HESI GERIATRICS EXAM TEST BANK 300 QUESTIONS WITH
100% CORRECT ANSWERS UPDATED 2022/2023
Annie is 89 years old and appears apathetic, unwilling to eat and drink, and shows
functional decline. The nurse practitioner discusses with the family the possibility that
Annie is experiencing a failure to thrive (FTT). The family asks how this happened. The
nurse practitioner replies with which of the following statements? Select all that apply.
1. Adult FTT is a part of aging.
2. FTT can be associated with increased infections and diminished immunity.
3. FTT patients have often experienced multiple hospitalizations and several
comorbidities.
4. FTT is complex, with many components.
5. The goal of early assessment is to prevent a decline in health. ---CORRECT
ANSWER-- 2, 3, 4
A nurse practitioner is performing an annual checkup for a female patient. In the
physical
examination of the breast, for which of the following should the nurse practitioner
assess? Select
all that apply.
1. Temperature
2. Symmetry
3. Dimpling
4. Lumps
5. Size ---CORRECT ANSWER-- 2, 3, 4
. A patient asks the nurse practitioner what is meant by health promotion. Which of the
following is the nurse practitioner's best response? Health promotion:
1. Includes activities that an individual performs proactively to increase health and well-
being.
2. Is a process of keeping track of immunizations.
3. Includes a set of programs that help people cope with the disease.
4. Includes strategies that prolong life. ---CORRECT ANSWER-- 1. Includes activities
that an individual performs proactively to increase health and well-being.
. Which of the following is most affected by pharmacokinetic change?
1. Distribution of drugs.
2. Elimination of drugs.
3. Absorption of drugs.
4. Metabolism of drugs. ---CORRECT ANSWER-- 2. Elimination of drugs.
,In the assessment for peripheral vascular disorders, the clinician should begin with
which of
the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing. ---CORRECT ANSWER-- 1. Auscultation of the carotid
arteries bilaterally.1.
1. Neurological assessment of the older adult requires specific tools and considerations
to assess patient mental status. Which of the following should be used to assess patient
cognition?
1. Administer SLUMS, a short dementia assessment.
2. Administer MoCA v 7.1, a 12-item assessment to detect mild neurocognitive
disorders.
3. Administer testing of cranial nerve III.
4. Administer Mini-Cog, a three-word recall with clock drawing capability. ---CORRECT
ANSWER-- 4. Administer Mini-Cog, a three-word recall with clock drawing capability.
2. A clinician is performing sensory assessment on a patient presenting signs and
symptoms of
neurological disease. During the assessment, the clinician notices that the patient has a
decreased sense of both pain and temperature. Which of the following may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn ---CORRECT ANSWER-- 1. Spinothalamic tract
3. Gayle is a 55-year-old woman who is suspected of having a brain tumor. The clinician
orders
diagnostic testing for thyroid-stimulating hormone (TSH) and magnetic resonance
imaging (MRI) to confirm this. Which of the following statements is true regarding a
brain tumor?
1. The symptom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
4. Brain tumors occur more commonly in females than males. ---CORRECT ANSWER--
2. A brain tumor can be a malignant or benign neoplasm.
4. Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder
resulting in the loss of dopamine-producing cells in the brain. Which part of the brain is
affected with PD?
1. Substantia nigra
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus ---CORRECT ANSWER-- 1. Substantia nigra
,5. Which of the following is a neurological disorder characterized by leg cramping,
pulling,
and tugging sensations, and may have a genetic component?
1. Radiculopathy
2. Nerve compression
3. Restless legs syndrome (RLS)
4. Sleep impairment ---CORRECT ANSWER-- 3. Restless legs syndrome (RLS)
6. According to studies, which of the following is true regarding cerebrovascular
disease?
1. It accounts for 20% to 50% of seizures in older adults.
2. It accounts for 10% of seizures in older adults.
3. Sixty percent of patients with stroke are at risk of developing seizures within 5 years.
4. Transient ischemic attacks have a relatively high incidence of seizures. ---CORRECT
ANSWER-- 1. Cerebrovascular disease accounts for 20% to 50% of seizures in older
adults.
7. Mr. Fitzgerald has seizure conditions due to a recent accident causing traumatic brain
injury (TBI). A nurse practitioner is tasked with giving the patient and his family
information on home care. Which of the following should be included in the
patient/family education?
1. Referral to an internist.
2. Lifestyle considerations.
3. Use of protective gear.
4. Referral for group therapy. ---CORRECT ANSWER-- 2. Lifestyle considerations.
8. Mr. Newman developed a sudden onset of severe headache, weakness on one side
of his body, difficulty speaking, and loss of balance. He was immediately admitted to the
hospital with the diagnosis of hemorrhagic stroke. Which of the following is the
manifestation of a hemorrhagic stroke?
1. Leak or rupture in an artery wall.
2. Leak or rupture in a venous wall.
3. Blockage in the heart.
4. Blockage of an artery. ---CORRECT ANSWER-- 1. Leak or rupture in an artery wall.
1. The nurse practitioner is serving in a clinic dedicated to patients over age 65 years.
The nurse practitioner observes several common characteristics in the posture of
elderly patients. Which of the following is common?
1. Increase in the length of the trunk in relationship to the upper extremities.
2. Head tips backward.
3. Disappearance of bony prominences.
4. Increase in the range of motion (ROM). ---CORRECT ANSWER-- 2. Head tips
backward.
, 2. While conducting a thorough examination of the musculoskeletal system, the patient
asks why such detail is necessary. Which of the following is the nurse practitioner's best
response?
1. I don't want to miss any signs of something serious.
2. The purpose of conducting this examination is to regulate your medications.
3. I am looking for symptoms that form a pattern.
4. This is routine for all patients over 65 years of age. ---CORRECT ANSWER-- 3. I am
looking for symptoms that form a pattern.
3. Mrs. Wilbur reports the presence of pain in her lower and upper back. The nurse
practitioner responds by doing which of the following?
1. Determining where the pain is coming from.
2. Ignoring any history of injury.
3. Ruling out the presence of anything inflammatory.
4. Determining that this pain does not affect activities of daily living (ADLs), as the
patient came in independently. ---CORRECT ANSWER-- 1. Determining where the pain
is coming from.
4. When assessing a patient with a possible musculoskeletal condition, it is important to:
1. Know how much sleep the patient gets per night.
2. Be aware that older patients report any and all pains.
3. Determine ROM in all limbs.
4. Not refer to past injuries or conditions. ---CORRECT ANSWER-- 3. Determine ROM
in all limbs.
5. Mr. Cummins, a 69-year-old Caucasian male, presents with an inability to move his
right arm sufficiently. The nurse practitioner tells him that she will perform a physical
examination and order tests to rule out which of the following?
1. Gout
2. Rheumatoid arthritis (RA)
3. Muscle weakness from a systemic condition
4. Osteoarthritis (OA) ---CORRECT ANSWER-- 3. Muscle weakness from a systemic
condition
7. The nurse practitioner calls Mr. Smith to come into the examining room. As he is
coming in, the nurse practitioner observes his gait to assess for musculoskeletal
conditions. One abnormal sign is:
1. Unbalance in gait.
2. Lack of a lurch.
3. Symmetrical leg movement.
4. Ability to sit in and get out of a chair without using arms. ---CORRECT ANSWER-- 1.
Unbalance in gait.
6. Mrs. Cameron is a 72-year-old woman who comes to see her nurse practitioner for
pain in her right thigh. The nurse practitioner assesses that Mrs. Smith has bruises on
100% CORRECT ANSWERS UPDATED 2022/2023
Annie is 89 years old and appears apathetic, unwilling to eat and drink, and shows
functional decline. The nurse practitioner discusses with the family the possibility that
Annie is experiencing a failure to thrive (FTT). The family asks how this happened. The
nurse practitioner replies with which of the following statements? Select all that apply.
1. Adult FTT is a part of aging.
2. FTT can be associated with increased infections and diminished immunity.
3. FTT patients have often experienced multiple hospitalizations and several
comorbidities.
4. FTT is complex, with many components.
5. The goal of early assessment is to prevent a decline in health. ---CORRECT
ANSWER-- 2, 3, 4
A nurse practitioner is performing an annual checkup for a female patient. In the
physical
examination of the breast, for which of the following should the nurse practitioner
assess? Select
all that apply.
1. Temperature
2. Symmetry
3. Dimpling
4. Lumps
5. Size ---CORRECT ANSWER-- 2, 3, 4
. A patient asks the nurse practitioner what is meant by health promotion. Which of the
following is the nurse practitioner's best response? Health promotion:
1. Includes activities that an individual performs proactively to increase health and well-
being.
2. Is a process of keeping track of immunizations.
3. Includes a set of programs that help people cope with the disease.
4. Includes strategies that prolong life. ---CORRECT ANSWER-- 1. Includes activities
that an individual performs proactively to increase health and well-being.
. Which of the following is most affected by pharmacokinetic change?
1. Distribution of drugs.
2. Elimination of drugs.
3. Absorption of drugs.
4. Metabolism of drugs. ---CORRECT ANSWER-- 2. Elimination of drugs.
,In the assessment for peripheral vascular disorders, the clinician should begin with
which of
the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing. ---CORRECT ANSWER-- 1. Auscultation of the carotid
arteries bilaterally.1.
1. Neurological assessment of the older adult requires specific tools and considerations
to assess patient mental status. Which of the following should be used to assess patient
cognition?
1. Administer SLUMS, a short dementia assessment.
2. Administer MoCA v 7.1, a 12-item assessment to detect mild neurocognitive
disorders.
3. Administer testing of cranial nerve III.
4. Administer Mini-Cog, a three-word recall with clock drawing capability. ---CORRECT
ANSWER-- 4. Administer Mini-Cog, a three-word recall with clock drawing capability.
2. A clinician is performing sensory assessment on a patient presenting signs and
symptoms of
neurological disease. During the assessment, the clinician notices that the patient has a
decreased sense of both pain and temperature. Which of the following may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn ---CORRECT ANSWER-- 1. Spinothalamic tract
3. Gayle is a 55-year-old woman who is suspected of having a brain tumor. The clinician
orders
diagnostic testing for thyroid-stimulating hormone (TSH) and magnetic resonance
imaging (MRI) to confirm this. Which of the following statements is true regarding a
brain tumor?
1. The symptom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
4. Brain tumors occur more commonly in females than males. ---CORRECT ANSWER--
2. A brain tumor can be a malignant or benign neoplasm.
4. Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder
resulting in the loss of dopamine-producing cells in the brain. Which part of the brain is
affected with PD?
1. Substantia nigra
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus ---CORRECT ANSWER-- 1. Substantia nigra
,5. Which of the following is a neurological disorder characterized by leg cramping,
pulling,
and tugging sensations, and may have a genetic component?
1. Radiculopathy
2. Nerve compression
3. Restless legs syndrome (RLS)
4. Sleep impairment ---CORRECT ANSWER-- 3. Restless legs syndrome (RLS)
6. According to studies, which of the following is true regarding cerebrovascular
disease?
1. It accounts for 20% to 50% of seizures in older adults.
2. It accounts for 10% of seizures in older adults.
3. Sixty percent of patients with stroke are at risk of developing seizures within 5 years.
4. Transient ischemic attacks have a relatively high incidence of seizures. ---CORRECT
ANSWER-- 1. Cerebrovascular disease accounts for 20% to 50% of seizures in older
adults.
7. Mr. Fitzgerald has seizure conditions due to a recent accident causing traumatic brain
injury (TBI). A nurse practitioner is tasked with giving the patient and his family
information on home care. Which of the following should be included in the
patient/family education?
1. Referral to an internist.
2. Lifestyle considerations.
3. Use of protective gear.
4. Referral for group therapy. ---CORRECT ANSWER-- 2. Lifestyle considerations.
8. Mr. Newman developed a sudden onset of severe headache, weakness on one side
of his body, difficulty speaking, and loss of balance. He was immediately admitted to the
hospital with the diagnosis of hemorrhagic stroke. Which of the following is the
manifestation of a hemorrhagic stroke?
1. Leak or rupture in an artery wall.
2. Leak or rupture in a venous wall.
3. Blockage in the heart.
4. Blockage of an artery. ---CORRECT ANSWER-- 1. Leak or rupture in an artery wall.
1. The nurse practitioner is serving in a clinic dedicated to patients over age 65 years.
The nurse practitioner observes several common characteristics in the posture of
elderly patients. Which of the following is common?
1. Increase in the length of the trunk in relationship to the upper extremities.
2. Head tips backward.
3. Disappearance of bony prominences.
4. Increase in the range of motion (ROM). ---CORRECT ANSWER-- 2. Head tips
backward.
, 2. While conducting a thorough examination of the musculoskeletal system, the patient
asks why such detail is necessary. Which of the following is the nurse practitioner's best
response?
1. I don't want to miss any signs of something serious.
2. The purpose of conducting this examination is to regulate your medications.
3. I am looking for symptoms that form a pattern.
4. This is routine for all patients over 65 years of age. ---CORRECT ANSWER-- 3. I am
looking for symptoms that form a pattern.
3. Mrs. Wilbur reports the presence of pain in her lower and upper back. The nurse
practitioner responds by doing which of the following?
1. Determining where the pain is coming from.
2. Ignoring any history of injury.
3. Ruling out the presence of anything inflammatory.
4. Determining that this pain does not affect activities of daily living (ADLs), as the
patient came in independently. ---CORRECT ANSWER-- 1. Determining where the pain
is coming from.
4. When assessing a patient with a possible musculoskeletal condition, it is important to:
1. Know how much sleep the patient gets per night.
2. Be aware that older patients report any and all pains.
3. Determine ROM in all limbs.
4. Not refer to past injuries or conditions. ---CORRECT ANSWER-- 3. Determine ROM
in all limbs.
5. Mr. Cummins, a 69-year-old Caucasian male, presents with an inability to move his
right arm sufficiently. The nurse practitioner tells him that she will perform a physical
examination and order tests to rule out which of the following?
1. Gout
2. Rheumatoid arthritis (RA)
3. Muscle weakness from a systemic condition
4. Osteoarthritis (OA) ---CORRECT ANSWER-- 3. Muscle weakness from a systemic
condition
7. The nurse practitioner calls Mr. Smith to come into the examining room. As he is
coming in, the nurse practitioner observes his gait to assess for musculoskeletal
conditions. One abnormal sign is:
1. Unbalance in gait.
2. Lack of a lurch.
3. Symmetrical leg movement.
4. Ability to sit in and get out of a chair without using arms. ---CORRECT ANSWER-- 1.
Unbalance in gait.
6. Mrs. Cameron is a 72-year-old woman who comes to see her nurse practitioner for
pain in her right thigh. The nurse practitioner assesses that Mrs. Smith has bruises on
