Adult-Gerontology Primary Care Nurse Practitioner Exam Chronic Disease Management in Older Adults

Question 1

According to current US guidelines, the target blood pressure for adults aged 65 and older without significant comorbidities is:

Accepted Answer

<130/80 mmHg

Answer

<150/90 mmHg

Answer

<140/90 mmHg

Answer

<120/70 mmHg

Question 2

A 70-year-old patient with type 2 diabetes has an A1C of 9.2%. The most appropriate A1C target for this otherwise healthy older adult is:

Accepted Answer

<7.5%

Answer

<6.5%

Answer

<8.5%

Answer

<9.0%

Question 3

Which class of antidiabetic medication is considered high-risk in older adults due to its association with severe hypoglycemia?

Accepted Answer

Sulfonylureas

Answer

SGLT-2 inhibitors

Answer

GLP-1 receptor agonists

Answer

DPP-4 inhibitors

Question 4

When managing heart failure with reduced ejection fraction (HFrEF) in an 80-year-old, which medication class has demonstrated mortality benefit and should be initiated?

Accepted Answer

Beta-blockers

Answer

Calcium channel blockers

Answer

Loop diuretics

Answer

Digoxin

Question 5

An older adult with COPD is most appropriately staged using which classification system?

Accepted Answer

GOLD Staging System

Answer

NYHA Classification

Answer

Wells Criteria

Answer

CURB-65 Score

Question 6

A 75-year-old with CKD stage 3b (eGFR 32 mL/min) and type 2 diabetes should have metformin:

Accepted Answer

Discontinued

Answer

Continued at full dose

Answer

Dose-reduced

Answer

Replaced with insulin only