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AGCNS Adult-Gerontology Clinical Nurse Specialist Exam Sample Questions, Exams of Gerontology

A set of sample questions for the adult-gerontology clinical nurse specialist (agcns) exam. The questions cover a range of topics relevant to the agcns role, including patient assessment, care planning, interprofessional collaboration, and evidence-based practice. The document aims to familiarize exam candidates with the format and content of the actual agcns exam, which assesses the knowledge and skills required for this advanced nursing specialty. By analyzing the sample questions and understanding the rationale behind the correct answers, agcns candidates can better prepare themselves for the certification exam and develop the competencies needed to provide high-quality, patient-centered care to older adult populations.

Typology: Exams

2024/2025

Available from 09/21/2024

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AGCNS Adult-Gerontology Clinical Nurse
Specialist 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. A 52-year-old patient reports stiffness and painful swelling of the proximal and distal
interphalangeal joints. The expected pathologic findings in this patient include:
*bacteria in the synovial fluid.
*crystals in the synovial fluid.
*erosion of the articular cartilage.
*fatty degeneration of skeletal muscle tissue.
2. The adult-gerontology clinical nurse specialist screens patients for intimate partner
violence when the clinical nurse specialist observes a patient who:
*asks appropriate questions during a visit.
*exhibits unusual behavior during a visit.
*has laboratory values indicating an electrolyte imbalance.
*reliably attends planned appointments.
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AGCNS Adult-Gerontology Clinical Nurse

Specialist 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. A 52-year-old patient reports stiffness and painful swelling of the proximal and distal interphalangeal joints. The expected pathologic findings in this patient include: bacteria in the synovial fluid. crystals in the synovial fluid. erosion of the articular cartilage. fatty degeneration of skeletal muscle tissue.
  2. The adult-gerontology clinical nurse specialist screens patients for intimate partner violence when the clinical nurse specialist observes a patient who: asks appropriate questions during a visit. exhibits unusual behavior during a visit. has laboratory values indicating an electrolyte imbalance. reliably attends planned appointments.
  1. Which clinical tool is used to aid in the diagnosis of Guillain-Barré syndrome? Cerebrospinal fluid analysis. Computed tomography angiography. Magnetic resonance angiography. Magnetic resonance imaging.
  2. Several days after gastrointestinal surgery, a patient begins total parenteral nutrition. In addition to the blood glucose, which laboratory values are most important for the adult-gerontology clinical nurse specialist to monitor? Creatinine clearance and magnesium. Potassium and hemoglobin. Serum electrolytes and blood urea nitrogen. Total protein level and serum calcium.
  3. Which diagnostic tool determines whether a patient's pulmonary edema is cardiac or pulmonary in origin? Arterial blood gas test. Brain natriuretic peptide test. Cardiac marker panel. Electrolyte panel.
  4. A 92-year-old patient with advanced dementia has had three episodes of aspiration pneumonia in five months. The patient has no written advance directives. A speech therapist recommends feeding tube placement. One of the patient's adult children would like a feeding tube placed, the other adult child is unsure, and the patient's spouse states that the patient would never want a feeding tube. The adult-gerontology clinical nurse specialist's next action is to: bring the case to the attention of the ethics committee. emphasize to the family that a feeding tube will decrease recurrent pneumonia. obtain a surgical consultation to schedule a feeding tube placement. organize a family and staff meeting to discuss the risks and benefits and consider the patient's wishes.

consulting hospice for guidance on end-of-life care. contacting the Alzheimer's Association to locate adult day care services. providing a list of sitters who care for older adult patients. recommending a transfer to a long-term care facility for patients with Alzheimer disease.

  1. The initial psychosocial assessment of a patient with a terminal illness, refractory to treatment, includes: a discussion of hospice care. a review of critical life incidents. the family's readiness to learn about the dying process. the patient's preference for quality versus quantity of life.
  2. The adult-gerontology clinical nurse specialist plans to ask experienced users of home glucose monitoring to mentor patients new to this procedure. Which theory supports this approach? Behavioral learning theory. Planned behavioral change theory. Psychomotor learning theory. Social cognitive theory.
  3. An 88-year-old patient who is often incontinent is reluctant to use the call light for assistance. The adult-gerontology clinical nurse specialist instructs the staff to praise the patient each time they use the call light. The clinical nurse specialist's suggestion is based on which theory? Behavioral learning. Cognitive reorganization. Person-environment fit. Social cognitive.
  4. A hospital's administration examines the electronic health record (EHR) to improve patient outcomes. The adult-gerontology clinical nurse specialist recommends a design that:

aggregates the fall risk factors into a fall risk score. creates a report of the patients' vital signs. embeds each patient's diagnosis in the nurses' notes. sends nursing notes directly to the interprofessional team members.

  1. The adult-gerontology clinical nurse specialist leads an interprofessional group that is developing a special care unit for people who have dementia. During the second meeting, the nurse manager becomes resistant to the idea and negative about its implementation. This is an important project, and the support of the manager will be needed. The clinical nurse specialist's best response to the situation is to: meet individually with the nurse manager to discuss the perceived resistance. report the situation to the nursing director and ask for administrative intervention. revisit the initial goals of the group at the next meeting and ask for comments. schedule another group meeting since the majority of the group is supportive.
  2. The adult-gerontology clinical nurse specialist is asked to provide a consultation on ways to reduce the use of restraints in a skilled nursing facility. In the initial meeting with the skilled nursing facility administration, the clinical nurse specialist's primary goal is to: complete a written contract for services that covers expected outcomes, time commitments, support systems, and financial arrangements. conduct a force field analysis of the variables in the skilled nursing facility that includes use of existing data on restraint use and staff strengths and weaknesses. discuss the need for consultation, the overall goal of the project, and the working relationship with the staff. plan a review of how the use of restraints has been accomplished elsewhere, and the models used for education and for changing practice.
  3. Based on Change Theory, the adult-gerontology clinical nurse specialist, who is starting a new program in the organization, promotes change and acceptance by: avoiding the periodic, negative events between the driving and restraining forces. equalizing the driving and restraining forces to stabilize the environment. influencing the environment so that the driving forces outnumber the restraining forces. stimulating the disequilibrium of the driving and restraining forces.
  4. An older adult patient is living with cancer that has metastasized to the liver and

support evidence-based nursing practice.

  1. The adult-gerontology clinical nurse specialist presents a research study on the cardiovascular risk factors of patients who are over age 50. It is noted that all study participants are between 50 and 60 years of age. The potential bias in the study is due to the: attrition. confounding variables. contamination. homogeneous sample.
  2. The colleague of a researcher requests the mailing list of subjects who have participated in the researcher's study. The researcher tells the colleague that: a formal, written request will be needed before any information may be released. authorization from all study investigators will be needed before sharing the information. the information may not be shared without Institutional Review Board approval. the information will be shared, provided the colleague uses it only as approved by the researcher.
  3. To support quality improvement initiatives, the adult-gerontology clinical nurse specialist conducts a root cause analysis utilizing a Pareto chart to identify the: breakdowns and changes of the system over time. buy-in of stakeholders and the prioritization of improvement strategies. key resistors to change and an enhanced understanding of the problem. principal variables affecting process and the opportunities for improvement.
  4. While precepting a nursing student, the adult-gerontology clinical nurse specialist teaches blood glucose monitoring to a patient. As a result, the nursing student learns techniques and strategies for patient teaching. This educational technique is referred to as: coaching. collaborating. guiding.

mentoring.

ANSWERS

Question 1 The right answer was erosion of the articular cartilage. Question 2 The right answer was exhibits unusual behavior during a visit. Question 3 The right answer was Cerebrospinal fluid analysis. Question 4 The right answer was Serum electrolytes and blood urea nitrogen. Question 5 The right answer was Brain natriuretic peptide test. Question 6 The right answer was organize a family and staff meeting to discuss the risks and benefits and consider the patient's wishes. Question 7 The right answer was "As nurses, we are responsible for learning to recognize our own feelings when caring for patients whose diagnoses we may find difficult to accept." Question 8 The right answer was Utilize a survey to assess educational needs. Question 9 The right answer was Thyroid replacement medication. Question 10 The right answer was contacting the Alzheimer's Association to locate adult day care services. Question 11 The right answer was the patient's preference for quality versus quantity of life.A Question 12 The right answer was Social cognitive theory.

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