspepsia and nausea. After testing, you
determine she is positive for Peptic Ulcer Correct answer: Migraines Peptic Ulcer Disease is a gastrointestinal disorder. Other
Disease. Of the following, which would differential diagnoses of the condition are pancreatitis and biliary tract disease.
LEAST likely be a differential diagnosis for
Peptic Ulcer Disease?
A) Cholecystitis.
B) Migraines.
C) Gastric carcinoma.
D) Cardiovascular disease.
There are a good many diseases affecting D
the elderly that are the result of smoking.
Counseling regarding smoking cessation is Correct Answer:
part of the GNP's job. The components of Ask, Advise, Assess, Assist, Arrange
brief intervention for treating tobacco use Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to quit,
are: Assist in this quit attempt. Arrange a follow-up.
A) Counsel, Document, Caution, Describe,
Demonstrate
B) Advise, Confer, Describe, Document,
Prescribe
C) Advise, Counsel, Intervene, Prescribe,
Follow-up
D) Ask, Advise, Assess, Assist, Arrange
1/16
,10/18/24, 3:57 PM
Mrs. Frasier, an 50-year-old patient, C
presents with a mosquito bite that she is
concerned about. How do you diagnose Correct answer:
this? Wheal
Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated,
A) Cyst. circumscribed lesion that's larger than 5mm. Wheal: circumscribed, reddening with
B) Bulla. transient elevation lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of
C) Wheal. papules; elevated and a variety of shapes; larger than 5mm.
D) Plaques.
Mr. French asks the GNP the maximum B
number he can have for his LDL
Cholesterol level in order to be considered Correct Answer:
at a borderline high amount. What answer 159 mg/dL.
does she give him? The following LDL cholesterol guidelines are outlined by the American Heart
Association: Less than 100 mg/dL = Optimal 100-129 mg/dL = Near or above optimal
A) 62 mg/dL. 130-159 mg/dL = Borderline high 160-189 mg/dL = High 190 mg/dL and above = Very
B) 159 mg/dL. high
C) 83 mg/dL.
D) 95 mg/dL.
In order for effective teaching to take C
place, it is crucial that the GNP use the
proper teaching style for each patient. Correct answer: Authority, expert Matching teaching style (TS) to learning style (LS)
What teaching style would BEST suit a is crucial for effective communication. The following are the BEST matches: TS LS
patient with a "Dependent Learner" style? Authority Dependent Motivator Interested Facilitator Involved Delegator Self-
directed
A) Facilitator.
B) Delegator.
C) Authority, expert.
D) Salesperson, motivator.
A
Ms. Chatham, a 65-year-old patient is
determined to have a systolic blood
Correct Answer:
pressure reading of 125. This patient is _.
Prehypertensive.
As per the 7th report of the Joint National Committee on Prevention, Detection,
A) Prehypertensive.
Evaluation, and Treatment of High Blood Pressure guidelines, the following is true:
B) Stage I Hypertension.
Systolic BP <120 and Diastolic BP <80 = Normal Systolic BP 120 - 139 or Diastolic BP
C) Stage II Hypertension.
80 - 89 = Prehypertensive Systolic BP 140 - 159 or Diastolic BP 90 - 99 = Stage I
D) Normal.
Hypertension Systolic BP ≥160 or Diastolic BP ≥100 = Stage II Hypertension
2/16
, 10/18/24, 3:57 PM
As a GNP you know that the major cause of C
respiratory disability in older adults is which
of the following? Correct answer:COPD
COPD is chronic pulmonary obstructive disorder. Cigarette smoking is the most
A) pneumonia important risk factor for COPD. COPD has no cure and it is the major cause of
B) lung cancer respiratory disability in older adults.
C) COPD
D) heart disease
An older patient has tourette syndrome. B
The GNP knows that part of the
management of this condition includes all Correct answer:high doses of diazepam have been known to be effective
of the following except: Treatment options include stimulants (dextroamphetamine, methylphenidate, etc.),
alpha-2 adrenergic agonists (clonidine), and neuroleptic agents (risperidone,
A) behavior therapy and biofeedback haloperidol, etc.). Tourette's syndrome is a lifelong condition with unknown etiology.
B) high doses of diazepam have been
known to be effective.
C) individual education plans, including
classroom modifications
D) family support and counseling
You are prescribing Lisinopril for your 70- C
year-old patient with heart failure. What is
the maximum daily dosage the patient can Correct Answer:
take of this medication? 40 mg/day.
There are a variety of drugs prescribed to patients to help manage heart failure. For
A) 4 mg/day. example, the maximum daily dosage for Lisinopril is 40 mg once per day. The daily
B) 20 mg once per day. max. for Fosinopril is 40 mg/day. The daily maximum for Perindopril is 16 mg/day and
C) 40 mg/day. Trandolapril, 4 mg/day.
D) 16 mg/day.
The GNP knows that when treating B
depression with selective serotonin
reuptake inhibitors the patient may exhibit: Correct answer:
weight loss and decreased libido
A) weight gain and hypoglycemia The SSRIs are commonly associated with decreased libido after several weeks of
B) weight loss and decrased libido taking them. Patients who take tricyclic antidepressants have more weight gain and
C) cognitive changes and urinary retention the tricyclic and heterocyclic compounds are more often associated with blood
D) sleepiness and decreased libido sugar elevations. Jitteriness and restlessness are commonly associated with SSRI use.
For alcohol withdrawal symptoms, the B
preferred benzodiazepine is lorazepam.
This is used when there is concomitant Correct answer:hepatic disease
history of: Librium or Valium are good therapeutic agents for patients with adequate hepatic
function, but lorazepam is the preferred agent for those with impaired hepatic
A) folate-deficiency anemia function because of its short half life.
B) hepatic disease
C) seizure disorder
D) multiple substance abuse
HESI GERONTOLOGY
3/16
