Gerontology HESI Test Questions with
Correct Answers 2025 Updated
The cleansingof thestomachwith solutiondeliveredthrougha nasogastrictubeis knownas wh at?
Gavage
Emesis
Lavage
Stomachpumping- CORRECT ANSWER -Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdoseof medication, or other toxic
substance. It is delivered through a nasogastric tube
You are providing care to a patientwho has recentlybegundialysis.Her daughter,with whom sh e lives
and who preparesmany of her meals,asks whattypesof foodsshe should incorporatein to her diet and
which she should avoid. Which of the following is NOT a food that this patientsh ould be advised to
avoid?
Avocado.
Lean redmeat.
Dried fruit.
Bananas.- CORRECT ANSWER -Lean red meat
Dialysis patientsareencouragedto eatleanmeat,including red meat.High qualityproteinspro duceless
wasteand help the body heal and maintainregularprocesses.Dialysis patientsshould avoid foodshigh
in potassium, includingavocado,banana, anddried 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 thefollowing,which wouldLEAST likely bea differentialdiagnosisfor Pe ptic Ulcer
Disease?
Cholecystitis.
Migraines.
Gastriccarcinoma.
Cardiovasculardisease.- CORRECT ANSWER -Migraines
PepticUlcer Diseaseis a gastrointestinaldisorder.Otherdifferentialdiagnosesof theconditiona re
pancreatitis and biliary tract disease.
There are a good many diseasesaffecting the elderly that are the result of smoking. Counseling
regardingsmoking cessationis part of the GNP's job. The componentsof brief interventionfor t reating
tobacco use are:
Counsel,Document,Caution,Describe,Demonstrate
Advise, Confer, Describe, Document, Prescribe Advise,
Counsel, Intervene, Prescribe, Follow
-up
Ask, Advise, Assess,Assist, Arrange- CORRECT ANSWER -Ask, Advise, Assess,Assist, Arrange
Ask abouttobaccouse,Advise to quit, Assesswillingnessto make an attemptto quit, Assist in th is quit
attempt. Arrange a follow
-up.
Mrs.Frasier,an 50-year-
old patient,presentswith a mosquitobitethatsheis concernedabout.How do you diagnoseth is?
,Cyst.
Bulla.
Wheal.
Plaques.- CORRECT ANSWER -Wheal
Cyst: encapsulated,fluid-filled massthatvariesin size.Bulla:fluid-
filled, elevated, circumscribed lesion that's larger than 5mm. Wheal: circumscribed, reddening
R with
transientelevationlesionthat's0.5to 10mmdiameter.Plaques:usuallya groupingof papu les; elevated
and a variety of shapes; larger than 5mm.
Which of thefollowinggroupsshouldbetestedfor abdominalaorticaneurysm?
males aged 65
-75 who have ever smoked females
aged65-75 whohavehypertension males and
females over 75
femalesover75 - CORRECT ANSWER -malesaged65-75 who haveeversmoked
Abdominalaorticaneurysm(AAA) is moreprevalentin malesthanin females.The AmericanHe art
Association recommends screening males once between ages
- 65
75 if theyhaveeversmokedsincethatincreasestherisk of AAA.
With a giardialambliadiagnosis,theNP wouldMOST likely prescribewhatmedication?
Metronidazole.
Erythromycin.
Ampicillin.
, Trimethoprim-sulfamethoxazole.
- CORRECT ANSWER -Metronidazole.
The precedingdrugsaretypicallyusedin treatingthefollowing:-
Campylobacterjejuni:Erythromycin- Salmonella:Ampicillin - Shigella:Trimethoprim- sulfamethoxazole-
Giardia lamblia: Metronidazole
A 65-year-
old Caucasianmalecalls your office.He tellsyou he just camein from thewoodsand discovered a tickon
his upperright thigh. He reports self
removal ofthetick and now the areais slightly re
d. What shouldyou advisehim to do?
He shouldcometo theofficefor a ceftriaxone(Rocephin)injection. He
should be prescribed doxycycline.
He needsno treatment.
He needsa topicalscrubto preventLyme Disease.- CORRECT ANSWER -He needsno treatment.
To developLyme Diseasefrom a tick bite,manyfactorsmustbepresent.The tick mustbelongto Ixodes
speciesand musthavebeenattachedfor at least48 hoursbeforethediseasecan spread
. There is no needfor prophylactictreatmentin this casebecausethetick has not beenpresentl ong
enough.
As partof thetreatmentplan for your elderlypatient,you recommendhe seean Ophthalmologi st. What
body part(s) will this doctor evaluate?
Brain / nerves.
Eyes.
Bones/ Joints/ Muscles.
Ears / Throat.- CORRECT ANSWER -Eyes
Correct Answers 2025 Updated
The cleansingof thestomachwith solutiondeliveredthrougha nasogastrictubeis knownas wh at?
Gavage
Emesis
Lavage
Stomachpumping- CORRECT ANSWER -Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdoseof medication, or other toxic
substance. It is delivered through a nasogastric tube
You are providing care to a patientwho has recentlybegundialysis.Her daughter,with whom sh e lives
and who preparesmany of her meals,asks whattypesof foodsshe should incorporatein to her diet and
which she should avoid. Which of the following is NOT a food that this patientsh ould be advised to
avoid?
Avocado.
Lean redmeat.
Dried fruit.
Bananas.- CORRECT ANSWER -Lean red meat
Dialysis patientsareencouragedto eatleanmeat,including red meat.High qualityproteinspro duceless
wasteand help the body heal and maintainregularprocesses.Dialysis patientsshould avoid foodshigh
in potassium, includingavocado,banana, anddried 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 thefollowing,which wouldLEAST likely bea differentialdiagnosisfor Pe ptic Ulcer
Disease?
Cholecystitis.
Migraines.
Gastriccarcinoma.
Cardiovasculardisease.- CORRECT ANSWER -Migraines
PepticUlcer Diseaseis a gastrointestinaldisorder.Otherdifferentialdiagnosesof theconditiona re
pancreatitis and biliary tract disease.
There are a good many diseasesaffecting the elderly that are the result of smoking. Counseling
regardingsmoking cessationis part of the GNP's job. The componentsof brief interventionfor t reating
tobacco use are:
Counsel,Document,Caution,Describe,Demonstrate
Advise, Confer, Describe, Document, Prescribe Advise,
Counsel, Intervene, Prescribe, Follow
-up
Ask, Advise, Assess,Assist, Arrange- CORRECT ANSWER -Ask, Advise, Assess,Assist, Arrange
Ask abouttobaccouse,Advise to quit, Assesswillingnessto make an attemptto quit, Assist in th is quit
attempt. Arrange a follow
-up.
Mrs.Frasier,an 50-year-
old patient,presentswith a mosquitobitethatsheis concernedabout.How do you diagnoseth is?
,Cyst.
Bulla.
Wheal.
Plaques.- CORRECT ANSWER -Wheal
Cyst: encapsulated,fluid-filled massthatvariesin size.Bulla:fluid-
filled, elevated, circumscribed lesion that's larger than 5mm. Wheal: circumscribed, reddening
R with
transientelevationlesionthat's0.5to 10mmdiameter.Plaques:usuallya groupingof papu les; elevated
and a variety of shapes; larger than 5mm.
Which of thefollowinggroupsshouldbetestedfor abdominalaorticaneurysm?
males aged 65
-75 who have ever smoked females
aged65-75 whohavehypertension males and
females over 75
femalesover75 - CORRECT ANSWER -malesaged65-75 who haveeversmoked
Abdominalaorticaneurysm(AAA) is moreprevalentin malesthanin females.The AmericanHe art
Association recommends screening males once between ages
- 65
75 if theyhaveeversmokedsincethatincreasestherisk of AAA.
With a giardialambliadiagnosis,theNP wouldMOST likely prescribewhatmedication?
Metronidazole.
Erythromycin.
Ampicillin.
, Trimethoprim-sulfamethoxazole.
- CORRECT ANSWER -Metronidazole.
The precedingdrugsaretypicallyusedin treatingthefollowing:-
Campylobacterjejuni:Erythromycin- Salmonella:Ampicillin - Shigella:Trimethoprim- sulfamethoxazole-
Giardia lamblia: Metronidazole
A 65-year-
old Caucasianmalecalls your office.He tellsyou he just camein from thewoodsand discovered a tickon
his upperright thigh. He reports self
removal ofthetick and now the areais slightly re
d. What shouldyou advisehim to do?
He shouldcometo theofficefor a ceftriaxone(Rocephin)injection. He
should be prescribed doxycycline.
He needsno treatment.
He needsa topicalscrubto preventLyme Disease.- CORRECT ANSWER -He needsno treatment.
To developLyme Diseasefrom a tick bite,manyfactorsmustbepresent.The tick mustbelongto Ixodes
speciesand musthavebeenattachedfor at least48 hoursbeforethediseasecan spread
. There is no needfor prophylactictreatmentin this casebecausethetick has not beenpresentl ong
enough.
As partof thetreatmentplan for your elderlypatient,you recommendhe seean Ophthalmologi st. What
body part(s) will this doctor evaluate?
Brain / nerves.
Eyes.
Bones/ Joints/ Muscles.
Ears / Throat.- CORRECT ANSWER -Eyes
