NR601 ADVANCED NURSING
PRACTICE: COMPREHENSIVE
GERIATRIC CARE EXAM QUESTIONS
WITH CORRECT ANSWERS (LATEST
), (A+ GUARANTEE).
1. Which Medicare part covers inpatient hospital stays, skilled nursing facility care, hospice
care, and some home health care?
A. Medicare Part D
B. Medicare Part B
C. Medicare Part C
D. Medicare Part A
Answer: D
Conceptual Explanation: Medicare Part A is hospital insurance. Part B covers outpatient
services, Part C is Medicare Advantage, and Part D covers prescription drugs.
2. According to the USPSTF guidelines, at what age should routine screening for colorectal
cancer generally stop for average-risk adults?
A. 65 years
B. 75 years
,C. 70 years
D. 85 years
Answer: B
Conceptual Explanation: The USPSTF recommends screening for colorectal cancer in all
adults aged 50 to 75 years. Screening from 76 to 85 is based on individual health status and
prior screening history.
3. Which of the following is a hallmark clinical feature of delirium that distinguishes it from
dementia?
A. Gradual onset of memory loss
B. Intact sleep-wake cycle
C. Irreversible decline in cognitive function
D. Acute change in level of consciousness and attention
Answer: D
Conceptual Explanation: Delirium is characterized by an acute, fluctuating change in
mental status, including inattention and altered levels of consciousness, whereas dementia
is typically gradual and progressive.
4. Using the Beers Criteria, which medication class should be avoided in older adults due to
the high risk of falls and fractures?
A. ACE inhibitors
, B. Proton pump inhibitors
C. Biguanides
D. Benzodiazepines
Answer: D
Conceptual Explanation: Benzodiazepines increase the risk of cognitive impairment,
delirium, falls, fractures, and motor vehicle accidents in older adults.
5. Which physiological change associated with aging contributes most significantly to changes
in drug clearance?
A. Decreased hepatic blood flow
B. Increased glomerular filtration rate (GFR)
C. Increased total body water
D. Decreased gastric acidity
Answer: A
Conceptual Explanation: Aging is associated with decreased hepatic blood flow and
decreased renal function (decreased GFR), both of which slow the clearance of many
medications.
6. A 78-year-old patient presents with symptoms of heart failure. Which physical finding is
more likely to be absent or subtle in an older adult compared to a younger adult?
A. Dyspnea on exertion
PRACTICE: COMPREHENSIVE
GERIATRIC CARE EXAM QUESTIONS
WITH CORRECT ANSWERS (LATEST
), (A+ GUARANTEE).
1. Which Medicare part covers inpatient hospital stays, skilled nursing facility care, hospice
care, and some home health care?
A. Medicare Part D
B. Medicare Part B
C. Medicare Part C
D. Medicare Part A
Answer: D
Conceptual Explanation: Medicare Part A is hospital insurance. Part B covers outpatient
services, Part C is Medicare Advantage, and Part D covers prescription drugs.
2. According to the USPSTF guidelines, at what age should routine screening for colorectal
cancer generally stop for average-risk adults?
A. 65 years
B. 75 years
,C. 70 years
D. 85 years
Answer: B
Conceptual Explanation: The USPSTF recommends screening for colorectal cancer in all
adults aged 50 to 75 years. Screening from 76 to 85 is based on individual health status and
prior screening history.
3. Which of the following is a hallmark clinical feature of delirium that distinguishes it from
dementia?
A. Gradual onset of memory loss
B. Intact sleep-wake cycle
C. Irreversible decline in cognitive function
D. Acute change in level of consciousness and attention
Answer: D
Conceptual Explanation: Delirium is characterized by an acute, fluctuating change in
mental status, including inattention and altered levels of consciousness, whereas dementia
is typically gradual and progressive.
4. Using the Beers Criteria, which medication class should be avoided in older adults due to
the high risk of falls and fractures?
A. ACE inhibitors
, B. Proton pump inhibitors
C. Biguanides
D. Benzodiazepines
Answer: D
Conceptual Explanation: Benzodiazepines increase the risk of cognitive impairment,
delirium, falls, fractures, and motor vehicle accidents in older adults.
5. Which physiological change associated with aging contributes most significantly to changes
in drug clearance?
A. Decreased hepatic blood flow
B. Increased glomerular filtration rate (GFR)
C. Increased total body water
D. Decreased gastric acidity
Answer: A
Conceptual Explanation: Aging is associated with decreased hepatic blood flow and
decreased renal function (decreased GFR), both of which slow the clearance of many
medications.
6. A 78-year-old patient presents with symptoms of heart failure. Which physical finding is
more likely to be absent or subtle in an older adult compared to a younger adult?
A. Dyspnea on exertion
