HESI RN GERONTOLOGY Exit Exam Actual Exam

• | P a g e

HESI RN GERONTOLOGY Exit Exam Actual Exam Version 1 /Gerontology Hesi Exit Exam Newest 2025/2026 Complete Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version!!

As a GNP you know that the major cause of respiratory disability in older adults is which of the following?

• pneumonia
• lung cancer

C) COPD

• heart disease - ANSWER-C

Correct answer:COPD

COPD is chronic pulmonary obstructive disorder. Cigarette smoking is the most important risk factor for COPD. COPD has no cure and it is the major cause of respiratory disability in older adults.

An older patient has tourette syndrome. The GNP knows that part of the

management of this condition includes all of the following except:

• behavior therapy and biofeedback 1 / 4

• | P a g e

• high doses of diazepam have been known to be effective.
• individual education plans, including classroom modifications
• family support and counseling - ANSWER-B

Correct answer:high doses of diazepam have been known to be effective

Treatment options include stimulants (dextroamphetamine, methylphenidate, etc.), alpha-2 adrenergic agonists (clonidine), and neuroleptic agents (risperidone, haloperidol, etc.). Tourette's syndrome is a lifelong condition with unknown etiology.

You are prescribing Lisinopril for your 70-year-old patient with heart failure. What is the maximum daily dosage the patient can take of this medication?

• 4 mg/day.
• 20 mg once per day.
• 40 mg/day.
• 16 mg/day. - ANSWER-C

Correct Answer:

40 mg/day.There are a variety of drugs prescribed to patients to help manage heart failure. For example, the maximum daily dosage for Lisinopril is 40 mg 2 / 4

• | P a g e

once per day. The daily max. for Fosinopril is 40 mg/day. The daily maximum for Perindopril is 16 mg/day and Trandolapril, 4 mg/day.

The GNP knows that when treating depression with selective serotonin

reuptake inhibitors the patient may exhibit:

• weight gain and hypoglycemia
• weight loss and decrased libido
• cognitive changes and urinary retention
• sleepiness and decreased libido - ANSWER-B

Correct answer:

weight loss and decreased libido The SSRIs are commonly associated with decreased libido after several weeks of taking them. Patients who take tricyclic antidepressants have more weight gain and the tricyclic and heterocyclic compounds are more often associated with blood sugar elevations. Jitteriness and restlessness are commonly associated with SSRI use.

For alcohol withdrawal symptoms, the preferred benzodiazepine is

lorazepam. This is used when there is concomitant history of:

• folate-deficiency anemia
• hepatic disease 3 / 4

• | P a g e

• seizure disorder
• multiple substance abuse - ANSWER-B

Correct answer:hepatic disease

Librium or Valium are good therapeutic agents for patients with adequate hepatic function, but lorazepam is the preferred agent for those with impaired hepatic function because of its short half life.

What is true regarding overweight older adults and their state of health?

• BMI is a good way to assess nutritional states in the elderly.
• There are no potential metabolic or functional benefits to weight loss

in the elderly.

• There is clearly associated increased mortality with overweight older

adults.

• Mortality in the elderly related to overweight states declines over

time. - ANSWER-D

Correct answer:

Mortality in the elderly related to overweight states declines over time.Overweight and obese states are not as important in predicting mortality in the elderly as they are in their younger counterparts. After age 65, a person's weight is less significant in deceasing the risk of mortality than it was in young adulthood.

• / 4