Barkley Adult-Gerontology Primary
Care Nurse Practitioner (AGPCNP)
Review Exam PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
1.
A 52-year-old woman with no significant medical history asks when
colorectal cancer screening should begin for an average-risk adult.
Which recommendation is most appropriate?
A. Age 40
B. Age 45
C. Age 50
D. Age 55
Answer: B. Age 45
Rationale: Average-risk colorectal cancer screening is generally
recommended beginning at age 45. Screening may begin earlier in
patients with increased familial or other risk.
2.
Which intervention has the greatest impact on reducing
cardiovascular risk in a sedentary adult?
,A. Increasing dietary calcium
B. Regular aerobic physical activity
C. Taking daily vitamin C
D. Avoiding all dietary carbohydrates
Answer: B. Regular aerobic physical activity
Rationale: Regular physical activity improves blood pressure, lipid
profile, glucose regulation, body weight, and overall cardiovascular
risk.
3.
A 67-year-old woman asks about osteoporosis screening. Which test
is recommended?
A. Serum calcium
B. Bone scan
C. Dual-energy x-ray absorptiometry (DEXA)
D. CT scan of the spine
Answer: C. Dual-energy x-ray absorptiometry (DEXA)
Rationale: DEXA is the standard test for diagnosing osteoporosis and
assessing bone mineral density in appropriate older adults.
4.
Which finding is most characteristic of frailty in an older adult?
A. Increased muscle mass
B. Unintentional weight loss and decreased endurance
C. Increased exercise tolerance
D. Increased appetite
Answer: B. Unintentional weight loss and decreased endurance
,Rationale: Frailty commonly involves weight loss, weakness,
exhaustion, slow gait, and reduced physical activity.
5.
Which vitamin deficiency is particularly associated with macrocytic
anemia and neurologic manifestations?
A. Vitamin C
B. Vitamin B12
C. Vitamin K
D. Vitamin D
Answer: B. Vitamin B12
Rationale: Vitamin B12 deficiency can cause megaloblastic anemia,
paresthesias, impaired proprioception, cognitive changes, and other
neurologic abnormalities.
6.
An older adult reports two falls during the past 6 months. What
should the AGPCNP do first?
A. Prescribe a sedative for anxiety
B. Assess fall risk and contributing factors
C. Recommend bed rest
D. Order a brain MRI for every patient
Answer: B. Assess fall risk and contributing factors
Rationale: Recurrent falls require assessment of gait, balance,
medications, vision, orthostatic blood pressure, environment, and
medical contributors.
, 7.
Which vaccine is routinely recommended for adults aged 50 years
and older to prevent herpes zoster?
A. Live attenuated varicella vaccine
B. Recombinant zoster vaccine
C. Hepatitis A vaccine
D. Pneumococcal polysaccharide vaccine only
Answer: B. Recombinant zoster vaccine
Rationale: Recombinant zoster vaccine is recommended for adults
beginning at age 50 and for certain immunocompromised adults.
8.
Which assessment is most appropriate when screening an older
adult for cognitive impairment?
A. Mini-Cog
B. Apgar score
C. Braden scale
D. Glasgow Coma Scale
Answer: A. Mini-Cog
Rationale: The Mini-Cog is a brief screening instrument that assesses
memory and executive function and can identify patients who need
more comprehensive evaluation.
9.
A 72-year-old patient reports difficulty managing medications and
paying bills. What should the NP assess?
Care Nurse Practitioner (AGPCNP)
Review Exam PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
1.
A 52-year-old woman with no significant medical history asks when
colorectal cancer screening should begin for an average-risk adult.
Which recommendation is most appropriate?
A. Age 40
B. Age 45
C. Age 50
D. Age 55
Answer: B. Age 45
Rationale: Average-risk colorectal cancer screening is generally
recommended beginning at age 45. Screening may begin earlier in
patients with increased familial or other risk.
2.
Which intervention has the greatest impact on reducing
cardiovascular risk in a sedentary adult?
,A. Increasing dietary calcium
B. Regular aerobic physical activity
C. Taking daily vitamin C
D. Avoiding all dietary carbohydrates
Answer: B. Regular aerobic physical activity
Rationale: Regular physical activity improves blood pressure, lipid
profile, glucose regulation, body weight, and overall cardiovascular
risk.
3.
A 67-year-old woman asks about osteoporosis screening. Which test
is recommended?
A. Serum calcium
B. Bone scan
C. Dual-energy x-ray absorptiometry (DEXA)
D. CT scan of the spine
Answer: C. Dual-energy x-ray absorptiometry (DEXA)
Rationale: DEXA is the standard test for diagnosing osteoporosis and
assessing bone mineral density in appropriate older adults.
4.
Which finding is most characteristic of frailty in an older adult?
A. Increased muscle mass
B. Unintentional weight loss and decreased endurance
C. Increased exercise tolerance
D. Increased appetite
Answer: B. Unintentional weight loss and decreased endurance
,Rationale: Frailty commonly involves weight loss, weakness,
exhaustion, slow gait, and reduced physical activity.
5.
Which vitamin deficiency is particularly associated with macrocytic
anemia and neurologic manifestations?
A. Vitamin C
B. Vitamin B12
C. Vitamin K
D. Vitamin D
Answer: B. Vitamin B12
Rationale: Vitamin B12 deficiency can cause megaloblastic anemia,
paresthesias, impaired proprioception, cognitive changes, and other
neurologic abnormalities.
6.
An older adult reports two falls during the past 6 months. What
should the AGPCNP do first?
A. Prescribe a sedative for anxiety
B. Assess fall risk and contributing factors
C. Recommend bed rest
D. Order a brain MRI for every patient
Answer: B. Assess fall risk and contributing factors
Rationale: Recurrent falls require assessment of gait, balance,
medications, vision, orthostatic blood pressure, environment, and
medical contributors.
, 7.
Which vaccine is routinely recommended for adults aged 50 years
and older to prevent herpes zoster?
A. Live attenuated varicella vaccine
B. Recombinant zoster vaccine
C. Hepatitis A vaccine
D. Pneumococcal polysaccharide vaccine only
Answer: B. Recombinant zoster vaccine
Rationale: Recombinant zoster vaccine is recommended for adults
beginning at age 50 and for certain immunocompromised adults.
8.
Which assessment is most appropriate when screening an older
adult for cognitive impairment?
A. Mini-Cog
B. Apgar score
C. Braden scale
D. Glasgow Coma Scale
Answer: A. Mini-Cog
Rationale: The Mini-Cog is a brief screening instrument that assesses
memory and executive function and can identify patients who need
more comprehensive evaluation.
9.
A 72-year-old patient reports difficulty managing medications and
paying bills. What should the NP assess?
