Free Gerontological Nurse Practitioner Practice Test

The Gerontological Nurse Practitioner certification indicates specialization and higher level of training in treating the elderly population. This includes the management of acute and chronic illness, as well as addressing the psychosocial issues that can be present with aging. Gerontological Nurse Practitioners are employed in clinics, doctor's offices, long-term care facilities, and hospitals.

In order to take the Gerontological Nurse Practitioner exam, the applicant must be a licensed Registered Nurse who has completed an accredited Nurse Practitioner education program with a minimum of a Master's Degree. The clinical portion of the educational program must have contained a minimum of 500 clinic hours.

The Gerontological Nurse Practitioner exam is available to RNs throughout the year at various testing sites across the United States. The fee to take the exam is $230 for American Nurses Association (ANA) members and $370 for non-members.

The exam consists of 175 questions of which 25 of the questions are used for pre-testing purposes only for possible inclusion on future exams. The Gerontological Nurse Practitioner exam tests the RN's knowledge in all aspects of assessment, diagnosis, and treatment of acute and chronic adult illnesses. Issues in health promotion and wellness are also included on the exam. Almost one-half of the exam focuses on specific questions dealing with the clinical management of the patient. The balance of the exam consists of questions regarding patient assessment, healthy living, patient factors, and research.

The Gerontological Nurse Practitioner certification is valid for 3 years. At the end of that time period, the licensed RN must have completed at least 1,000 hours of employment as a Gerontological Nurse Practitioner. In addition, at least 75 continuing education hours should have been completed or other educational activities should have been completed as outlined by the American Nurses Credentialing Center. The fee for renewal is $160 for ANA members and $290 for non-members as long as the practice hour and continuing education hour requirements are met. For those who wish to retake the exam in order to recertify, the fee is $230 for ANA members and $370 for non-members.

For more information regarding the Gerontological Nurse Practitioner certification, go to
www.nursecredentialing.org/cert/TCOs.html, www.nursingworld.org, or www.ngna.org.

Nursing Certification Central

Free Gerontological Nurse Practitioner Practice Test Questions

1. A 77-year-old male patient has increasing dementia with short-term memory loss and symptoms that fluctuate frequently. The patient experiences visual hallucination and exhibits muscle rigidity and tremors. These symptoms are characteristic of which type of non-Alzheimer's dementia?

  1. Dementia with Lewy bodies
  2. Frontotemporal dementia
  3. Normal pressure hydrocephalus
  4. Parkinson's dementia

2. An older woman complains of a history of nausea and burning, stabbing epigastric pain which is relieved for short periods by antacids or intake of food. The patient denies NSAID use but is a heavy smoker. A urea breath test is positive. Which of the following treatment protocols is most common?

  1. Histamine-2 blocker plus bismuth plus tetracycline
  2. Proton pump inhibitor only
  3. Proton pump inhibitor plus tetracycline
  4. Proton pump inhibitor plus clarithromycin and amoxicillin/metronidazole

3. A 76-year-old male is recovering from surgery but exhibits sudden onset of confusion with fluctuating inattention, disorganized thinking, and altered level of consciousness. Which of the following assessment tools is most indicated?

  1. Mini-mental state exam (MMSE)
  2. Mini-Cog
  3. Confusion assessment method (CAM)
  4. Geriatric depression scale (GDS)

4. A 76-year-old patient has developed slight dependent rubor in both feet. The best procedure to assess peripheral arterial insufficiency of the lower extremities is

  1. nylon monofilament tests.
  2. toe-brachial index.
  3. capillary refill test.
  4. ankle-brachial index.

5. A frail 82-year-old female has developed second-degree uterovaginal prolapse. Which of the following treatments is most indicated?

  1. Ring pessary
  2. Hodge pessary
  3. Donut pessary
  4. Referral to surgeon for surgical repair

Answers

1. A: These symptoms are characteristic of dementia with Lewy bodies. Cognitive and physical decline is similar to Alzheimer's, but symptoms may fluctuate frequently. This form of dementia may include visual hallucinations, muscle rigidity, and tremors. Frontotemporal dementia may cause marked changes in personality and behavior and is characterized by difficulty using and understanding language. Normal pressure hydrocephalus is characterized by ataxia, memory loss, and urinary incontinence. Parkinson's dementia may involve impaired decision making and difficulty concentrating, learning new material, understanding complex language, and sequencing as well as inflexibility and short- or long-term memory loss.

2. D: These symptoms are consistent with a duodenal ulcer, and the positive urea breath test indicates a Helicobacter pylori infection, which is usually treated with a proton pump inhibitor plus clarithromycin and amoxicillin/metronidazole. About 90% of duodenal ulcers are associated with H. pylori infection. H. pylori weakens the mucosa and results in hypersecretion of gastric acid. Eating may increase pain with gastric ulcers but usually relieves pain with duodenal ulcers. Smoking increases the risk of peptic ulcer disease, and use of NSAIDs increases risk of serious complications, such as bleeding or perforation.

3. C: CAM: Assesses development of delirium. Factors indicative of delirium include
Onset: Acute change in mental status.
Attention: Inattentive, stable, or fluctuating.
Thinking: Disorganized, rambling conversation, switching topics, illogical.
Level of consciousness: Altered, ranging from alert to coma.
Orientation: Disoriented (person, place, time).
Memory: Impaired.
Perceptual disturbances: Hallucinations, illusions.
Psychomotor abnormalities: Agitation (tapping, picking, moving) or retardation (staring, not moving).
Sleep-wake cycle: Awake at night and sleepy in the daytime.
MMSE and Mini-Cog are used to assess evidence of dementia or short-term memory loss, often associated with Alzheimer's disease. GDS is a self-assessment tool to identify older adults with depression.

4. D: Ankle-brachial index: Used to evaluate peripheral artery disease by combining use of blood pressure and Doppler readings of the arms (brachial artery) and ankles to determine difference in pressure from upper extremities to lower. Toe-brachial index: Used if ABI is positive to provide additional information. Nylon monofilament test: Used to evaluate neuropathy and risk of ulcers. A piece of monofilament is touched and pressed against parts of foot and toes to determine if patient can feel it. Capillary refill: Used to assess perfusion. Nail is grasped and pressure applied for a few seconds and then released. Arterial occlusion is indicated with times >2-3 seconds.

5. A: Because of age and frailty, this patient is a poor candidate for surgical repair, so a ring pessary, which is used for first- and second-degree uterovaginal prolapse is indicated. Hodge pessary is used for mild cystocele and cube pessaries for third-degree uterovaginal prolapse. Pessaries are plastic or silicone removable prosthetic devices that are placed in the vagina for management of pelvic muscle support defects, such as cystocele and rectocele. They are also frequently used for stress incontinence.

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Last Updated: 06/06/2017


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