1235 HESI Gerontology 2024 Exam ACCURATE
QUESSTIONS WITH VERIFIED ANSWERS
GUARANTEED PASS GRADED A.
A patient's family member is considering having her mother placed in a nursing center.
The nurse has talked with the family before and knows that this is a difficult
decision. Which of the following criteria does the nurse recommend in choosing a
nursing center? (Select all that apply.)
1. The center needs to be clean, and rooms should look like a hospital room.
2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
4. The center provides three meals daily with a set menu and serving schedule.
5. Staff encourage family involvement in care planning and assisting with physical care.
- Ans - 2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
5. Staff encourage family involvement in care planning and assisting with physical care.
2. A nurse conducted an assessment of a new patient who came to the medical clinic.
The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus
for 20 years. He is alert but becomes easily distracted during the assessment. He
recently moved to a new apartment, and his pet beagle died just 2 months ago. He is
most likely experiencing:
1. Dementia.
2. Depression.
3. Delirium.
4. Anxiety. - Ans - 2. Depression.
3. A nurse is completing a health history with the daughter of a newly admitted patient
who is confused and agitated. The daughter reports that her mother was diagnosed with
Alzheimer disease 1 year ago but became extremely confused last evening and was
hallucinating. She was unable to calm her, and her mother thought she was a stranger.
On the basis of this history, the nurse suspects that the patient is experiencing:
1. Normal aging.
2. Delirium.
3. Depression.
4. Worsening dementia. - Ans - 2. Delirium.
5. A nurse sees a 76-year-old woman in the outpatient clinic. The patient states that she
recently started to notice a glare in the lights at home. Her vision is blurred, and she is
unable to play cards with her friends, read, or do her needlework. Which of the following
nursing interventions are appropriate? (Select all that apply.)
,1. Refer her to an ophthalmologist.
2. Suggest large-print books and playing cards.
3. Reassure her that the visual changes are part of normal aging.
4. Suggest lower-wattage light bulbs to decrease glare.
5. Assess her home environment for safety
. - Ans - 1. Refer her to an ophthalmologist.
2. Suggest large-print books and playing cards.
5. Assess her home environment for safety.
6. A 63-year-old patient is retiring from his job at an accounting firm where he was in a
management role for the past 20 years. He has been with the same company for 42
years and was a dedicated employee. His wife is a homemaker. She raised their five
children, babysits for their grandchildren as needed, and belongs to numerous church
committees. What are the major psychosocial concerns for this patient? (Select all that
apply.)
1. The loss of his work role
2. The risk of social isolation
3. A determination on whether the wife will need to start working
4. How the wife may now expect assistance with household tasks and with babysitting
the grandchildren
5. The age the patient chose to retire
- Ans - 1. The loss of his work role
4. How the wife may now expect assistance with household tasks and with babysitting
the grandchildren
7. A nurse is assessing an older adult brought to the emergency department following a
fall and wrist fracture. The patient lives with her son, is very thin and unkempt, has a
Stage 3 pressure injury on her coccyx, and has old bruising to the extremities in addition
to her new bruises from the fall. She defers all of the questions to her caregiver son,
who accompanied her to the hospital. What is the nurse's next step?
1. Call social services to begin nursing home placement.
2. Ask the son to step out of the room so that she can complete her assessment.
3. Call adult protective services because you suspect elder mistreatment.
4. Assess the patient's cognitive status. - Ans - 2. Ask the son to step out of the room so
that she can complete her assessment.
8. A nurse is participating in a health and wellness event at the local community center.
A woman approaches with her father and relates that she is worried that her widowed
father is becoming more functionally impaired and may need to move in with her. The
nurse asks about his ability to complete activities of daily living (ADLs) by asking which
of the following questions? (Select all that apply.)
1. Tell me if you are still driving.
,2. Describe any problems you have in sitting or getting up from your toilet.
3. Tell me how often you take a bath during the week and how you bathe.
4. Estimate for me the amount of time you spend exercising each day.
5. Tell me how you do your grocery shopping
. - Ans - 2. Describe any problems you have in sitting or getting up from your toilet.
3. Tell me how often you take a bath during the week and how you bathe.
10. A nurse is caring for a 76-year-old female patient in the home setting. She just lost
her husband from COVID-19 and has four children who live nearby. The patient was an
educator and retired only 2 years ago. The nurse applies knowledge of developmental
changes and the nature of loss in older adults when assessing which of the following
situations? (Select all that apply.)
1. The nature of her relationships with her adult children
2. The total number of medications the patient is taking, including over-the-counter
medications
3. The patient's perception of the need for caregiving assistance from the family with
activities her husband performed
4. The impact of her husband's death on her monthly income
5. The patient's current physical functional status –
Ans - 1. The nature of her relationships with her adult children
3. The patient's perception of the need for caregiving assistance from the family with
activities her husband performed
4. The impact of her husband's death on her monthly income
5. The patient's current physical functional status
The cleansing of the stomach with solution delivered through a nasogastric tube is
known as what?
A) Gavage.
B) Emesis.
C) Lavage.
D) Stomach pumping. - ANSWER C
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?
A) Avocado.
B) Lean red meat.
C) Dried fruit.
D) Bananas. - ANSWER B
, 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?
A) Cholecystitis.
B) Migraines.
C) Gastric carcinoma.
D) Cardiovascular disease. - ANSWER B
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:
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 - ANSWER D
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?
A) Cyst.
B) Bulla.
C) Wheal.
D) Plaques. - ANSWER C
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
QUESSTIONS WITH VERIFIED ANSWERS
GUARANTEED PASS GRADED A.
A patient's family member is considering having her mother placed in a nursing center.
The nurse has talked with the family before and knows that this is a difficult
decision. Which of the following criteria does the nurse recommend in choosing a
nursing center? (Select all that apply.)
1. The center needs to be clean, and rooms should look like a hospital room.
2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
4. The center provides three meals daily with a set menu and serving schedule.
5. Staff encourage family involvement in care planning and assisting with physical care.
- Ans - 2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
5. Staff encourage family involvement in care planning and assisting with physical care.
2. A nurse conducted an assessment of a new patient who came to the medical clinic.
The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus
for 20 years. He is alert but becomes easily distracted during the assessment. He
recently moved to a new apartment, and his pet beagle died just 2 months ago. He is
most likely experiencing:
1. Dementia.
2. Depression.
3. Delirium.
4. Anxiety. - Ans - 2. Depression.
3. A nurse is completing a health history with the daughter of a newly admitted patient
who is confused and agitated. The daughter reports that her mother was diagnosed with
Alzheimer disease 1 year ago but became extremely confused last evening and was
hallucinating. She was unable to calm her, and her mother thought she was a stranger.
On the basis of this history, the nurse suspects that the patient is experiencing:
1. Normal aging.
2. Delirium.
3. Depression.
4. Worsening dementia. - Ans - 2. Delirium.
5. A nurse sees a 76-year-old woman in the outpatient clinic. The patient states that she
recently started to notice a glare in the lights at home. Her vision is blurred, and she is
unable to play cards with her friends, read, or do her needlework. Which of the following
nursing interventions are appropriate? (Select all that apply.)
,1. Refer her to an ophthalmologist.
2. Suggest large-print books and playing cards.
3. Reassure her that the visual changes are part of normal aging.
4. Suggest lower-wattage light bulbs to decrease glare.
5. Assess her home environment for safety
. - Ans - 1. Refer her to an ophthalmologist.
2. Suggest large-print books and playing cards.
5. Assess her home environment for safety.
6. A 63-year-old patient is retiring from his job at an accounting firm where he was in a
management role for the past 20 years. He has been with the same company for 42
years and was a dedicated employee. His wife is a homemaker. She raised their five
children, babysits for their grandchildren as needed, and belongs to numerous church
committees. What are the major psychosocial concerns for this patient? (Select all that
apply.)
1. The loss of his work role
2. The risk of social isolation
3. A determination on whether the wife will need to start working
4. How the wife may now expect assistance with household tasks and with babysitting
the grandchildren
5. The age the patient chose to retire
- Ans - 1. The loss of his work role
4. How the wife may now expect assistance with household tasks and with babysitting
the grandchildren
7. A nurse is assessing an older adult brought to the emergency department following a
fall and wrist fracture. The patient lives with her son, is very thin and unkempt, has a
Stage 3 pressure injury on her coccyx, and has old bruising to the extremities in addition
to her new bruises from the fall. She defers all of the questions to her caregiver son,
who accompanied her to the hospital. What is the nurse's next step?
1. Call social services to begin nursing home placement.
2. Ask the son to step out of the room so that she can complete her assessment.
3. Call adult protective services because you suspect elder mistreatment.
4. Assess the patient's cognitive status. - Ans - 2. Ask the son to step out of the room so
that she can complete her assessment.
8. A nurse is participating in a health and wellness event at the local community center.
A woman approaches with her father and relates that she is worried that her widowed
father is becoming more functionally impaired and may need to move in with her. The
nurse asks about his ability to complete activities of daily living (ADLs) by asking which
of the following questions? (Select all that apply.)
1. Tell me if you are still driving.
,2. Describe any problems you have in sitting or getting up from your toilet.
3. Tell me how often you take a bath during the week and how you bathe.
4. Estimate for me the amount of time you spend exercising each day.
5. Tell me how you do your grocery shopping
. - Ans - 2. Describe any problems you have in sitting or getting up from your toilet.
3. Tell me how often you take a bath during the week and how you bathe.
10. A nurse is caring for a 76-year-old female patient in the home setting. She just lost
her husband from COVID-19 and has four children who live nearby. The patient was an
educator and retired only 2 years ago. The nurse applies knowledge of developmental
changes and the nature of loss in older adults when assessing which of the following
situations? (Select all that apply.)
1. The nature of her relationships with her adult children
2. The total number of medications the patient is taking, including over-the-counter
medications
3. The patient's perception of the need for caregiving assistance from the family with
activities her husband performed
4. The impact of her husband's death on her monthly income
5. The patient's current physical functional status –
Ans - 1. The nature of her relationships with her adult children
3. The patient's perception of the need for caregiving assistance from the family with
activities her husband performed
4. The impact of her husband's death on her monthly income
5. The patient's current physical functional status
The cleansing of the stomach with solution delivered through a nasogastric tube is
known as what?
A) Gavage.
B) Emesis.
C) Lavage.
D) Stomach pumping. - ANSWER C
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?
A) Avocado.
B) Lean red meat.
C) Dried fruit.
D) Bananas. - ANSWER B
, 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?
A) Cholecystitis.
B) Migraines.
C) Gastric carcinoma.
D) Cardiovascular disease. - ANSWER B
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:
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 - ANSWER D
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?
A) Cyst.
B) Bulla.
C) Wheal.
D) Plaques. - ANSWER C
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
