Quiz 1: NURS 5461 Adult Gerontology Management
Across the Continuum of Care – UTA Actual Exam
2026/2027 | Complete Exam-Style Questions with Detailed
Rationales | 100% Verified – Pass Guaranteed – A+
Graded
Foundations of Adult-Gerontology Care
Q1: Which physiologic change is considered a normal, expected part of the aging process
rather than a disease state?
A. Significant decline in glomerular filtration rate (GFR) below 30 mL/min
B. Increased arterial stiffness leading to isolated systolic hypertension [CORRECT]
C. Progressive, severe memory loss interfering with daily activities
D. Complete loss of taste and smell sensation
Correct Answer: B
Rationale: This choice is correct because increased arterial stiffness is a well-documented,
expected physiologic change in aging, whereas the other options represent pathologic
conditions requiring clinical intervention.
Q2: A 72-year-old patient asks about recommended preventive screenings. Which health
promotion intervention is most strongly supported by current guidelines for this age group?
A. Annual routine electrocardiograms for all asymptomatic patients
B. One-time abdominal aortic aneurysm ultrasound screening for men with a smoking
history [CORRECT]
C. Daily low-dose aspirin for primary prevention of cardiovascular disease
D. Biannual full-body skin examinations by a dermatologist
Correct Answer: B
Rationale: The best answer is one-time AAA screening for men aged 65–75 who have ever
smoked, as this aligns directly with USPSTF guidelines for targeted, high-yield preventive
care in older adults.
Q3: The Age-Friendly Health Systems framework is built upon four essential elements
known as the "4Ms." Which of the following correctly identifies these components?
A. Medication, Mentation, Mobility, and What Matters [CORRECT]
B. Monitoring, Management, Mobility, and Medical history
C. Medication, Memory, Mood, and Multidisciplinary care
D. Maintenance, Mentation, Metrics, and What Matters
Correct Answer: A
Rationale: This choice is correct because the evidence-based 4Ms framework specifically
focuses on Medication, Mentation, Mobility, and What Matters to guide high-quality,
person-centered care for older adults.
, Q4: An 88-year-old resident in a skilled nursing facility develops a new cough and decreased
oral intake. Her temperature is 98.6°F (37°C). What is the most appropriate clinical
inference?
A. The absence of fever reliably rules out an infectious process in this patient.
B. Older adults frequently present with atypical signs of infection, such as functional decline,
without mounting a fever. [CORRECT]
C. The patient is likely experiencing a normal age-related decrease in metabolic rate.
D. A cough in this population is almost always related to chronic heart failure.
Correct Answer: B
Rationale: This aligns with the principle that older adults often have blunted immune
responses, making atypical presentations like functional decline or confusion the primary
indicators of infection, even without a fever.
Q5: When differentiating between normal age-related cognitive changes and early
dementia, which finding is most indicative of a pathologic process?
A. Occasionally misplacing keys but finding them after retracing steps
B. Taking slightly longer to learn a new technology or skill
C. Forgetting the names of distant acquaintances but remembering family members
D. Getting lost in a familiar neighborhood and being unable to reorient [CORRECT]
Correct Answer: D
Rationale: This choice is correct because getting lost in familiar surroundings and failing to
reorient represents a significant impairment in visuospatial function and memory that
exceeds normal aging.
Q6: A 79-year-old man with well-controlled hypertension comes in for an annual visit. He
lives alone and drives himself to the clinic. Which health promotion strategy is most
appropriate?
A. Advise him to stop driving immediately due to his age.
B. Encourage him to maintain his current activity level and discuss advance care planning.
[CORRECT]
C. Schedule him for a comprehensive neuropsychological evaluation.
D. Recommend he move to an assisted living facility for safety.
Correct Answer: B
Rationale: The best answer is to encourage his independence while proactively introducing
advance care planning, which respects his autonomy and aligns with preventive geriatric
care.
Q7: Which pharmacokinetic change in older adults most significantly increases the risk of
toxicity for renally excreted medications like gabapentin?
A. Increased hepatic first-pass metabolism
B. Decreased glomerular filtration rate and renal blood flow [CORRECT]
C. Increased total body water percentage
D. Decreased gastric pH leading to faster drug absorption
Correct Answer: B
Rationale: This choice is correct because age-related declines in glomerular filtration rate
and renal blood flow reduce the clearance of renally excreted drugs, directly increasing the
risk of accumulation and toxicity.
Across the Continuum of Care – UTA Actual Exam
2026/2027 | Complete Exam-Style Questions with Detailed
Rationales | 100% Verified – Pass Guaranteed – A+
Graded
Foundations of Adult-Gerontology Care
Q1: Which physiologic change is considered a normal, expected part of the aging process
rather than a disease state?
A. Significant decline in glomerular filtration rate (GFR) below 30 mL/min
B. Increased arterial stiffness leading to isolated systolic hypertension [CORRECT]
C. Progressive, severe memory loss interfering with daily activities
D. Complete loss of taste and smell sensation
Correct Answer: B
Rationale: This choice is correct because increased arterial stiffness is a well-documented,
expected physiologic change in aging, whereas the other options represent pathologic
conditions requiring clinical intervention.
Q2: A 72-year-old patient asks about recommended preventive screenings. Which health
promotion intervention is most strongly supported by current guidelines for this age group?
A. Annual routine electrocardiograms for all asymptomatic patients
B. One-time abdominal aortic aneurysm ultrasound screening for men with a smoking
history [CORRECT]
C. Daily low-dose aspirin for primary prevention of cardiovascular disease
D. Biannual full-body skin examinations by a dermatologist
Correct Answer: B
Rationale: The best answer is one-time AAA screening for men aged 65–75 who have ever
smoked, as this aligns directly with USPSTF guidelines for targeted, high-yield preventive
care in older adults.
Q3: The Age-Friendly Health Systems framework is built upon four essential elements
known as the "4Ms." Which of the following correctly identifies these components?
A. Medication, Mentation, Mobility, and What Matters [CORRECT]
B. Monitoring, Management, Mobility, and Medical history
C. Medication, Memory, Mood, and Multidisciplinary care
D. Maintenance, Mentation, Metrics, and What Matters
Correct Answer: A
Rationale: This choice is correct because the evidence-based 4Ms framework specifically
focuses on Medication, Mentation, Mobility, and What Matters to guide high-quality,
person-centered care for older adults.
, Q4: An 88-year-old resident in a skilled nursing facility develops a new cough and decreased
oral intake. Her temperature is 98.6°F (37°C). What is the most appropriate clinical
inference?
A. The absence of fever reliably rules out an infectious process in this patient.
B. Older adults frequently present with atypical signs of infection, such as functional decline,
without mounting a fever. [CORRECT]
C. The patient is likely experiencing a normal age-related decrease in metabolic rate.
D. A cough in this population is almost always related to chronic heart failure.
Correct Answer: B
Rationale: This aligns with the principle that older adults often have blunted immune
responses, making atypical presentations like functional decline or confusion the primary
indicators of infection, even without a fever.
Q5: When differentiating between normal age-related cognitive changes and early
dementia, which finding is most indicative of a pathologic process?
A. Occasionally misplacing keys but finding them after retracing steps
B. Taking slightly longer to learn a new technology or skill
C. Forgetting the names of distant acquaintances but remembering family members
D. Getting lost in a familiar neighborhood and being unable to reorient [CORRECT]
Correct Answer: D
Rationale: This choice is correct because getting lost in familiar surroundings and failing to
reorient represents a significant impairment in visuospatial function and memory that
exceeds normal aging.
Q6: A 79-year-old man with well-controlled hypertension comes in for an annual visit. He
lives alone and drives himself to the clinic. Which health promotion strategy is most
appropriate?
A. Advise him to stop driving immediately due to his age.
B. Encourage him to maintain his current activity level and discuss advance care planning.
[CORRECT]
C. Schedule him for a comprehensive neuropsychological evaluation.
D. Recommend he move to an assisted living facility for safety.
Correct Answer: B
Rationale: The best answer is to encourage his independence while proactively introducing
advance care planning, which respects his autonomy and aligns with preventive geriatric
care.
Q7: Which pharmacokinetic change in older adults most significantly increases the risk of
toxicity for renally excreted medications like gabapentin?
A. Increased hepatic first-pass metabolism
B. Decreased glomerular filtration rate and renal blood flow [CORRECT]
C. Increased total body water percentage
D. Decreased gastric pH leading to faster drug absorption
Correct Answer: B
Rationale: This choice is correct because age-related declines in glomerular filtration rate
and renal blood flow reduce the clearance of renally excreted drugs, directly increasing the
risk of accumulation and toxicity.
