ANCC Gerontological Nursing 2

Question 1

An 80-year-old patient scores 18/30 on the Mini-Mental State Examination (MMSE). This score indicates:

Accepted Answer

Moderate cognitive impairment

Answer

Normal cognition

Answer

Mild cognitive impairment

Answer

Severe cognitive impairment

Question 2

A 78-year-old has a pressure injury with full-thickness skin loss exposing subcutaneous tissue without exposed bone, tendon, or muscle. This is classified as:

Accepted Answer

Stage 3

Answer

Stage 1

Answer

Stage 2

Answer

Stage 4

Question 3

Which intervention is most effective for preventing falls in hospitalized older adults?

Accepted Answer

Hourly rounding with toileting and call light within reach

Answer

Bed restraints to prevent getting up unsupervised

Answer

Sedating medications at night

Answer

Keeping all side rails up at all times

Question 4

Which of the following medications is considered high-risk in older adults due to anticholinergic effects?

Accepted Answer

Diphenhydramine (Benadryl)

Answer

Metformin

Answer

Amlodipine

Answer

Lisinopril

Question 5

When assessing pain in a non-verbal older adult with dementia, which scale is most appropriate?

Accepted Answer

PAINAD Scale

Answer

Numeric Rating Scale (NRS 0–10)

Answer

Visual Analog Scale (VAS)

Answer

Wong-Baker FACES Scale

Question 6

Elder mistreatment screening should be performed using which validated tool in outpatient settings?

Accepted Answer

Elder Abuse Suspicion Index (EASI)

Answer

CAGE questionnaire

Answer

PHQ-9

Answer

AUDIT-C