(AGPCNP) NU 662 AGPCNP II Finals Exams Review 2025 (Qns & Ans).

AGPCNP NU 662

AGPCNP II

Final Exams Review (Qns & Ans)

2025



1. Which of the following medications is most appropriate as a
first-line treatment for hypertension in older adults, considering
evidence-based guidelines?


A. Lisinopril
B. Hydrochlorothiazide
C. Losartan
D. Atenolol


ANS: A. Lisinopril
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, Rationale: Lisinopril is commonly used and well-tolerated in
older adults for managing hypertension, with evidence supporting
its efficacy and safety.


2. In older adults, which assessment tool is best for evaluating
the risk of falls?


A. Mini-Mental State Examination (MMSE)
B. Timed Up and Go (TUG)
C. Geriatric Depression Scale (GDS)
D. Barthel Index


ANS: B. Timed Up and Go (TUG)
Rationale: The TUG test is a quick and effective way to assess
an older adult's risk of falling.


3. Which of the following is a common age-related change in
pharmacokinetics seen in older adults?


A. Increased absorption
B. Decreased distribution
C. Increased metabolism
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, D. Decreased excretion


ANS: D. Decreased excretion
Rationale: Renal function declines with age, leading to
decreased drug excretion and potential drug accumulation.


4. A 72-year-old patient with osteoarthritis is best managed with
which first-line pharmacologic treatment?


A. Acetaminophen
B. Naproxen
C. Tramadol
D. Prednisone


ANS: A. Acetaminophen
Rationale: Acetaminophen is recommended as the first-line
treatment for osteoarthritis in older adults due to its safety profile.


5. In the older adult population, which of the following
symptoms is least likely to present with a myocardial infarction?


A. Chest pain
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