ADVANCED PRACTICE NURSING IN THE CARE OF OLDER ADULTS / EDITION 2 TESTBANK LATEST 2025/2026

ADVANCED PRACTICE NURSING IN THE CARE & & & & & &




OF OLDER ADULTS / EDITION 2 TESTBANK
& & & & & & &




LATEST 2025/2026 & &&&&&&&




Chapter 1. Changes With Aging & & & &




Multiple Choice
&




Identify the choice that best completes the statement or answers the question.
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& 1. The major impact of the physiological changes that occur with
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aging is:
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A. Reduced physiological reserve
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B. Reduced homeostatic mechanisms
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C. Impaired immunological response
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D. All of the above
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& 2. The strongest evidence regarding normal physiological aging is
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available through:
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A. Randomized controlled clinical trials
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B. Cross-sectional studies
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C. Longitudinal studies
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D. Case control studies
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& 3. All of the following statements are true about laboratory values in
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older adults except:
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A. Reference ranges are preferable
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B. Abnormal findings are often due to physiological aging
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C. Normal ranges may not be applicable for older adults
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D. Reference values are not necessarily acceptable values
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,& 4. Biochemical individuality is best described as: & & & & &




A. Each individual’s variation is often much greater than that of a larger
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group
B. The unique biochemical profile of a selected population
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C. The truly “normal” individual—falling within average range
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D. Each individual’s variation is often much smaller than that of a larger
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group
& 5. Polypharmacy is best described as taking: & & & & &




A. More than nine medications per day
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B. More than five medications per day
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C. Even a single medication if there is not a clear indication for its use
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D. When a drug is given to treat the side effect of another drug
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& 6. Pharmacokinetic changes with aging is reflective of: & & & & & &




A. What the drug does to the body
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B. What the body does to the drug
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C. The effect at the site of action and the time and intensity of the drug
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&



D. The side effects commonly associated with the drug
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& 7. All the following statements are false about drug absorption except:
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A. Antacids increase the bioavailability of digitalis
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B. Gastric acidity decreases with age
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C. Anticholinergics increase colonic motility & & &




D. Underlying chronic disease has little impact on drug absorption
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& 8. All of the following statements are true about drug distribution in
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the elderly except:
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A. Drugs distributed in water have lower concentration
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B. Drugs distributed in fat have less intense, more prolonged effect
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C. Drugs highly protein bound have greater potential to cause an adverse drug
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reaction
D. The fastest way to deliver a drug to the action site is by inhalation
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,& 9. Men have faster and more efficient biotransformation of drugs and
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this is thought to be due to:
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A. Less obesity rates than women
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B. Prostate enlargement &




C. Testosterone
D. Less estrogen than women
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& 10. The cytochrome p system involves enzymes that are generally:
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A. Inhibited by drugs & &




B. Induced by drugs & &




C. Inhibited or induced by drugs & & & &




D. Associated with decreased liver perfusion & & & &




& 11. A statement not shown to be true about pharmacodynamics changes
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& with aging is:
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A. Decreased sensitivity to oral anticoagulants
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B. Enhanced sensitivity to central nervous system drugs
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C. Drug responsiveness can be influenced by patient activity level
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D. There is a decreased sensitivity to beta blockers
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& 12. Atypical presentation of disease in the elderly is reflected by all the
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& following except: &




A. Infection without fever & &




B. Depression without dysphoric mood & & &




C. Myocardial infarction with chest pain and diaphoresis
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D. Cardiac manifestations of thyroid disease
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& 13. Functional abilities are best assessed by: & & & & &




A. Self-report of function & &




B. Observed assessment of function & & &




C. A comprehensive head-to-toe examination
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D. Family report of function
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, &



Chapter 1: Changes with Aging Answer Section
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MULTIPLE CHOICE &




1. ANS:
& D PTS: 1
2. ANS:
& C PTS: 1
3. ANS:
& B PTS: 1
4. ANS:
& D PTS: 1
5. ANS:
& C PTS: 1
6. ANS:
& B PTS: 1
7. ANS:
& D PTS: 1
8. ANS:
& A PTS: 1
9. ANS:
& C PTS: 1
10. ANS:& C PTS: 1
11. ANS:& A PTS: 1
12. ANS:& C PTS: 1
13. ANS:& B PTS: 1




Chapter 2. Health Promotion
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Multiple Choice &




Identify the choice that best completes the statement or answers the question.
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& 1. The leading cause of death in elderly travelers worldwide is:
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A. Cardiovascular disease &




B. Infections
C. Accidents