Family and Adult-Gero Nurse Practitioner Certification Questions Book (4th Edition) Updates

Chapter 3: Cardiovascular Disorders

Page 15:

PEARLS FOR THE CERTIFICATION EXAM

1st Bullet point: 2017 updated to 2025

Page 15:

Table 3-2 Hypertension Stages (AHA/ACC Guidelines)

Stage 1 Hypertension Treatment Recommendations: 10% changed to 7.5%

Reference for page 15:

Jones, D. W., Ferdinand, K. C., Taler, S. J., Johnson, H. M., Shimbo, D., Abdalla, M., Altieri, M. M., Bansal, N., Bello, N. A., Bress, A. P., Carter, J., Cohen, J. B., Collins, K. J., Commodore-Mensah, Y., Davis, L. L., Egan, B., Khan, S. S., Lloyd-Jones, D. M., Melnyk, B. M., … Williamson, J. D. (2025). 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM guideline for the prevention, detection, evaluation and management of high blood pressure in adults: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, 152(11). https://doi.org/10.1161/cir.0000000000001356

Chapter 8: Hematology Disorders

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Question #7

The nurse practitioner cares for a 62 year-old patient who has a history of hypertension, diabetes, and early dementia. The patient now reports fatigue and shortness of breath, and the NP suspects that the patient may have iron deficiency anemia (IDA). Given this patient's age, which additional finding might the NP expect in this patient?

A) Decreased blood pressure

B) Increased confusion

C) Elevated fasting blood glucose

D) Low respiratory rate

The correct answer for Question #7 is B. It was incorrectly indicated as C.

Chapter 16: Urology and STIs

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Definitions of uncomplicated and complicated UTIs updated per new 2025 guidelines:

Uncomplicated UTI: urinary infection confined to the bladder in an afebrile women or men without systemic symptoms.

Complicated UTI: urinary infection extending beyond the bladder in women or men including pyelonephritis, febrile or bacteremic urinary tract infection, catheter-associated urinary tract infection, or any urinary infection with systemic symptoms.

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Question #2:

Correct answer: a. not b.

Rationale changes: In 2025, Infectious Disease Society of America (ISDA) updated clinical practice guidelines redefining what constitutes complicated versus uncomplicated urinary tract infections. The patient presented in question number #2 has poorly controlled diabetes, but this information alone is not enough to classify this patient as having a complicated UTI. There are no systemic symptoms or indications that the infection has extended beyond the bladder therefore, this urinary infection would be classified as uncomplicated.

Reference for Chapter both updates:

Reference:

Trautner, B. W., Cortes-Penfield, N. W., Gupta, K., Hirsch, E. B., Horstman, M., Moran, G. J., Colgan, R., O’Horo, J. C., Ashraf, M. S., Connolly, S., Drekonja, D. M., Grigoryan, L., Huttner, A., Lazenby, G., Nicolle, L., Schaeffer, A., Yawetz, S., & Lavergne, V. (2025). Complicated urinary tract infections (cUTI): Clinical guidelines for treatment and management. Infectious Diseases Society of America. https://www.idsociety.org/practice-guideline/complicated-urinary-tract-infections/

Chapter 20: Adult-Gero Practice Exams

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Question 103 Rationale: Sentence #4 updated to:

According to JNC 8, CCBs and thiazide diuretics are the recommended first-line monotherapies in black patients.

Reference:

James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., Lackland, D. T., LeFevre, M. L., MacKenzie, T. D., Ogedegbe, O., Smith, S. C., Svetkey, L. P., Taler, S. J., Townsend, R. R., Wright, J. T., Narva, A. S., & Ortiz, E. (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Journal of the American Medical Association, 311(5), 507–520. https://doi.org/10.1001/jama.2013.284427