NURS 5461 / NURS 5461 ADULT GERONTOLOGY MANAGEMENT ACROSS THE
CONTINUUM OF CARE Complete Final Exam Practice - 200 Questions with
Correct Answers & Detailed Rationales Based on NURS 5461 Curriculum, UTA
College of Nursing & Health Innovation
Course Description: Foundations of advanced knowledge of common acute and chronic health
problems in adolescents, adults, and elders across health care settings . This comprehensive
exam covers health promotion, disease prevention, acute and chronic disease management,
pharmacology, and interprofessional collaboration across the continuum of care.
---
SECTION 1: FOUNDATIONAL CONCEPTS & HEALTH PROMOTION (Questions 1-25)
---
Question 1
A 72-year-old male patient asks about the recommended frequency for the shingles (herpes
zoster) vaccine. He received the live zoster vaccine (Zostavax) five years ago. What is the most
appropriate response?
A) "You do not need another shingles vaccine as Zostavax provides lifelong immunity."
B) "You should receive the recombinant zoster vaccine (Shingrix) now, as it is recommended
regardless of prior Zostavax vaccination."
C) "You need to wait until you are 75 years old to receive the booster for Zostavax."
D) "You should receive a second dose of Zostavax to boost your immunity."
Answer: B
,Rationale: The CDC recommends the recombinant zoster vaccine (Shingrix, RZV) for all adults
aged 50 years and older, including those who previously received Zostavax (the live vaccine).
Zostavax is no longer available in the US. RZV is a two-dose series (2-6 months apart) and has
higher efficacy (over 90%) compared to Zostavax . Option A is incorrect because Zostavax's
efficacy wanes. Option C is incorrect as there is no age restriction for Shingrix beyond 50. Option
D is incorrect as Zostavax is discontinued.
---
Question 2
A 68-year-old African American female with a history of hypertension is in your clinic for a
wellness visit. Her blood pressure is 132/80 mmHg. According to the USPSTF guidelines on
screening for abdominal aortic aneurysm (AAA), what is the appropriate recommendation?
A) Recommend a one-time abdominal ultrasound due to her age and history of hypertension.
B) No screening is indicated as her blood pressure is well-controlled.
C) Recommend a one-time abdominal ultrasound due to her age, gender, and smoking history;
however, she is a non-smoker.
D) Recommend screening every five years due to her race and age.
Answer: C
Rationale: The USPSTF recommends one-time screening for AAA with ultrasonography in men
aged 65-75 who have ever smoked. The patient is a 68-year-old female. Screening for women is
only recommended if they have a significant family history or have ever smoked. While
hypertension is a risk factor, it is not an independent indication for screening per USPSTF
guidelines. The lack of smoking history in this female patient makes screening not indicated .
---
,Question 3
A 75-year-old patient reports feeling "dizzy and lightheaded" when standing up from his
recliner. His supine BP is 138/80 mmHg, HR 72. Upon standing, his BP drops to 100/62 mmHg,
HR 88. He is on lisinopril for hypertension. What is the most appropriate initial intervention?
A) Increase his lisinopril to better control supine hypertension.
B) Discontinue lisinopril immediately and start a calcium channel blocker.
C) Educate the patient on hydration, rising slowly, and review the timing of antihypertensive
medications.
D) Order a carotid ultrasound to rule out carotid stenosis.
Answer: C
Rationale: This patient is experiencing orthostatic hypotension (defined as a drop in systolic BP
≥20 mmHg or diastolic BP ≥10 mmHg within 3 minutes of standing). Initial management
includes non-pharmacologic measures: hydration, rising slowly from seated/supine positions,
and reviewing medication timing (e.g., taking antihypertensives at bedtime rather than
morning). Adjusting or holding antihypertensives may be needed, but should not be done
abruptly without provider guidance .
---
Question 4
Interprofessional education (IPE) is best defined as:
A) Teaching students from a single profession about other healthcare roles
B) A teaching approach involving students from two or more professions learning together to
improve health outcomes
, C) A continuing education requirement for licensed professionals
D) A research methodology for healthcare outcomes
Answer: B
Rationale: Interprofessional education (IPE) is a teaching and learning approach that involves
students from two or more professions learning together to improve health outcomes . The key
components are multiple professions learning with, from, and about each other to improve
collaboration and patient care quality.
---
Question 5
What are the most common barriers to interprofessional collaboration in healthcare settings?
A) Staffing shortages and budget constraints
B) Communication, time, training, roles, and resources
C) Patient non-adherence and complex comorbidities
D) Regulatory requirements and documentation burdens
Answer: B
Rationale: The primary barriers to interprofessional collaboration include communication (lack
of effective communication channels), time (competing demands), training (lack of IPE
preparation), roles (unclear scope of practice), and resources (inadequate support for
collaborative practice) .
---
CONTINUUM OF CARE Complete Final Exam Practice - 200 Questions with
Correct Answers & Detailed Rationales Based on NURS 5461 Curriculum, UTA
College of Nursing & Health Innovation
Course Description: Foundations of advanced knowledge of common acute and chronic health
problems in adolescents, adults, and elders across health care settings . This comprehensive
exam covers health promotion, disease prevention, acute and chronic disease management,
pharmacology, and interprofessional collaboration across the continuum of care.
---
SECTION 1: FOUNDATIONAL CONCEPTS & HEALTH PROMOTION (Questions 1-25)
---
Question 1
A 72-year-old male patient asks about the recommended frequency for the shingles (herpes
zoster) vaccine. He received the live zoster vaccine (Zostavax) five years ago. What is the most
appropriate response?
A) "You do not need another shingles vaccine as Zostavax provides lifelong immunity."
B) "You should receive the recombinant zoster vaccine (Shingrix) now, as it is recommended
regardless of prior Zostavax vaccination."
C) "You need to wait until you are 75 years old to receive the booster for Zostavax."
D) "You should receive a second dose of Zostavax to boost your immunity."
Answer: B
,Rationale: The CDC recommends the recombinant zoster vaccine (Shingrix, RZV) for all adults
aged 50 years and older, including those who previously received Zostavax (the live vaccine).
Zostavax is no longer available in the US. RZV is a two-dose series (2-6 months apart) and has
higher efficacy (over 90%) compared to Zostavax . Option A is incorrect because Zostavax's
efficacy wanes. Option C is incorrect as there is no age restriction for Shingrix beyond 50. Option
D is incorrect as Zostavax is discontinued.
---
Question 2
A 68-year-old African American female with a history of hypertension is in your clinic for a
wellness visit. Her blood pressure is 132/80 mmHg. According to the USPSTF guidelines on
screening for abdominal aortic aneurysm (AAA), what is the appropriate recommendation?
A) Recommend a one-time abdominal ultrasound due to her age and history of hypertension.
B) No screening is indicated as her blood pressure is well-controlled.
C) Recommend a one-time abdominal ultrasound due to her age, gender, and smoking history;
however, she is a non-smoker.
D) Recommend screening every five years due to her race and age.
Answer: C
Rationale: The USPSTF recommends one-time screening for AAA with ultrasonography in men
aged 65-75 who have ever smoked. The patient is a 68-year-old female. Screening for women is
only recommended if they have a significant family history or have ever smoked. While
hypertension is a risk factor, it is not an independent indication for screening per USPSTF
guidelines. The lack of smoking history in this female patient makes screening not indicated .
---
,Question 3
A 75-year-old patient reports feeling "dizzy and lightheaded" when standing up from his
recliner. His supine BP is 138/80 mmHg, HR 72. Upon standing, his BP drops to 100/62 mmHg,
HR 88. He is on lisinopril for hypertension. What is the most appropriate initial intervention?
A) Increase his lisinopril to better control supine hypertension.
B) Discontinue lisinopril immediately and start a calcium channel blocker.
C) Educate the patient on hydration, rising slowly, and review the timing of antihypertensive
medications.
D) Order a carotid ultrasound to rule out carotid stenosis.
Answer: C
Rationale: This patient is experiencing orthostatic hypotension (defined as a drop in systolic BP
≥20 mmHg or diastolic BP ≥10 mmHg within 3 minutes of standing). Initial management
includes non-pharmacologic measures: hydration, rising slowly from seated/supine positions,
and reviewing medication timing (e.g., taking antihypertensives at bedtime rather than
morning). Adjusting or holding antihypertensives may be needed, but should not be done
abruptly without provider guidance .
---
Question 4
Interprofessional education (IPE) is best defined as:
A) Teaching students from a single profession about other healthcare roles
B) A teaching approach involving students from two or more professions learning together to
improve health outcomes
, C) A continuing education requirement for licensed professionals
D) A research methodology for healthcare outcomes
Answer: B
Rationale: Interprofessional education (IPE) is a teaching and learning approach that involves
students from two or more professions learning together to improve health outcomes . The key
components are multiple professions learning with, from, and about each other to improve
collaboration and patient care quality.
---
Question 5
What are the most common barriers to interprofessional collaboration in healthcare settings?
A) Staffing shortages and budget constraints
B) Communication, time, training, roles, and resources
C) Patient non-adherence and complex comorbidities
D) Regulatory requirements and documentation burdens
Answer: B
Rationale: The primary barriers to interprofessional collaboration include communication (lack
of effective communication channels), time (competing demands), training (lack of IPE
preparation), roles (unclear scope of practice), and resources (inadequate support for
collaborative practice) .
---
