ADVANCED PRACTICE NURSING IN THE CARE
OF OLDER ADULTS CHAPTER 5 CERTIFICATION
EVALUATION 2026 QUESTIONS WITH
PRACTICE SOLUTION GRADED A+
◉ Cushing's syndrome. Answer: Characterized by 'moon face' and
'buffalo hump'.
◉ Abnormal uterine bleeding management. Answer: Best next step
in postmenopausal women is endometrial biopsy.
◉ Pancreatitis lab finding. Answer: Consistent finding is elevated
serum lipase.
◉ Chlamydia treatment. Answer: Treatment of choice is
azithromycin 1g PO x1 or doxycycline 100mg BID x7 days.
◉ Gout diagnosis test. Answer: Confirmed by synovial fluid analysis
with urate crystals.
◉ Opioid overdose medication. Answer: Naloxone is used for opioid
overdose.
,◉ Pulmonary embolism imaging. Answer: Best imaging is CT
pulmonary angiography.
◉ Epiglottitis vaccine. Answer: Hib vaccine protects against
epiglottitis.
◉ Mitral regurgitation cause. Answer: Primary cause in the U.S. is
mitral valve prolapse.
◉ Ectopic pregnancy triad. Answer: Classic triad includes abdominal
pain, vaginal bleeding, amenorrhea.
◉ Metformin side effect. Answer: Common side effect is
gastrointestinal upset.
◉ Hypokalemia EKG finding. Answer: Causes U waves on EKG.
◉ GERD gold standard test. Answer: 24-hour pH monitoring is the
gold standard test.
◉ Depression and neuropathic pain medication. Answer: Duloxetine
treats both conditions.
,◉ Systemic lupus erythematosus diagnosis test. Answer: ANA
(antinuclear antibody) test is used.
◉ Cardiovascular risk lipid value. Answer: LDL cholesterol is the
most important value.
◉ Asymptomatic bacteriuria management in pregnancy. Answer:
Initial management is to treat with appropriate antibiotics (e.g.,
nitrofurantoin).
◉ Diabetic retinopathy hallmark finding. Answer: Hallmark finding
is microaneurysms and neovascularization.
◉ Hyperlipidemia first-line drug. Answer: Statins are the first-line
drug.
◉ Seizure disorder contraindicated antidepressant. Answer:
Bupropion is contraindicated in patients with seizure disorders.
◉ Influenza diagnosis test. Answer: Best test is nasopharyngeal
swab with PCR.
◉ Night blindness vitamin deficiency. Answer: Associated with
vitamin A deficiency.
, ◉ DKA hallmark lab finding. Answer: Hallmark finding is metabolic
acidosis with anion gap.
◉ Migraine prophylaxis medication. Answer: Propranolol or
topiramate is used for prophylaxis.
◉ Meningitis sign in infants. Answer: Bulging fontanelle suggests
meningitis.
◉ Syphilis treatment. Answer: Preferred treatment is penicillin G
benzathine IM.
◉ Warfarin therapy monitoring test. Answer: INR is used to monitor
warfarin therapy.
◉ Hyperthyroidism common symptom. Answer: Most common
symptom is weight loss with increased appetite.
◉ Asthma treatment inhaler type. Answer: SABA (e.g., albuterol)
should be used first.
◉ Renal function indicator. Answer: Most reliable indicator is serum
creatinine and GFR.
OF OLDER ADULTS CHAPTER 5 CERTIFICATION
EVALUATION 2026 QUESTIONS WITH
PRACTICE SOLUTION GRADED A+
◉ Cushing's syndrome. Answer: Characterized by 'moon face' and
'buffalo hump'.
◉ Abnormal uterine bleeding management. Answer: Best next step
in postmenopausal women is endometrial biopsy.
◉ Pancreatitis lab finding. Answer: Consistent finding is elevated
serum lipase.
◉ Chlamydia treatment. Answer: Treatment of choice is
azithromycin 1g PO x1 or doxycycline 100mg BID x7 days.
◉ Gout diagnosis test. Answer: Confirmed by synovial fluid analysis
with urate crystals.
◉ Opioid overdose medication. Answer: Naloxone is used for opioid
overdose.
,◉ Pulmonary embolism imaging. Answer: Best imaging is CT
pulmonary angiography.
◉ Epiglottitis vaccine. Answer: Hib vaccine protects against
epiglottitis.
◉ Mitral regurgitation cause. Answer: Primary cause in the U.S. is
mitral valve prolapse.
◉ Ectopic pregnancy triad. Answer: Classic triad includes abdominal
pain, vaginal bleeding, amenorrhea.
◉ Metformin side effect. Answer: Common side effect is
gastrointestinal upset.
◉ Hypokalemia EKG finding. Answer: Causes U waves on EKG.
◉ GERD gold standard test. Answer: 24-hour pH monitoring is the
gold standard test.
◉ Depression and neuropathic pain medication. Answer: Duloxetine
treats both conditions.
,◉ Systemic lupus erythematosus diagnosis test. Answer: ANA
(antinuclear antibody) test is used.
◉ Cardiovascular risk lipid value. Answer: LDL cholesterol is the
most important value.
◉ Asymptomatic bacteriuria management in pregnancy. Answer:
Initial management is to treat with appropriate antibiotics (e.g.,
nitrofurantoin).
◉ Diabetic retinopathy hallmark finding. Answer: Hallmark finding
is microaneurysms and neovascularization.
◉ Hyperlipidemia first-line drug. Answer: Statins are the first-line
drug.
◉ Seizure disorder contraindicated antidepressant. Answer:
Bupropion is contraindicated in patients with seizure disorders.
◉ Influenza diagnosis test. Answer: Best test is nasopharyngeal
swab with PCR.
◉ Night blindness vitamin deficiency. Answer: Associated with
vitamin A deficiency.
, ◉ DKA hallmark lab finding. Answer: Hallmark finding is metabolic
acidosis with anion gap.
◉ Migraine prophylaxis medication. Answer: Propranolol or
topiramate is used for prophylaxis.
◉ Meningitis sign in infants. Answer: Bulging fontanelle suggests
meningitis.
◉ Syphilis treatment. Answer: Preferred treatment is penicillin G
benzathine IM.
◉ Warfarin therapy monitoring test. Answer: INR is used to monitor
warfarin therapy.
◉ Hyperthyroidism common symptom. Answer: Most common
symptom is weight loss with increased appetite.
◉ Asthma treatment inhaler type. Answer: SABA (e.g., albuterol)
should be used first.
◉ Renal function indicator. Answer: Most reliable indicator is serum
creatinine and GFR.
