ADVANCED GERIATRIC AND CHRONIC CARE MANAGEMENT NURSING EXAM
– QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
Comprehensive Geriatric Assessment (CGA) and Screening Tools
Pharmacodynamics and Polypharmacy Management in the Elderly
Pathophysiology and Management of Neurocognitive Disorders
Palliative Care, End-of-Life Ethics, and Advanced Directives
Multimorbidity Coordination and Transitional Care Models
Psychosocial Aspects of Aging and Caregiver Support
Regulatory Compliance, Quality Improvement, and Patient Safety
Chronic Disease Management: Cardiovascular, Endocrine, and Respiratory
INTRODUCTION
The Advanced Geriatric and Chronic Care Management Nursing Exam is designed to
evaluate the clinical proficiency and decision-making capabilities of nursing
professionals specializing in the care of older adults. This comprehensive
assessment focuses on the integration of complex physiological, psychological, and
,social data to manage chronic conditions and promote quality of life. The exam
utilizes a blend of foundational knowledge questions and scenario-based applications
to simulate real-world clinical challenges. Candidates are assessed on their ability to
navigate polypharmacy, ethical dilemmas, and multidisciplinary coordination.
Emphasis is placed on evidence-based practice and the application of geriatric
syndromes in various healthcare settings.
1. Which of the following is considered the most reliable indicator of pain in a non-
verbal patient with advanced dementia?
A. Elevated heart rate and blood pressure
B. Facial grimacing and repetitive vocalizations
C. Reports from family members regarding past behavior
D. Increased sleep duration and lethargy
🟢 B. Facial grimacing and repetitive vocalizations
🔴 RATIONALE: In patients with advanced neurocognitive disorders who cannot self-
report, behavioral observation scales (like the PAINAD) prioritize physical
expressions such as grimacing, moaning, or agitation as primary indicators of
physical distress.
, 2. A 78-year-old patient is prescribed a new benzodiazepine for insomnia. Which
age-related physiological change increases the risk of toxicity?
A. Increased total body water
B. Decreased proportion of body fat
C. Decreased hepatic blood flow and glomerular filtration rate
D. Increased serum albumin levels
🟢 C. Decreased hepatic blood flow and glomerular filtration rate
🔴 RATIONALE: Aging results in reduced renal and hepatic clearance, leading to a
prolonged half-life for lipid-soluble drugs like benzodiazepines, significantly increasing
the risk of falls and over-sedation.
3. According to the Beers Criteria, which medication should be avoided in older
adults with a history of falls or fractures?
A. Metformin
B. Lisinopril
C. Zolpidem
D. Vitamin D3
, 🟢 C. Zolpidem
🔴 RATIONALE: Zolpidem and other "Z-drugs" increase the risk of ataxia, syncope,
and additional falls in the geriatric population; non-pharmacological sleep hygiene is
the preferred first-line treatment.
4. A nurse manager is implementing a program to reduce hospital readmissions.
Which transitional care intervention has been shown to be most effective?
A. Providing a printed list of discharge medications
B. Scheduling a follow-up appointment within 30 days
C. Conducting a home visit or phone call within 48-72 hours of discharge
D. Giving the patient a brochure on their primary diagnosis
🟢 C. Conducting a home visit or phone call within 48-72 hours of discharge
🔴 RATIONALE: Early post-discharge follow-up allows for medication reconciliation
and early identification of clinical red flags, which are critical in preventing the
"revolving door" of rehospitalization.
5. Which physical finding is most suggestive of frailty syndrome in an 82-year-old
female?
– QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
Comprehensive Geriatric Assessment (CGA) and Screening Tools
Pharmacodynamics and Polypharmacy Management in the Elderly
Pathophysiology and Management of Neurocognitive Disorders
Palliative Care, End-of-Life Ethics, and Advanced Directives
Multimorbidity Coordination and Transitional Care Models
Psychosocial Aspects of Aging and Caregiver Support
Regulatory Compliance, Quality Improvement, and Patient Safety
Chronic Disease Management: Cardiovascular, Endocrine, and Respiratory
INTRODUCTION
The Advanced Geriatric and Chronic Care Management Nursing Exam is designed to
evaluate the clinical proficiency and decision-making capabilities of nursing
professionals specializing in the care of older adults. This comprehensive
assessment focuses on the integration of complex physiological, psychological, and
,social data to manage chronic conditions and promote quality of life. The exam
utilizes a blend of foundational knowledge questions and scenario-based applications
to simulate real-world clinical challenges. Candidates are assessed on their ability to
navigate polypharmacy, ethical dilemmas, and multidisciplinary coordination.
Emphasis is placed on evidence-based practice and the application of geriatric
syndromes in various healthcare settings.
1. Which of the following is considered the most reliable indicator of pain in a non-
verbal patient with advanced dementia?
A. Elevated heart rate and blood pressure
B. Facial grimacing and repetitive vocalizations
C. Reports from family members regarding past behavior
D. Increased sleep duration and lethargy
🟢 B. Facial grimacing and repetitive vocalizations
🔴 RATIONALE: In patients with advanced neurocognitive disorders who cannot self-
report, behavioral observation scales (like the PAINAD) prioritize physical
expressions such as grimacing, moaning, or agitation as primary indicators of
physical distress.
, 2. A 78-year-old patient is prescribed a new benzodiazepine for insomnia. Which
age-related physiological change increases the risk of toxicity?
A. Increased total body water
B. Decreased proportion of body fat
C. Decreased hepatic blood flow and glomerular filtration rate
D. Increased serum albumin levels
🟢 C. Decreased hepatic blood flow and glomerular filtration rate
🔴 RATIONALE: Aging results in reduced renal and hepatic clearance, leading to a
prolonged half-life for lipid-soluble drugs like benzodiazepines, significantly increasing
the risk of falls and over-sedation.
3. According to the Beers Criteria, which medication should be avoided in older
adults with a history of falls or fractures?
A. Metformin
B. Lisinopril
C. Zolpidem
D. Vitamin D3
, 🟢 C. Zolpidem
🔴 RATIONALE: Zolpidem and other "Z-drugs" increase the risk of ataxia, syncope,
and additional falls in the geriatric population; non-pharmacological sleep hygiene is
the preferred first-line treatment.
4. A nurse manager is implementing a program to reduce hospital readmissions.
Which transitional care intervention has been shown to be most effective?
A. Providing a printed list of discharge medications
B. Scheduling a follow-up appointment within 30 days
C. Conducting a home visit or phone call within 48-72 hours of discharge
D. Giving the patient a brochure on their primary diagnosis
🟢 C. Conducting a home visit or phone call within 48-72 hours of discharge
🔴 RATIONALE: Early post-discharge follow-up allows for medication reconciliation
and early identification of clinical red flags, which are critical in preventing the
"revolving door" of rehospitalization.
5. Which physical finding is most suggestive of frailty syndrome in an 82-year-old
female?
