NURS 5432 Final Exam
Expanded 2025/2026 Study & Practice Guide
Independent preparation resource. Newly authored practice material based on the public listing's topic signals. It does not reproduce or
claim to contain actual/leaked examination questions.
The supplied Stuvia listing is a 16-page NURS 5432 Final Exam document, written for the 2025/2026 academic year and uploaded
September 12, 2025. Its public preview focuses on older-adult immunization, Shingrix dosing, influenza/Tdap timing, BMI and clinically
significant weight loss. ■cite■turn0view0■
Related NURS 5432 listings indicate broader review areas including geriatric care/pharmacology, GI disease, anemia, and
preventive/primary-care topics. ■cite■turn0search2■turn0search4■
Current-guideline warning: the preview contains older pneumococcal recommendations that are no longer current. Current CDC adult
guidance includes PCV15, PCV20 and PCV21, and pneumococcal vaccination now depends on age, risk conditions and previous vaccine
history. ■cite■turn1search9■turn1search1■
NURS 5432 Final Exam — Independent 2025/2026 Study Guide Page 1
, 1. Exam Strategy & Clinical Reasoning
Think like an advanced-practice primary-care clinician: identify the syndrome, separate stable from unstable, recognize red flags,
choose the most appropriate first diagnostic step, distinguish first-line from second-line treatment, and plan follow-up/prevention. For
medication questions, consider contraindications, interactions, monitoring and patient-specific risk.
Priority language: “first,” “best next step,” “most appropriate,” and “most concerning” usually require choosing the action that addresses
immediate risk or establishes the diagnosis efficiently.
2. Geriatric Care, Cognition & Prevention
Question: An older adult has gradually worsening memory complaints but improves substantially when given cues. Which possibility should be
considered carefully before labeling the problem dementia?
Choices: A. A B. Delirium only C. B D. Depression-related cognitive impairment
Answer: C
Rationale: Normal aging only
Question: Which finding is most characteristic of delirium rather than a chronic neurocognitive disorder?
Choices: A. A B. Acute fluctuating attention and awareness C. B D. Slow progression over many years
Answer: C
Rationale: Stable memory deficit
Question: An older adult loses 6% of body weight over one month without intending to. What is the best response?
Choices: A. A B. Reassure and recheck in one year C. B D. Assess nutrition, medical causes and functional factors promptly
Answer: C
Rationale: Recommend fasting
Question: Which intervention best supports medication safety in an older adult taking many medications?
Choices: A. A B. Add supplements without review C. B D. Perform medication reconciliation and assess for adverse effects/interactions
Answer: C
Rationale: Stop all medications
Question: Which vaccine is routinely recommended as a 2-dose series for shingles prevention in immunocompetent adults at the
recommended age?
Choices: A. A B. RZV (Shingrix) C. B D. PPSV23
Answer: C
Rationale: Td only
Question: How often is influenza vaccination generally recommended for adults?
Choices: A. A B. Every month C. B D. Every year
Answer: C
Rationale: Every 5 years
Question: For an adult who has completed the primary tetanus series and received Tdap previously, what is the usual booster interval?
Choices: A. A B. Every 2 years C. B D. Every 5 years for everyone
Answer: C
Rationale: Every 10 years
3. Preventive Care & Screening
Question: A preventive-care visit should begin with which approach?
NURS 5432 Final Exam — Independent 2025/2026 Study Guide Page 2
Expanded 2025/2026 Study & Practice Guide
Independent preparation resource. Newly authored practice material based on the public listing's topic signals. It does not reproduce or
claim to contain actual/leaked examination questions.
The supplied Stuvia listing is a 16-page NURS 5432 Final Exam document, written for the 2025/2026 academic year and uploaded
September 12, 2025. Its public preview focuses on older-adult immunization, Shingrix dosing, influenza/Tdap timing, BMI and clinically
significant weight loss. ■cite■turn0view0■
Related NURS 5432 listings indicate broader review areas including geriatric care/pharmacology, GI disease, anemia, and
preventive/primary-care topics. ■cite■turn0search2■turn0search4■
Current-guideline warning: the preview contains older pneumococcal recommendations that are no longer current. Current CDC adult
guidance includes PCV15, PCV20 and PCV21, and pneumococcal vaccination now depends on age, risk conditions and previous vaccine
history. ■cite■turn1search9■turn1search1■
NURS 5432 Final Exam — Independent 2025/2026 Study Guide Page 1
, 1. Exam Strategy & Clinical Reasoning
Think like an advanced-practice primary-care clinician: identify the syndrome, separate stable from unstable, recognize red flags,
choose the most appropriate first diagnostic step, distinguish first-line from second-line treatment, and plan follow-up/prevention. For
medication questions, consider contraindications, interactions, monitoring and patient-specific risk.
Priority language: “first,” “best next step,” “most appropriate,” and “most concerning” usually require choosing the action that addresses
immediate risk or establishes the diagnosis efficiently.
2. Geriatric Care, Cognition & Prevention
Question: An older adult has gradually worsening memory complaints but improves substantially when given cues. Which possibility should be
considered carefully before labeling the problem dementia?
Choices: A. A B. Delirium only C. B D. Depression-related cognitive impairment
Answer: C
Rationale: Normal aging only
Question: Which finding is most characteristic of delirium rather than a chronic neurocognitive disorder?
Choices: A. A B. Acute fluctuating attention and awareness C. B D. Slow progression over many years
Answer: C
Rationale: Stable memory deficit
Question: An older adult loses 6% of body weight over one month without intending to. What is the best response?
Choices: A. A B. Reassure and recheck in one year C. B D. Assess nutrition, medical causes and functional factors promptly
Answer: C
Rationale: Recommend fasting
Question: Which intervention best supports medication safety in an older adult taking many medications?
Choices: A. A B. Add supplements without review C. B D. Perform medication reconciliation and assess for adverse effects/interactions
Answer: C
Rationale: Stop all medications
Question: Which vaccine is routinely recommended as a 2-dose series for shingles prevention in immunocompetent adults at the
recommended age?
Choices: A. A B. RZV (Shingrix) C. B D. PPSV23
Answer: C
Rationale: Td only
Question: How often is influenza vaccination generally recommended for adults?
Choices: A. A B. Every month C. B D. Every year
Answer: C
Rationale: Every 5 years
Question: For an adult who has completed the primary tetanus series and received Tdap previously, what is the usual booster interval?
Choices: A. A B. Every 2 years C. B D. Every 5 years for everyone
Answer: C
Rationale: Every 10 years
3. Preventive Care & Screening
Question: A preventive-care visit should begin with which approach?
NURS 5432 Final Exam — Independent 2025/2026 Study Guide Page 2
