Gerontological Nurse Practitioner Clinical Mock Exam
Course Introduction
The Gerontological Nurse Practitioner Clinical course is designed to provide advanced practice nursing students with hands-on clinical experience in the care of older adults. Through supervised clinical placements, students apply evidence-based practices to assess, diagnose, and manage acute and chronic health issues unique to the aging population. The course emphasizes the development of critical thinking, cultural competency, and interdisciplinary collaboration skills, while also exploring ethical and legal considerations in gerontological care. Students gain proficiency in health promotion, disease prevention, and symptom management, preparing them for advanced roles as primary care providers for elderly individuals in a variety of healthcare settings.
Recommended Textbook
Advanced Practice Nursing in the Care of Older Adults 1st Edition by
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19 Chapters
312 Verified Questions
312 Flashcards
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Page 2
Laurie Kennedy Malone
Chapter 1: Changes With Aging
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/77498
Sample Questions
Q1) The strongest evidence regarding normal physiological aging is available through:
A) Randomized controlled clinical trials
B) Cross-sectional studies
C) Longitudinal studies
D) Case control studies
Answer: C
Q2) Biochemical individuality is best described as:
A) Each individual's variation is often much greater than that of a larger group
B) The unique biochemical profile of a selected population
C) The truly "normal" individual-falling within average range
D) Each individual's variation is often much smaller than that of a larger group
Answer: D
Q3) All of the following statements are true about laboratory values in older adults except:
A) Reference ranges are preferable
B) Abnormal findings are often due to physiological aging
C) Normal ranges may not be applicable for older adults
D) Reference values are not necessarily acceptable values
Answer: B
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Page 3
Chapter 2: Health Promotion
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A 72-year-old woman and her husband are on a cross-country driving vacation.After a long day of driving,they stop for dinner.Midway through the meal,the woman becomes very short of breath,with chest pain and a feeling of panic.Which of the following problems is most likely?
A) Pulmonary edema
B) Heart failure
C) Pulmonary embolism
D) Pneumonia
Answer: C
Q2) Performing range of motion exercises on a client who has had a stroke is an example of which level of prevention?
A) Primary prevention
B) Tertiary prevention
C) Secondary prevention
D) Rehabilitation prevention
Answer: B
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Chapter 3: Exercise in Older Adults
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5 Verified Questions
5 Flashcards
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Sample Questions
Q1) Which of the following medical conditions is not considered restrictive for engaging in physical activity?
A) Unstable angina
B) Dehydration
C) Depression
D) Uncontrolled tachycardia
Answer: C
Q2) When the nurse practitioner recommends exercise for a sedentary older adult,which of the following pieces of advice should be considered for all types of exercise?
A) Only use equipment recommended by physical trainers
B) Start low and go slow
C) Only group exercise is beneficial to someone who has not been active in a long time
D) Focus only on one type of exercise for the first few months
Answer: B
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Chapter 4: Comprehensive Geriatric Assessment
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13 Flashcards
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Sample Questions
Q1) What is reflective of functional decline in older adults?
A) Functional decline is synonymous with advanced age.
B) Some individuals die of "old age" but have maintained an active and healthy lifestyle.
C) Instrumental activities of daily living are preserved longer than activities of daily living.
D) It is always possible to prevent functional deterioration.
Q2) Evidence-based geriatric assessment instruments available to the clinician:
A) Are largely screening instruments to detect a condition
B) Largely do not exist and if they do they have limited clinical utility
C) Include screening,evaluation,and measurement instruments in multiple domains
D) Have applicability in the outpatient but not the inpatient setting
Q3) The medical outcome study short form 36 remains the gold standard of quality of life instruments.It measures:
A) Mental and social domains
B) Social domain
C) Physical,mental,and social domains
D) Physical domain
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Chapter 5: Symptoms and Syndromes
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) If dizziness has a predictable pattern associated with it,the clinician should first consider:
A) Hypoglycemia
B) Psychogenic etiology
C) Cardiovascular cause
D) Neurogenic cause
Q2) Risk factors associated with the finding of a malignancy in a patient with hemoptysis include all of the following except:
A) Male sex
B) Smoking history
C) Over age 40
D) Childhood asthma
Q3) Atypical presentation of acute coronary syndrome is:
A) Most common in Hispanic females
B) More common in men
C) Most common in African American men
D) More common in females
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Chapter 6: Skin and Lymphatic Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) In examining the skin of your nursing home patient,you note a "stained glass" brownish mark on the face.Which of the following lesions best describes a stained glass brownish mark?
A) Actinic keratosis
B) Seborrhea keratosis
C) Lentigo maligna
D) Superficial spreading malignant melanoma
Q2) A smooth round nodule with a pearly gray border and central induration best describes which skin lesion?
A) Seborrheic keratosis
B) Malignant melanoma
C) Herpes zoster
D) Basal cell carcinoma
Q3) A nursing home resident with a Stage 4 pressure ulcer that extends to the muscle layer and has significant undermining with heavy exudate should be treated with:
A) Dry gauze dressings
B) Duoderm
C) Chemical debridement
D) Calcium alginate dressings
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Chapter 7: Head, neck, and Face Disorders
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following maneuvers is used to induce symptoms of benign paroxysmal positional vertigo?
A) The Fukuda stepping test
B) The Dix-Hallpike maneuver
C) Forced hyperventilation
D) The head thrust test
Q2) In examining the mouth of an older adult with a history of smoking,the nurse practitioner finds a suspicious oral lesion.The patient has been referred for a biopsy to be sent for pathology.Which is the most common oral precancerous lesion?
A) Fictional keratosis
B) Keratoacanthoma
C) Lichen planus
D) Leukoplakia
Q3) The nurse practitioner knows that antihistamines work primarily through which of the following mechanisms?
A) Vasodilatation
B) Blocking leukotriene effects
C) Inhibiting histamine receptor sites
D) Vasoconstriction
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Chapter 8: Chest Disorders
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21 Flashcards
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Sample Questions
Q1) Ischemic heart disease is:
A) Defined as imbalance between oxygen supply and demand.
B) Frequently is manifested as angina.
C) Leading cause of death in the elderly.
D) All of the above.
Q2) A common auscultatory finding in advanced CHF is:
A) Systolic ejection murmur
B) S3 gallop rhythm
C) Friction rub
D) Bradycardia
Q3) The aging process causes what normal physiological changes in the heart?
A) The heart valve thickens and becomes rigid,secondary to fibrosis and sclerosis
B) Cardiology occurs along with prolapse of the mitral valve and regurgitation
C) Dilation of the right ventricle occurs with sclerosis of pulmonic and tricuspid valves
D) Hypertrophy of the right ventricle
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Chapter 9: Peripheral Vascular Disorders
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Home exercise programs for peripheral arterial disease focus on:
A) Walk until pain develops then stop
B) Walk through the pain then stop
C) Begin at a slow speed with 10 minutes a day and build up to 30 minutes
D) Walk through the pain,rest until it goes away,then resume walking
Q2) The majority of abdominal aortic aneurysms are due to:
A) Trauma
B) Infection
C) Inflammation
D) Atherosclerosis
Q3) Lower leg edema associated with pain is characteristic of:
A) Venous insufficiency
B) Heart failure
C) Deep venous thrombosis
D) Diabetes
Q4) All of the following are classic signs of venous insufficiency except:
A) Pain
B) Dependent edema
C) Hemosiderosis
D) Dermatitis
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Chapter 10: Abdominal Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following is not a contributing factor to the development of esophagitis in older adults?
A) Increased gastric emptying time
B) Regular ingestion of NSAIDs
C) Decreased salivation
D) Fungal infections such as Candida
Q2) Which of the following findings would indicate a need for another endoscopy in clients with peptic ulcer disease?
A) Cases of dyspepsia with constipation
B) Symptoms persisting after 6-8 weeks of therapy
C) All clients with dyspepsia who smoke and drink alcohol
D) When a therapeutic response to empiric treatment is obtained
Q3) A 74-year-old obese female presents complaining of persistent right upper quadrant pain.She reports that she has not had any prior abdominal surgeries.Which of the following laboratory studies would be most indicative of acute cholecystitis?
A) C-reactive protein level of 3 mg
B) White blood cell count of 11,000
C) Direct serum bilirubin level of 0.3 mg/dL
D) Serum amylase level of 145 U/L
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Page 12
Chapter 11: Urological and Gynecological Disorders
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A 78-year-old female comes to the office because she has pain when she urinates.She has been seen three times for this problem in the last 3 months.Each time she was told she had a UTI and was given antibiotics.She carefully followed the instructions but has had no relief of symptoms.Last UA: WBCs: 2-3/high-power field
RBCs: 0-2/high-power field
Epithelial cells: Few
Nitrite: Negative
Leuckocyte esterase: Negative
Which of the following should be done next?
A) Obtain a clean catch urine for UA and urine for C&S
B) Perform a pelvic examination
C) Reassure the patient that she has asymptomatic bacteriuria and does not need antibiotics
D) Order a pelvic ultrasound
Q2) Which ethnic group has the highest incidence of prostate cancer?
A) Asians
B) Hispanics
C) African Americans
D) American Indians
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Chapter 12: Musculoskeletal Disorders
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20 Flashcards
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Sample Questions
Q1) A 72-year-old female patient has been diagnosed with gout.She also has a long history of chronic congestive heart failure.The most likely contributing factor to the development of gout in this older female is:
A) Lead intoxication
B) Illegal whiskey
C) Binge-eating
D) Thiazide diuretics
Q2) Joint effusions typically occur later in the course of OA,especially in the:
A) Knee
B) Elbow
C) DIP joints
D) Hips
Q3) In providing health teaching related to dietary restrictions,the nurse practitioner should advise a patient with gout to avoid which of the following dietary items:
A) Green leafy vegetables
B) Beer,sausage,fried seafood
C) Sugar
D) Gluten and bread items
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Chapter 13: Central and Peripheral Nervous System Disorders
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) When assessing a patient who complains of a tremor,the nurse practitioner must differentiate essential tremor from the tremor of Parkinson's disease.Which of the following findings are consistent with essential tremor?
A) The handwriting is not affected by the tremor
B) The tremor occurs with purposeful movements
C) The tremor occurs at rest
D) The tremor gets worse with alcohol ingestion
Q2) When assessing an elderly client who reports a tremor,which assessment findings would be most reliable in identifying Parkinson's disease?
A) Any presence of tremor
B) Symptoms of slowed movement,unstable angina,and tremor
C) Resting tremor,slow unsteady gait,and cogwheel resistance
D) Cogwheel rigidity,bradykinesia,and amnesia
Q3) The most common neurological cause of seizures in an older adult is:
A) Alzheimer's disease
B) Multiple sclerosis
C) Stroke
D) Peripheral neuropathy
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Chapter 14: Endocrine, metabolic, and Nutritional Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Feeding gastrostomy tubes at end-of-life Alzheimer's disease patients have been associated with:
A) Prolongation of life
B) Aspirational pneumonia
C) Increase in skin infections
D) Reversal of any clinical signs of failure to thrive
Q2) A diabetic patient presents with the complaint of right foot pain but denies any recent known injury.He states it has gotten progressively worse over the past few months.On exam,vibratory sense,as well as sensation tested with a monofilament,was abnormal.The patient's foot is warm,edematous,and misshapen.The nurse practitioner suspects Charcot foot.What intervention is indicated?
A) Warm soaks and return for follow-up in 1 week
B) Referral to a pain management clinic
C) Referral to an orthopedist
D) Referral to a cardiologist for evaluation of peripheral vascular disease
Q3) Which is a "cardinal feature" of failure to thrive?
A) Decline in toileting ability
B) Gait disturbance
C) Poor nutritional status
D) Spiritual distress
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Chapter 15: Hematological and Immune System Disorders
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When interpreting laboratory data,you would expect to see the following in a patient with Anemia of Chronic Disease (ACD):
A) Hemoglobin <12 g/dl,Mean Corpuscular Volume (MCV)decreased,Mean Corpuscular Hemoglobin (MCH)decreased
B) Hemoglobin >12 g/dl,Mean Corpuscular Volume (MCV)increased,Mean Corpuscular Hemoglobin (MCH)increased
C) Hemoglobin <12 g/dl,Mean Corpuscular Volume (MCV)normal,Mean Corpuscular Hemoglobin (MCH)normal
D) Hemoglobin >12 g/dl,Mean Corpuscular Volume (MCV)decreased,Mean Corpuscular Hemoglobin (MCH)increased
Q2) The main focus of treatment of patients with ACD is:
A) Replenishing iron stores
B) Providing for adequate nutrition high in iron
C) Management of the underlying disorder
D) Administration of monthly vitamin B<sub>12</sub> injections
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Chapter 16: Psychological Disorders
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15 Flashcards
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Sample Questions
Q1) Symptoms of depression distinct to the elderly include:
A) Flat affect
B) Loss of pleasure in usual activities
C) Appetite and weight disturbances
D) Lack of emotions
Q2) The proposed mechanism by which diphenhydramine causes delirium is:
A) Serotinergic effects
B) Dopaminergic effects
C) Gabanergic effects
D) Anticholinergic effects
Q3) The elderly are at high risk for delirium because of:
A) Multisensory declines
B) Polypharmacy
C) Multiple medical problems
D) All of the above
Q4) The comorbid psychiatric problem with the highest frequency in dementia is:
A) Anxiety
B) Depression
C) Agitation and aggression
D) Psychosis
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Chapter 17: Nutritional Support in the Older Adult
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10 Flashcards
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Sample Questions
Q1) Which lab test is most indicative that a patient has refeeding syndrome?
A) A serum albumin level of 3.0 g/dL
B) Hemoglobin of 10.0 g/dL
C) Prealbumin level of 17 mg/dL
D) Serum phosphate level of less than 0.6 mmol/L
Q2) The use of feeding gastrostomy tubes at the end of life in Alzheimer's disease patients has been associated with:
A) Prolongation of life
B) Aspirational pneumonia
C) Increase in decubitus ulcer rate
D) Reversal of any clinical signs of failure to thrive
Q3) Which of the following is not considered a benefit of high protein supplements added to diets of hospitalized older adults?
A) Improved grip strength
B) Increased weight
C) Overall increased intake of food
D) Reduced readmissions to the hospital
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19
Chapter 18: Chronic Illness and the Advanced Practice
Registered Nurse Aprn
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) All of the following criteria define frailty except:
A) Unintentional weight loss >10 pounds in the past year
B) Slow walking speed
C) Stooped posture
D) Self-reported exhaustion
Q2) Inter-professional care is distinguished from other models of team-based care in that:
A) Independent providers share information
B) Expert advice is shared from one provider to another
C) Different disciplines work under one leader
D) Shared leadership and accountability is a primary focus
Q3) Evidence-based clinical practice guidelines may have limited applicability in the older population because:
A) They often are disease specific
B) They often have complex comorbid conditions
C) Both A and B
D) None of the above evidence-based clinical practice guidelines are always the standard
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Chapter 19: Palliative Care and End-Of-Life Care
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Delirium is typically characterized by all of the following except:
A) Inattention
B) Hyperactive level of psychomotor activity
C) Disorganized thinking
D) Altered level of consciousness
Q2) The highest level of evidence to support interventions at the end of life is with:
A) Opioids for pain control
B) Hyocsyamine for respiratory secretions
C) Stimulant laxatives for treating constipation
D) Opioids for dyspnea
Q3) The strongest level of evidence reflects the absolute contraindication for NSAID use exists with:
A) Chronic kidney disease
B) Peptic ulcer disease
C) Heart disease
D) Liver disease
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