• NURS 5461 Exam 09/11/2026
NURS 5461 / NURS5461 (Latest Update 2026 /
2027) Adult Gerontology Management Across
the Continuum of Care | Questions & Answers |
Grade A | 100% Correct - UTA
As a GNP you understand that older adults have bone loss. At what age does this bone loss start?
40
50
60
70 - Correct Answer :40
Bone loss begins at about age 40. Bone loss is more common in women than in men and so osteoporosis occurs
more often in women.
P 1
, • NURS 5461 Exam 09/11/2026
How many daily servings of fruit should a patient on the 2000 calorie DASH diet consume?
6-8 servings.
As many as he or she desires.
4-5 servings.
2-3 servings. - Correct Answer :4-5 servings.
Fruits are a key part of the DASH diet. A person on the 2000 calorie DASH should eat 4-5 servings of fruit each
day. Some fruits such as grapefruit may interact with medication, so the patient may want to verify with you that
these foods are acceptable.
You are evaluating your elderly patient and determine that she has a heart murmur. When listening to it, you
note the sound is very loud and can even be heard with the stethoscope partially off the chest. How would this
murmur be graded?
IV/VI.
I/VI.
V/VI.
III/VI. - Correct Answer :V/VI.
Grading heart murmurs follows this system: I/VI: Heart murmur makes faint sound and may not be heard when
patient changes position. II/VI: Heart murmur is quiet but can be heard as soon as the stethoscope is placed on
the chest. III/VI: Heart murmur is moderately loud. IV/VI: Heart murmur is loud and accompanied by a palpable
thrill. V/VI: Heart murmur is very loud and can be heard with the stethoscope partially off the chest. VI/VI: Heart
murmur is very loud and can be heard with the stethoscope completely off the patient's chest.
Many older adults will have diabetes mellitus. What laboratory tests would the Geriatric Nurse Practitioner use to
monitor this condition?
A1C, serum creatinine
AST/ALT
urinalysis, BUN
ferriten and total iron - Correct Answer :A1C, serum creatinine
P 2
, • NURS 5461 Exam 09/11/2026
Choice A is the right answer. A1C should be assessed every 3 to 6 months. Fasting blood glucose needs checked
often and as indicated. A fasting lipid profile should be done annually, as should a microalbumin/creatinine of the
urine, serum creatinine, and thyroid assessment.
After fasting since 6:00 p.m. the night before, Mrs. Hilliard's blood glucose is tested. The result is 115 mg/Dl.
What does this mean?
She is diabetic.
She is in a coma.
Her blood glucose is normal.
She is prediabetic. - Correct Answer :She is prediabetic.
Various blood glucose levels indicate different things. The following is true: A fasting blood glucose level of 70-99
mg/dL is normal. A fasting blood glucose level of 100-125 mg/Dl indicates prediabetes. A fasting blood glucose
level of 126 mg/dL and above during more than one test means the patient is diabetic.
An elderly patient is concerned because she noticed her stools are watery, yellow-green in color and she has
abdominal pain. When asked about the odor of her stools, the patient explained that she did not notice anything
unusual with the smell. Of the following, which would MOST likely be the diagnosis of such?
Shigella.
Adenovirus.
Campylobacter jejuni.
Salmonella. - Correct Answer :Shigella.
Shigella is a bacterial form of diarrhea. It is especially common in children 2-10 years old, but can occur at any age.
What is typically used to investigate suspected problems with the biliary system?
Barium study.
P 3
, • NURS 5461 Exam 09/11/2026
CT scan.
Ultrasound.
MRI. - Correct Answer :Ultrasound.
The pancreas, liver, spleen, and gallbladder are part of the biliary system. An ultrasound is commonly used to
look for abnormalities in the organs of the system.
When evaluating a 61-year-old patient, you determine that he is experiencing a type of incontinence in which he
is not able to physically go to the bathroom when he needs to. What type of incontinence is this?
Overflow.
Urge.
Stress.
Functional. - Correct Answer :Functional.
There are several types of incontinence. Overflow incontinence: Urine leaks as a result of forces against the
bladder. Urge incontinence: Patient cannot keep himself from urinating when his bladder is full. Stress
incontinence: Patient always urinates when there is pressure against his abdomen. Functional incontinence:
Cognitive or physical impairments prevent the patient from urinating when he has the need to go.
A patient comes in the office for abdominal cramps and "really bad" diarrhea. The enzyme immunoassay test for
C. difficile is positive and you inquire about antibiotic usage. He is on clindamycin for a tooth abscess. How
should he be managed?
give metronidazole
treat the diarrhea, give metronidazole
stop the clindamycin, treat the diarrhea
stop the clindamycin if possible, give metronidazole - Correct Answer :stop the clindamycin if possible, give
metronidazole
P 4
NURS 5461 / NURS5461 (Latest Update 2026 /
2027) Adult Gerontology Management Across
the Continuum of Care | Questions & Answers |
Grade A | 100% Correct - UTA
As a GNP you understand that older adults have bone loss. At what age does this bone loss start?
40
50
60
70 - Correct Answer :40
Bone loss begins at about age 40. Bone loss is more common in women than in men and so osteoporosis occurs
more often in women.
P 1
, • NURS 5461 Exam 09/11/2026
How many daily servings of fruit should a patient on the 2000 calorie DASH diet consume?
6-8 servings.
As many as he or she desires.
4-5 servings.
2-3 servings. - Correct Answer :4-5 servings.
Fruits are a key part of the DASH diet. A person on the 2000 calorie DASH should eat 4-5 servings of fruit each
day. Some fruits such as grapefruit may interact with medication, so the patient may want to verify with you that
these foods are acceptable.
You are evaluating your elderly patient and determine that she has a heart murmur. When listening to it, you
note the sound is very loud and can even be heard with the stethoscope partially off the chest. How would this
murmur be graded?
IV/VI.
I/VI.
V/VI.
III/VI. - Correct Answer :V/VI.
Grading heart murmurs follows this system: I/VI: Heart murmur makes faint sound and may not be heard when
patient changes position. II/VI: Heart murmur is quiet but can be heard as soon as the stethoscope is placed on
the chest. III/VI: Heart murmur is moderately loud. IV/VI: Heart murmur is loud and accompanied by a palpable
thrill. V/VI: Heart murmur is very loud and can be heard with the stethoscope partially off the chest. VI/VI: Heart
murmur is very loud and can be heard with the stethoscope completely off the patient's chest.
Many older adults will have diabetes mellitus. What laboratory tests would the Geriatric Nurse Practitioner use to
monitor this condition?
A1C, serum creatinine
AST/ALT
urinalysis, BUN
ferriten and total iron - Correct Answer :A1C, serum creatinine
P 2
, • NURS 5461 Exam 09/11/2026
Choice A is the right answer. A1C should be assessed every 3 to 6 months. Fasting blood glucose needs checked
often and as indicated. A fasting lipid profile should be done annually, as should a microalbumin/creatinine of the
urine, serum creatinine, and thyroid assessment.
After fasting since 6:00 p.m. the night before, Mrs. Hilliard's blood glucose is tested. The result is 115 mg/Dl.
What does this mean?
She is diabetic.
She is in a coma.
Her blood glucose is normal.
She is prediabetic. - Correct Answer :She is prediabetic.
Various blood glucose levels indicate different things. The following is true: A fasting blood glucose level of 70-99
mg/dL is normal. A fasting blood glucose level of 100-125 mg/Dl indicates prediabetes. A fasting blood glucose
level of 126 mg/dL and above during more than one test means the patient is diabetic.
An elderly patient is concerned because she noticed her stools are watery, yellow-green in color and she has
abdominal pain. When asked about the odor of her stools, the patient explained that she did not notice anything
unusual with the smell. Of the following, which would MOST likely be the diagnosis of such?
Shigella.
Adenovirus.
Campylobacter jejuni.
Salmonella. - Correct Answer :Shigella.
Shigella is a bacterial form of diarrhea. It is especially common in children 2-10 years old, but can occur at any age.
What is typically used to investigate suspected problems with the biliary system?
Barium study.
P 3
, • NURS 5461 Exam 09/11/2026
CT scan.
Ultrasound.
MRI. - Correct Answer :Ultrasound.
The pancreas, liver, spleen, and gallbladder are part of the biliary system. An ultrasound is commonly used to
look for abnormalities in the organs of the system.
When evaluating a 61-year-old patient, you determine that he is experiencing a type of incontinence in which he
is not able to physically go to the bathroom when he needs to. What type of incontinence is this?
Overflow.
Urge.
Stress.
Functional. - Correct Answer :Functional.
There are several types of incontinence. Overflow incontinence: Urine leaks as a result of forces against the
bladder. Urge incontinence: Patient cannot keep himself from urinating when his bladder is full. Stress
incontinence: Patient always urinates when there is pressure against his abdomen. Functional incontinence:
Cognitive or physical impairments prevent the patient from urinating when he has the need to go.
A patient comes in the office for abdominal cramps and "really bad" diarrhea. The enzyme immunoassay test for
C. difficile is positive and you inquire about antibiotic usage. He is on clindamycin for a tooth abscess. How
should he be managed?
give metronidazole
treat the diarrhea, give metronidazole
stop the clindamycin, treat the diarrhea
stop the clindamycin if possible, give metronidazole - Correct Answer :stop the clindamycin if possible, give
metronidazole
P 4
