1
NURS6540 Final Exam Q&A
Bundle 2024/2025 – Advanced
Practice Care of Frail Elders |
Verified Questions with
Correct Answers | Walden
University
Geriatric Syndromes
1. What is a hallmark feature of frailty in older adults?
A. Increased muscle mass
B. Unintentional weight loss
C. Hyperactivity
D. Improved cognitive function
Correct Answer: B. Unintentional weight loss
Rationale: Frailty is characterized by unintentional weight loss, weakness, fatigue, and
reduced physical activity, reflecting a decline in physiological reserve.
2. A frail elder presents with frequent falls. What is the nurse practitioner’s priority
assessment?
A. Blood glucose levels
B. Gait and balance
C. Visual acuity
D. Respiratory rate
Correct Answer: B. Gait and balance
Rationale: Frequent falls in frail elders are often due to impaired gait and balance,
requiring a comprehensive assessment to identify risks and prevent injuries.
3. Which tool is commonly used to assess fall risk in older adults?
A. Mini-Mental State Examination (MMSE)
B. Timed Up and Go (TUG) Test
C. Braden Scale
D. Glasgow Coma Scale
Correct Answer: B. Timed Up and Go (TUG) Test
, 2
Rationale: The TUG Test assesses mobility and balance, identifying fall risk by
measuring the time taken to stand, walk, and sit.
4. Select all that apply: Which interventions reduce fall risk in frail elders?
A. Home safety evaluation
B. Strength training exercises
C. Discontinuing all medications
D. Vision assessment
E. Restricting physical activity
Correct Answers: A. Home safety evaluation, B. Strength training exercises, D.
Vision assessment
Rationale: Home safety evaluations, strength training, and vision assessments address
environmental, physical, and sensory contributors to falls. Discontinuing all medications
is unsafe, and restricting activity increases frailty.
5. What is a common clinical manifestation of delirium in older adults?
A. Gradual cognitive decline
B. Acute confusion with fluctuating symptoms
C. Improved memory
D. Stable mood
Correct Answer: B. Acute confusion with fluctuating symptoms
Rationale: Delirium is characterized by acute, fluctuating confusion, often triggered by
infection, medication, or illness in frail elders.
6. A frail elder with dementia exhibits agitation. What is the nurse practitioner’s
priority intervention?
A. Administer a sedative immediately
B. Assess for underlying causes
C. Restrict social interaction
D. Increase sensory stimulation
Correct Answer: B. Assess for underlying causes
Rationale: Agitation in dementia may result from pain, infection, or environmental
factors. Assessing underlying causes guides appropriate, patient-centered interventions.
7. What is a risk factor for pressure ulcers in frail elders?
A. Increased mobility
B. Prolonged immobility
C. Adequate nutrition
D. High skin moisture
Correct Answer: B. Prolonged immobility
Rationale: Prolonged immobility reduces tissue perfusion, increasing pressure ulcer risk
in frail elders with limited mobility.
8. Which tool assesses cognitive impairment in older adults?
A. Braden Scale
B. Mini-Mental State Examination (MMSE)
C. Morse Fall Scale
D. Norton Scale
Correct Answer: B. Mini-Mental State Examination (MMSE)
Rationale: The MMSE is a standardized tool to assess cognitive function, identifying
dementia or delirium in older adults.
, 3
9. What is a clinical manifestation of urinary incontinence in frail elders?
A. Increased bladder capacity
B. Involuntary urine leakage
C. Decreased urinary frequency
D. Improved bladder control
Correct Answer: B. Involuntary urine leakage
Rationale: Urinary incontinence involves involuntary urine leakage, often due to
weakened pelvic muscles or neurological changes in frail elders.
10. What is the primary goal of managing geriatric syndromes in frail elders?
A. Cure all chronic conditions
B. Optimize function and quality of life
C. Eliminate all medications
D. Restrict physical activity
Correct Answer: B. Optimize function and quality of life
Rationale: Managing geriatric syndromes focuses on optimizing function and quality of
life through individualized, multidisciplinary interventions.
Chronic Disease Management
11. A frail elder with heart failure exhibits dyspnea and edema. What is the nurse
practitioner’s priority action?
A. Increase sodium intake
B. Administer a diuretic as prescribed
C. Encourage bed rest
D. Restrict all fluids
Correct Answer: B. Administer a diuretic as prescribed
Rationale: Dyspnea and edema in heart failure indicate fluid overload, requiring
diuretics to reduce volume and improve symptoms.
12. What is a common complication of chronic obstructive pulmonary disease (COPD)
in older adults?
A. Hypoglycemia
B. Cor pulmonale
C. Renal failure
D. Seizures
Correct Answer: B. Cor pulmonale
Rationale: COPD causes chronic hypoxemia, leading to pulmonary hypertension and cor
pulmonale (right heart failure) in older adults.
13. A frail elder with type 2 diabetes has a blood glucose of 50 mg/dL. What is the nurse
practitioner’s priority action?
A. Administer insulin
B. Provide a fast-acting carbohydrate
C. Restrict fluids
D. Monitor for 1 hour
Correct Answer: B. Provide a fast-acting carbohydrate
NURS6540 Final Exam Q&A
Bundle 2024/2025 – Advanced
Practice Care of Frail Elders |
Verified Questions with
Correct Answers | Walden
University
Geriatric Syndromes
1. What is a hallmark feature of frailty in older adults?
A. Increased muscle mass
B. Unintentional weight loss
C. Hyperactivity
D. Improved cognitive function
Correct Answer: B. Unintentional weight loss
Rationale: Frailty is characterized by unintentional weight loss, weakness, fatigue, and
reduced physical activity, reflecting a decline in physiological reserve.
2. A frail elder presents with frequent falls. What is the nurse practitioner’s priority
assessment?
A. Blood glucose levels
B. Gait and balance
C. Visual acuity
D. Respiratory rate
Correct Answer: B. Gait and balance
Rationale: Frequent falls in frail elders are often due to impaired gait and balance,
requiring a comprehensive assessment to identify risks and prevent injuries.
3. Which tool is commonly used to assess fall risk in older adults?
A. Mini-Mental State Examination (MMSE)
B. Timed Up and Go (TUG) Test
C. Braden Scale
D. Glasgow Coma Scale
Correct Answer: B. Timed Up and Go (TUG) Test
, 2
Rationale: The TUG Test assesses mobility and balance, identifying fall risk by
measuring the time taken to stand, walk, and sit.
4. Select all that apply: Which interventions reduce fall risk in frail elders?
A. Home safety evaluation
B. Strength training exercises
C. Discontinuing all medications
D. Vision assessment
E. Restricting physical activity
Correct Answers: A. Home safety evaluation, B. Strength training exercises, D.
Vision assessment
Rationale: Home safety evaluations, strength training, and vision assessments address
environmental, physical, and sensory contributors to falls. Discontinuing all medications
is unsafe, and restricting activity increases frailty.
5. What is a common clinical manifestation of delirium in older adults?
A. Gradual cognitive decline
B. Acute confusion with fluctuating symptoms
C. Improved memory
D. Stable mood
Correct Answer: B. Acute confusion with fluctuating symptoms
Rationale: Delirium is characterized by acute, fluctuating confusion, often triggered by
infection, medication, or illness in frail elders.
6. A frail elder with dementia exhibits agitation. What is the nurse practitioner’s
priority intervention?
A. Administer a sedative immediately
B. Assess for underlying causes
C. Restrict social interaction
D. Increase sensory stimulation
Correct Answer: B. Assess for underlying causes
Rationale: Agitation in dementia may result from pain, infection, or environmental
factors. Assessing underlying causes guides appropriate, patient-centered interventions.
7. What is a risk factor for pressure ulcers in frail elders?
A. Increased mobility
B. Prolonged immobility
C. Adequate nutrition
D. High skin moisture
Correct Answer: B. Prolonged immobility
Rationale: Prolonged immobility reduces tissue perfusion, increasing pressure ulcer risk
in frail elders with limited mobility.
8. Which tool assesses cognitive impairment in older adults?
A. Braden Scale
B. Mini-Mental State Examination (MMSE)
C. Morse Fall Scale
D. Norton Scale
Correct Answer: B. Mini-Mental State Examination (MMSE)
Rationale: The MMSE is a standardized tool to assess cognitive function, identifying
dementia or delirium in older adults.
, 3
9. What is a clinical manifestation of urinary incontinence in frail elders?
A. Increased bladder capacity
B. Involuntary urine leakage
C. Decreased urinary frequency
D. Improved bladder control
Correct Answer: B. Involuntary urine leakage
Rationale: Urinary incontinence involves involuntary urine leakage, often due to
weakened pelvic muscles or neurological changes in frail elders.
10. What is the primary goal of managing geriatric syndromes in frail elders?
A. Cure all chronic conditions
B. Optimize function and quality of life
C. Eliminate all medications
D. Restrict physical activity
Correct Answer: B. Optimize function and quality of life
Rationale: Managing geriatric syndromes focuses on optimizing function and quality of
life through individualized, multidisciplinary interventions.
Chronic Disease Management
11. A frail elder with heart failure exhibits dyspnea and edema. What is the nurse
practitioner’s priority action?
A. Increase sodium intake
B. Administer a diuretic as prescribed
C. Encourage bed rest
D. Restrict all fluids
Correct Answer: B. Administer a diuretic as prescribed
Rationale: Dyspnea and edema in heart failure indicate fluid overload, requiring
diuretics to reduce volume and improve symptoms.
12. What is a common complication of chronic obstructive pulmonary disease (COPD)
in older adults?
A. Hypoglycemia
B. Cor pulmonale
C. Renal failure
D. Seizures
Correct Answer: B. Cor pulmonale
Rationale: COPD causes chronic hypoxemia, leading to pulmonary hypertension and cor
pulmonale (right heart failure) in older adults.
13. A frail elder with type 2 diabetes has a blood glucose of 50 mg/dL. What is the nurse
practitioner’s priority action?
A. Administer insulin
B. Provide a fast-acting carbohydrate
C. Restrict fluids
D. Monitor for 1 hour
Correct Answer: B. Provide a fast-acting carbohydrate
