HESI GERONTOLOGY TEST 540 ACTUAL
EXAM PAPER 2026 COMPLETE QUESTIONS
AND ANSWERS GRADED A+
◉ 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. Answer: Lean red meat
Dialysis patients are encouraged to eat lean meat, including red
meat. High quality proteins produce less waste and help the body
heal and maintain regular processes. Dialysis patients should avoid
foods high in potassium, including avocado, banana, and dried fruit,
and should eat other potassium-containing foods in moderation.
◉ 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.. Answer: Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential
diagnoses of the condition are pancreatitis and biliary tract disease.
◉ 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
Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange. Answer: Ask, Advise, Assess,
Assist, Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an
attempt to quit, Assist in this quit attempt. Arrange a follow-up.
,◉ 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.
EXAM PAPER 2026 COMPLETE QUESTIONS
AND ANSWERS GRADED A+
◉ 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. Answer: Lean red meat
Dialysis patients are encouraged to eat lean meat, including red
meat. High quality proteins produce less waste and help the body
heal and maintain regular processes. Dialysis patients should avoid
foods high in potassium, including avocado, banana, and dried fruit,
and should eat other potassium-containing foods in moderation.
◉ 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.. Answer: Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential
diagnoses of the condition are pancreatitis and biliary tract disease.
◉ 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
Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange. Answer: Ask, Advise, Assess,
Assist, Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an
attempt to quit, Assist in this quit attempt. Arrange a follow-up.
,◉ 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.
