Gerontology HESI test Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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Gerontology HESI test Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• A 67-year-old female is in the office with cataracts. She is asking what she needs to

do about this. The GNP understands that all of the following are management for this

except:

• Surgery may be necessary if the cataract markedly decreases visual acuity.
• No drugs are available that will halt the progression of the aging process of the eye.
• Vision correction with corrective lenses are available if the cataracts are in the early

stages.

• Ophthalmic steroids that decrease the severity are available by prescription from an

ophthalmologist.

Correct Answer: Ophthalmic steroids that decrease the severity are available by

prescription from an ophthalmologist.

• 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.

Correct Answer: Eyes

• With a giardia lamblia diagnosis, the NP would MOST likely prescribe what

medication?

• Metronidazole.
• Erythromycin.

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• Ampicillin.
• Trimethoprim-sulfamethoxazole.

Correct Answer: Metronidazole.

• 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

• 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

Correct Answer: males aged 65-75 who have ever smoked

• 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.

Correct Answer: Wheal

• 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:

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• 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

• 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?

• Cholecystitis.
• Migraines.
• Gastric carcinoma.
• Cardiovascular disease.

Correct Answer: Migraines

• The cleansing of the stomach with solution delivered through a nasogastric tube is

known as what?

• Gavage
• Emesis
• Lavage
• Stomach pumping

Correct Answer: Lavage

• 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.

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Correct Answer: He needs no treatment.

• 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

Correct Answer: platelet range

• 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.

Correct Answer: 50% of the older adult population suffer from some form of dementia.

• What is true regarding deep vein thrombosis (DVT)?
• Contrast venography is the most commonly used test to diagnose this.
• Because the presentation of DVT varies, making the diagnosis from clinical presentation

alone is problematic.

• Hypocoagulation state presents a considerable risk for DVT.
• Therapy for patients with DVT is aimed at easing the pain.

Correct Answer: Because the presentation of DVT varies, making the diagnosis from clinical presentation alone is problematic.

• It has been determined that an elderly patient is suffering from long term

insomnia. Which of the following is LESS likely to be considered a long term cause of the condition?

• Nocturia.