NRNP 6531 ADVANCED PRACTICE
CARE OF ADULTS ACROSS THE
LIFESPAN FINAL EXAM (VERIFIED
AND CORRECT Q & A) SATISFACTION
GUARANTEED 2026/2027
1. A 68-year-old patient with Stage 3 Chronic Kidney Disease (CKD) and hypertension is being
managed in the clinic. Which of the following antihypertensive classes is considered first-line
to provide both blood pressure control and renoprotection?
A. ACE Inhibitors or ARBs
B. Thiazide Diuretics
C. Calcium Channel Blockers
D. Beta-Blockers
Answer: A
Conceptual Explanation: ACE Inhibitors or ARBs are the preferred first-line agents for
patients with CKD and hypertension because they reduce intraglomerular pressure and
proteinuria, slowing the progression of kidney disease.
,2. When managing a 75-year-old patient with multiple comorbidities and a history of severe
hypoglycemic episodes, what is the most appropriate target Hemoglobin A1c (HbA1c) level
according to ADA guidelines?
A. Less than 8.0% or 8.5%
B. Less than 7.0%
C. Less than 7.5%
D. Less than 6.5%
Answer: A
Conceptual Explanation: For older adults with multiple chronic illnesses, cognitive
impairment, or functional dependency, a less stringent HbA1c goal (e.g., <8.0% or <8.5%) is
recommended to avoid the risks of hypoglycemia.
3. According to the GOLD 2024 guidelines for COPD, which clinical finding is a primary
indication for initiating Inhaled Corticosteroids (ICS) in addition to Long-Acting
Bronchodilators?
A. A history of one moderate exacerbation in the past year
B. A blood eosinophil count of >300 cells/µL
C. An FEV1/FVC ratio less than 0.70
D. Current smoking status
Answer: B
, Conceptual Explanation: GOLD guidelines strongly recommend ICS in patients with a
history of frequent exacerbations and a blood eosinophil count of 300 cells/µL or higher.
4. Which of the following medications should be avoided in a patient diagnosed with Heart
Failure with Reduced Ejection Fraction (HFrEF) due to the risk of worsening heart failure?
A. Lisinopril
B. Spironolactone
C. Metoprolol Succinate
D. Verapamil
Answer: D
Conceptual Explanation: Non-dihydropyridine calcium channel blockers like verapamil
and diltiazem have negative inotropic effects and can exacerbate HFrEF.
5. A 62-year-old female presents for a Bone Mineral Density (BMD) scan. The results show a
T-score of -2.6 at the femoral neck. What is the correct interpretation of this result?
A. Normal bone density
B. Osteoporosis
C. Osteopenia
D. Severe Osteoporosis
Answer: B
CARE OF ADULTS ACROSS THE
LIFESPAN FINAL EXAM (VERIFIED
AND CORRECT Q & A) SATISFACTION
GUARANTEED 2026/2027
1. A 68-year-old patient with Stage 3 Chronic Kidney Disease (CKD) and hypertension is being
managed in the clinic. Which of the following antihypertensive classes is considered first-line
to provide both blood pressure control and renoprotection?
A. ACE Inhibitors or ARBs
B. Thiazide Diuretics
C. Calcium Channel Blockers
D. Beta-Blockers
Answer: A
Conceptual Explanation: ACE Inhibitors or ARBs are the preferred first-line agents for
patients with CKD and hypertension because they reduce intraglomerular pressure and
proteinuria, slowing the progression of kidney disease.
,2. When managing a 75-year-old patient with multiple comorbidities and a history of severe
hypoglycemic episodes, what is the most appropriate target Hemoglobin A1c (HbA1c) level
according to ADA guidelines?
A. Less than 8.0% or 8.5%
B. Less than 7.0%
C. Less than 7.5%
D. Less than 6.5%
Answer: A
Conceptual Explanation: For older adults with multiple chronic illnesses, cognitive
impairment, or functional dependency, a less stringent HbA1c goal (e.g., <8.0% or <8.5%) is
recommended to avoid the risks of hypoglycemia.
3. According to the GOLD 2024 guidelines for COPD, which clinical finding is a primary
indication for initiating Inhaled Corticosteroids (ICS) in addition to Long-Acting
Bronchodilators?
A. A history of one moderate exacerbation in the past year
B. A blood eosinophil count of >300 cells/µL
C. An FEV1/FVC ratio less than 0.70
D. Current smoking status
Answer: B
, Conceptual Explanation: GOLD guidelines strongly recommend ICS in patients with a
history of frequent exacerbations and a blood eosinophil count of 300 cells/µL or higher.
4. Which of the following medications should be avoided in a patient diagnosed with Heart
Failure with Reduced Ejection Fraction (HFrEF) due to the risk of worsening heart failure?
A. Lisinopril
B. Spironolactone
C. Metoprolol Succinate
D. Verapamil
Answer: D
Conceptual Explanation: Non-dihydropyridine calcium channel blockers like verapamil
and diltiazem have negative inotropic effects and can exacerbate HFrEF.
5. A 62-year-old female presents for a Bone Mineral Density (BMD) scan. The results show a
T-score of -2.6 at the femoral neck. What is the correct interpretation of this result?
A. Normal bone density
B. Osteoporosis
C. Osteopenia
D. Severe Osteoporosis
Answer: B
