Adult-Gerontology Primary Care Nurse Practitioner Exam Geriatric Assessment & Comprehensive Care Planning 1 — Questions and Answers
Question 1: Which tool is most commonly used to screen for cognitive impairment in older adults during a primary care visit?
- Mini-Cog (Correct answer)
- PHQ-9
- GDS-15
- AUDIT-C
Correct answer: Mini-Cog
The Mini-Cog is a brief, validated screening tool combining a 3-item recall and clock-drawing test widely used in primary care for cognitive impairment.
Question 2: The Timed Up and Go (TUG) test is used in geriatric assessment to evaluate which of the following?
- Cognitive function
- Fall risk and mobility (Correct answer)
- Nutritional status
- Depression severity
Correct answer: Fall risk and mobility
The TUG test measures the time it takes a patient to rise from a chair, walk 10 feet, return, and sit down, assessing mobility and fall risk.
Question 3: Which scale is used to assess functional status by measuring a patient's ability to perform basic activities of daily living (ADLs)?
- Lawton-Brody Scale
- Katz ADL Scale (Correct answer)
- Barthel Index
- FIM Scale
Correct answer: Katz ADL Scale
The Katz ADL Scale assesses independence in six basic activities: bathing, dressing, toileting, transferring, continence, and feeding.
Question 4: A 78-year-old patient has unintentional weight loss of 10% over 6 months. Which validated tool should the AGPCNP use to screen for malnutrition?
- MUST
- MNA-SF (Correct answer)
- SGA
- SNAQ
Correct answer: MNA-SF
The Mini Nutritional Assessment Short Form (MNA-SF) is the most validated and recommended tool for nutritional screening in geriatric outpatients.
Question 5: Comprehensive Geriatric Assessment (CGA) differs from a standard medical assessment primarily because it:
- Focuses exclusively on medical diagnoses
- Incorporates functional, cognitive, social, and psychological domains (Correct answer)
- Is only performed in inpatient settings
- Replaces laboratory and diagnostic testing
Correct answer: Incorporates functional, cognitive, social, and psychological domains
CGA is a multidimensional, interdisciplinary process that evaluates medical, functional, cognitive, psychological, and social factors to develop a coordinated care plan.
Question 6: When assessing an older adult for frailty in primary care, which phenotype criteria does the Fried Frailty Index include?
- Weight loss, exhaustion, low activity, slow gait, and weakness (Correct answer)
- Falls, confusion, incontinence, pressure ulcers, and polypharmacy
- Depression, isolation, pain, sleep disturbance, and anorexia
- Dyspnea, edema, fatigue, arrhythmia, and syncope
Correct answer: Weight loss, exhaustion, low activity, slow gait, and weakness
The Fried Frailty Phenotype identifies frailty by the presence of three or more of five criteria: unintentional weight loss, self-reported exhaustion, low physical activity, slow walking speed, and weak grip strength.
Adult-Gerontology Primary Care Nurse Practitioner Exam Geriatric Assessment & Comprehensive Care Planning 1
Which tool is most commonly used to screen for cognitive impairment in older adults during a primary care visit?