HESI GERIATRICS EXAM TEST BANK 300 QUESTIONS
WITH 100% CORRECT ANSWERS
LATEST UPDATED 2026/2027.GRADED A+
A nurse practitioner is performing an annual checkup for a female patient. In the
physical
examination of the breast, for which of the following should the nurse practitioner
assess? Select all that apply. 1. Temperature
2. Symmetry
3. Dimpling
4. Lumps
5. Size ---CORRECT ANSWER-- 2, 3, 4
. A patient asks the nurse practitioner what is meant by health promotion. Which of the
following is the nurse practitioner's best response? Health promotion:
1. Includes activities that an individual performs proactively to increase health and
wellbeing.
2. Is a process of keeping track of immunizations.
3. Includes a set of programs that help people cope with the disease.
4. Includes strategies that prolong life.
---CORRECT ANSWER-- 1. Includes activities that an individual performs
proactively to increase health and well-being.
. Which of the following is most affected by pharmacokinetic change?
1. Distribution of drugs.
2. Elimination of drugs.
3. Absorption of drugs.
4. Metabolism of drugs.
---CORRECT ANSWER-- 2. Elimination of drugs.
In the assessment for peripheral vascular disorders, the clinician should begin with
which of the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally .
4. Order diagnostic testing. ---CORRECT ANS WER-- 1. Auscultation of the carotid
arteries bilaterally.1.
1. Neurological assessment of the older adult requires specific tools and considerations
to assess patient mental status. Which of the following should be used to assess patient
cognition?
1. Administer SLUMS, a short dementia assessment.
2. Administer MoCA v 7.1, a 12-item assessment to detect mild neurocognitive
disorders.
3. Administer testing of cranial nerve III.
4. Administer Mini-Cog, a three-word recall with clock drawing capability. ---CORRECT
ANSWER-- 4. Administer Mini-Cog, a three-word recall with clock drawing capability.
,2. A clinician is performing sensory assessment on a patient presenting signs and
symptoms of neurological disease. During the assessment, the clinician notices that the
patient has a decreased sense of both pain and temperature. Which of the following
may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn ---CORRECT ANSWER-- 1. Spinothalamic tract
3. Gayle is a 55-year-old woman who is suspected of having a brain tumor. The clinician
orders diagnostic testing for thyroid-stimulating hormone (TSH) and magnetic
resonance imaging (MRI) to confirm this. Which of the following statements is true
regarding a brain tumor?
1. The symptom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
4. Brain tumors occur more commonly in fema les than males. ---CORRECT ANSWER--
2. A brain tumor can be a malignant or benign neoplasm.
Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder
resulting in the loss of dopamine-producing cells in the brain. Which part of the brain is
affected with PD? Substantia nigra
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus ---CORRECT ANSWER-- 1. Substantia nigra
5. Which of the following is a neurological disorder characterized by leg cramping,
pulling, and tugging sensations, and may have a genetic component?
1. Radiculopathy
2. Nerve compression
3. Restless legs syndrome (RLS)
4. Sleep impairment ---CORRECT ANSWER-- 3. Restless legs syndrome (RLS)
6. According to studies, which of the following is true regarding cerebrovascular
disease?
1. It accounts for 20% to 50% of seizures in older adults.
2. It accounts for 10% of seizures in older adults.
3. Sixty percent of patients with stroke are at risk of developing seizures within 5 years.
4. Transient ischemic attacks have a relatively high incidence of seizures. ---CORRECT
ANSWER-- 1. Cerebrovascular disease accounts for 20% to 50% of seizures in older
adults.
1. Referral to an internist.
2. Lifestyle considerations.
,3. Use of protective gear.
4. Referral for group therapy. ---CORRECT ANSWER-- 2. Lifestyle considerations.
8. Mr. Newman developed a sudden onset of severe headache, weakness on one side
of his body, difficulty speaking, and loss of balance. He was immediately admitted to the
hospital with the diagnosis of hemorrhagic stroke. Which of the following is the
manifestation of a hemorrhagic stroke?
1. Leak or rupture in an artery wall.
2. Leak or rupture in a venous wall.
3. Blockage in the heart.
4. Blockage of an artery. ---CORRECT ANSWER-- 1. Leak or rupture in an artery wall.
1. The nurse practitioner is serving in a clinic
dedicated to patients over age 65 years.
The nurse practitioner observes several common
characteristics in the posture o
elderly patients. Which of the following is
common?
1. Increase in the length of the trunk in relationship
to the upper extremities.
, 2. Head tips backward.
3. Disappearance of bony prominences.
4. Increase in the range of motion (ROM). ---
CORRECT ANSWER-- 2. Head tips
backward.
2. While conducting a thorough examination of the musculoskeletal system, the patient
asks why such detail is necessary. Which of the following is the nurse practitioner's best
response?
1. I don't want to miss any signs of something serious.
2. The purpose of conducting this examination is to regulate your medications.
3. I am looking for symptoms that form a pattern.
4. This is routine for all patients over 65 years of age. ---CORRECT ANSWER-- 3. I am
looking for symptoms that form a patte rn.
3. Mrs. Wilbur reports the presence of pain in her lower and upper back. The nurse
practitioner responds by doing which of the following?
1. Determining where the pain is coming from.
2. Ignoring any history of injury.
3. Ruling out the presence of anything inflammatory.
4. Determining that this pain does not affect activities of daily living (ADLs), as the
patient came in independently. ---CORRECT ANSWER-- 1. Determining where the
pain is coming from.
4. When assessing a patient with a possible musculoskeletal condition, it is important to:
1. Know how much sleep the patient gets per night.
2. Be aware that older patients report any and all pains.
3. Determine ROM in all limbs.
4. Not refer to past injuries or conditions. ---CORRECT ANSWER-- 3. Determine ROM
in all. limbs
5. Mr. Cummins, a 69-year-old Caucasian male, presents with an inability to move h is
right arm sufficiently. The nurse practitioner tells him that she will perform a physical
examination and order tests to rule out which of the following?
1. Gout
2. Rheumatoid arthritis (RA)
3. Muscle weakness from a systemic condition
4. Osteoarthritis (OA) ---CORRECT ANSWER-- 3. Muscle weakness from a systemic
condition
WITH 100% CORRECT ANSWERS
LATEST UPDATED 2026/2027.GRADED A+
A nurse practitioner is performing an annual checkup for a female patient. In the
physical
examination of the breast, for which of the following should the nurse practitioner
assess? Select all that apply. 1. Temperature
2. Symmetry
3. Dimpling
4. Lumps
5. Size ---CORRECT ANSWER-- 2, 3, 4
. A patient asks the nurse practitioner what is meant by health promotion. Which of the
following is the nurse practitioner's best response? Health promotion:
1. Includes activities that an individual performs proactively to increase health and
wellbeing.
2. Is a process of keeping track of immunizations.
3. Includes a set of programs that help people cope with the disease.
4. Includes strategies that prolong life.
---CORRECT ANSWER-- 1. Includes activities that an individual performs
proactively to increase health and well-being.
. Which of the following is most affected by pharmacokinetic change?
1. Distribution of drugs.
2. Elimination of drugs.
3. Absorption of drugs.
4. Metabolism of drugs.
---CORRECT ANSWER-- 2. Elimination of drugs.
In the assessment for peripheral vascular disorders, the clinician should begin with
which of the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally .
4. Order diagnostic testing. ---CORRECT ANS WER-- 1. Auscultation of the carotid
arteries bilaterally.1.
1. Neurological assessment of the older adult requires specific tools and considerations
to assess patient mental status. Which of the following should be used to assess patient
cognition?
1. Administer SLUMS, a short dementia assessment.
2. Administer MoCA v 7.1, a 12-item assessment to detect mild neurocognitive
disorders.
3. Administer testing of cranial nerve III.
4. Administer Mini-Cog, a three-word recall with clock drawing capability. ---CORRECT
ANSWER-- 4. Administer Mini-Cog, a three-word recall with clock drawing capability.
,2. A clinician is performing sensory assessment on a patient presenting signs and
symptoms of neurological disease. During the assessment, the clinician notices that the
patient has a decreased sense of both pain and temperature. Which of the following
may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn ---CORRECT ANSWER-- 1. Spinothalamic tract
3. Gayle is a 55-year-old woman who is suspected of having a brain tumor. The clinician
orders diagnostic testing for thyroid-stimulating hormone (TSH) and magnetic
resonance imaging (MRI) to confirm this. Which of the following statements is true
regarding a brain tumor?
1. The symptom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
4. Brain tumors occur more commonly in fema les than males. ---CORRECT ANSWER--
2. A brain tumor can be a malignant or benign neoplasm.
Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder
resulting in the loss of dopamine-producing cells in the brain. Which part of the brain is
affected with PD? Substantia nigra
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus ---CORRECT ANSWER-- 1. Substantia nigra
5. Which of the following is a neurological disorder characterized by leg cramping,
pulling, and tugging sensations, and may have a genetic component?
1. Radiculopathy
2. Nerve compression
3. Restless legs syndrome (RLS)
4. Sleep impairment ---CORRECT ANSWER-- 3. Restless legs syndrome (RLS)
6. According to studies, which of the following is true regarding cerebrovascular
disease?
1. It accounts for 20% to 50% of seizures in older adults.
2. It accounts for 10% of seizures in older adults.
3. Sixty percent of patients with stroke are at risk of developing seizures within 5 years.
4. Transient ischemic attacks have a relatively high incidence of seizures. ---CORRECT
ANSWER-- 1. Cerebrovascular disease accounts for 20% to 50% of seizures in older
adults.
1. Referral to an internist.
2. Lifestyle considerations.
,3. Use of protective gear.
4. Referral for group therapy. ---CORRECT ANSWER-- 2. Lifestyle considerations.
8. Mr. Newman developed a sudden onset of severe headache, weakness on one side
of his body, difficulty speaking, and loss of balance. He was immediately admitted to the
hospital with the diagnosis of hemorrhagic stroke. Which of the following is the
manifestation of a hemorrhagic stroke?
1. Leak or rupture in an artery wall.
2. Leak or rupture in a venous wall.
3. Blockage in the heart.
4. Blockage of an artery. ---CORRECT ANSWER-- 1. Leak or rupture in an artery wall.
1. The nurse practitioner is serving in a clinic
dedicated to patients over age 65 years.
The nurse practitioner observes several common
characteristics in the posture o
elderly patients. Which of the following is
common?
1. Increase in the length of the trunk in relationship
to the upper extremities.
, 2. Head tips backward.
3. Disappearance of bony prominences.
4. Increase in the range of motion (ROM). ---
CORRECT ANSWER-- 2. Head tips
backward.
2. While conducting a thorough examination of the musculoskeletal system, the patient
asks why such detail is necessary. Which of the following is the nurse practitioner's best
response?
1. I don't want to miss any signs of something serious.
2. The purpose of conducting this examination is to regulate your medications.
3. I am looking for symptoms that form a pattern.
4. This is routine for all patients over 65 years of age. ---CORRECT ANSWER-- 3. I am
looking for symptoms that form a patte rn.
3. Mrs. Wilbur reports the presence of pain in her lower and upper back. The nurse
practitioner responds by doing which of the following?
1. Determining where the pain is coming from.
2. Ignoring any history of injury.
3. Ruling out the presence of anything inflammatory.
4. Determining that this pain does not affect activities of daily living (ADLs), as the
patient came in independently. ---CORRECT ANSWER-- 1. Determining where the
pain is coming from.
4. When assessing a patient with a possible musculoskeletal condition, it is important to:
1. Know how much sleep the patient gets per night.
2. Be aware that older patients report any and all pains.
3. Determine ROM in all limbs.
4. Not refer to past injuries or conditions. ---CORRECT ANSWER-- 3. Determine ROM
in all. limbs
5. Mr. Cummins, a 69-year-old Caucasian male, presents with an inability to move h is
right arm sufficiently. The nurse practitioner tells him that she will perform a physical
examination and order tests to rule out which of the following?
1. Gout
2. Rheumatoid arthritis (RA)
3. Muscle weakness from a systemic condition
4. Osteoarthritis (OA) ---CORRECT ANSWER-- 3. Muscle weakness from a systemic
condition
