300 MIDTERM EXAM QUESTIONS AND NSWERS(GUARANTEED PASS
100%)// ALL YOU NEED TO PASS NUR 601 FINAL EXAM WITH MOST
TEST QUESTIONS
What are the 3 primary physiological changes of aging? - ANSWER-1. Reduced physiological
reserve of most body systems, esp. cardiac, resp, renal.
2. Reduced homeostatic mechanisms that fail to adjust regulatory systems (i.e. temp control,
fluid/lyte balance, etc.).
3. Impaired immunological function (infection risk is greater, autoimmune dz's more prevalent)
What is the preferred amount of exercise for elderly? - ANSWER-30min/day 5 days/wk of
moderate exercise.
If trying to lose wt: 60min/day.
What is PE description? - ANSWER-Occlusion of one or more pulmonary vessels by traveling
thrombus originating from distant site.
What are signal symptoms of tuberculosis? - ANSWER-Initially asymptomatic
Later: productive, prolonged cough
Fatigue
Low-grade fever
Night sweats
Poor appetite
Hemoptysis
Wt loss
Fever/sweats are less common in elderly
,Symptoms in elderly are often attributed to other comorbidities
What is tuberculosis? - ANSWER-Chronic, necrotizing infection caused by slow-growing acid-fast
bacillus (Mycobacterium tuberculosis).
Most common cause of death related to infectious dz worldwide.
What are signal symptoms of valvular heart dz? - ANSWER-Asymptomatic in early stages
Fatigue
Exertional dyspnea
What is valvular heart dz? - ANSWER-Damage to valve(s) of the heart, causing cardiac dysfunction.
Most prevalent types in elderly: calcific and degenerative aortic valve dz
What is aortic stenosis? - ANSWER-Abnormal narrowing of aortic valve orifice
What is aortic regurgitation? - ANSWER-Retrograde blood flow through incompetent aortic valve
into L ventricle during ventricular diastole
What is mitral stenosis? - ANSWER-Abnormal narrowing of mitral valve orifice
What is mitral regurgitation? - ANSWER-Retrograde blood flow during systole from L ventricle into
L atrium through incompetent mitral valve
What is mitral valve prolapse? - ANSWER-Mitral regurgitation associated with bulging of one or
both mitral valve leaflets into L atrium during ventricular systole
What are most common causes of VHD in elderly? - ANSWER-Age-related degenerative
calcifications
Myxomatous degeneration
,Papillary muscle dysfunction
Infective endocarditis
Rheumatic dz
What happens in valvular regurgitation? - ANSWER-Portion of the ejected blood leaks back into
the upstream cardiac chamber
What happens in valvular stenosis? - ANSWER-Usually results in elevated pressures in the
chamber upstream from the stenosis
What are signal symptoms of URI? - ANSWER-Nasal congestion
Rhinorrhea/mucopurulent discharge
Sore throat
Cough
HA
Malaise
What is a URI? - ANSWER-Most frequently called the common cold
Usually caused by virus
Results in nasal passage inflammation
Most are self-limiting, accompanied by minor complaints
Included in URI dx: acute laryngitis, acute rhinosinusitis, acute pharyngitis
What are signal symptoms of restrictive lung dz? - ANSWER-Rapid, shallow respirations
Dyspnea
Decreased activity tolerance
Easily fatigued
Nonproductive, irritating cough provoked by deep breathing/exertion
What is restrictive lung dz? - ANSWER-Heterogenous group of disorders that share common
abnormal ventilatory function.
, Characterized by small tidal volume, rapid rate.
Hallmark restrictive pattern is decreased lung volm, esp. total lung capacity and vital capacity.
What is the purpose of functional assessment of the elderly? - ANSWER-Discovers the ability to
care for themselves on a daily bases
What can ongoing pain be linked to in the elderly? - ANSWER-Depression
Decreased socialization
Sleep disturbance
Impaired cognitive function
Is chronic pain a normal sign of aging? - ANSWER-No
What is polypharmacy? - ANSWER-Broad definition, but basically too many medications for what
is going on with the patient, the use of multiple pharmacies/providers.
What is Stage A of HF? - ANSWER-At high risk for heart failure but w/out structural
changes/symptoms
What is Stage B HF? - ANSWER-Structural heart dz but w/out s/s of HF (still "at risk" for HF)
What is Stage C HF? - ANSWER-Structural heart dz w/prior or current s/s of HF (actually have HF)
What is Stage D HF? - ANSWER-Refractory heart failure including specialized interventions
(actually have HF, need surgery, PM, etc.)
What are treatment goals for Stage A HF? - ANSWER-Heart-healthy lifestyle
Prevent vascular, coronary dz
Prevent LV structural abnormalities