,NRNP 6540 midterm exam Advanced Practice Care of Older Adults I
Questions And Answers 2026/2027 Walden University
NRNP 6540 Midterm Exam Practice Bank
Course: NRNP 6540
University: Walden University
Assessment: Midterm Exam
Area: Advanced Practice Care of Older Adults
1.
An 82-year-old patient presents for an annual assessment. Which finding is
most consistent with a normal physiologic change of aging?
A) Loss of all renal function
B) Reduced physiologic reserve
C) Complete loss of immune function
D) Inability to maintain homeostasis
Answer: B) Reduced physiologic reserve
Rationale: Aging is associated with reduced physiologic reserve across
multiple organ systems. This does not mean that disease or organ failure is
inevitable.
2.
What is the primary purpose of a comprehensive geriatric assessment?
A) Identify the patient's single most important diagnosis
B) Evaluate multiple domains to identify needs and develop an individualized
care plan
C) Replace the physical examination
D) Focus exclusively on medications
Answer: B) Evaluate multiple domains to identify needs and develop
an individualized care plan
Rationale: Comprehensive geriatric assessment evaluates medical,
functional, psychological, social, and environmental factors to develop an
appropriate care plan.
3.
Which domain should be included in a comprehensive geriatric assessment?
,A) Functional status
B) Favorite television programs
C) Hair color
D) Hand dominance only
Answer: A) Functional status
Rationale: Functional status is essential because the ability to perform daily
activities strongly affects independence, safety, and care needs.
4.
An older adult tells the NP, "I'm afraid that I won't be able to take care of
myself anymore." Which response best demonstrates patient-centered
communication?
A) "You are old, so some dependence is expected."
B) "Tell me more about what concerns you most about maintaining your
independence."
C) "Your family will take care of you."
D) "Let's not discuss that today."
Answer: B) "Tell me more about what concerns you most about
maintaining your independence."
Rationale: Open-ended, respectful communication helps identify the
patient's concerns, goals, and priorities.
5.
Which situation best illustrates ageism?
A) Adjusting medication doses for reduced renal function
B) Assuming an older adult cannot learn new information solely because of
age
C) Screening for falls
D) Reviewing advance directives
Answer: B) Assuming an older adult cannot learn new information
solely because of age
Rationale: Ageism involves stereotypes, prejudice, or discrimination based
on age.
6.
An older adult reports progressive difficulty managing finances, medications,
and transportation. Which area of function is primarily affected?
, A) ADLs
B) IADLs
C) Reflexes
D) Vital signs
Answer: B) IADLs
Rationale: Instrumental activities of daily living include tasks such as
finances, medications, transportation, shopping, and meal preparation.
7.
Which activity is considered an activity of daily living?
A) Managing a checking account
B) Shopping for groceries
C) Bathing
D) Using public transportation
Answer: C) Bathing
Rationale: ADLs include basic self-care activities such as bathing, dressing,
toileting, transferring, eating, and continence.
8.
An older adult has difficulty transferring from a chair to a standing position.
This finding should prompt assessment of:
A) Functional mobility and fall risk
B) Hearing only
C) Vision only
D) Nutritional preferences only
Answer: A) Functional mobility and fall risk
Rationale: Difficulty with transfers may indicate weakness, balance
impairment, or another mobility problem and increases fall risk.
9.
Which patient is at greatest risk for frailty?
A) An independent older adult who exercises regularly
B) An older adult with unintentional weight loss, weakness, and reduced
activity
C) An older adult with controlled seasonal allergies
D) A 65-year-old who walks daily
Questions And Answers 2026/2027 Walden University
NRNP 6540 Midterm Exam Practice Bank
Course: NRNP 6540
University: Walden University
Assessment: Midterm Exam
Area: Advanced Practice Care of Older Adults
1.
An 82-year-old patient presents for an annual assessment. Which finding is
most consistent with a normal physiologic change of aging?
A) Loss of all renal function
B) Reduced physiologic reserve
C) Complete loss of immune function
D) Inability to maintain homeostasis
Answer: B) Reduced physiologic reserve
Rationale: Aging is associated with reduced physiologic reserve across
multiple organ systems. This does not mean that disease or organ failure is
inevitable.
2.
What is the primary purpose of a comprehensive geriatric assessment?
A) Identify the patient's single most important diagnosis
B) Evaluate multiple domains to identify needs and develop an individualized
care plan
C) Replace the physical examination
D) Focus exclusively on medications
Answer: B) Evaluate multiple domains to identify needs and develop
an individualized care plan
Rationale: Comprehensive geriatric assessment evaluates medical,
functional, psychological, social, and environmental factors to develop an
appropriate care plan.
3.
Which domain should be included in a comprehensive geriatric assessment?
,A) Functional status
B) Favorite television programs
C) Hair color
D) Hand dominance only
Answer: A) Functional status
Rationale: Functional status is essential because the ability to perform daily
activities strongly affects independence, safety, and care needs.
4.
An older adult tells the NP, "I'm afraid that I won't be able to take care of
myself anymore." Which response best demonstrates patient-centered
communication?
A) "You are old, so some dependence is expected."
B) "Tell me more about what concerns you most about maintaining your
independence."
C) "Your family will take care of you."
D) "Let's not discuss that today."
Answer: B) "Tell me more about what concerns you most about
maintaining your independence."
Rationale: Open-ended, respectful communication helps identify the
patient's concerns, goals, and priorities.
5.
Which situation best illustrates ageism?
A) Adjusting medication doses for reduced renal function
B) Assuming an older adult cannot learn new information solely because of
age
C) Screening for falls
D) Reviewing advance directives
Answer: B) Assuming an older adult cannot learn new information
solely because of age
Rationale: Ageism involves stereotypes, prejudice, or discrimination based
on age.
6.
An older adult reports progressive difficulty managing finances, medications,
and transportation. Which area of function is primarily affected?
, A) ADLs
B) IADLs
C) Reflexes
D) Vital signs
Answer: B) IADLs
Rationale: Instrumental activities of daily living include tasks such as
finances, medications, transportation, shopping, and meal preparation.
7.
Which activity is considered an activity of daily living?
A) Managing a checking account
B) Shopping for groceries
C) Bathing
D) Using public transportation
Answer: C) Bathing
Rationale: ADLs include basic self-care activities such as bathing, dressing,
toileting, transferring, eating, and continence.
8.
An older adult has difficulty transferring from a chair to a standing position.
This finding should prompt assessment of:
A) Functional mobility and fall risk
B) Hearing only
C) Vision only
D) Nutritional preferences only
Answer: A) Functional mobility and fall risk
Rationale: Difficulty with transfers may indicate weakness, balance
impairment, or another mobility problem and increases fall risk.
9.
Which patient is at greatest risk for frailty?
A) An independent older adult who exercises regularly
B) An older adult with unintentional weight loss, weakness, and reduced
activity
C) An older adult with controlled seasonal allergies
D) A 65-year-old who walks daily
