Exam Review Study Guide
NURS 5432
Questions with Complete Solutions
Latest Release 2026 Sure to Pass
Exam Review Study Guide
Geriatrics, Gastroenterology, Dermatology & Hematology
Page 1
, Exam Review Study Guide
Geriatric Immunizations & Assessment
Q: Recommended age for Prevnar 13 vaccination in elderly patients?
A: Age 65 and older
Q: Recommended age for Pneumococcal vaccination (PPSV23) in elderly patients?
A: Age 65 and older
Q: Recommended age for Shingrix vaccination in elderly patients?
A: Age 59 and older
Q: How many doses are in the Shingrix series?
A: 2 doses
Q: How many months apart should Shingrix doses be given?
A: 2–6 months apart
Q: How often should an older adult get the influenza vaccine?
A: Annually (every fall)
Q: How often should one get a Tdap booster?
A: Every 10 years
Q: Which of the following is considered normal BMI range for older adults? A) 20–25 B) 23–30 C) 30–45
A: B) 23–30
Q: Malnutrition risk is considered >5% weight loss in 1 month. True or False?
A: True
Q: Malnutrition risk is considered >10% weight loss in 10 months. True or False?
A: False — malnutrition risk is >10% weight loss in 6 months
Q: In how many seconds should an older adult be able to complete the Get Up and Go test?
A: < 12 seconds
Q: What are the 4 main factors that alter drug distribution in older adults?
A: 1) Increased body fat 2) Decreased lean body mass 3) Decreased body water 4) Reduced serum albumin
Q: Fat-soluble drugs accumulate in adipose tissue leading to prolonged effects. True or False?
A: True
Q: Hepatic metabolism (increases/decreases) with age?
A: Decreases
Q: Age-dependent changes in body composition: body fat, plasma volume, total body water, extracellular
body fluid
A: Body fat increases 35%; plasma volume decreases 8%; total body water decreases 17%; extracellular body
fluid decreases 40%
Dementia, Alzheimer's Disease & Delirium
Page 2
, Exam Review Study Guide
Q: What labs would you order to rule out Alzheimer's disease? (5)
A: 1) CBC 2) Metabolic panel 3) Vitamins B12 and folate 4) RPR test 5) TSH
Q: Why would an RPR test be completed to rule out Alzheimer's?
A: RPR test helps rule out syphilis
Q: Should brain imaging (CT or MRI) be done in someone suspected of having Alzheimer's?
A: True — imaging is essential to rule out brain pathology or identify structural abnormalities
Q: Rapid progression or onset of Alzheimer's before age 80 is a red flag requiring Neurology referral. True or
False?
A: False — the red flag threshold is onset before age 60
Q: What is the first-line medication class for Alzheimer's disease?
A: Cholinesterase inhibitors
Q: What is the MOA of cholinesterase inhibitors?
A: Prevent the breakdown of acetylcholine, improving neurotransmission
Q: Donepezil: initial dose and timing?
A: 5 mg at bedtime
Q: Donepezil: titration?
A: Increase to 10 mg after 4–6 weeks
Q: Donepezil: maximum dose?
A: 23 mg/day
Q: Galantamine: initial dose?
A: 4 mg twice daily
Q: Galantamine: titration?
A: Extended release 8 mg once daily
Q: Rivastigmine: initial dose?
A: 1.5 mg
Q: Rivastigmine transdermal patch: dose and change frequency?
A: 4.6 mg, changed every 24 hours
Q: Side effects of Rivastigmine?
A: Anorexia, weight loss, nausea/vomiting, loss of appetite, dehydration, headaches, AV block
Q: What medication is second-line adjunct therapy for Alzheimer's disease?
A: Memantine
Q: Memantine: initial dose?
A: 5 mg daily
Q: Memantine: titration?
A: Titrate to 10 mg daily, then 10 mg twice daily over 4 weeks
Q: What imaging is used to visualize infarcts caused by vascular dementia?
A: CT or MRI of the brain
Page 3
NURS 5432
Questions with Complete Solutions
Latest Release 2026 Sure to Pass
Exam Review Study Guide
Geriatrics, Gastroenterology, Dermatology & Hematology
Page 1
, Exam Review Study Guide
Geriatric Immunizations & Assessment
Q: Recommended age for Prevnar 13 vaccination in elderly patients?
A: Age 65 and older
Q: Recommended age for Pneumococcal vaccination (PPSV23) in elderly patients?
A: Age 65 and older
Q: Recommended age for Shingrix vaccination in elderly patients?
A: Age 59 and older
Q: How many doses are in the Shingrix series?
A: 2 doses
Q: How many months apart should Shingrix doses be given?
A: 2–6 months apart
Q: How often should an older adult get the influenza vaccine?
A: Annually (every fall)
Q: How often should one get a Tdap booster?
A: Every 10 years
Q: Which of the following is considered normal BMI range for older adults? A) 20–25 B) 23–30 C) 30–45
A: B) 23–30
Q: Malnutrition risk is considered >5% weight loss in 1 month. True or False?
A: True
Q: Malnutrition risk is considered >10% weight loss in 10 months. True or False?
A: False — malnutrition risk is >10% weight loss in 6 months
Q: In how many seconds should an older adult be able to complete the Get Up and Go test?
A: < 12 seconds
Q: What are the 4 main factors that alter drug distribution in older adults?
A: 1) Increased body fat 2) Decreased lean body mass 3) Decreased body water 4) Reduced serum albumin
Q: Fat-soluble drugs accumulate in adipose tissue leading to prolonged effects. True or False?
A: True
Q: Hepatic metabolism (increases/decreases) with age?
A: Decreases
Q: Age-dependent changes in body composition: body fat, plasma volume, total body water, extracellular
body fluid
A: Body fat increases 35%; plasma volume decreases 8%; total body water decreases 17%; extracellular body
fluid decreases 40%
Dementia, Alzheimer's Disease & Delirium
Page 2
, Exam Review Study Guide
Q: What labs would you order to rule out Alzheimer's disease? (5)
A: 1) CBC 2) Metabolic panel 3) Vitamins B12 and folate 4) RPR test 5) TSH
Q: Why would an RPR test be completed to rule out Alzheimer's?
A: RPR test helps rule out syphilis
Q: Should brain imaging (CT or MRI) be done in someone suspected of having Alzheimer's?
A: True — imaging is essential to rule out brain pathology or identify structural abnormalities
Q: Rapid progression or onset of Alzheimer's before age 80 is a red flag requiring Neurology referral. True or
False?
A: False — the red flag threshold is onset before age 60
Q: What is the first-line medication class for Alzheimer's disease?
A: Cholinesterase inhibitors
Q: What is the MOA of cholinesterase inhibitors?
A: Prevent the breakdown of acetylcholine, improving neurotransmission
Q: Donepezil: initial dose and timing?
A: 5 mg at bedtime
Q: Donepezil: titration?
A: Increase to 10 mg after 4–6 weeks
Q: Donepezil: maximum dose?
A: 23 mg/day
Q: Galantamine: initial dose?
A: 4 mg twice daily
Q: Galantamine: titration?
A: Extended release 8 mg once daily
Q: Rivastigmine: initial dose?
A: 1.5 mg
Q: Rivastigmine transdermal patch: dose and change frequency?
A: 4.6 mg, changed every 24 hours
Q: Side effects of Rivastigmine?
A: Anorexia, weight loss, nausea/vomiting, loss of appetite, dehydration, headaches, AV block
Q: What medication is second-line adjunct therapy for Alzheimer's disease?
A: Memantine
Q: Memantine: initial dose?
A: 5 mg daily
Q: Memantine: titration?
A: Titrate to 10 mg daily, then 10 mg twice daily over 4 weeks
Q: What imaging is used to visualize infarcts caused by vascular dementia?
A: CT or MRI of the brain
Page 3
