Gerontological Nurse Test Chronic Disease Management in the Elderly

Question 1

In older adults with type 2 diabetes, which HbA1c target is generally recommended to reduce hypoglycemia risk while maintaining glycemic control?

Accepted Answer

7.0–8.0% for older adults with multiple comorbidities

Answer

The American Geriatrics Society recommends a target HbA1c of 7.0–8.0% for older adults with multiple comorbidities, prioritizing hypoglycemia prevention over tight glycemic control.

Question 2

Which complication of heart failure is most commonly assessed in older adults by monitoring daily weight?

Accepted Answer

Fluid retention and early decompensation

Answer

Daily weight monitoring detects early fluid accumulation in heart failure; a weight gain of 2–3 pounds in 24 hours or 5 pounds in a week typically signals fluid retention and worsening heart failure.

Question 3

An older adult with COPD is prescribed a long-acting bronchodilator. The nurse recognizes that the primary goals of COPD management in older adults include:

Accepted Answer

Symptom relief, prevention of exacerbations, and maintaining functional independence

Answer

COPD in older adults is irreversible; management focuses on optimizing symptom control, preventing exacerbations, and preserving quality of life and functional ability.

Question 4

Which dietary recommendation is the most important for an older adult with stage 3 chronic kidney disease (CKD)?

Accepted Answer

Potassium and phosphorus restriction with adequate hydration

Answer

In CKD stage 3, the kidneys cannot adequately excrete potassium and phosphorus; dietary restriction of these electrolytes prevents dangerous hyperkalemia and hyperphosphatemia.

Question 5

A patient with osteoporosis suffers a vertebral compression fracture. The nurse expects which symptom as a primary complaint?

Accepted Answer

Sudden acute back pain with height loss

Answer

Vertebral compression fractures typically present with sudden acute back pain, and the cumulative effect of multiple fractures leads to progressive loss of height and kyphosis.

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Chronic Disease Management in the Elderly