NURS6301
Adult-Gerontology Primary
Care 2
Final Exam Guide
Q&A
2024
,1. Multiple Choice: A 78-year-old male patient with a history of
hypertension and diabetes mellitus presents with complaints of dizziness
and fatigue. Which of the following assessments is most critical for the
nurse practitioner to perform first?
A) Blood glucose level
B) Blood pressure measurement
C) Electrocardiogram (ECG)
D) Complete blood count (CBC)
Answer: B) Blood pressure measurement
Rationale: Given the patient's symptoms and history, assessing blood
pressure is critical to rule out hypotension or hypertension crises, which
can cause dizziness and fatigue.
2. True/False: Polypharmacy is commonly defined as the use of five or
more medications regularly in geriatric patients.
Answer: True
Rationale: Polypharmacy increases the risk of adverse drug reactions
and can complicate the management of chronic conditions in older
adults.
3. Fill-in-the-Blank: The most common type of anemia in the elderly is
__________ anemia.
Answer: Anemia of chronic disease
, Rationale: Anemia of chronic disease is common in older adults due to
the prevalence of chronic inflammatory conditions that affect iron
metabolism and erythropoiesis.
4. Multiple Choice: In evaluating a geriatric patient for cognitive decline,
which standardized tool would be most appropriate for the nurse
practitioner to use?
A) Mini-Mental State Examination (MMSE)
B) Geriatric Depression Scale (GDS)
C) Katz Index of Independence in Activities of Daily Living (ADL)
D) Montreal Cognitive Assessment (MoCA)
Answer: D) Montreal Cognitive Assessment (MoCA)
Rationale: The MoCA is a widely used screening tool that is sensitive to
detecting mild cognitive impairment, which is often missed by the MMSE.
5. True/False: A sudden onset of confusion and agitation in an elderly
patient is most likely due to dementia.
Answer: False
Rationale: Sudden changes in mental status in the elderly are more
likely due to delirium or acute illness rather than dementia, which
typically has a gradual onset.
6. Fill-in-the-Blank: The first-line pharmacological treatment for elderly
patients with Type 2 diabetes is __________.
Answer: Metformin
Adult-Gerontology Primary
Care 2
Final Exam Guide
Q&A
2024
,1. Multiple Choice: A 78-year-old male patient with a history of
hypertension and diabetes mellitus presents with complaints of dizziness
and fatigue. Which of the following assessments is most critical for the
nurse practitioner to perform first?
A) Blood glucose level
B) Blood pressure measurement
C) Electrocardiogram (ECG)
D) Complete blood count (CBC)
Answer: B) Blood pressure measurement
Rationale: Given the patient's symptoms and history, assessing blood
pressure is critical to rule out hypotension or hypertension crises, which
can cause dizziness and fatigue.
2. True/False: Polypharmacy is commonly defined as the use of five or
more medications regularly in geriatric patients.
Answer: True
Rationale: Polypharmacy increases the risk of adverse drug reactions
and can complicate the management of chronic conditions in older
adults.
3. Fill-in-the-Blank: The most common type of anemia in the elderly is
__________ anemia.
Answer: Anemia of chronic disease
, Rationale: Anemia of chronic disease is common in older adults due to
the prevalence of chronic inflammatory conditions that affect iron
metabolism and erythropoiesis.
4. Multiple Choice: In evaluating a geriatric patient for cognitive decline,
which standardized tool would be most appropriate for the nurse
practitioner to use?
A) Mini-Mental State Examination (MMSE)
B) Geriatric Depression Scale (GDS)
C) Katz Index of Independence in Activities of Daily Living (ADL)
D) Montreal Cognitive Assessment (MoCA)
Answer: D) Montreal Cognitive Assessment (MoCA)
Rationale: The MoCA is a widely used screening tool that is sensitive to
detecting mild cognitive impairment, which is often missed by the MMSE.
5. True/False: A sudden onset of confusion and agitation in an elderly
patient is most likely due to dementia.
Answer: False
Rationale: Sudden changes in mental status in the elderly are more
likely due to delirium or acute illness rather than dementia, which
typically has a gradual onset.
6. Fill-in-the-Blank: The first-line pharmacological treatment for elderly
patients with Type 2 diabetes is __________.
Answer: Metformin
