Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology Management Across the
Continuum of Care | Questions with Correct Answers | Grade A - UTA 2026/2027 - 2026/2027 Official
Exam
OBJECTIVE ASSESSMENT - EXAM
Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology
Management Across the Continuum of Care | Questions with Correct
Answers | Grade A - UTA 2026/2027 - 2026/2027 Official Exam
75 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Adult Gerontology Management Health Promotion & Prevention
Care Coordination & Transition Interprofessional Teamwork
Chronic Condition Management
COVER PAGE - 1
, SECTION 1 | Adult Gerontology Management | Q1-Q15 | Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology Management Across the Continuum of Care | Questio
Q1 Question 1 of 75
A 78-year-old female presents to the clinic for a comprehensive geriatric assessment.
She lives alone, has mild memory impairment, and has fallen twice in the past 6 months.
The patient reports she occasionally misses doses of her medications. Which component
of the comprehensive geriatric assessment should the AGACNP prioritize to directly
inform the discharge plan and community-based support services?
A. Functional status and instrumental activities of daily living assessment
B. Detailed cardiac auscultation for murmurs
C. Comprehensive ophthalmologic slit-lamp examination
D. Spirometry with bronchodilator response
Correct Answer: A
Rationale:
A comprehensive geriatric assessment integrates functional status, IADLs, cognition, mood, nutrition,
social support, and environmental safety. The IADL and functional assessment directly identifies the
patient's ability to manage medications, finances, transportation, and meal preparation, which informs
community-based services such as home health, meal delivery, and medication management. Cardiac,
ophthalmologic, and pulmonary evaluations address specific diagnoses but do not directly inform the
discharge and community-support plan in the same way.
Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology Management Acros -- 2026/2027 | Passing Score: 80% | Page 2 of 41
, Q2 Question 2 of 75
A 72-year-old male with a 40-pack-year smoking history and COPD reports progressively
worsening dyspnea over 3 weeks. He uses 2 L oxygen at home but has reduced his
activities to avoid shortness of breath. Which assessment finding most strongly suggests
the need for advanced care planning discussions and palliative care referral in this
patient?
A. Occasional productive cough in the morning
B. Frequent hospital admissions and dependence on others for IADLs
C. Mild ankle swelling at the end of the day
D. Occasional wheezing with upper respiratory infections
Correct Answer: B
Rationale:
Palliative care referral in advanced COPD is supported by indicators such as frequent hospitalizations,
escalating symptom burden, declining functional status with IADL dependence, hypoxemia at rest, and
weight loss. These markers suggest a limited prognosis and benefit from goal-concordant care
discussions alongside disease-directed therapy. Occasional cough, mild edema, and intermittent
wheeze are common in stable COPD and do not by themselves signal a terminal trajectory requiring
palliative involvement.
Q3 Question 3 of 75
An 81-year-old male is admitted for hip fracture repair following a fall. On postoperative
day 2, he is mildly confused but oriented to person and place. The patient pulls at his IV
line and repeatedly tries to climb out of bed. Which initial intervention is most appropriate
to manage his postoperative delirium?
A. Administer a benzodiazepine for agitation
B. Place physical restraints to prevent IV removal
C. Implement non-pharmacologic measures including reorientation, eyeglasses, and
family presence
D. Begin haloperidol 5 mg IV immediately
Correct Answer: C
Rationale:
The first-line management of postoperative delirium is identifying and treating reversible causes such as
infection, hypoxia, electrolyte derangements, pain, constipation, and medication effects, combined with
non-pharmacologic measures like reorientation, sensory aids, sleep hygiene, mobility, and family
presence. Benzodiazepines can worsen delirium and are reserved for alcohol or benzodiazepine
withdrawal. Physical restraints increase injury risk and should be avoided if possible. Low-dose
haloperidol is reserved for severe agitation posing safety risk.
Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology Management Acros -- 2026/2027 | Passing Score: 80% | Page 3 of 41
, Q4 Question 4 of 75
A 76-year-old female with stage 4 dementia is brought to the clinic by her daughter. The
daughter reports her mother has stopped eating and has had significant weight loss over
the past 3 months. The patient has a documented advance directive stating no feeding
tubes or artificial nutrition. Which approach best respects the patient's autonomy and
goals of care?
A. Initiate enteral feeding via nasogastric tube
B. Refer for percutaneous endoscopic gastrostomy placement
C. Initiate parenteral nutrition to prevent cachexia
D. Provide comfort-focused oral care and feeding as tolerated
Correct Answer: D
Rationale:
In advanced dementia, hand feeding and comfort-focused oral care offer comparable survival to tube
feeding with fewer complications, and they preserve the social and pleasurable aspects of eating. The
patient's documented advance directive declining artificial nutrition must be honored, reflecting respect
for autonomy and goals of care. Enteral and parenteral nutrition in advanced dementia are associated
with aspiration, restraint use, infection, and pressure ulcers without improving survival or functional
outcomes.
Q5 Question 5 of 75
A 68-year-old male with newly diagnosed metastatic pancreatic cancer asks the
AGACNP about prognosis and treatment options. He appears anxious but alert and
oriented. Which communication strategy best supports patient-centered care and
informed decision-making in this encounter?
A. Use the Ask-Tell-Ask framework to assess understanding, deliver information, and
confirm comprehension
B. Provide all prognostic statistics at once to avoid ambiguity
C. Defer prognosis discussion to the oncologist to avoid distress
D. Recommend immediate hospice referral without discussing prognosis
Correct Answer: A
Rationale:
The Ask-Tell-Ask framework is a patient-centered communication strategy that assesses the patient's
current understanding and information preferences, delivers information in manageable amounts, and
confirms comprehension. This approach supports autonomy and informed decision-making while
minimizing emotional overwhelm. Bombarding with statistics, deferring discussion, or pushing hospice
without discussion undermine trust, fail to address the patient's information needs, and may not align
with the patient's goals.
Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology Management Acros -- 2026/2027 | Passing Score: 80% | Page 4 of 41
Continuum of Care | Questions with Correct Answers | Grade A - UTA 2026/2027 - 2026/2027 Official
Exam
OBJECTIVE ASSESSMENT - EXAM
Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology
Management Across the Continuum of Care | Questions with Correct
Answers | Grade A - UTA 2026/2027 - 2026/2027 Official Exam
75 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Adult Gerontology Management Health Promotion & Prevention
Care Coordination & Transition Interprofessional Teamwork
Chronic Condition Management
COVER PAGE - 1
, SECTION 1 | Adult Gerontology Management | Q1-Q15 | Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology Management Across the Continuum of Care | Questio
Q1 Question 1 of 75
A 78-year-old female presents to the clinic for a comprehensive geriatric assessment.
She lives alone, has mild memory impairment, and has fallen twice in the past 6 months.
The patient reports she occasionally misses doses of her medications. Which component
of the comprehensive geriatric assessment should the AGACNP prioritize to directly
inform the discharge plan and community-based support services?
A. Functional status and instrumental activities of daily living assessment
B. Detailed cardiac auscultation for murmurs
C. Comprehensive ophthalmologic slit-lamp examination
D. Spirometry with bronchodilator response
Correct Answer: A
Rationale:
A comprehensive geriatric assessment integrates functional status, IADLs, cognition, mood, nutrition,
social support, and environmental safety. The IADL and functional assessment directly identifies the
patient's ability to manage medications, finances, transportation, and meal preparation, which informs
community-based services such as home health, meal delivery, and medication management. Cardiac,
ophthalmologic, and pulmonary evaluations address specific diagnoses but do not directly inform the
discharge and community-support plan in the same way.
Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology Management Acros -- 2026/2027 | Passing Score: 80% | Page 2 of 41
, Q2 Question 2 of 75
A 72-year-old male with a 40-pack-year smoking history and COPD reports progressively
worsening dyspnea over 3 weeks. He uses 2 L oxygen at home but has reduced his
activities to avoid shortness of breath. Which assessment finding most strongly suggests
the need for advanced care planning discussions and palliative care referral in this
patient?
A. Occasional productive cough in the morning
B. Frequent hospital admissions and dependence on others for IADLs
C. Mild ankle swelling at the end of the day
D. Occasional wheezing with upper respiratory infections
Correct Answer: B
Rationale:
Palliative care referral in advanced COPD is supported by indicators such as frequent hospitalizations,
escalating symptom burden, declining functional status with IADL dependence, hypoxemia at rest, and
weight loss. These markers suggest a limited prognosis and benefit from goal-concordant care
discussions alongside disease-directed therapy. Occasional cough, mild edema, and intermittent
wheeze are common in stable COPD and do not by themselves signal a terminal trajectory requiring
palliative involvement.
Q3 Question 3 of 75
An 81-year-old male is admitted for hip fracture repair following a fall. On postoperative
day 2, he is mildly confused but oriented to person and place. The patient pulls at his IV
line and repeatedly tries to climb out of bed. Which initial intervention is most appropriate
to manage his postoperative delirium?
A. Administer a benzodiazepine for agitation
B. Place physical restraints to prevent IV removal
C. Implement non-pharmacologic measures including reorientation, eyeglasses, and
family presence
D. Begin haloperidol 5 mg IV immediately
Correct Answer: C
Rationale:
The first-line management of postoperative delirium is identifying and treating reversible causes such as
infection, hypoxia, electrolyte derangements, pain, constipation, and medication effects, combined with
non-pharmacologic measures like reorientation, sensory aids, sleep hygiene, mobility, and family
presence. Benzodiazepines can worsen delirium and are reserved for alcohol or benzodiazepine
withdrawal. Physical restraints increase injury risk and should be avoided if possible. Low-dose
haloperidol is reserved for severe agitation posing safety risk.
Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology Management Acros -- 2026/2027 | Passing Score: 80% | Page 3 of 41
, Q4 Question 4 of 75
A 76-year-old female with stage 4 dementia is brought to the clinic by her daughter. The
daughter reports her mother has stopped eating and has had significant weight loss over
the past 3 months. The patient has a documented advance directive stating no feeding
tubes or artificial nutrition. Which approach best respects the patient's autonomy and
goals of care?
A. Initiate enteral feeding via nasogastric tube
B. Refer for percutaneous endoscopic gastrostomy placement
C. Initiate parenteral nutrition to prevent cachexia
D. Provide comfort-focused oral care and feeding as tolerated
Correct Answer: D
Rationale:
In advanced dementia, hand feeding and comfort-focused oral care offer comparable survival to tube
feeding with fewer complications, and they preserve the social and pleasurable aspects of eating. The
patient's documented advance directive declining artificial nutrition must be honored, reflecting respect
for autonomy and goals of care. Enteral and parenteral nutrition in advanced dementia are associated
with aspiration, restraint use, infection, and pressure ulcers without improving survival or functional
outcomes.
Q5 Question 5 of 75
A 68-year-old male with newly diagnosed metastatic pancreatic cancer asks the
AGACNP about prognosis and treatment options. He appears anxious but alert and
oriented. Which communication strategy best supports patient-centered care and
informed decision-making in this encounter?
A. Use the Ask-Tell-Ask framework to assess understanding, deliver information, and
confirm comprehension
B. Provide all prognostic statistics at once to avoid ambiguity
C. Defer prognosis discussion to the oncologist to avoid distress
D. Recommend immediate hospice referral without discussing prognosis
Correct Answer: A
Rationale:
The Ask-Tell-Ask framework is a patient-centered communication strategy that assesses the patient's
current understanding and information preferences, delivers information in manageable amounts, and
confirms comprehension. This approach supports autonomy and informed decision-making while
minimizing emotional overwhelm. Bombarding with statistics, deferring discussion, or pushing hospice
without discussion undermine trust, fail to address the patient's information needs, and may not align
with the patient's goals.
Quiz 1: NURS5461 / NURS 5461 (Latest Update 2026/2027) Adult Gerontology Management Acros -- 2026/2027 | Passing Score: 80% | Page 4 of 41
