HESI Gerontology Exam (New 2023/ 2024
Update) Questions and Verified Answers
with Rationales| 100% Correct| Grade A
QUESTION
You are providing
... [Show More] patient education to a patient who has recently been diagnosed with shingles.
Which of the following is NOT true of the way this patient should care for his rash?
He should leave the rash uncovered to speed healing.
He should keep the rash covered.
He should keep the rash clean and dry.
He should use only nonadhesive bandages on the rash.
Answer:
He should leave the rash uncovered to speed healing.
Patients with herpes zoster - shingles - should keep their rashes clean, dry, and covered. The
adhesive in bandages can irritate the shingles, so only nonadhesive bandages should be used.
QUESTION
You are providing care for a patient who has been admitted to the hospital after a fall. Which of
the following is NOT appropriate when providing patient education for when the patient returns
home?
The patient should resume regular activities as soon as possible.
The patient should avoid returning to full activity until he is fully recovered.
The patient should take extra care of his feet.
The patient should engage in some type of regular exercise.
Answer:
The patient should avoid returning to full activity until he is fully recovered.
Patients who have suffered a fall should return to normal activity as soon as possible. Avoiding
routine activities may increase fear of falling and actually increase the risk of falling. Regular
exercise and foot care can also help reduce the risk of falls.
QUESTION
Which of the following is true when performing a functional assessment with a geriatric patient?
It may be necessary to allow more time for the assessment if the patient has impaired mobility.
It is not necessary to perform the assessment if the patient uses a wheelchair.
It may be necessary to bring in someone to assist the patient with the assessment.
It is only necessary when the patient returns for follow-up after treatment.
Answer:
It may be necessary to allow more time for the assessment if the patient has impaired mobility.
Functional assessments may take longer with geriatric patients due to impaired mobility. Allow
for extra time to conduct the functional assessment if you are working with a geriatric patient
whose mobility is limited.
QUESTION
You are managing a patient who has irritable bowel syndrome (IBS). Altering the gut pain
threshold in IBS is a possible therapeutic outcome with the use of:
amitriptyline (Elavil)
loperamide (Immodium)
dicyclomine (Bentyl)
metrodionazole (Flagyl)
Answer:
amitriptyline (Elavil)
Low dose tricyclic antidepressant or selective serotonin reuptake inhibitor use can be helpful in
altering the gut pain threshold, resulting in less abdominal pain. Imodium and Bentyl are
prescribed to treat diarrhea. Flagyl is not used in IBS, but is used to treat certain types of
infectious colitis.
QUESTION
Which of the following is NOT a sign of depression in an older adult?
She neglects personal grooming.
She has difficulty concentrating.
She often becomes lost even in familiar places. [Show Less]