Adult-Gerontology Primary Care Nurse Practitioner Exam Chronic Disease Management in Older Adults

Question 1

According to current US guidelines, the target blood pressure for adults aged 65 and older without significant comorbidities is:

Accepted Answer

<130/80 mmHg

Answer

The 2017 ACC/AHA guidelines recommend a BP target of <130/80 mmHg for most adults ≥65, including those with high cardiovascular risk.

Question 2

A 70-year-old patient with type 2 diabetes has an A1C of 9.2%. The most appropriate A1C target for this otherwise healthy older adult is:

Accepted Answer

<7.5%

Answer

For healthy older adults with diabetes, the ADA recommends an A1C target of <7.5%, balancing glycemic control with hypoglycemia risk.

Question 3

Which class of antidiabetic medication is considered high-risk in older adults due to its association with severe hypoglycemia?

Accepted Answer

Sulfonylureas

Answer

Sulfonylureas stimulate insulin secretion independent of blood glucose levels, making them high-risk for hypoglycemia in older adults with irregular eating patterns.

Question 4

When managing heart failure with reduced ejection fraction (HFrEF) in an 80-year-old, which medication class has demonstrated mortality benefit and should be initiated?

Accepted Answer

Beta-blockers

Answer

Beta-blockers (carvedilol, metoprolol succinate, bisoprolol) are evidence-based, guideline-directed therapy for HFrEF that reduce mortality and hospitalizations.

Question 5

An older adult with COPD is most appropriately staged using which classification system?

Accepted Answer

GOLD Staging System

Answer

The GOLD (Global Initiative for Chronic Obstructive Lung Disease) staging system uses spirometry results and symptom burden to classify COPD severity and guide treatment.

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 Chronic Disease Management in Older Adults