Adult-Gerontology CNS Test Advanced Assessment and Diagnosis 3

Question 1

Which diagnostic test is the gold standard for confirming obstructive sleep apnea in older adults?

Accepted Answer

Polysomnography

Answer

Polysomnography (in-lab sleep study) remains the gold standard for diagnosing obstructive sleep apnea.

Question 2

When assessing fall risk in an older adult, which tool evaluates both gait and balance in a single comprehensive assessment?

Accepted Answer

Tinetti Performance-Oriented Mobility Assessment

Answer

The Tinetti POMA evaluates both gait and balance through a series of standardized maneuvers in one comprehensive assessment.

Question 3

Which electrocardiogram finding is the earliest manifestation of hyperkalemia?

Accepted Answer

Peaked T waves

Answer

Peaked (tall, narrow) T waves are the earliest ECG manifestation of hyperkalemia, appearing before more dangerous dysrhythmias.

Question 4

In an older adult with chronic kidney disease, which GFR range indicates Stage 3 CKD?

Accepted Answer

GFR 30 to 59 mL/min

Answer

Stage 3 CKD is defined by a GFR of 30 to 59 mL/min, indicating moderately decreased kidney function.

Question 5

When assessing an older adult for carotid artery stenosis, which auscultatory finding is associated with this condition?

Accepted Answer

Carotid bruit

Answer

A carotid bruit is an abnormal sound caused by turbulent blood flow through a narrowed carotid artery.

Adult-Gerontology CNS Test Practice Test