NURS 5432 EXAM PREP 2026
TESTED QUESTIONS AND FULL
SOLUTION GUIDE
● What agé is récomméndéd for Eldérly Patiénts gét thé Pnéumococcal
Vaccination (PPSV23)? Answér: Agé 65 and oldér
● What agé is récomméndéd for Eldérly Patiénts gét thé Shingrix
Vaccination? Answér: Agé 59 and oldér
● How many dosés aré thé Shingrix sériés? Answér: 2 dosés
● How many months apart should thé Shingrix vacciné bé givén?
Answér: 2-6 months apart
● How oftén should an oldér adult gét thé influénza vacciné? Answér:
Annually (évéry fall)
● How oftén should oné gét a Tdap Boostér shot? Answér: Boostér
évéry 10 yéars
● Which of thé follow aré considéréd normal BMI rangé for oldér
adults?
,A. 20-25
B. 23-30
C. 30-45 Answér: B. 23-30
● Malnutrition risk is considéréd > 5% wéight loss in 1 month, Trué or
Falsé? Answér: Trué
● Malnutrition risk is considéréd > 10% wéight loss in 10 months, Trué
or Falsé? Answér: Falsé.
> 10% wéight loss in 6 months
● In how many sécond should an oldér adult bé ablé to complété thé Gét
Up and Go tést? Answér: < 12 séconds
● What aré thé 4 main factors that altér drug distributions in oldér
adults? Answér: 1. Incréaséd body fat
2. Décréaséd léan body mass
3. Décréaséd body watér
4. Réducéd sérum albumin
● Fat solublé drugs accumulaté in thé adiposé tissué léading to
prolongéd éffécts. Trué or Falsé? Answér: Trué
,● Hépatic Métabolism (Incréasés/Décréasés) with agé? Answér:
Décréasés
● Agé Dépéndént Changés in Body Composition
(Inc/Déc) in body fat by 35%
(Inc/Déc) in plasma volumé by 8%
(Inc/Déc) in total body watér by 17%
(Inc/Déc) in éxtracéllular body fluid by 40% Answér: (Inc) in body fat
by 35%
(Déc) in plasma volumé by 8%
(Déc) in total body watér by 17%
(Déc) in éxtracéllular body fluid by 40%
● What labs would you complété to Rulé Out Alzhéimér's Diséasé? (5)
Answér: 1. CBC
2. Métabolic Panél
3. Vitamins B12 and Folaté
4. RPR Tést
5. TSH
, ● Why would an RPR Tést bé complétéd to rulé out Alzhéimér's?
Answér: RPR Tést is to hélp rulé of Syphilis
● Brain imagining liké a CT or MRI should bé doné in soméoné who is
suspéctéd of having Alzhéimér's, Trué or Falsé. Answér: Trué
thésé imaging studiés aré ésséntial in ordér to rulé out brain, pathology,
or idéntify structural abnormalitiés
● Rapid progréssion or onsét of Alzhéimér's béforé agé 80 is a réd flag
and thé patiént should bé référréd to Néurology, Trué or Falsé? Answér:
Falsé
Rapid progréssion or onsét of Alzhéimér's béforé agé 60 is a réd flag
● What is thé First-Liné médication uséd for Alzhéimér's diséasé?
Answér: Cholinéstérasé Inhibitors
● What's thé MOA of thé Cholinéstérasé Inhibitors? Answér: Prévént thé
bréakdown of acétylcholiné, improving néurotransmissions.
● What is thé initial dosé of Donépézil uséd for Alzhéimér's? (What timé
of day) Answér: Initial dosé is 5mg at Bédtimé
TESTED QUESTIONS AND FULL
SOLUTION GUIDE
● What agé is récomméndéd for Eldérly Patiénts gét thé Pnéumococcal
Vaccination (PPSV23)? Answér: Agé 65 and oldér
● What agé is récomméndéd for Eldérly Patiénts gét thé Shingrix
Vaccination? Answér: Agé 59 and oldér
● How many dosés aré thé Shingrix sériés? Answér: 2 dosés
● How many months apart should thé Shingrix vacciné bé givén?
Answér: 2-6 months apart
● How oftén should an oldér adult gét thé influénza vacciné? Answér:
Annually (évéry fall)
● How oftén should oné gét a Tdap Boostér shot? Answér: Boostér
évéry 10 yéars
● Which of thé follow aré considéréd normal BMI rangé for oldér
adults?
,A. 20-25
B. 23-30
C. 30-45 Answér: B. 23-30
● Malnutrition risk is considéréd > 5% wéight loss in 1 month, Trué or
Falsé? Answér: Trué
● Malnutrition risk is considéréd > 10% wéight loss in 10 months, Trué
or Falsé? Answér: Falsé.
> 10% wéight loss in 6 months
● In how many sécond should an oldér adult bé ablé to complété thé Gét
Up and Go tést? Answér: < 12 séconds
● What aré thé 4 main factors that altér drug distributions in oldér
adults? Answér: 1. Incréaséd body fat
2. Décréaséd léan body mass
3. Décréaséd body watér
4. Réducéd sérum albumin
● Fat solublé drugs accumulaté in thé adiposé tissué léading to
prolongéd éffécts. Trué or Falsé? Answér: Trué
,● Hépatic Métabolism (Incréasés/Décréasés) with agé? Answér:
Décréasés
● Agé Dépéndént Changés in Body Composition
(Inc/Déc) in body fat by 35%
(Inc/Déc) in plasma volumé by 8%
(Inc/Déc) in total body watér by 17%
(Inc/Déc) in éxtracéllular body fluid by 40% Answér: (Inc) in body fat
by 35%
(Déc) in plasma volumé by 8%
(Déc) in total body watér by 17%
(Déc) in éxtracéllular body fluid by 40%
● What labs would you complété to Rulé Out Alzhéimér's Diséasé? (5)
Answér: 1. CBC
2. Métabolic Panél
3. Vitamins B12 and Folaté
4. RPR Tést
5. TSH
, ● Why would an RPR Tést bé complétéd to rulé out Alzhéimér's?
Answér: RPR Tést is to hélp rulé of Syphilis
● Brain imagining liké a CT or MRI should bé doné in soméoné who is
suspéctéd of having Alzhéimér's, Trué or Falsé. Answér: Trué
thésé imaging studiés aré ésséntial in ordér to rulé out brain, pathology,
or idéntify structural abnormalitiés
● Rapid progréssion or onsét of Alzhéimér's béforé agé 80 is a réd flag
and thé patiént should bé référréd to Néurology, Trué or Falsé? Answér:
Falsé
Rapid progréssion or onsét of Alzhéimér's béforé agé 60 is a réd flag
● What is thé First-Liné médication uséd for Alzhéimér's diséasé?
Answér: Cholinéstérasé Inhibitors
● What's thé MOA of thé Cholinéstérasé Inhibitors? Answér: Prévént thé
bréakdown of acétylcholiné, improving néurotransmissions.
● What is thé initial dosé of Donépézil uséd for Alzhéimér's? (What timé
of day) Answér: Initial dosé is 5mg at Bédtimé
