GERONTOLOGY
HESI TEST EXAM
The cleansing of the stomach with solution delivered through a nasogastric tube is known as
what?
Gavag
e
Emesi
s
Lavag
e
Stomach pumping - 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?
Avocado.
Lean red
meat. Dried
fruit.
Bananas. - CORRECT ANSWER -Lean red meat
,Dialysis patients are encouraged qto qeat qlean qmeat, qincluding qred qmeat. qHigh qquality
qproteins qproduce qless qwaste qand qhelp qthe qbody qheal qand qmaintain qregular qprocesses.
qDialysis qpatients qshould qavoid qfoods qhigh qin qpotassium, qincluding qavocado, qbanana,
qand qdried qfruit, qand qshould qeat qother qpotassium-containing qfoods qin qmoderation.
,Your q89-year-old qpatient qpresents qwith qdyspepsia qand qnausea. qAfter qtesting, qyou
qdetermine qshe qis qpositive qfor qPeptic qUlcer qDisease. qOf qthe qfollowing, qwhich qwould
qLEAST qlikely qbe qa qdifferential qdiagnosis qfor qPeptic qUlcer qDisease?
Cholecystiti
s.
Migraines.
Gastric qcarcinoma.
Cardiovascular qdisease. q- qCORRECT qANSWER q-Migraines
Peptic qUlcer qDisease qis qa qgastrointestinal qdisorder. qOther qdifferential qdiagnoses qof qthe
qcondition qare qpancreatitis qand qbiliary qtract qdisease.
There qare qa qgood qmany qdiseases qaffecting qthe qelderly qthat qare qthe qresult qof qsmoking.
qCounseling qregarding qsmoking qcessation qis qpart qof qthe qGNP's qjob. qThe qcomponents qof
qbrief qintervention qfor qtreating qtobacco quse qare:
Counsel, qDocument, qCaution, qDescribe,
qDemonstrate qAdvise, qConfer, qDescribe,
qDocument, qPrescribe qAdvise, qCounsel,
qIntervene, qPrescribe, qFollow-up
Ask, qAdvise, qAssess, qAssist, qArrange q- qCORRECT qANSWER q-Ask, qAdvise, qAssess,
qAssist, qArrange
Ask qabout qtobacco quse, qAdvise qto qquit, qAssess qwillingness qto qmake qan qattempt qto qquit,
qAssist qin qthis qquit qattempt. qArrange qa qfollow-up.
Mrs. qFrasier, qan q50-year-old qpatient, qpresents qwith qa qmosquito qbite qthat qshe qis qconcerned
qabout. qHow qdo qyou qdiagnose qthis?
, Cyst.
Bulla.
Wheal
.
Plaques. q- qCORRECT qANSWER q-Wheal
Cyst: qencapsulated, qfluid-filled qmass qthat qvaries qin qsize. qBulla: qfluid-filled, qelevated,
qcircumscribed qlesion qthat's qlarger qthan q5mm. qWheal: qcircumscribed, qreddening qwith
qtransient qelevation qlesion qthat's q0.5 qto q10mm qdiameter. qPlaques: qusually qa qgrouping qof
qpapules; qelevated qand qa qvariety qof qshapes; qlarger qthan q5mm.
Which qof qthe qfollowing qgroups qshould qbe qtested qfor qabdominal qaortic qaneurysm?
males qaged q65-75 qwho qhave qever
qsmoked qfemales qaged q65-75 qwho
qhave qhypertension qmales qand qfemales
qover q75
females qover q75 q- qCORRECT qANSWER q-males qaged q65-75 qwho qhave qever qsmoked
Abdominal qaortic qaneurysm q(AAA) qis qmore qprevalent qin qmales qthan qin qfemales. qThe
qAmerican qHeart qAssociation qrecommends qscreening qmales qonce qbetween qages q65-75 qif
qthey qhave qever qsmoked qsince qthat qincreases qthe qrisk qof qAAA.
With qa qgiardia qlamblia qdiagnosis, qthe qNP qwould qMOST qlikely qprescribe qwhat qmedication?
Metronidazole
.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole. q- qCORRECT qANSWER q-Metronidazole.