Adult-Gerontology Primary Care Nurse Practitioner Exam Risk Assessment & Management 3

Question 1

A 76-year-old man with a BMI of 18.5 and recent 10 lb unintentional weight loss over 3 months is evaluated. Which screening tool best quantifies his malnutrition risk?

Accepted Answer

Mini Nutritional Assessment (MNA)

Answer

The Mini Nutritional Assessment (MNA) is the gold-standard validated tool for identifying malnutrition and nutritional risk in older adults.

Question 2

A 68-year-old postmenopausal woman has a FRAX 10-year major osteoporotic fracture risk of 22%. What is the recommended management?

Accepted Answer

Initiate pharmacologic therapy

Answer

A FRAX major osteoporotic fracture probability ≥20% or hip fracture ≥3% meets the threshold for initiating pharmacologic treatment per NOF guidelines.

Question 3

Which component of the Timed Up and Go (TUG) test result MOST directly indicates increased fall risk?

Accepted Answer

Taking longer than 12 seconds to complete

Answer

A TUG time greater than 12 seconds is the validated cut-off associated with increased fall risk in community-dwelling older adults.

Question 4

A 72-year-old patient on warfarin for DVT has a new prescription for fluconazole for a vaginal yeast infection. What is the primary risk management concern?

Accepted Answer

Fluconazole inhibits CYP2C9, increasing warfarin levels and bleeding risk

Answer

Fluconazole inhibits CYP2C9, the primary enzyme metabolizing warfarin, leading to elevated INR and significantly increased bleeding risk.

Question 5

An older adult is assessed with the AUDIT-C alcohol screening tool and scores 5. What does this indicate?

Accepted Answer

Positive screen for hazardous or harmful drinking

Answer

An AUDIT-C score of ≥4 in men or ≥3 in women is a positive screen indicating hazardous or harmful drinking patterns.

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Risk Assessment & Management 3