NURS6540 / NURS 6540 Exam Study
Set Q & A (Latest): Advanced Practice
Care of Frail Elders - Walden
Section 1: Comprehensive Geriatric Assessment (Questions
1–10)
1. Why is a comprehensive geriatric assessment (CGA) necessary for a 75-year-old
patient reporting weakness and difficulty urinating?
A. Symptoms are likely due to normal aging
B. All body systems interact, and symptoms could indicate various diagnoses
C. It ensures medication compliance
D. It focuses only on physical symptoms
Answer: All body systems interact, and symptoms could indicate various diagnoses
Rationale: A CGA evaluates multiple domains (physical, psychological, social) because
symptoms like weakness and urinary difficulty may reflect systemic interactions, not just
aging.
2. Which domains are included in a comprehensive geriatric assessment? (Select all
that apply)
A. Physical health
B. Psychological health
C. Social environment
D. Financial status
E. Spiritual beliefs
Answer: Physical health, Psychological health, Social environment
Rationale: A CGA assesses physical health, psychological health, and social
environment to address the multifaceted needs of frail elders. Financial status and
spiritual beliefs may be considered but are not core domains.
3. Who benefits most from a comprehensive geriatric assessment?
A. People aged 60–70 years
B. People over 70 years with varying health levels
C. Vulnerable and frail older adults
D. People over 55 years
, Answer: Vulnerable and frail older adults
Rationale: Vulnerable and frail older adults benefit most from a CGA due to their lower
physiological reserves and higher risk of complications.
4. What does the term "frail older adult" refer to?
A. Someone prone to pathological fractures
B. An older person exhibiting signs of decline
C. An older person under 5 feet tall
D. An older person susceptible to infections
Answer: An older person exhibiting signs of decline
Rationale: Frailty is characterized by physical decline, such as weakness and weight
loss, increasing vulnerability to illness.
5. What is the purpose of a CGA?
A. To prescribe medications
B. To identify care needs and develop care plans
C. To replace routine physical exams
D. To assess only cognitive function
Answer: To identify care needs and develop care plans
Rationale: A CGA is a multidimensional process to identify care needs and create
individualized care plans for older adults.
6. Why should vague symptoms in frail elders not be attributed to aging alone?
A. Aging masks all symptoms
B. Symptoms may indicate treatable conditions
C. Aging eliminates the need for diagnostic testing
D. Elders always report symptoms accurately
Answer: Symptoms may indicate treatable conditions
Rationale: Vague symptoms may reflect serious conditions, and attributing them to
aging risks missing treatable diagnoses.
7. Which test provides an estimation of renal function in older adults?
A. Complete blood count (CBC)
B. Creatinine clearance
C. Uric acid level
D. Culture and sensitivity
Answer: Creatinine clearance
Rationale: Creatinine clearance estimates renal function, crucial for assessing medication
safety in frail elders.
8. What is a key consideration when ordering diagnostic tests for frail elders?
A. Tests should be invasive
Set Q & A (Latest): Advanced Practice
Care of Frail Elders - Walden
Section 1: Comprehensive Geriatric Assessment (Questions
1–10)
1. Why is a comprehensive geriatric assessment (CGA) necessary for a 75-year-old
patient reporting weakness and difficulty urinating?
A. Symptoms are likely due to normal aging
B. All body systems interact, and symptoms could indicate various diagnoses
C. It ensures medication compliance
D. It focuses only on physical symptoms
Answer: All body systems interact, and symptoms could indicate various diagnoses
Rationale: A CGA evaluates multiple domains (physical, psychological, social) because
symptoms like weakness and urinary difficulty may reflect systemic interactions, not just
aging.
2. Which domains are included in a comprehensive geriatric assessment? (Select all
that apply)
A. Physical health
B. Psychological health
C. Social environment
D. Financial status
E. Spiritual beliefs
Answer: Physical health, Psychological health, Social environment
Rationale: A CGA assesses physical health, psychological health, and social
environment to address the multifaceted needs of frail elders. Financial status and
spiritual beliefs may be considered but are not core domains.
3. Who benefits most from a comprehensive geriatric assessment?
A. People aged 60–70 years
B. People over 70 years with varying health levels
C. Vulnerable and frail older adults
D. People over 55 years
, Answer: Vulnerable and frail older adults
Rationale: Vulnerable and frail older adults benefit most from a CGA due to their lower
physiological reserves and higher risk of complications.
4. What does the term "frail older adult" refer to?
A. Someone prone to pathological fractures
B. An older person exhibiting signs of decline
C. An older person under 5 feet tall
D. An older person susceptible to infections
Answer: An older person exhibiting signs of decline
Rationale: Frailty is characterized by physical decline, such as weakness and weight
loss, increasing vulnerability to illness.
5. What is the purpose of a CGA?
A. To prescribe medications
B. To identify care needs and develop care plans
C. To replace routine physical exams
D. To assess only cognitive function
Answer: To identify care needs and develop care plans
Rationale: A CGA is a multidimensional process to identify care needs and create
individualized care plans for older adults.
6. Why should vague symptoms in frail elders not be attributed to aging alone?
A. Aging masks all symptoms
B. Symptoms may indicate treatable conditions
C. Aging eliminates the need for diagnostic testing
D. Elders always report symptoms accurately
Answer: Symptoms may indicate treatable conditions
Rationale: Vague symptoms may reflect serious conditions, and attributing them to
aging risks missing treatable diagnoses.
7. Which test provides an estimation of renal function in older adults?
A. Complete blood count (CBC)
B. Creatinine clearance
C. Uric acid level
D. Culture and sensitivity
Answer: Creatinine clearance
Rationale: Creatinine clearance estimates renal function, crucial for assessing medication
safety in frail elders.
8. What is a key consideration when ordering diagnostic tests for frail elders?
A. Tests should be invasive
