GERONTOLOGY HESI PRACTICE TEST
(LATEST 2024) QUIZ &ACCURATE
ANSWERS WITH RATIONALES
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 the 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 suffers from some form of dementia.
50% of the older adult population suffers from some form of dementia.
This statement is not true. It is estimated that between 10 and 20% of the older adult population suffer from some form of
dementia. There are 1.2 million cases in the United States of people over the age of 65.
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.
The hypo coagulation state presents a considerable risk for DVT.
Therapy for patients with DVT is aimed at easing the pain.
Because the presentation of DVT varies, making the diagnosis from clinical presentation alone is problematic.
Choice B is the right answer. Contrast venography has the greatest sensitivity and specificity for the condition but due to the
cost and nature of the test, ultrasound is more common as first-line diagnostic technique (choice A). A hypercoagulation
state presents a considerable risk for DVT (choice C). Therapy for patients with DVT is aimed at minimizing the risk of
pulmonary embolism and extension of peripheral thrombus (choice D).
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?
,GERONTOLOGY HESI PRACTICE TEST
(LATEST 2024) QUIZ &ACCURATE
ANSWERS WITH RATIONALES
Nocturia.
Environmental changes.
Congestive heart failure.
Alcohol and substance abuse.
Environmental changes.
There are various causes of insomnia in the elderly. While some may be the cause of short term insomnia and others long
term insomnia, long term insomnia is more common in the elderly than short term.
In terms of the elderly which of the following is NOT true of hypothyroidism?
Symptoms are often similar to normal aging changes making it difficult to detect in older adults.
Symptoms usually have an insidious onset.
It usually occurs before age 50.
There is a greater risk for developing myxedema coma, which is life-threatening.
It usually occurs before age 50.
Hypothyroidism usually occurs after age 50. It is often diagnosed as depression. You must use caution against abruptly
discontinuing medication.
When treating a patient with oral Vitamin B12, which drug interaction will result in decreased absorption of vitamin B12?
Aminoglycosides
Colchicine
Potassium supplements
All of the above
All of the above
,GERONTOLOGY HESI PRACTICE TEST
(LATEST 2024) QUIZ &ACCURATE
ANSWERS WITH RATIONALES
In addition to the drugs listed in the first three choices, ascorbic acid may destroy the vitamin B12 supplement within one
hour of ingestion. These drugs should not be taken concomitantly with oral vitamin B12.
You are counseling a 72-year-old woman about nutrition. In the course of counseling, you tell her that older adults are at
increased risk of Vitamin D deficiency. Which of the following is NOT a factor that contributes to a Vitamin D deficiency?
too much exposure to sunlight
decreased exercise
diminished renal function
decreased body mass
too much exposure to sunlight
In actuality lack of sun exposure decreases synthesis of Vitamin D.
An 88-year-old female patient comes into the clinic with her heart "racing and feeling funny." The ECG confirms atrial
fibrillation. The GNP understands that this condition is managed by all of the following except:
treating the underlying disease
electrical cardioversion
heparin as the drug of choice with antithrombotic therapy
IV management with digoxin as first line therapy
heparin as the drug of choice with antithrombotic therapy
The antithrombotic drug of choice for atrial fibrillation is warfarin (Coumadin).
A patient you diagnosed with hypothyroidism was started on levothyroixine. At what interval should the GNP reassess her
TSH?
, GERONTOLOGY HESI PRACTICE TEST
(LATEST 2024) QUIZ &ACCURATE
ANSWERS WITH RATIONALES
1 to 2 weeks
2 to 4 weeks
4 to 6 weeks
6 to 8 weeks
6 to 8 weeks
In the treatment of hypothyroidism, T4 replacement is needed in the form of levothyroxine (Synthroid or Levoxyl). The initial
dosages for an adult is 75 to 125 mcg. For an elderly person, the dose is 75% less than the adult dosage. Because of the long
half-life of levothyroxine, the effects of a dosage adjustment or initiation would not cause a change in TSH for approximately
five to six drug half-lives, or about 6 to 8 weeks.
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.
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.
(LATEST 2024) QUIZ &ACCURATE
ANSWERS WITH RATIONALES
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 the 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 suffers from some form of dementia.
50% of the older adult population suffers from some form of dementia.
This statement is not true. It is estimated that between 10 and 20% of the older adult population suffer from some form of
dementia. There are 1.2 million cases in the United States of people over the age of 65.
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.
The hypo coagulation state presents a considerable risk for DVT.
Therapy for patients with DVT is aimed at easing the pain.
Because the presentation of DVT varies, making the diagnosis from clinical presentation alone is problematic.
Choice B is the right answer. Contrast venography has the greatest sensitivity and specificity for the condition but due to the
cost and nature of the test, ultrasound is more common as first-line diagnostic technique (choice A). A hypercoagulation
state presents a considerable risk for DVT (choice C). Therapy for patients with DVT is aimed at minimizing the risk of
pulmonary embolism and extension of peripheral thrombus (choice D).
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?
,GERONTOLOGY HESI PRACTICE TEST
(LATEST 2024) QUIZ &ACCURATE
ANSWERS WITH RATIONALES
Nocturia.
Environmental changes.
Congestive heart failure.
Alcohol and substance abuse.
Environmental changes.
There are various causes of insomnia in the elderly. While some may be the cause of short term insomnia and others long
term insomnia, long term insomnia is more common in the elderly than short term.
In terms of the elderly which of the following is NOT true of hypothyroidism?
Symptoms are often similar to normal aging changes making it difficult to detect in older adults.
Symptoms usually have an insidious onset.
It usually occurs before age 50.
There is a greater risk for developing myxedema coma, which is life-threatening.
It usually occurs before age 50.
Hypothyroidism usually occurs after age 50. It is often diagnosed as depression. You must use caution against abruptly
discontinuing medication.
When treating a patient with oral Vitamin B12, which drug interaction will result in decreased absorption of vitamin B12?
Aminoglycosides
Colchicine
Potassium supplements
All of the above
All of the above
,GERONTOLOGY HESI PRACTICE TEST
(LATEST 2024) QUIZ &ACCURATE
ANSWERS WITH RATIONALES
In addition to the drugs listed in the first three choices, ascorbic acid may destroy the vitamin B12 supplement within one
hour of ingestion. These drugs should not be taken concomitantly with oral vitamin B12.
You are counseling a 72-year-old woman about nutrition. In the course of counseling, you tell her that older adults are at
increased risk of Vitamin D deficiency. Which of the following is NOT a factor that contributes to a Vitamin D deficiency?
too much exposure to sunlight
decreased exercise
diminished renal function
decreased body mass
too much exposure to sunlight
In actuality lack of sun exposure decreases synthesis of Vitamin D.
An 88-year-old female patient comes into the clinic with her heart "racing and feeling funny." The ECG confirms atrial
fibrillation. The GNP understands that this condition is managed by all of the following except:
treating the underlying disease
electrical cardioversion
heparin as the drug of choice with antithrombotic therapy
IV management with digoxin as first line therapy
heparin as the drug of choice with antithrombotic therapy
The antithrombotic drug of choice for atrial fibrillation is warfarin (Coumadin).
A patient you diagnosed with hypothyroidism was started on levothyroixine. At what interval should the GNP reassess her
TSH?
, GERONTOLOGY HESI PRACTICE TEST
(LATEST 2024) QUIZ &ACCURATE
ANSWERS WITH RATIONALES
1 to 2 weeks
2 to 4 weeks
4 to 6 weeks
6 to 8 weeks
6 to 8 weeks
In the treatment of hypothyroidism, T4 replacement is needed in the form of levothyroxine (Synthroid or Levoxyl). The initial
dosages for an adult is 75 to 125 mcg. For an elderly person, the dose is 75% less than the adult dosage. Because of the long
half-life of levothyroxine, the effects of a dosage adjustment or initiation would not cause a change in TSH for approximately
five to six drug half-lives, or about 6 to 8 weeks.
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.
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.
