Quiz 1: NURS 5461 / NURS5461 Actual
Exam 2026/2027 | Adult Gerontology
Management Across the Continuum of
Care | Questions & Answers | Grade A |
Pass Guaranteed - A+ Graded
Foundations of Adult-Gerontology Care & Normal Aging
Q1: You are preparing a care plan for an older adult and want to ensure your approach
aligns with the "Patient-Centered Medical Home" model. Which core principle best
describes this approach?
A. Care is directed primarily by the specialist physician to ensure efficiency.
B. Care is coordinated by a primary care provider and is accessible, continuous, and
comprehensive.
C. Care is focused solely on acute disease management to reduce hospital costs.
D. Care is provided by a single nurse practitioner without input from other disciplines.
Correct Answer: B
Rationale: The PCMH model emphasizes whole-person care that is coordinated by a
primary care provider, accessible to the patient, and delivered in collaboration with an
interprofessional team.
Q2: When discussing the aging process with a group of graduate students, you
emphasize the difference between biological and chronological age. Which statement
best supports this distinction?
A. Biological age is determined solely by the year a person was born.
B. Biological age refers to the functional status of organ systems relative to others of the
same chronological age.
C. Chronological age is a better predictor of mortality than biological age.
D. Biological age is fixed at birth and cannot be altered by lifestyle.
Correct Answer: B
Rationale: Biological age reflects the physiological reserve and function of the body's
systems, which can vary significantly among individuals of the same chronological
(actual) age.
, Q3: A 72-year-old patient asks if her occasional memory lapses are normal. Based on
the concepts of cognitive aging, which finding is considered a normal age-related
change rather than a sign of dementia?
A. Forgetting the name of a recent acquaintance but recalling it later.
B. Getting lost in a familiar neighborhood while driving home.
C. Unable to recognize family members.
D. Forgetting how to use a familiar appliance like a microwave.
Correct Answer: A
Rationale: Benign senescent forgetfulness involves minor lapses in short-term memory
or word-finding, whereas getting lost, inability to recognize family, or loss of learned
skills (apraxia) are red flags for pathology.
Q4: An 80-year-old male patient presents for a physical exam. His resting heart rate is
78 bpm, and his blood pressure is 138/82 mmHg. He complains of feeling dizzy when
standing up quickly. Which age-related cardiovascular change most directly contributes
to his orthostatic symptoms?
A. Increased arterial compliance and elasticity.
B. Decreased baroreceptor sensitivity and stiffening of arteries.
C. Increased cardiac contractility and stroke volume.
D. Hypertrophy of the left ventricle only.
Correct Answer: B
Rationale: As we age, baroreceptors become less sensitive and arteries stiffen,
meaning the body can't adjust vascular tone as quickly when changing positions,
leading to orthostatic hypotension.
Q5: During a pulmonary assessment of an older adult, you note a slightly decreased
respiratory rate and a weaker cough reflex. How should you document these findings?
A. Severe restrictive lung disease requiring immediate referral.
B. Acute respiratory failure.
C. Normal age-related changes in the thoracic cage and respiratory muscles.
D. Chronic obstructive pulmonary disease (COPD) exacerbation.
Correct Answer: C
Rationale: It is normal for respiratory muscles to weaken and the chest wall to stiffen
with age, leading to a slightly weaker cough and altered mechanics, provided the patient
is not in distress.
Q6: You are assessing the skin of a 79-year-old woman. You notice thin, translucent
skin with multiple ecchymoses on her forearms. She denies trauma. What is the most
likely cause?
Exam 2026/2027 | Adult Gerontology
Management Across the Continuum of
Care | Questions & Answers | Grade A |
Pass Guaranteed - A+ Graded
Foundations of Adult-Gerontology Care & Normal Aging
Q1: You are preparing a care plan for an older adult and want to ensure your approach
aligns with the "Patient-Centered Medical Home" model. Which core principle best
describes this approach?
A. Care is directed primarily by the specialist physician to ensure efficiency.
B. Care is coordinated by a primary care provider and is accessible, continuous, and
comprehensive.
C. Care is focused solely on acute disease management to reduce hospital costs.
D. Care is provided by a single nurse practitioner without input from other disciplines.
Correct Answer: B
Rationale: The PCMH model emphasizes whole-person care that is coordinated by a
primary care provider, accessible to the patient, and delivered in collaboration with an
interprofessional team.
Q2: When discussing the aging process with a group of graduate students, you
emphasize the difference between biological and chronological age. Which statement
best supports this distinction?
A. Biological age is determined solely by the year a person was born.
B. Biological age refers to the functional status of organ systems relative to others of the
same chronological age.
C. Chronological age is a better predictor of mortality than biological age.
D. Biological age is fixed at birth and cannot be altered by lifestyle.
Correct Answer: B
Rationale: Biological age reflects the physiological reserve and function of the body's
systems, which can vary significantly among individuals of the same chronological
(actual) age.
, Q3: A 72-year-old patient asks if her occasional memory lapses are normal. Based on
the concepts of cognitive aging, which finding is considered a normal age-related
change rather than a sign of dementia?
A. Forgetting the name of a recent acquaintance but recalling it later.
B. Getting lost in a familiar neighborhood while driving home.
C. Unable to recognize family members.
D. Forgetting how to use a familiar appliance like a microwave.
Correct Answer: A
Rationale: Benign senescent forgetfulness involves minor lapses in short-term memory
or word-finding, whereas getting lost, inability to recognize family, or loss of learned
skills (apraxia) are red flags for pathology.
Q4: An 80-year-old male patient presents for a physical exam. His resting heart rate is
78 bpm, and his blood pressure is 138/82 mmHg. He complains of feeling dizzy when
standing up quickly. Which age-related cardiovascular change most directly contributes
to his orthostatic symptoms?
A. Increased arterial compliance and elasticity.
B. Decreased baroreceptor sensitivity and stiffening of arteries.
C. Increased cardiac contractility and stroke volume.
D. Hypertrophy of the left ventricle only.
Correct Answer: B
Rationale: As we age, baroreceptors become less sensitive and arteries stiffen,
meaning the body can't adjust vascular tone as quickly when changing positions,
leading to orthostatic hypotension.
Q5: During a pulmonary assessment of an older adult, you note a slightly decreased
respiratory rate and a weaker cough reflex. How should you document these findings?
A. Severe restrictive lung disease requiring immediate referral.
B. Acute respiratory failure.
C. Normal age-related changes in the thoracic cage and respiratory muscles.
D. Chronic obstructive pulmonary disease (COPD) exacerbation.
Correct Answer: C
Rationale: It is normal for respiratory muscles to weaken and the chest wall to stiffen
with age, leading to a slightly weaker cough and altered mechanics, provided the patient
is not in distress.
Q6: You are assessing the skin of a 79-year-old woman. You notice thin, translucent
skin with multiple ecchymoses on her forearms. She denies trauma. What is the most
likely cause?
