Advanced Practice Nursing in the Care of Older
Adults 3rd Edition Kennedy-Malone Exam
Preparation Newest With Complete Questions
And Correct Detailed Answers| Brand New
Version
1. The fastest-growing segment of the U.S. population is:
A. Adults aged 55–64
B. Adults aged 65–74
C. Adults aged 75–84
D. Adults aged 85 and older
Answer: D. Adults aged 85 and older
Rationale: Adults aged 85+ represent the fastest-growing population
segment due to increased longevity.
2. A key physiologic change associated with aging is:
A. Increased cardiac output
B. Decreased renal blood flow
C. Increased lung elasticity
D. Increased hepatic metabolism
Answer: B. Decreased renal blood flow
Rationale: Renal perfusion declines with age, reducing kidney
function.
3. Which term describes the gradual decline of organ function with
age?
A. Frailty
B. Homeostasis
,C. Senescence
D. Comorbidity
Answer: C. Senescence
Rationale: Senescence refers to biologic aging and functional decline.
4. Polypharmacy is commonly defined as:
A. Use of two medications
B. Use of five or more medications
C. Use of over-the-counter medications
D. Use of herbal medications
Answer: B. Use of five or more medications
Rationale: Polypharmacy typically refers to taking five or more
medications.
5. Which laboratory value best reflects renal function in older
adults?
A. Hemoglobin
B. Serum creatinine alone
C. Creatinine clearance
D. Sodium level
Answer: C. Creatinine clearance
Rationale: Creatinine clearance reflects renal filtration more
accurately than serum creatinine alone.
6. Which sensory change is most common in aging?
A. Improved near vision
B. Presbyopia
,C. Enhanced color perception
D. Increased tear production
Answer: B. Presbyopia
Rationale: Presbyopia is age-related difficulty focusing on near
objects.
7. The primary goal of geriatric assessment is to:
A. Diagnose acute illness
B. Evaluate functional ability
C. Prescribe medications
D. Perform surgery
Answer: B. Evaluate functional ability
Rationale: Geriatric assessment focuses on functional capacity and
independence.
8. The Mini-Mental State Examination (MMSE) evaluates:
A. Mobility
B. Nutrition
C. Cognitive function
D. Vision
Answer: C. Cognitive function
Rationale: MMSE is a screening tool for cognitive impairment.
9. A major risk factor for falls in older adults is:
A. Weight gain
B. Polypharmacy
C. Increased muscle strength
D. Improved vision
, Answer: B. Polypharmacy
Rationale: Multiple medications increase fall risk due to side effects.
10. Which vaccine is recommended annually for older adults?
A. Pneumococcal
B. Influenza
C. Tdap
D. Hepatitis B
Answer: B. Influenza
Rationale: Influenza vaccine is recommended yearly.
11. Which condition is strongly associated with frailty?
A. Hypertension
B. Weight gain
C. Muscle weakness
D. Hyperactivity
Answer: C. Muscle weakness
Rationale: Frailty includes weakness, fatigue, and decreased physical
activity.
12. A normal aging change in the cardiovascular system is:
A. Increased heart rate
B. Decreased arterial stiffness
C. Increased systolic blood pressure
D. Reduced vascular resistance
Answer: C. Increased systolic blood pressure
Rationale: Arterial stiffening increases systolic BP.
Adults 3rd Edition Kennedy-Malone Exam
Preparation Newest With Complete Questions
And Correct Detailed Answers| Brand New
Version
1. The fastest-growing segment of the U.S. population is:
A. Adults aged 55–64
B. Adults aged 65–74
C. Adults aged 75–84
D. Adults aged 85 and older
Answer: D. Adults aged 85 and older
Rationale: Adults aged 85+ represent the fastest-growing population
segment due to increased longevity.
2. A key physiologic change associated with aging is:
A. Increased cardiac output
B. Decreased renal blood flow
C. Increased lung elasticity
D. Increased hepatic metabolism
Answer: B. Decreased renal blood flow
Rationale: Renal perfusion declines with age, reducing kidney
function.
3. Which term describes the gradual decline of organ function with
age?
A. Frailty
B. Homeostasis
,C. Senescence
D. Comorbidity
Answer: C. Senescence
Rationale: Senescence refers to biologic aging and functional decline.
4. Polypharmacy is commonly defined as:
A. Use of two medications
B. Use of five or more medications
C. Use of over-the-counter medications
D. Use of herbal medications
Answer: B. Use of five or more medications
Rationale: Polypharmacy typically refers to taking five or more
medications.
5. Which laboratory value best reflects renal function in older
adults?
A. Hemoglobin
B. Serum creatinine alone
C. Creatinine clearance
D. Sodium level
Answer: C. Creatinine clearance
Rationale: Creatinine clearance reflects renal filtration more
accurately than serum creatinine alone.
6. Which sensory change is most common in aging?
A. Improved near vision
B. Presbyopia
,C. Enhanced color perception
D. Increased tear production
Answer: B. Presbyopia
Rationale: Presbyopia is age-related difficulty focusing on near
objects.
7. The primary goal of geriatric assessment is to:
A. Diagnose acute illness
B. Evaluate functional ability
C. Prescribe medications
D. Perform surgery
Answer: B. Evaluate functional ability
Rationale: Geriatric assessment focuses on functional capacity and
independence.
8. The Mini-Mental State Examination (MMSE) evaluates:
A. Mobility
B. Nutrition
C. Cognitive function
D. Vision
Answer: C. Cognitive function
Rationale: MMSE is a screening tool for cognitive impairment.
9. A major risk factor for falls in older adults is:
A. Weight gain
B. Polypharmacy
C. Increased muscle strength
D. Improved vision
, Answer: B. Polypharmacy
Rationale: Multiple medications increase fall risk due to side effects.
10. Which vaccine is recommended annually for older adults?
A. Pneumococcal
B. Influenza
C. Tdap
D. Hepatitis B
Answer: B. Influenza
Rationale: Influenza vaccine is recommended yearly.
11. Which condition is strongly associated with frailty?
A. Hypertension
B. Weight gain
C. Muscle weakness
D. Hyperactivity
Answer: C. Muscle weakness
Rationale: Frailty includes weakness, fatigue, and decreased physical
activity.
12. A normal aging change in the cardiovascular system is:
A. Increased heart rate
B. Decreased arterial stiffness
C. Increased systolic blood pressure
D. Reduced vascular resistance
Answer: C. Increased systolic blood pressure
Rationale: Arterial stiffening increases systolic BP.
