Test Bank for Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Malone Kennedy (newly
updated)
Advanced Practice Nursing in the Care of Older Adults 2nd Edition
Chapter 1. Changes With Aging
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The major impact of the physiological changes that occur with agingis:
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 availablethrough:
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 inolder
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
1
,Test Bank for Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Malone Kennedy (newly
updated)
larger group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
D. Each individual’s variation is often much smaller than that of alarger
group
5. Polypharmacy is best described as taking:
A.More than nine medications per day
B. More than five medications per day
C. Even a single medication if there is not a clear indication forits
use
D. When a drug is given to treat the side effect of another drug
6. Pharmacokinetic changes with aging is reflective of:
A.What the drug does to the body
B. What the body does to the drug
C. The effect at the site of action and the time and intensity ofthe
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
elderly
except:
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 adversedrug
reaction
D. The fastest way to deliver a drug to the action site is by inhalation
2
,Test Bank for Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Malone Kennedy (newly
updated)
9. Men have faster and more efficient biotransformationof
drugs and this is thought to 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 changeswith
aging
is:
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 thefollowing
except:
A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction with chest pain and diaphoresis
D. Cardiac manifestations of thyroid disease
13. Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment of function
C. A comprehensive head-to-toe examination
D. Family report of function
3
, Test Bank for Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Malone Kennedy (newly
updated)
Chapter 1: Changes with Aging Answer Section
MULTIPLE CHOICE
1. ANS:D PTS: 1
2. ANS:C PTS: 1
3. ANS:B PTS: 1
4. ANS:D PTS: 1
5. ANS:C PTS: 1
6. ANS:B PTS: 1
7. ANS:D PTS: 1
8. ANS:A PTS: 1
9. ANS:C PTS: 1
10. ANS: C PTS: 1
11. ANS: A PTS: 1
12. ANS: C PTS: 1
13. ANS: B PTS: 1
4
updated)
Advanced Practice Nursing in the Care of Older Adults 2nd Edition
Chapter 1. Changes With Aging
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The major impact of the physiological changes that occur with agingis:
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 availablethrough:
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 inolder
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
1
,Test Bank for Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Malone Kennedy (newly
updated)
larger group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
D. Each individual’s variation is often much smaller than that of alarger
group
5. Polypharmacy is best described as taking:
A.More than nine medications per day
B. More than five medications per day
C. Even a single medication if there is not a clear indication forits
use
D. When a drug is given to treat the side effect of another drug
6. Pharmacokinetic changes with aging is reflective of:
A.What the drug does to the body
B. What the body does to the drug
C. The effect at the site of action and the time and intensity ofthe
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
elderly
except:
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 adversedrug
reaction
D. The fastest way to deliver a drug to the action site is by inhalation
2
,Test Bank for Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Malone Kennedy (newly
updated)
9. Men have faster and more efficient biotransformationof
drugs and this is thought to 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 changeswith
aging
is:
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 thefollowing
except:
A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction with chest pain and diaphoresis
D. Cardiac manifestations of thyroid disease
13. Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment of function
C. A comprehensive head-to-toe examination
D. Family report of function
3
, Test Bank for Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Malone Kennedy (newly
updated)
Chapter 1: Changes with Aging Answer Section
MULTIPLE CHOICE
1. ANS:D PTS: 1
2. ANS:C PTS: 1
3. ANS:B PTS: 1
4. ANS:D PTS: 1
5. ANS:C PTS: 1
6. ANS:B PTS: 1
7. ANS:D PTS: 1
8. ANS:A PTS: 1
9. ANS:C PTS: 1
10. ANS: C PTS: 1
11. ANS: A PTS: 1
12. ANS: C PTS: 1
13. ANS: B PTS: 1
4
