AG-CNS EXAM (2025/2026) WITH CURRENTLY TESTING
QUESTIONS WITH ACCURATE RATIONALES | ALREADY
GRADED A
Adult gerontology clinical nurse specialists are talking about the ability to produce an effect. What term
best describes what they are talking about?
a. Marketing.
b. Budget.
c. Reimbursement.
d. Efficacy. - correct answer ✔✔d. Efficacy
Efficacy is a concept that adult gerontology clinical nurse specialists should be aware of. The word
efficacy is used to describe the ability to produce an effect. More directly, it means the ability of an
intervention or medication to produce an expected outcome.
Frankie is a patient who has been diagnosed with pancreatitis. Which of the following test results is
most likely to be consistent with this diagnosis?
a. Lipase is lowered.
b. White blood count will be elevated if the pancreatitis is acute.
c. Bilirubin is grossly elevated.
d. Glucose may be severely decreased if pancreatitis is severe. - correct answer ✔✔b. White blood
count will be elevated if the pancreatitis is acute.
White blood count will be elevated if the pancreatitis is acute. Lipase is elevated in pancreatitis. Bilirubin
is mildly elevated in 20% of patients. Glucose may be increased in severe pancreatitis.
Creating a culture amenable to innovation is necessarily based on the relative understanding and
application of equity within an organizational framework. Equity is characterized by which of the
following?
a. It is morality-based.
b. It reflects delegatory authority.
c. It is comprised of vertical relationships.
,d. It is inclusive, suggesting ownership. - correct answer ✔✔d. It is inclusive, suggesting ownership.
Equity is characterized by being inclusive, suggesting ownership. It is value-based, reflects accountability
and is comprised of horizontal relationship. Equity is also characterized by equality in relationships.
Which of the following drugs, when mixed with aged cheese or cured meats has a clinical implication for
severe hypertensive reactions?
a. benzodiazepines
b. angiotensin-converting enzyme (ACE) inhibitors
c. warfarin
d. monoamine oxidase (MAO) inhibitors - correct answer ✔✔d. monoamine oxidase (MAO) inhibitors
Clinically important drug-nutrient interactions between monoamine oxidase (MAO) inhibitors and aged
and cured cheese and meats can have implications that produce severe hypertensive reactions. Other
foods can produce a negative drug-nutrient reaction with MAO inhibitors include banana peels, fava
bean pods, yeast extracts, sauerkraut or soy sauce, among others. Monoamine oxidase found in the GI
tract inactivates tyramine. Tyramine can cause hypertension when absorbed into the systemic system.
Which of the following drugs for benign prostatic hypertrophy (BPH) requires up to six months to be
effective?
a. Minipress
b. Proscar
c. Hytrin
d. Cardura - correct answer ✔✔b. Proscar
Proscar (finasteride) shrinks the prostate. It requires up to 6 months to be effective. The other drugs
require a 2 - 3 month trial.
When controlling organizational costs, bringing the individuals' desires and the organization's needs
together is referred to as which of the following?
a. goal congruence
b. motivation
,c. quality care
d. bonus effect - correct answer ✔✔a. goal congruence
In order to be certain that the human beings will in fact want to control organizational costs, the
manager needs to make sure that it is somehow in their direct best interests for costs to be controlled.
The key is to establish some way that the normally divergent desires of both are congruent. This is goal
congruence.
There are a number of normal aging changes that a health care professional must recognize in a patient.
Which of the following is NOT a normal aging change?
a. Older adults often experience an increased pulse pressure.
b. There is a decreased amount of blood pumped throughout the circulatory system.
c. Premature contractions and arrhythmias may occur.
d. Older adults often experience higher diastolic pressure. - correct answer ✔✔d. Older adults often
experience higher diastolic pressure.
Older adults often experience lower diastolic pressure. Blood flow is slower. Low diastolic pressure is a
risk for cerebrovascular accidents or strokes.
The system that allows managers to make financial decisions and adjustments through computer
modeling that uses real-time data is which of the following?
a. prospective payment system
b. diagnosis related groups
c. decision support system
d. capitation - correct answer ✔✔c. decision support system
Decision support systems allow managers to make financial decisions and adjustments through
computer modeling that uses real-time data. Computer-generated financial forecasting allows
organizations to develop alternative scenarios on the basis of the interplay among numerous variables.
Which of the following is NOT an instructional strategy?
a. role modeling
b. mini in-service
, c. evidence-based practice
d. critical incident - correct answer ✔✔c. evidence-based practice
Evidence-based practice is not an instructional strategy; it is a decision-making strategy. Other
instructional strategies include rounds and family as "faculty."
In terms of intrarenal autoregulation, to prevent large changes in GFR, mean arterial pressure is
maintained at which of the following?
a. 0 - 40 mm Hg
b. 40 - 80 mm Hg
c. 80 to 180 mm Hg
d. 180 - 280 mm Hg - correct answer ✔✔c. 80 to 180 mm Hg
As a general principle of intrarenal autoregulation, mean arterial pressure (MAP) is maintained in a
range of 80 to 180 mm Hg to prevent large changes in GFR. The major site of autoregulation is the
afferent arteriole.
Which of the following is the most commonly reported illness among older adults?
a. osteoarthritis
b. constipation
c. osteoporosis
d. dementia - correct answer ✔✔a. osteoarthritis
Osteoarthritis is the most commonly reported illness among older adults. It is a type of arthritis that
occurs when flexible tissue at the ends of bones wears down. It is more likely to occur in the weight
bearing joints, especially the hips and knees.
When the clinical nurse specialist has the job of acting as a mentor assisting with socialization of a
novice nurse during orientation, he or she is known as which of the following?
a. coach
b. preceptor
c. role model
d. transitioner - correct answer ✔✔b. preceptor
QUESTIONS WITH ACCURATE RATIONALES | ALREADY
GRADED A
Adult gerontology clinical nurse specialists are talking about the ability to produce an effect. What term
best describes what they are talking about?
a. Marketing.
b. Budget.
c. Reimbursement.
d. Efficacy. - correct answer ✔✔d. Efficacy
Efficacy is a concept that adult gerontology clinical nurse specialists should be aware of. The word
efficacy is used to describe the ability to produce an effect. More directly, it means the ability of an
intervention or medication to produce an expected outcome.
Frankie is a patient who has been diagnosed with pancreatitis. Which of the following test results is
most likely to be consistent with this diagnosis?
a. Lipase is lowered.
b. White blood count will be elevated if the pancreatitis is acute.
c. Bilirubin is grossly elevated.
d. Glucose may be severely decreased if pancreatitis is severe. - correct answer ✔✔b. White blood
count will be elevated if the pancreatitis is acute.
White blood count will be elevated if the pancreatitis is acute. Lipase is elevated in pancreatitis. Bilirubin
is mildly elevated in 20% of patients. Glucose may be increased in severe pancreatitis.
Creating a culture amenable to innovation is necessarily based on the relative understanding and
application of equity within an organizational framework. Equity is characterized by which of the
following?
a. It is morality-based.
b. It reflects delegatory authority.
c. It is comprised of vertical relationships.
,d. It is inclusive, suggesting ownership. - correct answer ✔✔d. It is inclusive, suggesting ownership.
Equity is characterized by being inclusive, suggesting ownership. It is value-based, reflects accountability
and is comprised of horizontal relationship. Equity is also characterized by equality in relationships.
Which of the following drugs, when mixed with aged cheese or cured meats has a clinical implication for
severe hypertensive reactions?
a. benzodiazepines
b. angiotensin-converting enzyme (ACE) inhibitors
c. warfarin
d. monoamine oxidase (MAO) inhibitors - correct answer ✔✔d. monoamine oxidase (MAO) inhibitors
Clinically important drug-nutrient interactions between monoamine oxidase (MAO) inhibitors and aged
and cured cheese and meats can have implications that produce severe hypertensive reactions. Other
foods can produce a negative drug-nutrient reaction with MAO inhibitors include banana peels, fava
bean pods, yeast extracts, sauerkraut or soy sauce, among others. Monoamine oxidase found in the GI
tract inactivates tyramine. Tyramine can cause hypertension when absorbed into the systemic system.
Which of the following drugs for benign prostatic hypertrophy (BPH) requires up to six months to be
effective?
a. Minipress
b. Proscar
c. Hytrin
d. Cardura - correct answer ✔✔b. Proscar
Proscar (finasteride) shrinks the prostate. It requires up to 6 months to be effective. The other drugs
require a 2 - 3 month trial.
When controlling organizational costs, bringing the individuals' desires and the organization's needs
together is referred to as which of the following?
a. goal congruence
b. motivation
,c. quality care
d. bonus effect - correct answer ✔✔a. goal congruence
In order to be certain that the human beings will in fact want to control organizational costs, the
manager needs to make sure that it is somehow in their direct best interests for costs to be controlled.
The key is to establish some way that the normally divergent desires of both are congruent. This is goal
congruence.
There are a number of normal aging changes that a health care professional must recognize in a patient.
Which of the following is NOT a normal aging change?
a. Older adults often experience an increased pulse pressure.
b. There is a decreased amount of blood pumped throughout the circulatory system.
c. Premature contractions and arrhythmias may occur.
d. Older adults often experience higher diastolic pressure. - correct answer ✔✔d. Older adults often
experience higher diastolic pressure.
Older adults often experience lower diastolic pressure. Blood flow is slower. Low diastolic pressure is a
risk for cerebrovascular accidents or strokes.
The system that allows managers to make financial decisions and adjustments through computer
modeling that uses real-time data is which of the following?
a. prospective payment system
b. diagnosis related groups
c. decision support system
d. capitation - correct answer ✔✔c. decision support system
Decision support systems allow managers to make financial decisions and adjustments through
computer modeling that uses real-time data. Computer-generated financial forecasting allows
organizations to develop alternative scenarios on the basis of the interplay among numerous variables.
Which of the following is NOT an instructional strategy?
a. role modeling
b. mini in-service
, c. evidence-based practice
d. critical incident - correct answer ✔✔c. evidence-based practice
Evidence-based practice is not an instructional strategy; it is a decision-making strategy. Other
instructional strategies include rounds and family as "faculty."
In terms of intrarenal autoregulation, to prevent large changes in GFR, mean arterial pressure is
maintained at which of the following?
a. 0 - 40 mm Hg
b. 40 - 80 mm Hg
c. 80 to 180 mm Hg
d. 180 - 280 mm Hg - correct answer ✔✔c. 80 to 180 mm Hg
As a general principle of intrarenal autoregulation, mean arterial pressure (MAP) is maintained in a
range of 80 to 180 mm Hg to prevent large changes in GFR. The major site of autoregulation is the
afferent arteriole.
Which of the following is the most commonly reported illness among older adults?
a. osteoarthritis
b. constipation
c. osteoporosis
d. dementia - correct answer ✔✔a. osteoarthritis
Osteoarthritis is the most commonly reported illness among older adults. It is a type of arthritis that
occurs when flexible tissue at the ends of bones wears down. It is more likely to occur in the weight
bearing joints, especially the hips and knees.
When the clinical nurse specialist has the job of acting as a mentor assisting with socialization of a
novice nurse during orientation, he or she is known as which of the following?
a. coach
b. preceptor
c. role model
d. transitioner - correct answer ✔✔b. preceptor
