NRNP 6540 (Advanced Practice Care of
Older Adults) Final Test 2026
1. Who should be screened for hepatitis b Patients on immunosuppressants
Patients who are hiv positive
Patients who are undergoing hemodialysis
Patients who want to be tissue donors
2. Which of the following medications con- Iron supplements, calcium supplements, laxa-
tributes to constipation in older adults tives
3. An older adult comes into the clinic with Nsaid use
reports of dyspepsia and epigastric pain.
The np diagnosis the patient with peptic H pylori
ulcer disease, gastric ulcer. Which of the
Stress
following are contributing factors to the
development of peptic ulcers
Decreased mucus production
4. A 60 year old male is being treated for Monitor weight and stay within optimal weight
non alcoholic fatty liver disease for over limits
10 years. He still suffers from fatigue,
abdominal pain, and an enlarged liver. Received the hepatitis a&b vaccine if not im-
The np discusses which of the following mune
to assist him in adjusting to his disease
5. A 60 year old who reports swelling in his Cbc to identify anemia
right side, loss of weight, and a slight dis-
coloration of the skin. The np conducts Serum alkaline phosphate, aspartame amino-
a history and physical exam and orders transferase AST, alanine aminotransferase ALT
which of the following to rule out cancer for liver damage
of the liver
Ultrasound to identify any enlargement
, NRNP 6540 (Advanced Practice Care of
Older Adults) Final Test 2026
Radiology 4 nodules found in the liver
6. Patients suffering from irritable bowel Eluxadoline
syndrome for over 10 years. She has
tried various treatments with minimal ef- Rifaximin
fectiveness. She asked the np if there's
anything else that might be helpful to
control the diarrhea. The aprn suggests
which of the following
7. A 67 year old is being seen in the clinic Kate, restrictive clothing
for complaints of regurgitation,pyrosis,
hoarseness, chronic cough, and atypical Avoid smoking and ingestion of fatty foods
chest pain. The np suggests gerd which
Avoid catteine in acidic foods
discharge instructions to the aprn pro-
vide
8. An 80 year old is diagnosed with c diff as It it used to be hospital-acquired only but now
she discusses her condition with the np this infection is in the community
she asks how she obtained the disease
Ibs and compromised immunity can lead toc
ditt
Lesser known risk factors include prior hospi-
talization within several months in a state of
malnourishment in the body
9. A 65 year old male is being treated for Elimination of all alcohol consumption
Cirfrohosis of the liver. Which of the fol-
lowing does the np include in his dis- Recommendation of an alcohol treatment pro-
charge instructions gram
Avoidance of self medicating with over the
, counter medications, including herbal prod-
ucts
10. With chronic hep b&c are often asymp- Palmar erythema
tomatic until their disease progresses to
advanced liver disease. Which is a symp-
tom of advanced liver disease
11. palmar erythema unusual redness of the palms of the hands
12. Which statement is true of constipation Straining during bowel movements can cause
in older adults significant stress
13. Treatment of gastroenteritis includes Avoidance of catteine and milk
14. 70 year old woman who comes to her Real time ultrasonography
and np for pain in her abdomen. Janet
has a history of obesity and diabetes
which of the following is a definitive di-
agnostic test for cholecystitis
15. Which statement best describes gas- Gastroenteritis is caused by viruses, bacteria,
troenteritis and parasites
16. How often does the uspstf recom- 1-3 years
mend colon cancer screening via sigmoi-
doscopy for older adults up until age 76
17. A patient visits the np stating that she Bowel obstruction
has not had a bowel movement four days
and has abdominal cramping, pain, and
some nausea. The patient has a history
of abdominal surgery and diverticulitis.
During the assessment the abdomen is
, rounded, bowel sounds are hyperactive-
and the npcs visible peristalsis in the up-
per quadrants. Which disorder would the
aprn expect from this history and physi-
cal
18. Part of the abdominal examination the Bluish color on the flanks
np will conduct as the assessment of skin
color. As the np assesses the abdom-
inal skin color which finding indicates
retroperitoneal bleeding
19. Patient comes into the primary care of- Asking about the sequence of events that trig-
fice for a regular yearly checkup. The NP gered each episode
Begins the assessment by asking if Ms
Patel has any concerns. The patient says
that she has been experiencing periodic
episodes of abdominal cramps and diar-
rhea that just comes and goes. The NP
continues the assessment with which of
the following
20. Abdominal cramping pain and some Bowel obstruction
nausea no bowel movement in 4 days
history of abdominal surgery during as-
sessment the abdomen is rounded come
about stones are hyperactive in the NPCs
visible peristalsis which disorder
21. Eluxadoline Viberzi
22. An 80-year-old female comes to the CT scan
emergency department with complaints
Older Adults) Final Test 2026
1. Who should be screened for hepatitis b Patients on immunosuppressants
Patients who are hiv positive
Patients who are undergoing hemodialysis
Patients who want to be tissue donors
2. Which of the following medications con- Iron supplements, calcium supplements, laxa-
tributes to constipation in older adults tives
3. An older adult comes into the clinic with Nsaid use
reports of dyspepsia and epigastric pain.
The np diagnosis the patient with peptic H pylori
ulcer disease, gastric ulcer. Which of the
Stress
following are contributing factors to the
development of peptic ulcers
Decreased mucus production
4. A 60 year old male is being treated for Monitor weight and stay within optimal weight
non alcoholic fatty liver disease for over limits
10 years. He still suffers from fatigue,
abdominal pain, and an enlarged liver. Received the hepatitis a&b vaccine if not im-
The np discusses which of the following mune
to assist him in adjusting to his disease
5. A 60 year old who reports swelling in his Cbc to identify anemia
right side, loss of weight, and a slight dis-
coloration of the skin. The np conducts Serum alkaline phosphate, aspartame amino-
a history and physical exam and orders transferase AST, alanine aminotransferase ALT
which of the following to rule out cancer for liver damage
of the liver
Ultrasound to identify any enlargement
, NRNP 6540 (Advanced Practice Care of
Older Adults) Final Test 2026
Radiology 4 nodules found in the liver
6. Patients suffering from irritable bowel Eluxadoline
syndrome for over 10 years. She has
tried various treatments with minimal ef- Rifaximin
fectiveness. She asked the np if there's
anything else that might be helpful to
control the diarrhea. The aprn suggests
which of the following
7. A 67 year old is being seen in the clinic Kate, restrictive clothing
for complaints of regurgitation,pyrosis,
hoarseness, chronic cough, and atypical Avoid smoking and ingestion of fatty foods
chest pain. The np suggests gerd which
Avoid catteine in acidic foods
discharge instructions to the aprn pro-
vide
8. An 80 year old is diagnosed with c diff as It it used to be hospital-acquired only but now
she discusses her condition with the np this infection is in the community
she asks how she obtained the disease
Ibs and compromised immunity can lead toc
ditt
Lesser known risk factors include prior hospi-
talization within several months in a state of
malnourishment in the body
9. A 65 year old male is being treated for Elimination of all alcohol consumption
Cirfrohosis of the liver. Which of the fol-
lowing does the np include in his dis- Recommendation of an alcohol treatment pro-
charge instructions gram
Avoidance of self medicating with over the
, counter medications, including herbal prod-
ucts
10. With chronic hep b&c are often asymp- Palmar erythema
tomatic until their disease progresses to
advanced liver disease. Which is a symp-
tom of advanced liver disease
11. palmar erythema unusual redness of the palms of the hands
12. Which statement is true of constipation Straining during bowel movements can cause
in older adults significant stress
13. Treatment of gastroenteritis includes Avoidance of catteine and milk
14. 70 year old woman who comes to her Real time ultrasonography
and np for pain in her abdomen. Janet
has a history of obesity and diabetes
which of the following is a definitive di-
agnostic test for cholecystitis
15. Which statement best describes gas- Gastroenteritis is caused by viruses, bacteria,
troenteritis and parasites
16. How often does the uspstf recom- 1-3 years
mend colon cancer screening via sigmoi-
doscopy for older adults up until age 76
17. A patient visits the np stating that she Bowel obstruction
has not had a bowel movement four days
and has abdominal cramping, pain, and
some nausea. The patient has a history
of abdominal surgery and diverticulitis.
During the assessment the abdomen is
, rounded, bowel sounds are hyperactive-
and the npcs visible peristalsis in the up-
per quadrants. Which disorder would the
aprn expect from this history and physi-
cal
18. Part of the abdominal examination the Bluish color on the flanks
np will conduct as the assessment of skin
color. As the np assesses the abdom-
inal skin color which finding indicates
retroperitoneal bleeding
19. Patient comes into the primary care of- Asking about the sequence of events that trig-
fice for a regular yearly checkup. The NP gered each episode
Begins the assessment by asking if Ms
Patel has any concerns. The patient says
that she has been experiencing periodic
episodes of abdominal cramps and diar-
rhea that just comes and goes. The NP
continues the assessment with which of
the following
20. Abdominal cramping pain and some Bowel obstruction
nausea no bowel movement in 4 days
history of abdominal surgery during as-
sessment the abdomen is rounded come
about stones are hyperactive in the NPCs
visible peristalsis which disorder
21. Eluxadoline Viberzi
22. An 80-year-old female comes to the CT scan
emergency department with complaints
