2026 NURS 5432 Family I Midterm Exam | Actual Questions & Verified Answers | Latest FNP Midterm Update (Graded A)

2026 GRADED A+ EXAM




NURS 5432 Final Exam ACTUAL QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE UPDATE
WITH VERIFIED SOLUTIONS 2026



What age is recommended for Elderly Patients get the Prevnar 13 Vaccination? - CORRECT
ANSWER Age 65 and older



QUESTION :What age is recommended for Elderly Patients get the Pneumococcal Vaccination
(PPSV23)? - CORRECT ANSWER Age 65 and older



QUESTION :What age is recommended for Elderly Patients get the Shingrix Vaccination? -
CORRECT ANSWER Age 59 and older



QUESTION :How many doses are the Shingrix series? - CORRECT ANSWER 2 doses



QUESTION :How many months apart should the Shingrix vaccine be given? - CORRECT
ANSWER 2-6 months apart



QUESTION :How often should an older adult get the influenza vaccine? - CORRECT
ANSWER Annually (every fall)



QUESTION :How often should one get a Tdap Booster shot? - CORRECT ANSWER
Booster every 10 years

,2026 GRADED A+ EXAM

QUESTION :Which of the follow are considered normal BMI range for older adults?
A. 20-25
B. 23-30

C. 30-45 - CORRECT ANSWER B. 23-30



QUESTION :Malnutrition risk is considered > 5% weight loss in 1 month, True or False? -
CORRECT ANSWER True



QUESTION :Malnutrition risk is considered > 10% weight loss in 10 months, True or False? -
CORRECT ANSWER False.



> 10% weight loss in 6 months


QUESTION :In how many second should an older adult be able to complete the Get Up and
Go test? - CORRECT ANSWER < 12 seconds



QUESTION :What are the 4 main factors that alter drug distributions in older adults? -
CORRECT ANSWER 1. Increased body fat

2. Decreased lean body mass
3. Decreased body water
4. Reduced serum albumin


QUESTION :Fat soluble drugs accumulate in the adipose tissue leading to prolonged effects.
True or False? - CORRECT ANSWER True



QUESTION :Hepatic Metabolism (Increases/Decreases) with age? - CORRECT ANSWER
Decreases

,2026 GRADED A+ EXAM

QUESTION :Age Dependent Changes in Body Composition


(Inc/Dec) in body fat by 35%
(Inc/Dec) in plasma volume by 8%
(Inc/Dec) in total body water by 17%

(Inc/Dec) in extracellular body fluid by 40% - CORRECT ANSWER (Inc) in body fat by
35%
(Dec) in plasma volume by 8%
(Dec) in total body water by 17%
(Dec) in extracellular body fluid by 40%


QUESTION :What labs would you complete to Rule Out Alzheimer's Disease? (5) -
CORRECT ANSWER 1. CBC

2. Metabolic Panel
3. Vitamins B12 and Folate
4. RPR Test
5. TSH



QUESTION :Why would an RPR Test be completed to rule out Alzheimer's? - CORRECT
ANSWER RPR Test is to help rule of Syphilis



QUESTION :Brain imagining like a CT or MRI should be done in someone who is suspected of
having Alzheimer's, True or False. - CORRECT ANSWER True

these imaging studies are essential in order to rule out brain, pathology, or identify structural
abnormalities


QUESTION :Rapid progression or onset of Alzheimer's before age 80 is a red flag and the
patient should be referred to Neurology, True or False? - CORRECT ANSWER False

, 2026 GRADED A+ EXAM

Rapid progression or onset of Alzheimer's before age 60 is a red flag



QUESTION :What is the First-Line medication used for Alzheimer's disease? - CORRECT
ANSWER Cholinesterase Inhibitors



QUESTION :What's the MOA of the Cholinesterase Inhibitors? - CORRECT ANSWER
Prevent the breakdown of acetylcholine, improving neurotransmissions.


QUESTION :What is the initial dose of Donepezil used for Alzheimer's? (What time of day) -
CORRECT ANSWER Initial dose is 5mg at Bedtime



QUESTION :What is the Titration of Donepezil? - CORRECT ANSWER Increased to
10mg after 4-6 weeks



QUESTION :What is the max dose of Donepezil? - CORRECT ANSWER 23mg/day



QUESTION :What is the initial dose of Galantamine? - CORRECT ANSWER 4mg
twice daily



QUESTION :What is the titration of Galantamine? - CORRECT ANSWER Extended
release 8mg once daily



QUESTION :What is the initial dose of Rivastigmine? - CORRECT ANSWER The initial
dose is 1.5mg


QUESTION :What is the dose is the dose of the transdermal patch of Rivastigmine? How often
does it need to be changed? - CORRECT ANSWER 4.6mg changed every 24 hours