GERONTOLOGY HESI 2026 BUNDLED
EXAMS COMPREHENSIVE QUESTIONS
ANSWERS VERIFIED SOLUTIONS GRADED
A+
⩥ You are providing care for a patient who is hearing impaired. The
patient's chart notes that she was born with total hearing loss. You notice
that the patient and her family members use American Sign Language
when communicating among themselves. Which of the following is the
MOST appropriate strategy when communicating with this patient about
her care?
Speak directly to a family member and have him or her translate into
ASL.
Communicate with the patient only in writing.
Attempt to communicate with the patient in ASL.
Engage a medical interpreter fluent in ASL. Answer: Engage a medical
interpreter fluent in ASL.
As is the case when working with any patient whose primary language is
not your own, the use of a medical interpreter is the best course of
action. A medical interpreter will know how to communicate complex
concepts related to care that family members, though fluent, may not
have the words for. Communicating with the patient in writing is a
useful strategy, but it should not be the only strategy. Communicating
,directly with the patient (even through an interpreter) is key to helping
maintain the patient's dignity and agency.
⩥ An elderly patient presents with fever, left lower quadrant abdominal
pain and diarrhea. Which of the following BEST describes the
symptoms the patient is experiencing?
Acute hepatitis.
Iron deficiency anemia.
Testicular cancer.
Diverticulitis.. Answer: Diverticulitis.
Diverticulitis is when the colon secondary consists of pouchlike hernias.
These hernias are caused by the lack of dietary fiber.
⩥ A 65-year-old male comes to the clinic complaining of severe
abdominal pain, fever, and nausea with a change in his bowel habits.
You diagnose diverticulitis. In educating him about this condition you
tell him all but which of the following?
It occurs when one or more small bulging pouches in the digestive tract
become inflamed or infected.
It is common, particularly in persons over 40.
, Some cases of diverticulitis can be treated with rest, changes in the diet
and antibiotics.
Diverticulitis may be the result of too much fiber in the diet.. Answer:
Diverticulitis may be the result of too much fiber in the diet.
Diverticulitis is rare in countries where people eat a high-fiber diet that
helps keep stools soft. But in the USA where the average diet is high in
refined carbohydrates and low in fiber it is more common. Diverticulitis
may be the result of too little fiber in the diet.
⩥ A 68 year female patient has frequent migraine headaches. Besides
checking for possible triggers and the patient's family history, the GNP
should also assess the extent at which headaches limit all of the
following except for:
Job performance.
Activities of daily living.
Medication absorption.
Social interaction.. Answer: Medication absorption.
The incidence of new onset migraine headaches reduces with age, but
after age 65 the risk of headaches involving a serious medical condition
increases significantly. The GNP should check for other co-existing
conditions and medications the patient is taking. While the GNP cannot
determine how well medications are being absorbed into the patient's
, system without further diagnostics, the GNP should recognize during
initial assessment that some medications may induce migraines.
⩥ A patient with folliculitis is given Isotretinoin. Of the following,
which would be the correct dosage?
Apply tid before antibiotic ointment.
2%, apply bid X 10 days and cover with DSD.
Apply to area bid-tid.
0.5 to 1 mg/kg/day PO in divided doses.. Answer: 0.5 to 1 mg/kg/day
PO in divided doses.
The preceding medications should be administered at the following
dosages: Mupirocin ointment - 2%, apply bid X 10 days and cover with
DSD. Gentamicin Sulfate cream or ointment - Apply to area bid-tid.
Isotretinoin - 0.5 to 1 mg/kg/day PO in divided doses. Anhydrous ethyl
alcohol with 6.25% aluminum chloride - Apply tid before antibiotic
ointment.
⩥ You have diagnosed a 74-year-old patient with angle-closure
glaucoma. Which of these MOST likely caused the condition?
Sudden increase in intraocular pressure.
Hardening of the lens.
EXAMS COMPREHENSIVE QUESTIONS
ANSWERS VERIFIED SOLUTIONS GRADED
A+
⩥ You are providing care for a patient who is hearing impaired. The
patient's chart notes that she was born with total hearing loss. You notice
that the patient and her family members use American Sign Language
when communicating among themselves. Which of the following is the
MOST appropriate strategy when communicating with this patient about
her care?
Speak directly to a family member and have him or her translate into
ASL.
Communicate with the patient only in writing.
Attempt to communicate with the patient in ASL.
Engage a medical interpreter fluent in ASL. Answer: Engage a medical
interpreter fluent in ASL.
As is the case when working with any patient whose primary language is
not your own, the use of a medical interpreter is the best course of
action. A medical interpreter will know how to communicate complex
concepts related to care that family members, though fluent, may not
have the words for. Communicating with the patient in writing is a
useful strategy, but it should not be the only strategy. Communicating
,directly with the patient (even through an interpreter) is key to helping
maintain the patient's dignity and agency.
⩥ An elderly patient presents with fever, left lower quadrant abdominal
pain and diarrhea. Which of the following BEST describes the
symptoms the patient is experiencing?
Acute hepatitis.
Iron deficiency anemia.
Testicular cancer.
Diverticulitis.. Answer: Diverticulitis.
Diverticulitis is when the colon secondary consists of pouchlike hernias.
These hernias are caused by the lack of dietary fiber.
⩥ A 65-year-old male comes to the clinic complaining of severe
abdominal pain, fever, and nausea with a change in his bowel habits.
You diagnose diverticulitis. In educating him about this condition you
tell him all but which of the following?
It occurs when one or more small bulging pouches in the digestive tract
become inflamed or infected.
It is common, particularly in persons over 40.
, Some cases of diverticulitis can be treated with rest, changes in the diet
and antibiotics.
Diverticulitis may be the result of too much fiber in the diet.. Answer:
Diverticulitis may be the result of too much fiber in the diet.
Diverticulitis is rare in countries where people eat a high-fiber diet that
helps keep stools soft. But in the USA where the average diet is high in
refined carbohydrates and low in fiber it is more common. Diverticulitis
may be the result of too little fiber in the diet.
⩥ A 68 year female patient has frequent migraine headaches. Besides
checking for possible triggers and the patient's family history, the GNP
should also assess the extent at which headaches limit all of the
following except for:
Job performance.
Activities of daily living.
Medication absorption.
Social interaction.. Answer: Medication absorption.
The incidence of new onset migraine headaches reduces with age, but
after age 65 the risk of headaches involving a serious medical condition
increases significantly. The GNP should check for other co-existing
conditions and medications the patient is taking. While the GNP cannot
determine how well medications are being absorbed into the patient's
, system without further diagnostics, the GNP should recognize during
initial assessment that some medications may induce migraines.
⩥ A patient with folliculitis is given Isotretinoin. Of the following,
which would be the correct dosage?
Apply tid before antibiotic ointment.
2%, apply bid X 10 days and cover with DSD.
Apply to area bid-tid.
0.5 to 1 mg/kg/day PO in divided doses.. Answer: 0.5 to 1 mg/kg/day
PO in divided doses.
The preceding medications should be administered at the following
dosages: Mupirocin ointment - 2%, apply bid X 10 days and cover with
DSD. Gentamicin Sulfate cream or ointment - Apply to area bid-tid.
Isotretinoin - 0.5 to 1 mg/kg/day PO in divided doses. Anhydrous ethyl
alcohol with 6.25% aluminum chloride - Apply tid before antibiotic
ointment.
⩥ You have diagnosed a 74-year-old patient with angle-closure
glaucoma. Which of these MOST likely caused the condition?
Sudden increase in intraocular pressure.
Hardening of the lens.
