Adult Gerontology Clinical Nurse Specialist
Certification
Final Test Review (Qns & Ans)
2025
1. Multiple Choice
A 70-year-old male presents with acute confusion, fever, and
hypotension. Blood cultures reveal gram-negative rods. What is
the most likely diagnosis?
A. Septic shock
B. Cardiogenic shock
C. Hypovolemic shock
D. Neurogenic shock
ANS : A. Septic shock
©2025
, Rationale : Septic shock is characterized by systemic
inflammation and hypotension due to infection, often with gram-
negative bacteria.
---
2. Fill-in-the-Blank
The ___________ scale is used to assess the risk of pressure
ulcers in hospitalized patients.
ANS : Braden
Rationale : The Braden Scale evaluates risk factors for pressure
ulcers, guiding preventive measures.
---
3. True/False
Delirium in older adults is often reversible with appropriate
treatment.
ANS : True
©2025
, Rationale : Delirium is typically reversible when the underlying
cause, such as infection or medication side effects, is addressed.
---
4. Multiple Response
Which interventions are appropriate for managing chronic heart
failure in older adults? (Select all that apply.)
A. ACE inhibitors
B. Beta-blockers
C. Diuretics
D. Calcium channel blockers
ANS : A. ACE inhibitors, B. Beta-blockers, C. Diuretics
Rationale : These medications improve symptoms and reduce
mortality in chronic heart failure.
---
5. Multiple Choice
©2025
, A 68-year-old female presents with sudden onset of unilateral
weakness and slurred speech. What is the most appropriate initial
diagnostic test?
A. MRI brain
B. CT head without contrast
C. EEG
D. Carotid ultrasound
ANS : B. CT head without contrast
Rationale : CT without contrast quickly differentiates between
ischemic and hemorrhagic stroke.
---
6. Fill-in-the-Blank
The ___________ maneuver is used to assess hip stability in
infants.
ANS : Ortolani
Rationale : The Ortolani maneuver detects hip dislocation or
instability.
©2025
Certification
Final Test Review (Qns & Ans)
2025
1. Multiple Choice
A 70-year-old male presents with acute confusion, fever, and
hypotension. Blood cultures reveal gram-negative rods. What is
the most likely diagnosis?
A. Septic shock
B. Cardiogenic shock
C. Hypovolemic shock
D. Neurogenic shock
ANS : A. Septic shock
©2025
, Rationale : Septic shock is characterized by systemic
inflammation and hypotension due to infection, often with gram-
negative bacteria.
---
2. Fill-in-the-Blank
The ___________ scale is used to assess the risk of pressure
ulcers in hospitalized patients.
ANS : Braden
Rationale : The Braden Scale evaluates risk factors for pressure
ulcers, guiding preventive measures.
---
3. True/False
Delirium in older adults is often reversible with appropriate
treatment.
ANS : True
©2025
, Rationale : Delirium is typically reversible when the underlying
cause, such as infection or medication side effects, is addressed.
---
4. Multiple Response
Which interventions are appropriate for managing chronic heart
failure in older adults? (Select all that apply.)
A. ACE inhibitors
B. Beta-blockers
C. Diuretics
D. Calcium channel blockers
ANS : A. ACE inhibitors, B. Beta-blockers, C. Diuretics
Rationale : These medications improve symptoms and reduce
mortality in chronic heart failure.
---
5. Multiple Choice
©2025
, A 68-year-old female presents with sudden onset of unilateral
weakness and slurred speech. What is the most appropriate initial
diagnostic test?
A. MRI brain
B. CT head without contrast
C. EEG
D. Carotid ultrasound
ANS : B. CT head without contrast
Rationale : CT without contrast quickly differentiates between
ischemic and hemorrhagic stroke.
---
6. Fill-in-the-Blank
The ___________ maneuver is used to assess hip stability in
infants.
ANS : Ortolani
Rationale : The Ortolani maneuver detects hip dislocation or
instability.
©2025
