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Sample Test
Questions
Gerontological Nurse Practitioner Exam
Sample Questions
The following sample questions are similar to those
on the examination but do not represent the full
range of content or levels of difficulty. The answers to
the sample questions are provided after the last
question. Please note: Taking these or any sample
question(s) is not a requirement to sit for an actual
certification examination. Completion of these or any
other sample question(s) does not imply eligibility for
certification or successful performance on any
certification examination.

To respond to the sample questions, first enter your

first and last names in the boxes below (this
information will not be recorded; it is strictly for
purposes of identifying your results). Then click the
button corresponding to the best answer for each
question. When you are finished, click the "Evaluate"
button at the bottom of the page. A new browser
window will open, displaying your results, which you
may print, if you wish.

This practice exam is not timed, and you may take it

as many times as you wish. Good luck!

First name: Last name:

1. The gerontological nurse practitioner

performs a speculum examination for a 71-
year-old female patient without symptoms,
and finds a thin, whitish, nonodorous mucoid
discharge high in the patient's vagina. The
nurse practitioner's most appropriate
intervention is to:

explain to the woman that the discharge is

normal.
prescribe estrogen cream, twice a week.
prescribe a topical antifungal medication,
applied vaginally each night for one week.
recommend the daily use of a vaginal
lubricant, for three days.

2. Temporal arteritis requires immediate

treatment in order to prevent:

blindness in the affected eye.

facial nerve palsy.
transient ischemic attack.
trigeminal neuralgia.

3. The test of choice for diagnosing iron

deficiency anemia is a:

reticulocyte count.
serum ferritin level.
total iron binding capacity.
transferrin saturation level.

4. Which profile characterizes the older adult

with the highest risk for suicide?

Divorced, Asian, and female

Married, Amish, and female
Single, White, and male
Widowed, African-American, and male

5. A patient has hyperactive reflexes of the

lower extremities. The gerontological nurse
practitioner assesses for ankle clonus by:

applying a low-pitched tuning fork firmly to

the lateral malleolus.
sharply dorsiflexing and maintaining the
foot in this position, while supporting the
knee.
striking the Achilles tendon with the
percussion hammer after flexing the leg at the
knee and rotating it externally.
stroking the lateral aspect of the sole with
the sharp end of the percussion hammer from
the heel to the ball of the foot.

6. The gerontological nurse practitioner notes

a well-demarcated, dry, rough, tan-colored
area that measures 1 cm on the forearm of a
retired man who worked as a park ranger. The
man says that the lesion has been present for
years. The lesion is suggestive of:

actinic keratosis.
keratoacanthoma.
seborrheic keratosis.
senile lentigo.

7. An 87-year-old patient, who has multiple,

fluid-filled and unilateral lesions on an
erythematous base that follows a dermatome,
reports severe pain and burning at the site.
The patient asks how long the pain will last.
The gerontological nurse practitioner
responds that the pain:

might never completely disappear.

will disappear in four to six weeks.
will disappear in six months to one year.
will disappear once the lesions are gone.

8. A 69-year-old female patient reports

dyspareunia. Physical examination reveals
sparse hair, an introitus that admits two
fingers, and a pale, dry vagina. The
gerontological nurse practitioner's initial
management of this problem is to prescribe:

a local, topical antifungal cream.

a topical hormonal cream.
a water-soluble lubricating jelly.
daily douching.

9. An older patient, who has chronic

obstructive pulmonary disease, develops a
fever and changes in sputum production. The
gerontological nurse practitioner prescribes:

a corticosteroid.
an antibiotic.
an inhaled bronchodilator.
nebulizer treatments.

10. The charge nurse at a nursing home

consults a gerontological nurse practitioner
about a resident with dementia who fell two
weeks ago. The patient's x-ray on the day of
the fall was negative, but the resident
continues to limp and exhibits increasing
agitation. The nurse practitioner advises the
charge nurse to:

administer the prescribed pain medication

to the resident.
apply heat to the affected hip and monitor
the resident's ambulation.
initiate physical therapy for the resident.
obtain another x-ray of the affected hip
and pelvis.

11. Which patient has the greatest nutritional

risk?

A patient who has dementia and is living

with family
A patient who has hypothyroidism and is
30% overweight
A patient who has multiple dental caries
and lives alone
A patient who is wheelchair-bound from a
stroke and receives live-in care

12. For two to three months, an older adult

patient has not been taking his or her
levothyroxine (Synthroid) as prescribed. The
patient now has symptoms of increasing
constipation, lethargy, and weakness. The
gerontological nurse practitioner anticipates
that laboratory tests will show that the
patient's:

T4 level is decreased and TSH level is

increased.
T4 level is increased and TSH level is
decreased.
T4 level is increased and TSH level is
unchanged.
T4 level is unchanged and TSH level is
decreased.

13. The primary reason for reassessing patients'

alcohol use is to:

advise about safe levels of consumption.

evaluate the risk for peripheral neuropathy.
prevent or reduce associated health risks.
screen for liver dysfunction.

14. The medical history of a robust, 64-year-old

patient is negative for hypertension, heart
disease, and diabetes. Upon examination, the
gerontological nurse practitioner detects a
new grade 3 crescendo-decrescendo systolic
murmur that is heard loudest at the base of
the heart, with radiation to the carotid arteries.
The gerontological nurse practitioner's next
action is to order:

a C-reactive protein test.

a troponin level.
an echocardiogram.
an electrocardiogram.

15. Which drug puts an older adult at the

highest risk for injury after a fall?

Acetaminophen/hydrocodone (Vicodin)
Alendronate (Fosamax)
Loratadine (Claritin)
Warfarin (Coumadin).

16. In addition to altered mental status, which

is the best early indicator of pneumonia in an
older adult?

Cough
Fever
Malaise
Tachypnea

17. A 65-year-old woman comes to the

geriatric clinic for a routine checkup. Her
history includes a 10 lb (4.5 kg) weight loss
over the past two months. On physical
examination, an enlarged (2 cm), radiating,
nontender and rubbery lymph node is
palpated on the left supraclavicular chain. The
gerontological nurse practitioner's next action
is to:

order a throat culture and monospot test.

order a two-step tuberculin skin test.
prescribe antibiotic therapy.
refer the patient to a surgeon for a lymph
node biopsy.

18. Which type of urinary incontinence is

lessened by pelvic floor exercises?

Functional
Overflow
Stress
Transient

19. Which diagnostic test does the

gerontological nurse practitioner order for a
patient who has swelling in his or her lower
extremities to screen for heart failure?

A brain natriuretic peptide test

A D-dimer assay
A spirometry study
An ankle brachial index

20. The purpose of a Long-Term Care

Ombudsman Program is:

implementing quality assurance activities.

performing comprehensive resident
assessments.
preserving the rights of nursing home
residents.
providing training requirements for nursing
assistants.

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