Page 1 of 174
NRNP 6540 FINAL EXAM 2026/2027
UPDATED STUDY GUIDE WITH PRACTICE
QUESTIONS COMPLETE ACCURATE EXAM
REAL QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. An 85-year-old male presents with 3-month unintentional
weight loss of 12 lbs, early satiety, and fatigue. BMI 18.9.
First step?
A. Order upper endoscopy
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B. Prescribe mirtazapine
C. Screen for depression, dysphagia, and medication review
D. Start high-calorie supplements
Answer: C – Weight loss in older adults is multifactorial.
Evaluate causes before testing or medicating.
2. Which finding is part of the Fried frailty phenotype?
A. Mini-Cog <3
B. Gait speed <0.8 m/s
C. Albumin <3.0 g/dL
D. BMI <22
Answer: B – Fried criteria: unintentional weight loss,
exhaustion, low grip strength, slow gait speed, low physical
activity.
3. A 79-year-old with no acute illness reports feeling “worn
out” most days, walks slowly, and lost 8 lbs unintentionally in
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6 months. What is the best next step?
A. Refer to oncology
B. Comprehensive geriatric assessment
C. Prescribe an appetite stimulant
D. Order TSH, CBC, CMP, vitamin B12
Answer: B – Comprehensive geriatric assessment (CGA)
improves outcomes in frail older adults.
4. Which intervention reduces frailty progression?
A. Daily multivitamin
B. Resistance and balance training 3x/week
C. Testosterone supplementation
D. Caloric restriction
Answer: B – Multicomponent exercise (strength, balance,
aerobic) is evidence-based for frailty.
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5. An 83-year-old with falls, weight loss, and slow gait has no
acute illness. What screening tool is most appropriate?
A. PHQ-9
B. FRAIL scale
C. MoCA
D. STOPP criteria
Answer: B – FRAIL scale is quick, validated for frailty
screening in primary care.
6. Which medication class is most associated with
sarcopenia?
A. Beta-blockers
B. Statins
C. PPIs
D. ACE inhibitors
NRNP 6540 FINAL EXAM 2026/2027
UPDATED STUDY GUIDE WITH PRACTICE
QUESTIONS COMPLETE ACCURATE EXAM
REAL QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. An 85-year-old male presents with 3-month unintentional
weight loss of 12 lbs, early satiety, and fatigue. BMI 18.9.
First step?
A. Order upper endoscopy
,Page 2 of 174
B. Prescribe mirtazapine
C. Screen for depression, dysphagia, and medication review
D. Start high-calorie supplements
Answer: C – Weight loss in older adults is multifactorial.
Evaluate causes before testing or medicating.
2. Which finding is part of the Fried frailty phenotype?
A. Mini-Cog <3
B. Gait speed <0.8 m/s
C. Albumin <3.0 g/dL
D. BMI <22
Answer: B – Fried criteria: unintentional weight loss,
exhaustion, low grip strength, slow gait speed, low physical
activity.
3. A 79-year-old with no acute illness reports feeling “worn
out” most days, walks slowly, and lost 8 lbs unintentionally in
,Page 3 of 174
6 months. What is the best next step?
A. Refer to oncology
B. Comprehensive geriatric assessment
C. Prescribe an appetite stimulant
D. Order TSH, CBC, CMP, vitamin B12
Answer: B – Comprehensive geriatric assessment (CGA)
improves outcomes in frail older adults.
4. Which intervention reduces frailty progression?
A. Daily multivitamin
B. Resistance and balance training 3x/week
C. Testosterone supplementation
D. Caloric restriction
Answer: B – Multicomponent exercise (strength, balance,
aerobic) is evidence-based for frailty.
, Page 4 of 174
5. An 83-year-old with falls, weight loss, and slow gait has no
acute illness. What screening tool is most appropriate?
A. PHQ-9
B. FRAIL scale
C. MoCA
D. STOPP criteria
Answer: B – FRAIL scale is quick, validated for frailty
screening in primary care.
6. Which medication class is most associated with
sarcopenia?
A. Beta-blockers
B. Statins
C. PPIs
D. ACE inhibitors
