AG-CNS l#
Adult l#gerontology l#clinical l#nurse l#specialists l#are l#talking l#about l#the l#ability l#to l#produce l#an
l#effect. l#What l#term l#best l#describes l#what l#they l#are l#talking l#about? l#a. l#Marketing. l# l#
b. Budget. l# l#
c. Reimbursement. l# l#
d. Efficacy. l#- l#d. l#Efficacy l# l#
Efficacy l#is l#a l#concept l#that l#adult l#gerontology l#clinical l#nurse l#specialists l#should l#be l#aware
l#of. l#The l#word l#efficacy l#is l#used l#to l#describe l#the l#ability l#to l#produce l#an l#effect. l#More
l#directly, l#it l#means l#the l#ability l#of l#an l#intervention l#or l#medication l#to l#produce l#an l#expected
l#outcome. l#
l#
Frankie l#is l#a l#patient l#who l#has l#been l#diagnosed l#with l#pancreatitis. l#Which l#of l#the
l#following l#test l#results l#is l#most l#likely l#to l#be l#consistent l#with l#this l#diagnosis? l#a. l#Lipase
l#is l#lowered. l#
b. White l#blood l#count l#will l#be l#elevated l#if l#the l#pancreatitis l#is l#acute. l#
c. Bilirubin l#is l#grossly l#elevated. l#
d. Glucose l#may l#be l#severely l#decreased l#if l#pancreatitis l#is l#severe. l#- l#b. l#White l#blood l#count
l#will l#be l#elevated l#if l#the l#pancreatitis l#is l#acute. l#
l#
White l#blood l#count l#will l#be l#elevated l#if l#the l#pancreatitis l#is l#acute. l#Lipase l#is l#elevated l#in
l#pancreatitis. l#Bilirubin l#is l#mildly l#elevated l#in l#20% l#of l#patients. l#Glucose l#may l#be l#increased
l#in l#severe l#pancreatitis. l#
l#
Creating l#a l#culture l#amenable l#to l#innovation l#is l#necessarily l#based l#on l#the l#relative
l#understanding l#and l#application l#of l#equity l#within l#an l#organizational l#framework. l#Equity
l#is l#characterized l#by l#which l#of l#the l#following? l#a. l#It l#is l#morality-based. l#
b. It l#reflects l#delegatory l#authority. l#
c. It l#is l#comprised l#of l#vertical l#relationships. l#
d. It l#is l#inclusive, l#suggesting l#ownership. l#- l#d. l#It l#is l#inclusive, l#suggesting l#ownership. l#
l#
Equity l#is l#characterized l#by l#being l#inclusive, l#suggesting l#ownership. l#It l#is l#value-based,
l#reflects l#accountability l#and l#is l#comprised l#of l#horizontal l#relationship. l#Equity l#is l#also
l#characterized l#by l#equality l#in l#relationships. l#
l#
Which l#of l#the l#following l#drugs, l#when l#mixed l#with l#aged l#cheese l#or l#cured l#meats l#has
l#a l#clinical l#implication l#for l#severe l#hypertensive l#reactions? l#a. l#benzodiazepines l#
b. angiotensin-converting l#enzyme l#(ACE) l#inhibitors l# l#
c. warfarin l#
d. monoamine l#oxidase l#(MAO) l#inhibitors l#- l#d. l#monoamine l#oxidase l#(MAO) l#inhibitors l#
l#
Clinically l#important l#drug-nutrient l#interactions l#between l#monoamine l#oxidase l#(MAO)
l#inhibitors l#and l#aged l#and l#cured l#cheese l#and l#meats l#can l#have l#implications l#that l#produce
l#severe l#hypertensive l#reactions. l#Other l#foods l#can l#produce l#a l#negative l#drug-nutrient l#reaction
l#with l#MAO l#inhibitors l#include l#banana l#peels, l#fava l#bean l#pods, l#yeast l#extracts, l#sauerkraut l#or
l#soy l#sauce, l#among l#others. l#Monoamine l#oxidase l#found l#in l#the l#GI l#tract l#inactivates
l#tyramine. l#Tyramine l#can l#cause l#hypertension l#when l#absorbed l#into l#the l#systemic l#system. l#
,l#
Which l#of l#the l#following l#drugs l#for l#benign l#prostatic l#hypertrophy l#(BPH) l#requires l#up l#to
l#six l#months l#to l#be l#effective? l#a. l#Minipress l#
b. Proscar l#
c. Hytrin l#
d. Cardura l#- l#b. l#Proscar l#
l#
Proscar l#(finasteride) l#shrinks l#the l#prostate. l#It l#requires l#up l#to l#6 l#months l#to l#be l#effective. l#The
l#other l#drugs l#require l#a l#2 l#- l#3 l#month l#trial. l#
l#
When l#controlling l#organizational l#costs, l#bringing l#the l#individuals' l#desires l#and l#the
l#organization's l#needs l#together l#is l#referred l#to l#as l#which l#of l#the l#following? l#a. l#goal
l#congruence l#
b. motivation l#
c. quality l#care l#
d. bonus l#effect l#- l#a. l#goal l#congruence l#
l#
In l#order l#to l#be l#certain l#that l#the l#human l#beings l#will l#in l#fact l#want l#to l#control l#organizational
l#costs, l#the l#manager l#needs l#to l#make l#sure l#that l#it l#is l#somehow l#in l#their l#direct l#best l#interests
l#for l#costs l#to l#be l#controlled. l#The l#key l#is l#to l#establish l#some l#way l#that l#the l#normally
l#divergent l#desires l#of l#both l#are l#congruent. l#This l#is l#goal l#congruence. l#
l#
There l#are l#a l#number l#of l#normal l#aging l#changes l#that l#a l#health l#care l#professional l#must
l#recognize l#in l#a l#patient. l#Which l#of l#the l#following l#is l#NOT l#a l#normal l#aging l#change?
l#a. l#Older l#adults l#often l#experience l#an l#increased l#pulse l#pressure. l#
b. There l#is l#a l#decreased l#amount l#of l#blood l#pumped l#throughout l#the l#circulatory l#system. l#
c. Premature l#contractions l#and l#arrhythmias l#may l#occur. l#
d. Older l#adults l#often l#experience l#higher l#diastolic l#pressure. l#- l#d. l#Older l#adults l#often
l#experience l#higher l#diastolic l#pressure. l#
l#
Older l#adults l#often l#experience l#lower l#diastolic l#pressure. l#Blood l#flow l#is l#slower. l#Low
l#diastolic l#pressure l#is l#a l#risk l#for l#cerebrovascular l#accidents l#or l#strokes. l#
l#
The l#system l#that l#allows l#managers l#to l#make l#financial l#decisions l#and l#adjustments l#through
l#computer l#modeling l#that l#uses l#real-time l#data l#is l#which l#of l#the l#following? l#a. l#prospective
l#payment l#system l#
b. diagnosis l#related l#groups l#
c. decision l#support l#system l#
d. capitation l#- l#c. l#decision l#support l#system l#
Decision l#support l#systems l#allow l#managers l#to l#make l#financial l#decisions l#and l#adjustments
l#through l#computer l#modeling l#that l#uses l#real-time l#data. l#Computer-generated l#financial
l#forecasting l#allows l#organizations l#to l#develop l#alternative l#scenarios l#on l#the l#basis l#of l#the
l#interplay l#among l#numerous l#variables. l#
l#
Which l#of l#the l#following l#is l#NOT l#an l#instructional l#strategy? l#
l#a. l#role l#modeling l#
b. mini l#in-service l#
c. evidence-based l#practice l#
d. critical l#incident l#- l#c. l#evidence-based l#practice l#
,l#
Evidence-based l#practice l#is l#not l#an l#instructional l#strategy; l#it l#is l#a l#decision-making l#strategy.
l#Other l#instructional l#strategies l#include l#rounds l#and l#family l#as l#"faculty." l#
l#
In l#terms l#of l#intrarenal l#autoregulation, l#to l#prevent l#large l#changes l#in l#GFR, l#mean l#arterial
l#pressure l#is l#maintained l#at l#which l#of l#the l#following? l#a. l#0 l#- l#40 l#mm l#Hg l#
b. 40 l#- l#80 l#mm l#Hg l#
c. 80 l#to l#180 l#mm l#Hg l#
d. 180 l#- l#280 l#mm l#Hg l#- l#c. l#80 l#to l#180 l#mm l#Hg l#
As l#a l#general l#principle l#of l#intrarenal l#autoregulation, l#mean l#arterial l#pressure l#(MAP) l#is
l#maintained l#in l#a l#range l#of l#80 l#to l#180 l#mm l#Hg l#to l#prevent l#large l#changes l#in l#GFR. l#The
l#major l#site l#of l#autoregulation l#is l#the l#afferent l#arteriole. l#
l#
Which l#of l#the l#following l#is l#the l#most l#commonly l#reported l#illness l#among l#older l#adults?
l#a. l#osteoarthritis l#
b. constipation l#
c. osteoporosis l#
d. dementia l#- l#a. l#osteoarthritis l#
Osteoarthritis l#is l#the l#most l#commonly l#reported l#illness l#among l#older l#adults. l#It l#is l#a l#type l#of
l#arthritis l#that l#occurs l#when l#flexible l#tissue l#at l#the l#ends l#of l#bones l#wears l#down. l#It l#is l#more
l#likely l#to l#occur l#in l#the l#weight l#bearing l#joints, l#especially l#the l#hips l#and l#knees. l#
l#
When l#the l#clinical l#nurse l#specialist l#has l#the l#job l#of l#acting l#as l#a l#mentor l#assisting l#with
l#socialization l#of l#a l#novice l#nurse l#during l#orientation, l#he l#or l#she l#is l#known l#as l#which l#of
l#the l#following? l#a. l#coach l#
b. preceptor l#
c. role l#model l#
d. transitioner l#- l#b. l#preceptor l#
Being l#a l#preceptor l#means l#that l#an l#experienced l#person l#acts l#as l#mentor l#for l#a l#new l#nurse,
l#assisting l#with l#the l#new l#nurse's l#orientation. l#Preceptor l#programs l#have l#gained l#popularity l#as
l#a l#means l#to l#socialize l#the l#novice l#nurse l#into l#the l#profession. l#
l#
In l#terms l#of l#statistical l#analysis, l#addressing l#it l#as l#the l#likelihood l#of l#accurately l#predicting l#an
l#event l#or l#the l#extent l#of l#an l#effect l#is l#which l#of l#the l#following? l#
classical l#hypothesis l#testing
l#probability l#theory l#measures
l#of l#central l#tendency l#
kurtosis l#- l#probability l#theory l#
l#
Probability l#theory l#addresses l#statistical l#analysis l#as l#the l#likelihood l#of l#accurately l#predicting
l#an l#event l#or l#the l#extent l#of l#an l#effect. l#Nurse l#researchers l#might l#be l#interested l#in l#the
l#probability l#of l#a l#particular l#nursing l#outcome l#in l#a l#particular l#patient l#care l#situation.
l#Probability l#is l#expressed l#as l#a l#lowercase l#p. l#
l#
Your l#patient l#tells l#you l#that l#he l#has l#large l#red l#nodules l#in l#the l#pit l#of l#his l#arm. l#He l#tells l#you
l#that l#he l#has l#had l#them l#before l#and l#they l#have l#resolved l#but l#now l#they l#are l#draining l#pus.
l#You l#understand l#that l#this l#person l#has l#which l#of l#the l#following? l#
, early l#Lyme l#disease
l#pityriasis l#rosea l#scabies
l#
hidradenitis l#suppurativa l#- l#hidradenitis l#suppurativa l#
Hidradenitis l#suppurativa l#is l#a l#chronic l#scarring l#skin l#disease l#that l#affects l#the l#apocrine
l#glands. l#Treatment l#includes l#antibiotics l#to l#reduce l#inflammation, l#fight l#infection, l#prevent
l#HS l#from l#worsening, l#and l#stop l#new l#breakouts, l#and l#corticosteroids l#to l#reduce l#inflammation
l#which l#can l#help l#clear l#HS l#and l#prevent l#new l#breakouts. l#
l#
An l#adult l#gerontology l#clinical l#nurse l#specialist l#knows, l#that l#with l#age, l#people l#change l#in
l#which l#of l#the l#following l#ways? l#
In l#physical l#ways l#only. l# l#
Biological l#ways. l#
Psychological l#ways. l# l#
Both l#biological l#and l#psychological l#ways. l#- l#Both l#biological l#and l#psychological l#ways l# l#
l#
An l#adult l#gerontology l#clinical l#nurse l#specialist l#knows, l#that l#with l#age, l#people l#change l#in
l#both l#biological l#and l#psychological l#ways. l#Nurses l#can l#recommend l#lifestyle l#changes l#that
l#can l#help l#decrease l#the l#effects l#of l#aging. l#
l#
The l#oldest l#model l#of l#decision l#making l#is l#assumed l#to l#maximize l#satisfaction l#and l#fulfills
l#the l#"perfect l#knowledge l#assumption: l#that l#in l#any l#given l#situation l#calling l#for l#a l#decision,
l#all l#possible l#choices l#and l#consequences l#and l#potential l#outcome l#of l#each l#are l#known." l#This
l#model l#is l#which l#of l#the l#following? l#
normative l#model
l#descriptive l#model
l#decision-tree l#model
l#
strategic l#model l#- l#normative l#model l#
l#
The l#oldest l#model l#of l#decision l#making l#is l#the l#normative l#model. l#The l#normative l#model l#for
l#decision l#making, l#however, l#is l#unrealistic l#because l#it l#assumes l#that l#there l#are l#clear-cut
l#choices l#between l#identified l#alternatives. l#
l#
Which l#of l#the l#following l#would l#NOT l#be l#covered l#under l#Medicare l#Part l#B? l#
outpatient l#physician l#visits l#
X-rays l#rehab
l#
eyeglasses l#- l#eyeglasses l#
l#
Medicare l#Part l#B l#covers l#outpatient l#physician l#visits, l#labs, l#X-rays, l#durable l#medical
l#equipment, l#skilled l#nursing l#visits, l#mammograms l#and l#colonoscopies l#after l#age l#50, l#and
l#rehab. l#It l#does l#not l#pay l#for l#routine l#care l#such l#as l#dental l#or l#optical l#(including l#eyeglasses).
l#
l#
Renee l#is l#a l#55-year-old l#female l#who l#has l#recently l#returned l#from l#a l#trip l#to l#Hong l#Kong.
l#She l#complains l#of l#swelling l#and l#pain l#in l#her l#calf. l#Which l#of l#the l#following l#would l#be
l#least l#likely l#to l#support l#the l#diagnosis l#of l#DVT l#in l#this l#patient? l#
positive l#Homan's l#sign l#swelling
l#
recent l#prolonged l#travel l#time l#