Adult-Gerontology Primary Care Nurse Practitioner Exam Technology & Digital Applications 2 — Questions and Answers
Question 1: An older adult with mild cognitive impairment asks about using a medication reminder app. Which feature is MOST important for this population?
- Complex multi-step setup process
- Simple interface with large text and audio alerts (Correct answer)
- Integration with social media platforms
- Subscription-based premium content
Correct answer: Simple interface with large text and audio alerts
Simple interfaces with large text and audio alerts accommodate cognitive and sensory changes common in older adults with MCI.
Question 2: A patient uses a continuous glucose monitor (CGM) that syncs data to a smartphone app. The AGPCNP should know that CGM data shared via patient portals is governed by:
- FERPA regulations
- HIPAA Privacy and Security Rules (Correct answer)
- FTC consumer protection rules only
- No specific federal regulation
Correct answer: HIPAA Privacy and Security Rules
CGM data transmitted to and stored in EHRs or patient portals is protected health information governed by HIPAA Privacy and Security Rules.
Question 3: Which type of clinical decision support (CDS) tool is MOST effective at reducing inappropriate antibiotic prescribing in primary care?
- Passive reference alerts only
- Active interruptive alerts requiring provider acknowledgment (Correct answer)
- Patient-facing educational pop-ups
- Retrospective audit reports sent monthly
Correct answer: Active interruptive alerts requiring provider acknowledgment
Active interruptive alerts that require provider acknowledgment at the point of care are most effective at changing prescribing behavior.
Question 4: A 78-year-old patient is interested in a wearable fall-detection device. Which statement about these devices is accurate?
- They eliminate the need for fall-risk assessment
- False alarm rates do not affect patient adherence
- Automatic fall detection uses accelerometers and algorithms to detect sudden movement changes (Correct answer)
- They are reimbursed universally by Medicare Part A
Correct answer: Automatic fall detection uses accelerometers and algorithms to detect sudden movement changes
Wearable fall detectors use accelerometers and proprietary algorithms to identify the characteristic motion signatures of a fall.
Question 5: When implementing a population health management dashboard, the AGPCNP should prioritize which metric for identifying high-risk older adults?
- Number of patient portal logins per month
- Composite risk score integrating ED visits, chronic conditions, and medication count (Correct answer)
- Time since last routine physical
- Patient satisfaction survey scores
Correct answer: Composite risk score integrating ED visits, chronic conditions, and medication count
Composite risk scores that integrate utilization, chronic disease burden, and polypharmacy best identify high-risk patients who benefit from proactive outreach.
Question 6: A practice wants to use AI-driven predictive analytics to flag patients at risk for hospital readmission. The AGPCNP's primary ethical concern should be:
- The cost of the software license
- Algorithmic bias that may disadvantage certain racial or socioeconomic groups (Correct answer)
- Whether the algorithm is patented
- Speed of data processing
Correct answer: Algorithmic bias that may disadvantage certain racial or socioeconomic groups
AI models trained on historically biased datasets can perpetuate disparities by underestimating risk in marginalized populations.
Question 7: A patient sends a photo of a skin lesion through the secure patient portal messaging system. The AGPCNP's BEST response is to:
- Diagnose and treat based solely on the photo without a visit
- Acknowledge receipt, document the image in the EHR, and schedule a visit for in-person evaluation (Correct answer)
- Ignore the message as asynchronous care is not permitted
- Forward the image to a dermatologist without informing the patient
Correct answer: Acknowledge receipt, document the image in the EHR, and schedule a visit for in-person evaluation
Portal-submitted images should be documented and prompt an in-person evaluation, as photo quality and context limit diagnostic accuracy.
Adult-Gerontology Primary Care Nurse Practitioner Exam Technology & Digital Applications 2
An older adult with mild cognitive impairment asks about using a medication reminder app.
Which feature is MOST important for this population?