HESI GERONTOLOGY EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
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. - CORRECT-ANSWERSC
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. - CORRECT-ANSWERSB
,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. - CORRECT-ANSWERSB
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 - CORRECT-ANSWERSD
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. - CORRECT-ANSWERSC
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 transient
elevation lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of papules; elevated
and a variety of shapes; larger than 5mm.
Mr. French asks the GNP the maximum number he can have for his LDL Cholesterol level in
order to be considered at a borderline high amount. What answer does she give him?
A) 62 mg/dL.
B) 159 mg/dL.
C) 83 mg/dL.
D) 95 mg/dL. - CORRECT-ANSWERSB
, Correct Answer:
159 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
In order for effective teaching to take place, it is crucial that the GNP use the proper teaching
style for each patient. What teaching style would BEST suit a patient with a "Dependent
Learner" style?
A) Facilitator.
B) Delegator.
C) Authority, expert.
D) Salesperson, motivator. - CORRECT-ANSWERSC
Correct answer: Authority, expert Matching teaching style (TS) to learning style (LS) is crucial
for effective communication. The following are the BEST matches: TS LS Authority Dependent
Motivator Interested Facilitator Involved Delegator Self-directed
Ms. Chatham, a 65-year-old patient is determined to have a systolic blood pressure reading of
125. This patient is ______.
A) Prehypertensive.
B) Stage I Hypertension.
C) Stage II Hypertension.
D) Normal. - CORRECT-ANSWERSA
CORRECT QUESTIONS AND ANSWERS
2025
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. - CORRECT-ANSWERSC
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. - CORRECT-ANSWERSB
,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. - CORRECT-ANSWERSB
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 - CORRECT-ANSWERSD
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. - CORRECT-ANSWERSC
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 transient
elevation lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of papules; elevated
and a variety of shapes; larger than 5mm.
Mr. French asks the GNP the maximum number he can have for his LDL Cholesterol level in
order to be considered at a borderline high amount. What answer does she give him?
A) 62 mg/dL.
B) 159 mg/dL.
C) 83 mg/dL.
D) 95 mg/dL. - CORRECT-ANSWERSB
, Correct Answer:
159 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
In order for effective teaching to take place, it is crucial that the GNP use the proper teaching
style for each patient. What teaching style would BEST suit a patient with a "Dependent
Learner" style?
A) Facilitator.
B) Delegator.
C) Authority, expert.
D) Salesperson, motivator. - CORRECT-ANSWERSC
Correct answer: Authority, expert Matching teaching style (TS) to learning style (LS) is crucial
for effective communication. The following are the BEST matches: TS LS Authority Dependent
Motivator Interested Facilitator Involved Delegator Self-directed
Ms. Chatham, a 65-year-old patient is determined to have a systolic blood pressure reading of
125. This patient is ______.
A) Prehypertensive.
B) Stage I Hypertension.
C) Stage II Hypertension.
D) Normal. - CORRECT-ANSWERSA
