lOMoAR cPSD|l3O0M13o8A0R4cPSD| 3013804
Advanced Practice Nursing in the Care of
Older Adults / Edition 2 TESTBANK
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
, lOMoAR cPSD| 3013804
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
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
, lOMoAR cPSD| 3013804
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. HealthPromotion
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
D. Malaria
2. Which of the following should be avoided in countries where food and water precautions are to be
observed?
A. Hot coffee
B. Bottled water
C. Salad buffet
D. Unpeeled bananas
3. What insect precautions are not necessary to prevent insect-borne diseases in the tropics?
A. Using 100% DEET on skin to prevent bites
B. Treating clothes with permetherin
C. Covering up exposed skin to lessen biting surface
D. Taking malaria pills as directed for areas at risk for malaria
, lOMoAR cPSD| 3013804
4. sAn sexample sof ssecondary sprevention syou scould srecommend/order sfor solder sadults swould sbe sto:
A. Check sfor sfecal soccult s blood
B. Wear sseat sbelts sin sthe s car
C. Provide sfoot scare sfor sa sdiabetic s patient
D. Administer sa stetanus sshot
s s 5. sAli sis sa s72-year-old sman swho srecently scame sto sthe sU.S. sfrom sNigeria. sHe sreports
shaving sBCG s(bacille sCalmette-Guerin) svaccination sas sa schild. sWhich sof sthe sfollowing sis
scorrect sregarding sa stuberculin sskin stest?
A. It sshould snot sbe sdone sat s all.
B. It sshould sbe sread sas ssmaller sthan sit sreally s is.
C. Vaccination shistory sis sirrelevant; sread sas susual.
D. It sshould sbe sread sas slarger sthan sit sreally s is.
s s 6. sA s72-year-old swoman sand sher shusband sare son sa scross-country sdriving svacation. sAfter
sa slong sday sof sdriving, sthey sstop sfor sdinner. sMidway sthrough sthe smeal, sthe swoman sbecomes
svery sshort sof sbreath, swith schest spain sand sa sfeeling sof spanic. sWhich sof sthe sfollowing
sproblems sis smost slikely?
A. Pulmonary sedema
B. Heart sfailure
C. Pulmonary sembolism
D. Pneumonia
s 7. sIvan sW. sis sa s65-year-old sman swho sis snew sto syour spractice. sHe shas sa shistory sof sCOPD,
sCAD, shypertension, sand stype s2 sdiabetes smellitus. sHe shas shad sno simmunizations ssince shis
sdischarge sfrom sthe smilitary sat sage s25. sChildhood sdiseases sincluded schickenpox, smeasles,
smumps, sand s“German smeasles.” sHe spresents sfor sa sdisease smanagement svisit. sWhich sof sthe
sfollowing simmunizations swould syou srecommend sfor sIvan?
A. MMR, sinfluenza, spneumococcal, s Zostavax
B. Influenza, spneumococcal, sPPD, sHepatitis s B
C. Tdap, spneumococcal, sinfluenza, s Zostavax
D. Hepatitis sB, sinfluenza, spneumococcal, sHepatitis s A
s s 8. sLeo sL. sis sa s62-year-old sAfrican sAmerican smale swho scomes sfor san sinitial svisit sto syour s practice.
Personal shealth shistory sincludes ssmoking s1 spack/day ssince sage s11, sconsuming sa scase sof sbeer
s(24 sbottles) severy sweekend, sand sworking sas san sassembler s(sedentary sjob) sfor sthe spast s10
syears. sFamily shistory sin sfirst-degree srelatives sincludes shypertension, shigh scholesterol, sheart
sattack, sand stype s2 sdiabetes smellitus. sLeo’s sBMI sis s32; sBP stoday sis s130/86. sYou sorder sa
sfasting sglucose, slipid sprofile, sand sreturn svisit sfor sBP scheck. sThis sis san sexample sof:
A. Primary sprevention
B. Secondary sprevention
C. Tertiary sprevention
D. Health sprofiling
s 9. sA slocal schapter sof sa snurse spractitioner sorganization shas sbegun splanning sa scommunity-based
sscreening sfor shypertension sat sa slocal scongregate sliving sfacility. sThis spopulation swas sselected
son sthe sbasis sof:
A. A spredicted sdecreased sincidence sof shigh sblood spressure sin sthis spopulation
B. A srecognized selement sof shigh srisk swithin sthis sgroup
Advanced Practice Nursing in the Care of
Older Adults / Edition 2 TESTBANK
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
, lOMoAR cPSD| 3013804
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
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
, lOMoAR cPSD| 3013804
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. HealthPromotion
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
D. Malaria
2. Which of the following should be avoided in countries where food and water precautions are to be
observed?
A. Hot coffee
B. Bottled water
C. Salad buffet
D. Unpeeled bananas
3. What insect precautions are not necessary to prevent insect-borne diseases in the tropics?
A. Using 100% DEET on skin to prevent bites
B. Treating clothes with permetherin
C. Covering up exposed skin to lessen biting surface
D. Taking malaria pills as directed for areas at risk for malaria
, lOMoAR cPSD| 3013804
4. sAn sexample sof ssecondary sprevention syou scould srecommend/order sfor solder sadults swould sbe sto:
A. Check sfor sfecal soccult s blood
B. Wear sseat sbelts sin sthe s car
C. Provide sfoot scare sfor sa sdiabetic s patient
D. Administer sa stetanus sshot
s s 5. sAli sis sa s72-year-old sman swho srecently scame sto sthe sU.S. sfrom sNigeria. sHe sreports
shaving sBCG s(bacille sCalmette-Guerin) svaccination sas sa schild. sWhich sof sthe sfollowing sis
scorrect sregarding sa stuberculin sskin stest?
A. It sshould snot sbe sdone sat s all.
B. It sshould sbe sread sas ssmaller sthan sit sreally s is.
C. Vaccination shistory sis sirrelevant; sread sas susual.
D. It sshould sbe sread sas slarger sthan sit sreally s is.
s s 6. sA s72-year-old swoman sand sher shusband sare son sa scross-country sdriving svacation. sAfter
sa slong sday sof sdriving, sthey sstop sfor sdinner. sMidway sthrough sthe smeal, sthe swoman sbecomes
svery sshort sof sbreath, swith schest spain sand sa sfeeling sof spanic. sWhich sof sthe sfollowing
sproblems sis smost slikely?
A. Pulmonary sedema
B. Heart sfailure
C. Pulmonary sembolism
D. Pneumonia
s 7. sIvan sW. sis sa s65-year-old sman swho sis snew sto syour spractice. sHe shas sa shistory sof sCOPD,
sCAD, shypertension, sand stype s2 sdiabetes smellitus. sHe shas shad sno simmunizations ssince shis
sdischarge sfrom sthe smilitary sat sage s25. sChildhood sdiseases sincluded schickenpox, smeasles,
smumps, sand s“German smeasles.” sHe spresents sfor sa sdisease smanagement svisit. sWhich sof sthe
sfollowing simmunizations swould syou srecommend sfor sIvan?
A. MMR, sinfluenza, spneumococcal, s Zostavax
B. Influenza, spneumococcal, sPPD, sHepatitis s B
C. Tdap, spneumococcal, sinfluenza, s Zostavax
D. Hepatitis sB, sinfluenza, spneumococcal, sHepatitis s A
s s 8. sLeo sL. sis sa s62-year-old sAfrican sAmerican smale swho scomes sfor san sinitial svisit sto syour s practice.
Personal shealth shistory sincludes ssmoking s1 spack/day ssince sage s11, sconsuming sa scase sof sbeer
s(24 sbottles) severy sweekend, sand sworking sas san sassembler s(sedentary sjob) sfor sthe spast s10
syears. sFamily shistory sin sfirst-degree srelatives sincludes shypertension, shigh scholesterol, sheart
sattack, sand stype s2 sdiabetes smellitus. sLeo’s sBMI sis s32; sBP stoday sis s130/86. sYou sorder sa
sfasting sglucose, slipid sprofile, sand sreturn svisit sfor sBP scheck. sThis sis san sexample sof:
A. Primary sprevention
B. Secondary sprevention
C. Tertiary sprevention
D. Health sprofiling
s 9. sA slocal schapter sof sa snurse spractitioner sorganization shas sbegun splanning sa scommunity-based
sscreening sfor shypertension sat sa slocal scongregate sliving sfacility. sThis spopulation swas sselected
son sthe sbasis sof:
A. A spredicted sdecreased sincidence sof shigh sblood spressure sin sthis spopulation
B. A srecognized selement sof shigh srisk swithin sthis sgroup
