ADVANCED PRACTICE NURSING IN THE CARE & & & & & &
OF OLDER ADULTS / EDITION 2 TESTBANK
& & & & & & &
LATEST 2025/2026 & &&&&&&&
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
& & & & & & & & & &
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
& & & & & & &
D. Each individual’s variation is often much smaller than that of a larger
& & & & & & & & & & & & &
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 for its 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 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 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 adverse drug
& & & & & & & & & & & &
reaction
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 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 changes
& & & & & & & & &
& with 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 the
& & & & & & & & & & &
& following 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
& & &
, &
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
Chapter 2. Health Promotion
& & &
Multiple Choice &
Identify the choice that best completes the statement or answers the question.
& & & & & & & & & & &
& 1. The leading cause of death in elderly travelers worldwide is:
& & & & & & & & & &
A. Cardiovascular disease &
B. Infections
C. Accidents
OF OLDER ADULTS / EDITION 2 TESTBANK
& & & & & & &
LATEST 2025/2026 & &&&&&&&
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
& & & & & & & & & &
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
& & & & & & &
D. Each individual’s variation is often much smaller than that of a larger
& & & & & & & & & & & & &
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 for its 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 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 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 adverse drug
& & & & & & & & & & & &
reaction
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 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 changes
& & & & & & & & &
& with 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 the
& & & & & & & & & & &
& following 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
& & &
, &
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
Chapter 2. Health Promotion
& & &
Multiple Choice &
Identify the choice that best completes the statement or answers the question.
& & & & & & & & & & &
& 1. The leading cause of death in elderly travelers worldwide is:
& & & & & & & & & &
A. Cardiovascular disease &
B. Infections
C. Accidents
