NRNP 6540
Final Exam 2026 | Advanced Practice Care of Older Adults
| Practice Questions, Answers & Detailed Rationales
RESOURCE FEATURES
➢NRNP 6540 Final Exam study guide
➢Advanced Practice Care of Older Adults review
➢Practice questions and answers
➢Detailed rationales and explanations
, NRNP 6540 Final Exam 2026 | Advanced Practice
Care of Older Adults | Practice Questions, Answers
& Detailed Rationales
Question 1
The nurse is planning care with an older adult who is at risk for falling
because of postural hypotension. Which of the following will be most
effective in preventing falls in this client?
a) Complete a fall diary.
b) Attach a sensor to the client that will alarm when client attempts to
get up.
c) Encourage a family member to stay with the client.
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
Correct Answer: d) Instruct the client to sit, obtain balance, dangle
legs, and rise slowly.
Rationale: This instruction directly addresses the physiological
mechanism of postural hypotension by allowing the body time to adjust
to position changes. When a person rises slowly and dangles their legs,
blood pressure has time to stabilize, preventing the dizziness and falls
,associated with sudden position changes. This is a preventative,
patient-empowering intervention.
Question 2
A gerontological nurse is monitoring signs of suspected abuse in an
89-year-old patient who was admitted from home. When planning for
the patient's discharge, the nurse's first action is to:
a) delay discharge by informing the provider of the suspected abuse.
b) enlist the help of family members with transitioning the patient
home.
c) notify Adult Protective Services of the patient's discharge.
d) restrict the family members' access to the patient prior to discharge.
Correct Answer: c) notify Adult Protective Services of the patient's
discharge.
Rationale: Nurses are mandated reporters of suspected elder abuse.
Notifying Adult Protective Services is a legal and ethical obligation to
ensure the patient's safety upon discharge. This action takes priority to
protect a vulnerable adult from returning to a potentially dangerous
environment.
, Question 3
Which information obtained by the home health nurse when making a
visit to an 88-year-old with mild forgetfulness is of the most concern?
A. The patient's son uses a marked pillbox to set up the patient's
medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
C. The patient is cared for by a daughter during the day and stays with a
son at night.
D. The patient tells the nurse that a close friend recently died.
Correct Answer: B. The patient has lost 10 pounds (4.5 kg) during the
last month.
Rationale: Unintentional weight loss of 10 pounds in one month is a
significant red flag that may indicate malnutrition, depression, cancer,
or other serious underlying health conditions. This requires immediate
investigation and intervention. The other options represent appropriate
medication management, adequate family support, and a normal grief
response.
Question 4
Final Exam 2026 | Advanced Practice Care of Older Adults
| Practice Questions, Answers & Detailed Rationales
RESOURCE FEATURES
➢NRNP 6540 Final Exam study guide
➢Advanced Practice Care of Older Adults review
➢Practice questions and answers
➢Detailed rationales and explanations
, NRNP 6540 Final Exam 2026 | Advanced Practice
Care of Older Adults | Practice Questions, Answers
& Detailed Rationales
Question 1
The nurse is planning care with an older adult who is at risk for falling
because of postural hypotension. Which of the following will be most
effective in preventing falls in this client?
a) Complete a fall diary.
b) Attach a sensor to the client that will alarm when client attempts to
get up.
c) Encourage a family member to stay with the client.
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
Correct Answer: d) Instruct the client to sit, obtain balance, dangle
legs, and rise slowly.
Rationale: This instruction directly addresses the physiological
mechanism of postural hypotension by allowing the body time to adjust
to position changes. When a person rises slowly and dangles their legs,
blood pressure has time to stabilize, preventing the dizziness and falls
,associated with sudden position changes. This is a preventative,
patient-empowering intervention.
Question 2
A gerontological nurse is monitoring signs of suspected abuse in an
89-year-old patient who was admitted from home. When planning for
the patient's discharge, the nurse's first action is to:
a) delay discharge by informing the provider of the suspected abuse.
b) enlist the help of family members with transitioning the patient
home.
c) notify Adult Protective Services of the patient's discharge.
d) restrict the family members' access to the patient prior to discharge.
Correct Answer: c) notify Adult Protective Services of the patient's
discharge.
Rationale: Nurses are mandated reporters of suspected elder abuse.
Notifying Adult Protective Services is a legal and ethical obligation to
ensure the patient's safety upon discharge. This action takes priority to
protect a vulnerable adult from returning to a potentially dangerous
environment.
, Question 3
Which information obtained by the home health nurse when making a
visit to an 88-year-old with mild forgetfulness is of the most concern?
A. The patient's son uses a marked pillbox to set up the patient's
medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
C. The patient is cared for by a daughter during the day and stays with a
son at night.
D. The patient tells the nurse that a close friend recently died.
Correct Answer: B. The patient has lost 10 pounds (4.5 kg) during the
last month.
Rationale: Unintentional weight loss of 10 pounds in one month is a
significant red flag that may indicate malnutrition, depression, cancer,
or other serious underlying health conditions. This requires immediate
investigation and intervention. The other options represent appropriate
medication management, adequate family support, and a normal grief
response.
Question 4
