Analyzed Gerontology HESI test Exam
Questions With 100% Verified
Solutions
A 65-year-old patient that has transferred into your care from another provider
presents with a history of migraine headaches. She is on Tylenol with codeine for
treatment of these headaches but nothing for abortive therapy. The GNP
understands that a good agent to prescribe for her for abortive therapy is:
ketorolac (toradol) 100 mg IM
amitriptyline (Elavil) 100 mg PO
sumatriptan (Imitrex) 6 mg IM
ergotamine (Ergostat) 2 mg SL - ANSWER -ergotamine (Ergostat) 2 mg SL
Ergotamine sublinginal at 2 mg is the correct dose of abortive therapy for migraine
headaches. Ketorolac is give 30-60mg IM for pain, but does not help with abortive
therapy. Sumatriptan is given subcutaneously (SC) or PO, not IM and is a good
medication for abortive migraine therapy. Amitriptyline is not used in abortive
therapy.
Of the following, which is the body system that is responsible for protecting the
organs as well as allowing the body to move?
Nervous.
Skeletal.
Muscular.
Circulatory. - ANSWER -Skeletal
The human body is made up of 11 major body systems. These are Nervous,
Skeletal, Muscular, Circulatory, Respiratory, Digestive, Endocrine, Reproductive,
Excretory, Integumentary, and Immune. The Nervous System receives and sends
messages to the body. The Skeletal System protects the body's organs and helps
,with functions such as moving around. The Muscular System consists of bones and
the tissues that bring them together. It helps with functions such as walking. The
Circulatory System includes the heart and blood vessels and helps with the flow of
blood throughout the body.
Ms. Villa asks the GNP the minimum number she can have for her LDL
Cholesterol level to be considered "high". What ANSWER does she give her?
81 mg/dL.
113 mg/dL.
160 mg/dL.
134 mg/dL. - ANSWER -160 mg/dL.
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 130-159 mg/dL = Borderline high 160-189 mg/dL = High 190 mg/dL and
above = Very high
Which of the following diseases can be described as the inability of the heart to
pump out all the blood returned to it from the veins resulting in the organs of the
body not receiving an adequate supply of blood?
artherosclerosis
hypertension
congestive heart failure
arteriosclerosis - ANSWER -congestive heart failure
Congestive heart failure is the inability of the heart to pump out all the blood
returned to it from the veins. As a result of vital organs not receiving an adequate
supply of blood fluid backs up into the lungs and body. Signs and symptoms
include: congestion in the lungs, difficulty breathing, restlessness, anxiety and
edema of the legs, feet, hands, face, and buttocks.
A retired businessman, age 71, is in the office today with complaints of pain over
the inner aspect of the lower humerus of the arm. He reports that the pain is
,aggravated by wrist flexion and gripping. No swelling is noted upon examination.
He is an avid golfer and works around the house doing carpentry work. What does
the Geriatric Nurse Practitioner suspect is the cause of his ailment?
medial epicondylitis
lateral epicondylitis
olecranon bursitis
elbow strain - ANSWER -medial epicondylitis
Choice A is the right ANSWER. This is often called golfers' elbow because it
results from repetitive activity such as lifting, tooling, and sports that require a
tight grip. The patient will complain of pan over the medial epicondyle or inner
aspect of the lower humerus. With lateral epicondylitis (choice B) the patient has
pain over the outer aspect of the lower humerus. Olecranon bursitis (choice C)
results in pain and swelling behind the elbow and a noticeable ball or sac hanging
from the elbow. An elbow strain (choice D) is not likely to cause aggravated pain
with wrist flexion and decreased grip.
An adult male patient with iron deficiency anemia presents in the office and
gastrointestinal (GI) bleeding has been ruled out. The GNP determines that the
next step is:
Prescribe ferrous sufate 300 mg PO tid and schedule patient to return in 1 month
for a repeat CBC, serum iron, and TIBC.
Administer iron dextran 50 mg IM weekly for 4 weeks.
Schedule the patient to return in 6 months for additional stool guaiac testing.
Refer patient to a hematologist. - ANSWER -Prescribe ferrous sufate 300 mg PO
tid and schedule patient to return in 1 month for a repeat CBC, serum iron, and
TIBC.
To replenish the depleted body iron stores, treatment with iron orally for at least 6
months is necessary to correct the anemia. The patient should have
hemoglobin/hematocrit, iron, and TIBC rechecked after 1 month of therapy. The
patient should be referred to a hematologist if treatment shows no improvement
, and referral to a GI specialist or repeat of stool guaiac is unnecessary because there
is no indication that the condition is related to bleeding.
When screening for alcohol abuse in the elderly, which test has been validated for
this population?
CUT Screen
CAGE Screen
MINE Screen
LIST Screen - ANSWER -CAGE Screen
This is a screen for alcohol abuse that is validated in adults and the geriatric
population.The C stands for "have you ever felt like you should CUT down". The
A stands for "does other's criticism of your drinking ANNOY you". The G stands
for "have you ever felt GUILTY about your drinking". The E stands for "have you
ever had an EYE opener".
You are assessing the pulse of an elderly patient. The reading is normal. Which of
the following does NOT fit the "normal" range.
50 beats per minute.
72 beats per minute.
89 beats per minute.
65 beats per minute. - ANSWER -50 beats per minute
A normal pulse falls within the range of 60 to 100 beats per minute. It should be
noted when a patient has irregular rhythms. An electrocardiogram may also be
necessary.
When providing care for an adult female patient who has a history of prescription
benzodiazepine dependence, you consider that:
The preferred method of treatment for this problem is rapid detoxification.
She is at significant risk for drug-induced hepatitis.
She is unlikely to have a problem with misuse of other drugs or alcohol.
Questions With 100% Verified
Solutions
A 65-year-old patient that has transferred into your care from another provider
presents with a history of migraine headaches. She is on Tylenol with codeine for
treatment of these headaches but nothing for abortive therapy. The GNP
understands that a good agent to prescribe for her for abortive therapy is:
ketorolac (toradol) 100 mg IM
amitriptyline (Elavil) 100 mg PO
sumatriptan (Imitrex) 6 mg IM
ergotamine (Ergostat) 2 mg SL - ANSWER -ergotamine (Ergostat) 2 mg SL
Ergotamine sublinginal at 2 mg is the correct dose of abortive therapy for migraine
headaches. Ketorolac is give 30-60mg IM for pain, but does not help with abortive
therapy. Sumatriptan is given subcutaneously (SC) or PO, not IM and is a good
medication for abortive migraine therapy. Amitriptyline is not used in abortive
therapy.
Of the following, which is the body system that is responsible for protecting the
organs as well as allowing the body to move?
Nervous.
Skeletal.
Muscular.
Circulatory. - ANSWER -Skeletal
The human body is made up of 11 major body systems. These are Nervous,
Skeletal, Muscular, Circulatory, Respiratory, Digestive, Endocrine, Reproductive,
Excretory, Integumentary, and Immune. The Nervous System receives and sends
messages to the body. The Skeletal System protects the body's organs and helps
,with functions such as moving around. The Muscular System consists of bones and
the tissues that bring them together. It helps with functions such as walking. The
Circulatory System includes the heart and blood vessels and helps with the flow of
blood throughout the body.
Ms. Villa asks the GNP the minimum number she can have for her LDL
Cholesterol level to be considered "high". What ANSWER does she give her?
81 mg/dL.
113 mg/dL.
160 mg/dL.
134 mg/dL. - ANSWER -160 mg/dL.
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 130-159 mg/dL = Borderline high 160-189 mg/dL = High 190 mg/dL and
above = Very high
Which of the following diseases can be described as the inability of the heart to
pump out all the blood returned to it from the veins resulting in the organs of the
body not receiving an adequate supply of blood?
artherosclerosis
hypertension
congestive heart failure
arteriosclerosis - ANSWER -congestive heart failure
Congestive heart failure is the inability of the heart to pump out all the blood
returned to it from the veins. As a result of vital organs not receiving an adequate
supply of blood fluid backs up into the lungs and body. Signs and symptoms
include: congestion in the lungs, difficulty breathing, restlessness, anxiety and
edema of the legs, feet, hands, face, and buttocks.
A retired businessman, age 71, is in the office today with complaints of pain over
the inner aspect of the lower humerus of the arm. He reports that the pain is
,aggravated by wrist flexion and gripping. No swelling is noted upon examination.
He is an avid golfer and works around the house doing carpentry work. What does
the Geriatric Nurse Practitioner suspect is the cause of his ailment?
medial epicondylitis
lateral epicondylitis
olecranon bursitis
elbow strain - ANSWER -medial epicondylitis
Choice A is the right ANSWER. This is often called golfers' elbow because it
results from repetitive activity such as lifting, tooling, and sports that require a
tight grip. The patient will complain of pan over the medial epicondyle or inner
aspect of the lower humerus. With lateral epicondylitis (choice B) the patient has
pain over the outer aspect of the lower humerus. Olecranon bursitis (choice C)
results in pain and swelling behind the elbow and a noticeable ball or sac hanging
from the elbow. An elbow strain (choice D) is not likely to cause aggravated pain
with wrist flexion and decreased grip.
An adult male patient with iron deficiency anemia presents in the office and
gastrointestinal (GI) bleeding has been ruled out. The GNP determines that the
next step is:
Prescribe ferrous sufate 300 mg PO tid and schedule patient to return in 1 month
for a repeat CBC, serum iron, and TIBC.
Administer iron dextran 50 mg IM weekly for 4 weeks.
Schedule the patient to return in 6 months for additional stool guaiac testing.
Refer patient to a hematologist. - ANSWER -Prescribe ferrous sufate 300 mg PO
tid and schedule patient to return in 1 month for a repeat CBC, serum iron, and
TIBC.
To replenish the depleted body iron stores, treatment with iron orally for at least 6
months is necessary to correct the anemia. The patient should have
hemoglobin/hematocrit, iron, and TIBC rechecked after 1 month of therapy. The
patient should be referred to a hematologist if treatment shows no improvement
, and referral to a GI specialist or repeat of stool guaiac is unnecessary because there
is no indication that the condition is related to bleeding.
When screening for alcohol abuse in the elderly, which test has been validated for
this population?
CUT Screen
CAGE Screen
MINE Screen
LIST Screen - ANSWER -CAGE Screen
This is a screen for alcohol abuse that is validated in adults and the geriatric
population.The C stands for "have you ever felt like you should CUT down". The
A stands for "does other's criticism of your drinking ANNOY you". The G stands
for "have you ever felt GUILTY about your drinking". The E stands for "have you
ever had an EYE opener".
You are assessing the pulse of an elderly patient. The reading is normal. Which of
the following does NOT fit the "normal" range.
50 beats per minute.
72 beats per minute.
89 beats per minute.
65 beats per minute. - ANSWER -50 beats per minute
A normal pulse falls within the range of 60 to 100 beats per minute. It should be
noted when a patient has irregular rhythms. An electrocardiogram may also be
necessary.
When providing care for an adult female patient who has a history of prescription
benzodiazepine dependence, you consider that:
The preferred method of treatment for this problem is rapid detoxification.
She is at significant risk for drug-induced hepatitis.
She is unlikely to have a problem with misuse of other drugs or alcohol.
