TEST BANK FOR ADVANCEDPRACTICE NURSING IN CARE
OF OLDER ADULTS 2ND EDITION BY KENNEDY MALON
E CHAPTER 1 – 19 >> QUESTIONS AND ANSWERS | 202
4
1. The major impact of the physiological changes that occur with aging is:
A. Reduced physiological reserve
B. Reduced homeostatic mechanisms
C. Impaired immunological response
D. All of the above
2. The strongest evidence regarding normal physiological aging is available
through:
A. Randomized controlled clinical trials
B. Cross-sectional studies
C. Longitudinal studies
D. Case control studies
3. All of the following statements are true about laboratory values in older
adults except:
A. Reference ranges are preferable
B. Abnormal findings are often due to physiological aging
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable values
4. Biochemical individuality is best described as:
A. Each individual’s variation is often much greater than that of a larger
group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
,
,B. What the body does to the drug
C. The effect at the site of action and the time and intensity of the drug
, D. The side effects commonly associated with the drug
7 All the following statements are false about drug absorption except:
. A. Antacids increase the bioavailability of digitalis
B. Gastric acidity decreases with age
C. Anticholinergics increase colonic motility
D. Underlying chronic disease has little impact on drug absorption
8 All of the following statements are true about drug distribution in the elderlyexcept:
. A. Drugs distributed in water have lower concentration
B. Drugs distributed in fat have less intense, more prolonged effect
C. Drugs highly protein bound have greater potential to cause an
adverse drugreaction
D. The fastest way to deliver a drug to the action site is by inhalation
9 Men have faster and more efficient biotransformation of drugs and this is thoughtto be
. due to:
A. Less obesity rates than women
B. Prostate enlargement
C. Testosterone
D. Less estrogen than women
10 The cytochrome p system involves enzymes that are generally:
. 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 with agingis:
. A. Decreased sensitivity to oral anticoagulants
B. Enhanced sensitivity to central nervous system drugs
C. Drug responsiveness can be influenced by patient activity level
D. There is a decreased sensitivity to beta blockers
12 Atypical presentation of disease in the elderly is reflected by all the followingexcept:
. A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction with chest pain and diaphoresis
D. Cardiac manifestations of thyroid disease
OF OLDER ADULTS 2ND EDITION BY KENNEDY MALON
E CHAPTER 1 – 19 >> QUESTIONS AND ANSWERS | 202
4
1. The major impact of the physiological changes that occur with aging is:
A. Reduced physiological reserve
B. Reduced homeostatic mechanisms
C. Impaired immunological response
D. All of the above
2. The strongest evidence regarding normal physiological aging is available
through:
A. Randomized controlled clinical trials
B. Cross-sectional studies
C. Longitudinal studies
D. Case control studies
3. All of the following statements are true about laboratory values in older
adults except:
A. Reference ranges are preferable
B. Abnormal findings are often due to physiological aging
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable values
4. Biochemical individuality is best described as:
A. Each individual’s variation is often much greater than that of a larger
group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
,
,B. What the body does to the drug
C. The effect at the site of action and the time and intensity of the drug
, D. The side effects commonly associated with the drug
7 All the following statements are false about drug absorption except:
. A. Antacids increase the bioavailability of digitalis
B. Gastric acidity decreases with age
C. Anticholinergics increase colonic motility
D. Underlying chronic disease has little impact on drug absorption
8 All of the following statements are true about drug distribution in the elderlyexcept:
. A. Drugs distributed in water have lower concentration
B. Drugs distributed in fat have less intense, more prolonged effect
C. Drugs highly protein bound have greater potential to cause an
adverse drugreaction
D. The fastest way to deliver a drug to the action site is by inhalation
9 Men have faster and more efficient biotransformation of drugs and this is thoughtto be
. due to:
A. Less obesity rates than women
B. Prostate enlargement
C. Testosterone
D. Less estrogen than women
10 The cytochrome p system involves enzymes that are generally:
. 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 with agingis:
. A. Decreased sensitivity to oral anticoagulants
B. Enhanced sensitivity to central nervous system drugs
C. Drug responsiveness can be influenced by patient activity level
D. There is a decreased sensitivity to beta blockers
12 Atypical presentation of disease in the elderly is reflected by all the followingexcept:
. A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction with chest pain and diaphoresis
D. Cardiac manifestations of thyroid disease
