Adult-Gerontology CNS Test Advanced Assessment and Diagnosis 2

Question 1

In an older adult with suspected heart failure, which physical assessment finding is most consistent with fluid overload?

Accepted Answer

Bilateral basilar crackles

Answer

Bradycardia

Answer

Hypotension

Answer

Decreased skin turgor

Question 2

Which pain assessment tool is most appropriate for an older adult with moderate cognitive impairment who cannot self-report?

Accepted Answer

PAINAD Scale

Answer

Numeric Rating Scale

Answer

Visual Analog Scale

Answer

McGill Pain Questionnaire

Question 3

When should blood pressure be measured to diagnose orthostatic hypotension in an older adult?

Accepted Answer

Supine and after 3 minutes standing

Answer

Supine only

Answer

Supine and after 1 minute standing

Answer

Sitting only

Question 4

Which skin finding on assessment of an older adult is most concerning for potential malignancy?

Accepted Answer

Actinic keratosis

Answer

Seborrheic keratosis

Answer

Cherry angioma

Answer

Lentigo simplex

Question 5

A 75-year-old patient has a BMI of 17.5. How should the CNS classify this nutritional status?

Accepted Answer

Underweight

Answer

Normal weight

Answer

Overweight

Answer

Obese

Question 6

Which assessment finding best indicates frailty in an older adult using the Fried Frailty Criteria?

Accepted Answer

Unintentional weight loss of 10 lbs over one year

Answer

Hypertension

Answer

Tachycardia

Answer

Hyperglycemia