Adult-Gerontology CNS Test Chronic Disease Management

Question 1

According to JNC 8 guidelines, what is the blood pressure target for adults aged 60 and above without diabetes or CKD?

Accepted Answer

Less than 150/90 mmHg

Answer

JNC 8 recommends a blood pressure target of less than 150/90 mmHg for adults 60 years and older without diabetes or chronic kidney disease.

Question 2

Which HbA1c target does the ADA recommend for frail older adults with complex health conditions and type 2 diabetes?

Accepted Answer

Less than 8.0%

Answer

The ADA recommends a less stringent HbA1c target of less than 8.0% for older adults with complex health conditions or limited life expectancy.

Question 3

A patient has a COPD GOLD Stage III classification. What does this indicate about their lung function?

Accepted Answer

Severe airflow limitation with FEV1 30 to 49%

Answer

GOLD Stage III represents severe airflow limitation with FEV1 30 to 49% of predicted, indicating significantly compromised lung function.

Question 4

Which lifestyle modification has the greatest evidence-based impact on reducing blood pressure in older adults with hypertension?

Accepted Answer

DASH diet adherence

Answer

The DASH diet (Dietary Approaches to Stop Hypertension) consistently reduces systolic blood pressure and overall cardiovascular risk.

Question 5

What is the recommended screening interval for colorectal cancer using colonoscopy in average-risk adults aged 50 to 75?

Accepted Answer

Every 10 years

Answer

Colonoscopy every 10 years is the gold-standard screening strategy for average-risk adults aged 50 to 75 in the US.

Adult-Gerontology CNS Test Practice Test