HESI GERIATRICS EXIT EXAM 2026 FINAL
PAPER 300 QUESTIONS WITH COMPLETE
ANSWERS AND DETAILED RATIONALES
⩥ 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.
PAPER 300 QUESTIONS WITH COMPLETE
ANSWERS AND DETAILED RATIONALES
⩥ 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.
