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FNP Older Adult/Geriatrics Questions and Answers Updated 2026

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FNP Older Adult/Geriatrics Questions and Answers Updated 2026

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What leads to graying of hair? - Fewer melanocytes



What happens to skin with aging? - Skin atrophies

Less collagen (Less elasticity)

Skin drier (Xerosis)

Skin is slower to heal

Decreased in skin's sensory ability



Bright purple-colored patches with well-demarcated edges

Located on the dorm of forearms and hands

Lesions eventually resolve over several weeks - Senile Purpura



Tan to brown colored macule on the dorm of hands from sun damage - Lentigines



Stasis dermatitis - affects lower legs and ankles secondary to chronic edema



What is precancerous lesion of squamous cell carcinoma? - Actinic Keratosis



Loss of elasticity of the lens - Presbyopia



Presbyopia symptoms - Close vision is affected



Arcus senilis - Opaque grayish-to-white ring at the periphery of the cornea

Not associated with visual changes

Caused by deposition of cholesterol and fat



Cataracts - Cloudiness and opacity of the lens of the eyes

, Cataracts symptoms - Decreased night vision

Sensitivity to glare of car lights

Hazy vision

Red reflex disappears



Test for cataracts - Red reflex



Loss of central visual fields - Macular Degeneration



Macular Degeneration screening - Amsler grid



What frequency is lost first in aging? - High-frequency



Presbycusis - sensorineural hearing loss related to aging



What happened to the forced vital capacity with age? - Decreases



What happens to residual volume in lungs with age? - Increases due to decrease in lung and chest
wall compliance



Which type of immunity is more affected by aging? - Cellular immunity more than humoral immunity

- Cellular involves T-lymphocytes, macrophages, and the cytokines

- Humoral associated with B-lymphocytes and antibody



S4 in the elderly - Can be considered normal and not associated with heart disease symptoms



Increase in numbers of floaters or specks on the visual field

Flashes of light

Sensation that a curtain is covering part of the visual field - Retinal Detachment

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