HESI GERONTOLOGY 2026 {ALREADY GRADED A+ } NEWEST VERSION

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HESI GERONTOLOGY 2026 {ALREADY

GRADED A+ } NEWEST VERSION

• An older patient has tourette syndrome. The GNP knows that part of the

management of this condition includes all of the following except:

• behavior therapy and biofeedback
• high doses of diazepam have been known to be effective.
• individual education plans, including classroom modifications
• family support and counseling

Correct answer: B) high doses of diazepam have been known to be effective.

• As a GNP you know that the major cause of respiratory disability in older adults is

which of the following?

• pneumonia
• lung cancer

C) COPD

• heart disease

Correct answer: C) COPD

• Ms. Chatham, a 65-year-old patient is determined to have a systolic blood pressure

reading of 125. This patient is ______.

• Prehypertensive.
• Stage I Hypertension.
• Stage II Hypertension.
• Normal.

Correct Answer: A) Prehypertensive.

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• In order for effective teaching to take place, it is crucial that the GNP use the proper

teaching style for each patient. What teaching style would BEST suit a patient with a "Dependent Learner" style?

• Facilitator.
• Delegator.
• Authority, expert.
• Salesperson, motivator.

Correct answer: C) Authority, expert.

• Mr. French asks the GNP the maximum number he can have for his LDL Cholesterol

level in order to be considered at a borderline high amount. What answer does she give him?

• 62 mg/dL.
• 159 mg/dL.
• 83 mg/dL.
• 95 mg/dL.

Correct Answer: B) 159 mg/dL.

• 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: C) 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:

• Counsel, Document, Caution, Describe, Demonstrate
• Advise, Confer, Describe, Document, Prescribe

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• Advise, Counsel, Intervene, Prescribe, Follow-up
• Ask, Advise, Assess, Assist, Arrange

Correct Answer: D) 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: B) Migraines.

• 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: B) Lean red meat.

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

known as what?

• Gavage.
• Emesis.
• Lavage.
• Stomach pumping.

Correct Answer: C) Lavage.

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• You are prescribing Lisinopril for your 70-year-old patient with heart failure. What is

the maximum daily dosage the patient can take of this medication?

• 4 mg/day.
• 20 mg once per day.
• 40 mg/day.
• 16 mg/day.

Correct Answer: C) 40 mg/day.

• The GNP knows that when treating depression with selective serotonin reuptake

inhibitors the patient may exhibit:

• weight gain and hypoglycemia
• weight loss and decrased libido
• cognitive changes and urinary retention
• sleepiness and decreased libido

Correct answer: B) weight loss and decreased libido

• For alcohol withdrawal symptoms, the preferred benzodiazepine is lorazepam.

This is used when there is concomitant history of:

• folate-deficiency anemia
• hepatic disease
• seizure disorder
• multiple substance abuse

Correct answer: B) hepatic disease

• What is true regarding overweight older adults and their state of health?
• BMI is a good way to assess nutritional states in the elderly.
• There are no potential metabolic or functional benefits to weight loss in the elderly.
• There is clearly associated increased mortality with overweight older adults.
• Mortality in the elderly related to overweight states declines over time.

Correct answer: D) Mortality in the elderly related to overweight states declines over time.