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AG-CNS Exam Q&A: Adult Gerontology Nursing Review, Exams of Nursing

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A series of multiple-choice questions and answers related to adult gerontology clinical nursing. It covers a range of topics relevant to the care of older adults, including disease symptoms, medication management, and organizational concepts. The questions are designed to test knowledge and understanding of key concepts in geriatric nursing practice, making it a valuable resource for exam preparation and review. This material is useful for nursing students and professionals specializing in gerontology, offering insights into clinical decision-making and best practices in geriatric care. The content is structured to facilitate learning and retention, with clear answers and concise explanations.

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AG-CNS EXAM 2024 WITH 100% CORRECT ANSWERS




AG-CNS EXAM 2024 WITH 100%
C O R R E C T ANSWERS

Adult gerontology clinical nurse specialists are talking about the ability to produce an effect. What
term best describes what they are talking about?

a. Marketing.

b. Budget.

c. Reimbursement.
d. Eficacy. - correct answer Answer d. Eficacy

Eficacy is a concept that adult gerontology clinical nurse specialists should be aware of. The word
eficacy is used to describe the ability to produce an effect. More directly, it means the ability of an
intervention or medication to produce an expected outcome.



Frankie is a patient who has been diagnosed with pancreatitis. Which of the following test results is
most likely to be consistent with this diagnosis?

a. Lipase is lowered.

b. White blood count will be elevated if the pancreatitis is acute.

c. Bilirubin is grossly elevated.
d. Glucose may be severely decreased if pancreatitis is severe. - correct answer Answer b.
White blood count will be elevated if the pancreatitis is acute.



White blood count will be elevated if the pancreatitis is acute. Lipase is elevated in pancreatitis.
Bilirubin is mildly elevated in 20% of patients. Glucose may be increased in severe pancreatitis.



Creating a culture amenable to innovation is necessarily based on the relative understanding
and application of equity within an organizational framework. Equity is characterized by which
of the following?

a. It is morality-based.

b. It reflects delegatory authority.

c. It is comprised of vertical relationships.

, AG-CNS EXAM 2024 WITH 100% CORRECT ANSWERS




d. It is inclusive, suggesting ownership. - correct answer Answer d. It is inclusive, suggesting ownership.



Equity is characterized by being inclusive, suggesting ownership. It is value-based, reflects accountability
and is comprised of horizontal relationship. Equity is also characterized by equality in relationships.



Which of the following drugs, when mixed with aged cheese or cured meats has a clinical implication for
severe hypertensive reactions?

a. benzodiazepines

b. angiotensin-converting enzyme (ACE) inhibitors

c. warfarin
d. monoamine oxidase (MAO) inhibitors - correct answer Answer d. monoamine oxidase (MAO) inhibitors



Clinically important drug-nutrient interactions between monoamine oxidase (MAO) inhibitors and aged
and cured cheese and meats can have implications that produce severe hypertensive reactions. Other
foods can produce a negative drug-nutrient reaction with MAO inhibitors include banana peels, fava
bean pods, yeast extracts, sauerkraut or soy sauce, among others. Monoamine oxidase found in the GI
tract inactivates tyramine. Tyramine can cause hypertension when absorbed into the systemic system.



Which of the following drugs for benign prostatic hypertrophy (BPH) requires up to six months to be
effective?

a. Minipress

b. Proscar

c. Hytrin
d. Cardura - correct answer Answer b. Proscar



Proscar (finasteride) shrinks the prostate. It requires up to 6 months to be effective. The other drugs
require a 2 - 3 month trial.



When controlling organizational costs, bringing the individuals' desires and the organization's needs
together is referred to as which of the following?

a. goal congruence

b. motivation

, AG-CNS EXAM 2024 WITH 100% CORRECT ANSWERS




c. quality care
d. bonus effect - correct answer Answer a. goal congruence



In order to be certain that the human beings will in fact want to control organizational costs, the
manager needs to make sure that it is somehow in their direct best interests for costs to be controlled.
The key is to establish some way that the normally divergent desires of both are congruent. This is goal
congruence.



There are a number of normal aging changes that a health care professional must recognize in a patient.
Which of the following is NOT a normal aging change?

a. Older adults often experience an increased pulse pressure.

b. There is a decreased amount of blood pumped throughout the circulatory system.

c. Premature contractions and arrhythmias may occur.
d. Older adults often experience higher diastolic pressure. - correct answer Answer d. Older
adults often experience higher diastolic pressure.



Older adults often experience lower diastolic pressure. Blood flow is slower. Low diastolic pressure is a
risk for cerebrovascular accidents or strokes.



The system that allows managers to make financial decisions and adjustments through computer
modeling that uses real-time data is which of the following?

a. prospective payment system

b. diagnosis related groups

c. decision support system
d. capitation - correct answer Answer c. decision support system

Decision support systems allow managers to make financial decisions and adjustments through
computer modeling that uses real-time data. Computer-generated financial forecasting allows
organizations to develop alternative scenarios on the basis of the interplay among numerous variables.



Which of the following is NOT an instructional strategy?

a. role modeling

b. mini in-service

, AG-CNS EXAM 2024 WITH 100% CORRECT ANSWERS




c. evidence-based practice
d. critical incident - correct answer Answer c. evidence-based practice



Evidence-based practice is not an instructional strategy; it is a decision-making strategy. Other
instructional strategies include rounds and family as "faculty."



In terms of intrarenal autoregulation, to prevent large changes in GFR, mean arterial pressure is
maintained at which of the following?

a. 0 - 40 mm Hg

b. 40 - 80 mm Hg

c. 80 to 180 mm Hg
d. 180 - 280 mm Hg - correct answer Answer c. 80 to 180 mm Hg

As a general principle of intrarenal autoregulation, mean arterial pressure (MAP) is maintained in a
range of 80 to 180 mm Hg to prevent large changes in GFR. The major site of autoregulation is the
afferent arteriole.



Which of the following is the most commonly reported illness among older adults?

a. osteoarthritis

b. constipation

c. osteoporosis
d. dementia - correct answer Answer a. osteoarthritis

Osteoarthritis is the most commonly reported illness among older adults. It is a type of arthritis
that occurs when flexible tissue at the ends of bones wears down. It is more likely to occur in the
weight bearing joints, especially the hips and knees.



When the clinical nurse specialist has the job of acting as a mentor assisting with socialization of a
novice nurse during orientation, he or she is known as which of the following?

a. coach

b. preceptor

c. role model
d. transitioner - correct answer Answer b. preceptor

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