GERONTOLOGY HESI UPDATED EXAM TEST
BANK OF SOLVED QUESTIONS AND REVIEWS
2026.
⫸ Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite
that she is concerned about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques. 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.
⫸ Which of the following groups should be tested for abdominal
aortic aneurysm?
males aged 65-75 who have ever smoked
females aged 65-75 who have hypertension
males and females over 75
,females over 75 Answer: males aged 65-75 who have ever smoked
Abdominal aortic aneurysm (AAA) is more prevalent in males than in
females. The American Heart Association recommends screening
males once between ages 65-75 if they have ever smoked since that
increases the risk of AAA.
⫸ With a giardia lamblia diagnosis, the NP would MOST likely
prescribe what medication?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole. Answer: Metronidazole.
The preceding drugs are typically used in treating the following: -
Campylobacter jejuni: Erythromycin - Salmonella: Ampicillin -
Shigella: Trimethoprim-sulfamethoxazole - Giardia lamblia:
Metronidazole
⫸ A 65-year-old Caucasian male calls your office. He tells you he
just came in from the woods and discovered a tick on his upper right
thigh. He reports self removal of the tick and now the area is slightly
red. What should you advise him to do?
He should come to the office for a ceftriaxone (Rocephin) injection.
,He should be prescribed doxycycline.
He needs no treatment.
He needs a topical scrub to prevent Lyme Disease. Answer: He needs
no treatment.
To develop Lyme Disease from a tick bite, many factors must be
present. The tick must belong to Ixodes species and must have been
attached for at least 48 hours before the disease can spread. There is
no need for prophylactic treatment in this case because the tick has
not been present long enough.
⫸ As part of the treatment plan for your elderly patient, you
recommend he see an Ophthalmologist. What body part(s) will this
doctor evaluate?
Brain / nerves.
Eyes.
Bones / Joints / Muscles.
Ears / Throat. Answer: Eyes
Neurologist - Brain / nerves Ophthalmologist - Eyes Orthopedist -
Bones / Joints / Muscles Otolaryngologist - Ears / Throat
⫸ As a GNP you understand that due to physiological changes of
aging, some laboratory test results will have age-related changes.
Which of the following values would be the least likely to be
affected?
, red blood cell values
white blood cell counts
platelet range
hemoglobin values Answer: platelet range
Due to the physiological changes of aging, red blood cell values tend
to decrease, white blood cell counts tend to decrease slightly,
hemoglobin values slightly decrease, but platelet range does not vary.
⫸ The family of a patient with dementia has asked you to tell them
more about this condition. You would tell them all of the following
except:
Dementia is the leading reason for institutionalization of older adults.
Some persons diagnosed with dementia have reversible
pseudodementia.
Irreversible dementia has a gradual onset and a progressive downward
course.
50% of the older adult population suffer from some form of dementia.
Answer: 50% of the older adult population suffer from some form of
dementia.
This statement is not true. It is estimated that between 10 and 20% of
the older adult population suffer from some form of dementia. There
are 1.2 million cases in the United States in people over the age of 65.
BANK OF SOLVED QUESTIONS AND REVIEWS
2026.
⫸ Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite
that she is concerned about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques. 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.
⫸ Which of the following groups should be tested for abdominal
aortic aneurysm?
males aged 65-75 who have ever smoked
females aged 65-75 who have hypertension
males and females over 75
,females over 75 Answer: males aged 65-75 who have ever smoked
Abdominal aortic aneurysm (AAA) is more prevalent in males than in
females. The American Heart Association recommends screening
males once between ages 65-75 if they have ever smoked since that
increases the risk of AAA.
⫸ With a giardia lamblia diagnosis, the NP would MOST likely
prescribe what medication?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole. Answer: Metronidazole.
The preceding drugs are typically used in treating the following: -
Campylobacter jejuni: Erythromycin - Salmonella: Ampicillin -
Shigella: Trimethoprim-sulfamethoxazole - Giardia lamblia:
Metronidazole
⫸ A 65-year-old Caucasian male calls your office. He tells you he
just came in from the woods and discovered a tick on his upper right
thigh. He reports self removal of the tick and now the area is slightly
red. What should you advise him to do?
He should come to the office for a ceftriaxone (Rocephin) injection.
,He should be prescribed doxycycline.
He needs no treatment.
He needs a topical scrub to prevent Lyme Disease. Answer: He needs
no treatment.
To develop Lyme Disease from a tick bite, many factors must be
present. The tick must belong to Ixodes species and must have been
attached for at least 48 hours before the disease can spread. There is
no need for prophylactic treatment in this case because the tick has
not been present long enough.
⫸ As part of the treatment plan for your elderly patient, you
recommend he see an Ophthalmologist. What body part(s) will this
doctor evaluate?
Brain / nerves.
Eyes.
Bones / Joints / Muscles.
Ears / Throat. Answer: Eyes
Neurologist - Brain / nerves Ophthalmologist - Eyes Orthopedist -
Bones / Joints / Muscles Otolaryngologist - Ears / Throat
⫸ As a GNP you understand that due to physiological changes of
aging, some laboratory test results will have age-related changes.
Which of the following values would be the least likely to be
affected?
, red blood cell values
white blood cell counts
platelet range
hemoglobin values Answer: platelet range
Due to the physiological changes of aging, red blood cell values tend
to decrease, white blood cell counts tend to decrease slightly,
hemoglobin values slightly decrease, but platelet range does not vary.
⫸ The family of a patient with dementia has asked you to tell them
more about this condition. You would tell them all of the following
except:
Dementia is the leading reason for institutionalization of older adults.
Some persons diagnosed with dementia have reversible
pseudodementia.
Irreversible dementia has a gradual onset and a progressive downward
course.
50% of the older adult population suffer from some form of dementia.
Answer: 50% of the older adult population suffer from some form of
dementia.
This statement is not true. It is estimated that between 10 and 20% of
the older adult population suffer from some form of dementia. There
are 1.2 million cases in the United States in people over the age of 65.
