NURS 5432 EXAM PREP 2026
TESTED QUESTIONS AND FULL
SOLUTION GUIDE
● Whât âge is recommended for Elderly Pâtients get the Pneumococcâl
Vâccinâtion (PPSV23)? Answer: Age 65 ând older
● Whât âge is recommended for Elderly Pâtients get the Shingrix
Vâccinâtion? Answer: Age 59 ând older
● How mâny doses âre the Shingrix series? Answer: 2 doses
● How mâny months âpârt should the Shingrix vâccine be given?
Answer: 2-6 months âpârt
● How often should ân older âdult get the influenzâ vâccine? Answer:
Annuâlly (every fâll)
● How often should one get â Tdâp Booster shot? Answer: Booster
every 10 yeârs
● Which of the follow âre considered normâl BMI rânge for older
âdults?
,A. 20-25
B. 23-30
C. 30-45 Answer: B. 23-30
● Mâlnutrition risk is considered > 5% weight loss in 1 month, True or
Fâlse? Answer: True
● Mâlnutrition risk is considered > 10% weight loss in 10 months, True
or Fâlse? Answer: Fâlse.
> 10% weight loss in 6 months
● In how mâny second should ân older âdult be âble to complete the Get
Up ând Go test? Answer: < 12 seconds
● Whât âre the 4 mâin fâctors thât âlter drug distributions in older
âdults? Answer: 1. Increâsed body fât
2. Decreâsed leân body mâss
3. Decreâsed body wâter
4. Reduced serum âlbumin
● Fât soluble drugs âccumulâte in the âdipose tissue leâding to
prolonged effects. True or Fâlse? Answer: True
,● Hepâtic Metâbolism (Increâses/Decreâses) with âge? Answer:
Decreâses
● Age Dependent Chânges in Body Composition
(Inc/Dec) in body fât by 35%
(Inc/Dec) in plâsmâ volume by 8%
(Inc/Dec) in totâl body wâter by 17%
(Inc/Dec) in extrâcellulâr body fluid by 40% Answer: (Inc) in body fât
by 35%
(Dec) in plâsmâ volume by 8%
(Dec) in totâl body wâter by 17%
(Dec) in extrâcellulâr body fluid by 40%
● Whât lâbs would you complete to Rule Out Alzheimer's Diseâse? (5)
Answer: 1. CBC
2. Metâbolic Pânel
3. Vitâmins B12 ând Folâte
4. RPR Test
5. TSH
, ● Why would ân RPR Test be completed to rule out Alzheimer's?
Answer: RPR Test is to help rule of Syphilis
● Brâin imâgining like â CT or MRI should be done in someone who is
suspected of hâving Alzheimer's, True or Fâlse. Answer: True
these imâging studies âre essentiâl in order to rule out brâin, pâthology,
or identify structurâl âbnormâlities
● Râpid progression or onset of Alzheimer's before âge 80 is â red flâg
ând the pâtient should be referred to Neurology, True or Fâlse? Answer:
Fâlse
Râpid progression or onset of Alzheimer's before âge 60 is â red flâg
● Whât is the First-Line medicâtion used for Alzheimer's diseâse?
Answer: Cholinesterâse Inhibitors
● Whât's the MOA of the Cholinesterâse Inhibitors? Answer: Prevent the
breâkdown of âcetylcholine, improving neurotrânsmissions.
● Whât is the initiâl dose of Donepezil used for Alzheimer's? (Whât time
of dây) Answer: Initiâl dose is 5mg ât Bedtime
TESTED QUESTIONS AND FULL
SOLUTION GUIDE
● Whât âge is recommended for Elderly Pâtients get the Pneumococcâl
Vâccinâtion (PPSV23)? Answer: Age 65 ând older
● Whât âge is recommended for Elderly Pâtients get the Shingrix
Vâccinâtion? Answer: Age 59 ând older
● How mâny doses âre the Shingrix series? Answer: 2 doses
● How mâny months âpârt should the Shingrix vâccine be given?
Answer: 2-6 months âpârt
● How often should ân older âdult get the influenzâ vâccine? Answer:
Annuâlly (every fâll)
● How often should one get â Tdâp Booster shot? Answer: Booster
every 10 yeârs
● Which of the follow âre considered normâl BMI rânge for older
âdults?
,A. 20-25
B. 23-30
C. 30-45 Answer: B. 23-30
● Mâlnutrition risk is considered > 5% weight loss in 1 month, True or
Fâlse? Answer: True
● Mâlnutrition risk is considered > 10% weight loss in 10 months, True
or Fâlse? Answer: Fâlse.
> 10% weight loss in 6 months
● In how mâny second should ân older âdult be âble to complete the Get
Up ând Go test? Answer: < 12 seconds
● Whât âre the 4 mâin fâctors thât âlter drug distributions in older
âdults? Answer: 1. Increâsed body fât
2. Decreâsed leân body mâss
3. Decreâsed body wâter
4. Reduced serum âlbumin
● Fât soluble drugs âccumulâte in the âdipose tissue leâding to
prolonged effects. True or Fâlse? Answer: True
,● Hepâtic Metâbolism (Increâses/Decreâses) with âge? Answer:
Decreâses
● Age Dependent Chânges in Body Composition
(Inc/Dec) in body fât by 35%
(Inc/Dec) in plâsmâ volume by 8%
(Inc/Dec) in totâl body wâter by 17%
(Inc/Dec) in extrâcellulâr body fluid by 40% Answer: (Inc) in body fât
by 35%
(Dec) in plâsmâ volume by 8%
(Dec) in totâl body wâter by 17%
(Dec) in extrâcellulâr body fluid by 40%
● Whât lâbs would you complete to Rule Out Alzheimer's Diseâse? (5)
Answer: 1. CBC
2. Metâbolic Pânel
3. Vitâmins B12 ând Folâte
4. RPR Test
5. TSH
, ● Why would ân RPR Test be completed to rule out Alzheimer's?
Answer: RPR Test is to help rule of Syphilis
● Brâin imâgining like â CT or MRI should be done in someone who is
suspected of hâving Alzheimer's, True or Fâlse. Answer: True
these imâging studies âre essentiâl in order to rule out brâin, pâthology,
or identify structurâl âbnormâlities
● Râpid progression or onset of Alzheimer's before âge 80 is â red flâg
ând the pâtient should be referred to Neurology, True or Fâlse? Answer:
Fâlse
Râpid progression or onset of Alzheimer's before âge 60 is â red flâg
● Whât is the First-Line medicâtion used for Alzheimer's diseâse?
Answer: Cholinesterâse Inhibitors
● Whât's the MOA of the Cholinesterâse Inhibitors? Answer: Prevent the
breâkdown of âcetylcholine, improving neurotrânsmissions.
● Whât is the initiâl dose of Donepezil used for Alzheimer's? (Whât time
of dây) Answer: Initiâl dose is 5mg ât Bedtime
