NURS6540 / NURS 6540 Exam Study Guide
(Latest 2025/2026): Advanced Practice Care
of Frail Elders - Walden
Section 1: Comprehensive Geriatric Assessment (Questions
1–15)
1. What is the primary purpose of a Comprehensive Geriatric Assessment (CGA)?
A. To reduce healthcare costs
B. To identify care needs and develop individualized care plans
C. To standardize treatment for all older adults
D. To focus solely on physical health
Answer: B
2. Which groups benefit most from a CGA? (Select all that apply)
A. People aged 60–70 years
B. People over 70 years
C. Vulnerable and frail older adults
D. People over 55 years
E. Healthy older adults
Answer: B, C
3. A nurse practitioner identifies a patient as a "frail older adult." This refers to:
A. An older person prone to pathological fractures
B. An older person exhibiting signs of functional decline
C. An older person under 5 feet tall
D. An older person susceptible to infections
Answer: B
4. Which components are included in a CGA? (Select all that apply)
A. Functional status
B. Cognitive assessment
C. Social support evaluation
D. Financial status
E. Nutritional status
Answer: A, B, C, E
,5. Why is a thorough systemic examination necessary for a frail elder with vague
symptoms?
A. Symptoms are always due to aging
B. All body systems interact, and symptoms could indicate various diagnoses
C. Patients may not report all significant information
D. It reduces the need for diagnostic tests
Answer: B
6. A CGA is most beneficial for which patient characteristic?
A. High physiological reserves
B. Low physiological reserves and high risk of iatrogenic complications
C. Stable chronic conditions
D. Young-old adults (65–70 years)
Answer: B
7. What is a key benefit of conducting a CGA?
A. Eliminates the need for diagnostic testing
B. Improves quality of life through individualized care
C. Standardizes medication regimens
D. Reduces caregiver involvement
Answer: B
8. A nurse practitioner assesses a frail elder’s ability to perform activities of daily
living (ADLs). This is part of evaluating:
A. Cognitive status
B. Functional status
C. Psychological health
D. Financial resources
Answer: B
9. Which tool is commonly used in a CGA to assess cognitive function?
A. Mini-Mental State Examination (MMSE)
B. Complete Blood Count (CBC)
C. Creatinine clearance test
D. Beers Criteria
Answer: A
10. A family member asks why a CGA is necessary for their 80-year-old parent. The
nurse practitioner explains it is to:
A. Identify care needs and develop a multidimensional care plan
B. Reduce hospital admissions automatically
, C. Focus only on chronic disease management
D. Simplify medication regimens
Answer: A
11. Which factor increases the vulnerability of frail elders to illness? (Select all that
apply)
A. Interaction of multiple body systems
B. Reduced physiological reserves
C. Increased medication use
D. High physical activity levels
E. Polypharmacy
Answer: A, B, C, E
12. A CGA includes an assessment of caregiver burden. Why is this important?
A. To reduce healthcare costs
B. To support the caregiver’s well-being and care sustainability
C. To standardize treatment protocols
D. To eliminate the need for home care
Answer: B
13. Which of the following is a goal of a CGA?
A. To increase medication prescriptions
B. To identify and manage comorbidities
C. To focus solely on acute conditions
D. To standardize care for all patients
Answer: B
14. A nurse practitioner notes a frail elder’s difficulty with mobility. This finding is part
of:
A. Cognitive assessment
B. Functional assessment
C. Social assessment
D. Nutritional assessment
Answer: B
15. What is a potential risk of not conducting a CGA for a frail elder?
A. Overdiagnosis of acute conditions
B. Missed opportunities to address complex needs
C. Increased medication adherence
D. Simplified care planning
(Latest 2025/2026): Advanced Practice Care
of Frail Elders - Walden
Section 1: Comprehensive Geriatric Assessment (Questions
1–15)
1. What is the primary purpose of a Comprehensive Geriatric Assessment (CGA)?
A. To reduce healthcare costs
B. To identify care needs and develop individualized care plans
C. To standardize treatment for all older adults
D. To focus solely on physical health
Answer: B
2. Which groups benefit most from a CGA? (Select all that apply)
A. People aged 60–70 years
B. People over 70 years
C. Vulnerable and frail older adults
D. People over 55 years
E. Healthy older adults
Answer: B, C
3. A nurse practitioner identifies a patient as a "frail older adult." This refers to:
A. An older person prone to pathological fractures
B. An older person exhibiting signs of functional decline
C. An older person under 5 feet tall
D. An older person susceptible to infections
Answer: B
4. Which components are included in a CGA? (Select all that apply)
A. Functional status
B. Cognitive assessment
C. Social support evaluation
D. Financial status
E. Nutritional status
Answer: A, B, C, E
,5. Why is a thorough systemic examination necessary for a frail elder with vague
symptoms?
A. Symptoms are always due to aging
B. All body systems interact, and symptoms could indicate various diagnoses
C. Patients may not report all significant information
D. It reduces the need for diagnostic tests
Answer: B
6. A CGA is most beneficial for which patient characteristic?
A. High physiological reserves
B. Low physiological reserves and high risk of iatrogenic complications
C. Stable chronic conditions
D. Young-old adults (65–70 years)
Answer: B
7. What is a key benefit of conducting a CGA?
A. Eliminates the need for diagnostic testing
B. Improves quality of life through individualized care
C. Standardizes medication regimens
D. Reduces caregiver involvement
Answer: B
8. A nurse practitioner assesses a frail elder’s ability to perform activities of daily
living (ADLs). This is part of evaluating:
A. Cognitive status
B. Functional status
C. Psychological health
D. Financial resources
Answer: B
9. Which tool is commonly used in a CGA to assess cognitive function?
A. Mini-Mental State Examination (MMSE)
B. Complete Blood Count (CBC)
C. Creatinine clearance test
D. Beers Criteria
Answer: A
10. A family member asks why a CGA is necessary for their 80-year-old parent. The
nurse practitioner explains it is to:
A. Identify care needs and develop a multidimensional care plan
B. Reduce hospital admissions automatically
, C. Focus only on chronic disease management
D. Simplify medication regimens
Answer: A
11. Which factor increases the vulnerability of frail elders to illness? (Select all that
apply)
A. Interaction of multiple body systems
B. Reduced physiological reserves
C. Increased medication use
D. High physical activity levels
E. Polypharmacy
Answer: A, B, C, E
12. A CGA includes an assessment of caregiver burden. Why is this important?
A. To reduce healthcare costs
B. To support the caregiver’s well-being and care sustainability
C. To standardize treatment protocols
D. To eliminate the need for home care
Answer: B
13. Which of the following is a goal of a CGA?
A. To increase medication prescriptions
B. To identify and manage comorbidities
C. To focus solely on acute conditions
D. To standardize care for all patients
Answer: B
14. A nurse practitioner notes a frail elder’s difficulty with mobility. This finding is part
of:
A. Cognitive assessment
B. Functional assessment
C. Social assessment
D. Nutritional assessment
Answer: B
15. What is a potential risk of not conducting a CGA for a frail elder?
A. Overdiagnosis of acute conditions
B. Missed opportunities to address complex needs
C. Increased medication adherence
D. Simplified care planning
