Adult Gerontology Primary Care
University of Texas at Arlington 100-
Question Practice Quiz
2026/2027 Edition
Geriatric Assessment & Function
1. Which tool best evaluates complex tasks needed for independent community living?
A) Confusion Assessment Method
B) Katz ADL scale
C) Lawton Instrumental Activities of Daily Living scale
D) Geriatric Depression Scale
Correct Answer: C) Lawton Instrumental Activities of Daily Living scale
Rationale: The Lawton IADL scale assesses tasks such as shopping, finances, transportation, medication use, and
meal preparation. These activities are often lost before basic self-care.
2. Which tool focuses on basic self-care such as bathing, dressing, toileting, transferring,
continence,and feeding?
A) Mini-Cog
B) Lawton IADL scale
C) Timed Up and Go
D) Katz Index of Activities of Daily Living
Correct Answer: D) Katz Index of Activities of Daily Living
Rationale: The Katz Index measures basic ADLs rather than higher-order community tasks. It is useful for identifying
dependence in essential self-care.
3. An older adult can bathe and dress independently but cannot manage medications or
finances.What does this pattern suggest?
A) Delirium by definition
B) Preserved basic ADLs with impaired IADLs
C) Normal function
D) Impaired basic ADLs only
Correct Answer: B) Preserved basic ADLs with impaired IADLs
Rationale: Medication and financial management are instrumental activities. Their decline can be an early sign of
cognitive or functional impairment.
4. Which test is commonly used to screen mobility and fall risk by timing a patient rising from a
chair,walking, turning, and sitting?
A) PHQ-9
B) CAM
NURS 5461 Module 3 Quiz | Adult Gerontology Primary Care | Original Practice Quiz Page 1
, C) Timed Up and Go test
D) Clock-drawing only
Correct Answer: C) Timed Up and Go test
Rationale: The Timed Up and Go test evaluates gait, balance, transfers, and mobility. Slower or unstable
performance suggests elevated fall risk.
5. Unintentional weight loss, weakness, exhaustion, slow gait, and low activity suggest what
geriatricsyndrome?
A) Normal aging
B) Delirium
C) Polycythemia
D) Frailty
Correct Answer: D) Frailty
Rationale: Frailty reflects reduced physiologic reserve and vulnerability to stressors. Recognizing it helps guide
exercise, nutrition, medication review, and goals of care.
6. Which finding best indicates sarcopenia?
A) Loss of skeletal muscle mass and strength
B) Increased fat mass only
C) Reduced hearing
D) Mild edema
Correct Answer: A) Loss of skeletal muscle mass and strength
Rationale: Sarcopenia is age-associated decline in muscle mass and function. It contributes to falls, disability, and
loss of independence.
7. A patient has difficulty climbing stairs and rising from a chair. Which functional problem is
mostlikely?
A) Constipation
B) Visual field loss only
C) Reduced lower-extremity strength
D) Isolated hearing loss
Correct Answer: C) Reduced lower-extremity strength
Rationale: Chair rise and stair climbing require substantial lower-limb strength. These deficits can signal sarcopenia
or deconditioning.
8. Why is gait speed considered a useful geriatric vital sign?
A) It replaces blood pressure
B) It diagnoses dementia by itself
C) It measures kidney function
D) It correlates with function, frailty, and adverse outcomes
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