and Aged Family 2026 Actual Exam 2026/2027 |
Complete Exam-Style Questions with Detailed
Rationales | Pass Guaranteed – A+ Graded
Section 1: Complete Geriatric Assessment (CGA) & Domains
Q1: The primary purpose of a Complete Geriatric Assessment (CGA) is to:
A. Determine eligibility for long-term care insurance
B. Develop an integrated plan for treatment and long-term follow-up [CORRECT]
C. Replace the need for specialist consultations
D. Focus exclusively on acute medical problems
Correct Answer: B
Rationale: Correct because the CGA is a multidisciplinary, multidimensional diagnostic
process designed to evaluate an older adult's capabilities and limitations in order to
develop an integrated plan for treatment and long-term follow-up.
Q2: Which of the following is NOT one of the five domains of a Complete Geriatric
Assessment?
A. Physical health
B. Psychological health
C. Financial planning [CORRECT]
D. Quality of life measures
Correct Answer: C
Rationale: Correct because the five domains of the CGA are Physical health, Functional
health, Psychological health, Socio-environmental support, and Quality of life measures;
financial planning is not a defined domain.
Q3: A nurse practitioner is evaluating a 78-year-old patient's ability to bathe, dress, and
prepare meals. This assessment is evaluating which domain of the CGA?
A. Physical health
,B. Functional health [CORRECT]
C. Psychological health
D. Socio-environmental support
Correct Answer: B
Rationale: Correct because functional health assessment evaluates how the older adult
can care for themselves day to day, including activities of daily living and instrumental
activities of daily living.
Q4: The CGA recognizes that physical health is directly related to all of the following
EXCEPT:
A. Psychosocial status
B. Functional ability
C. Genetic predisposition to disease [CORRECT]
D. A safe environment
Correct Answer: C
Rationale: Correct because the CGA framework recognizes that physical health is
related to psychosocial status, functional ability, and a safe environment, but not to
fixed genetic predisposition.
Q5: A multidisciplinary team including a physician, nurse practitioner, social worker, and
physical therapist conducts a comprehensive evaluation of a vulnerable older adult.
This best reflects which principle of the CGA?
A. It is a multidimensional diagnostic process [CORRECT]
B. It is only necessary for institutionalized elders
C. It replaces family involvement
D. It focuses primarily on medication reconciliation
Correct Answer: A
Rationale: Correct because the CGA is a multidisciplinary, multidimensional diagnostic
process that integrates input from multiple healthcare disciplines to evaluate the whole
patient.
Q6: Functional health assessment within the CGA specifically evaluates:
A. The patient's ability to care for themselves day to day [CORRECT]
B. The patient's cognitive screening scores only
C. The patient's eligibility for hospice care
D. The patient's medication adherence patterns exclusively
, Correct Answer: A
Rationale: Correct because functional health assessment evaluates how the older adult
can care for themselves day to day, which is a core component of the CGA's
multidimensional approach.
Section 2: Age-Related Physiological Changes vs. Pathology
Q7: A 72-year-old patient asks which of the following changes is considered a normal
part of aging rather than a disease process. The nurse practitioner correctly identifies:
A. Progressive tremor at rest
B. Reduced gas exchange efficiency [CORRECT]
C. Increased collagen and elastin in arteries
D. Sudden onset of confusion
Correct Answer: B
Rationale: Correct because reduced gas exchange efficiency due to decreased vital
capacity is an expected age-related physiological change, whereas progressive tremor,
increased arterial collagen, and acute confusion are pathological.
Q8: Which age-related cardiovascular change is expected in older adults?
A. Increased cardiac output during exercise
B. Decreased cardiac output during stress [CORRECT]
C. Decreased systolic blood pressure
D. Increased arterial compliance
Correct Answer: B
Rationale: Correct because normal aging includes decreased cardiac output during
stress due to reduced cardiac reserve, while the other options describe pathological or
incorrect physiological patterns.
Q9: During a wellness visit, a 68-year-old woman reports urinary leakage when
coughing. The nurse practitioner explains that age-related changes in older women
include all of the following EXCEPT:
A. Decline in ureteral resistance pressure
B. Laxity of the pelvic muscles
C. Increased estrogen production [CORRECT]
D. Decline in bladder outlet function
Correct Answer: C