1
Test Bank for Advanced Practice Nursing in the
Care of Older Adults 3rd Edition Kennedy-
Malone Actual Exam 2026/2027 Complete Exam-
Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Part I: Foundations of Gerontologic Care, Aging Theories &
Assessment (Questions 1-30)
Q1: When applying the Activity Theory of aging to care
planning, the advanced practice nurse prioritizes which
intervention for a recently widowed 80-year-old?
A. Encouraging the patient to rest and limit social engagements
to conserve energy
B. Arranging for home health aides to manage all household
chores
C. Facilitating involvement in community senior center
programs [CORRECT]
D. Recommending sedatives to help the patient cope with the
transition
Correct Answer: C
Rationale: The best answer is facilitating community
involvement because the Activity Theory asserts that remaining
,2
active and substituting new roles for lost roles is crucial for
successful aging and life satisfaction.
Q2: A 78-year-old patient presents with a significant
unintentional weight loss of 15 pounds over six months, slowed
walking speed, and weak grip strength. These findings best
represent which geriatric concept?
A. Sarcopenia
B. Frailty syndrome [CORRECT]
C. Normal age-related decline
D. Metabolic syndrome
Correct Answer: C
Rationale: This choice is correct because the combination of
unintentional weight loss, exhaustion, slow gait speed, and weak
grip strength are the classic phenotypic criteria defining frailty
syndrome in older adults.
Q3: Which assessment tool is most appropriate for the AGNP to
use when initially screening an independent older adult for
functional status in basic Activities of Daily Living (ADLs)?
A. Lawton-Brody IADL Scale
B. Katz Index of Independence in ADLs [CORRECT]
C. Mini-Cog Assessment
D. Timed Up and Go Test
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Correct Answer: C
Rationale: The best answer is the Katz Index because it
specifically measures basic self-care tasks like bathing, dressing,
toileting, and feeding, which are the fundamental ADLs.
Q4: During a comprehensive geriatric assessment, the AGNP
notes an older adult has an MMSE score of 24. How should this
result be interpreted?
A. Normal cognitive function for age
B. Mild cognitive impairment [CORRECT]
C. Severe dementia
D. Delirium
Correct Answer: C
Rationale: This choice is correct because an MMSE score of 24
falls below the standard cutoff of 24-26 for normal cognition,
indicating mild cognitive impairment that warrants further
evaluation.
Q5: When assessing driving safety in an 85-year-old with mild
cognitive impairment, which recommendation is most
appropriate?
A. Immediately revoking driving privileges based on age alone
B. Relying solely on the family's report of driving safety
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C. Referring for a formal driving rehabilitation evaluation
[CORRECT]
D. Prescribing an anxiolytic to reduce driving-related stress
Correct Answer: C
Rationale: The best answer is referring for a formal evaluation
because objective, standardized testing by a specialist is required
to accurately determine driving fitness rather than relying on age
or family reports.
Q6: The "cross-linkage" theory of aging explains which of the
following age-related physical changes?
A. Decreased maximum heart rate during exercise
B. Increased arterial stiffness and systolic hypertension
[CORRECT]
C. Loss of subcutaneous fat and skin wrinkling
D. Decline in renal filtration rate
Correct Answer: C
Rationale: This choice is correct because the cross-linkage
theory posits that cellular proteins accumulate cross-links over
time, such as collagen stiffening in arteries, leading to increased
vascular rigidity.
Test Bank for Advanced Practice Nursing in the
Care of Older Adults 3rd Edition Kennedy-
Malone Actual Exam 2026/2027 Complete Exam-
Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Part I: Foundations of Gerontologic Care, Aging Theories &
Assessment (Questions 1-30)
Q1: When applying the Activity Theory of aging to care
planning, the advanced practice nurse prioritizes which
intervention for a recently widowed 80-year-old?
A. Encouraging the patient to rest and limit social engagements
to conserve energy
B. Arranging for home health aides to manage all household
chores
C. Facilitating involvement in community senior center
programs [CORRECT]
D. Recommending sedatives to help the patient cope with the
transition
Correct Answer: C
Rationale: The best answer is facilitating community
involvement because the Activity Theory asserts that remaining
,2
active and substituting new roles for lost roles is crucial for
successful aging and life satisfaction.
Q2: A 78-year-old patient presents with a significant
unintentional weight loss of 15 pounds over six months, slowed
walking speed, and weak grip strength. These findings best
represent which geriatric concept?
A. Sarcopenia
B. Frailty syndrome [CORRECT]
C. Normal age-related decline
D. Metabolic syndrome
Correct Answer: C
Rationale: This choice is correct because the combination of
unintentional weight loss, exhaustion, slow gait speed, and weak
grip strength are the classic phenotypic criteria defining frailty
syndrome in older adults.
Q3: Which assessment tool is most appropriate for the AGNP to
use when initially screening an independent older adult for
functional status in basic Activities of Daily Living (ADLs)?
A. Lawton-Brody IADL Scale
B. Katz Index of Independence in ADLs [CORRECT]
C. Mini-Cog Assessment
D. Timed Up and Go Test
,3
Correct Answer: C
Rationale: The best answer is the Katz Index because it
specifically measures basic self-care tasks like bathing, dressing,
toileting, and feeding, which are the fundamental ADLs.
Q4: During a comprehensive geriatric assessment, the AGNP
notes an older adult has an MMSE score of 24. How should this
result be interpreted?
A. Normal cognitive function for age
B. Mild cognitive impairment [CORRECT]
C. Severe dementia
D. Delirium
Correct Answer: C
Rationale: This choice is correct because an MMSE score of 24
falls below the standard cutoff of 24-26 for normal cognition,
indicating mild cognitive impairment that warrants further
evaluation.
Q5: When assessing driving safety in an 85-year-old with mild
cognitive impairment, which recommendation is most
appropriate?
A. Immediately revoking driving privileges based on age alone
B. Relying solely on the family's report of driving safety
, 4
C. Referring for a formal driving rehabilitation evaluation
[CORRECT]
D. Prescribing an anxiolytic to reduce driving-related stress
Correct Answer: C
Rationale: The best answer is referring for a formal evaluation
because objective, standardized testing by a specialist is required
to accurately determine driving fitness rather than relying on age
or family reports.
Q6: The "cross-linkage" theory of aging explains which of the
following age-related physical changes?
A. Decreased maximum heart rate during exercise
B. Increased arterial stiffness and systolic hypertension
[CORRECT]
C. Loss of subcutaneous fat and skin wrinkling
D. Decline in renal filtration rate
Correct Answer: C
Rationale: This choice is correct because the cross-linkage
theory posits that cellular proteins accumulate cross-links over
time, such as collagen stiffening in arteries, leading to increased
vascular rigidity.
