1|Page
NURS 5432 FINAL EXAM |COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS 2026
Fat soluble drugs accumulate in the adipose tissue leading to prolonged effects.
True or False? - correct-answer -True
Hepatic Metabolism (Increases/Decreases) with age? - correct-answer -Decreases
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%
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(Dec) in plasma volume by 8%
(Dec) in total body water by 17%
(Dec) in extracellular body fluid by 40%
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
Why would an RPR Test be completed to rule out Alzheimer's? - correct-answer -
RPR Test is to help rule of Syphilis
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
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these imaging studies are essential in order to rule out brain, pathology, or
identify structural abnormalities
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
Rapid progression or onset of Alzheimer's before age 60 is a red flag
What is the First-Line medication used for Alzheimer's disease? - correct-answer -
Cholinesterase Inhibitors
What's the MOA of the Cholinesterase Inhibitors? - correct-answer -Prevent the
breakdown of acetylcholine, improving neurotransmissions.
, 4|Page
What is the initial dose of Donepezil used for Alzheimer's? (What time of day) -
correct-answer -Initial dose is 5mg at Bedtime
What is the Titration of Donepezil? - correct-answer -Increased to 10mg after 4-6
weeks
What is the max dose of Donepezil? - correct-answer -23mg/day
What is the initial dose of Galantamine? - correct-answer -4mg twice daily
What is the titration of Galantamine? - correct-answer -Extended release 8mg
once daily
NURS 5432 FINAL EXAM |COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS 2026
Fat soluble drugs accumulate in the adipose tissue leading to prolonged effects.
True or False? - correct-answer -True
Hepatic Metabolism (Increases/Decreases) with age? - correct-answer -Decreases
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%
,2|Page
(Dec) in plasma volume by 8%
(Dec) in total body water by 17%
(Dec) in extracellular body fluid by 40%
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
Why would an RPR Test be completed to rule out Alzheimer's? - correct-answer -
RPR Test is to help rule of Syphilis
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
,3|Page
these imaging studies are essential in order to rule out brain, pathology, or
identify structural abnormalities
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
Rapid progression or onset of Alzheimer's before age 60 is a red flag
What is the First-Line medication used for Alzheimer's disease? - correct-answer -
Cholinesterase Inhibitors
What's the MOA of the Cholinesterase Inhibitors? - correct-answer -Prevent the
breakdown of acetylcholine, improving neurotransmissions.
, 4|Page
What is the initial dose of Donepezil used for Alzheimer's? (What time of day) -
correct-answer -Initial dose is 5mg at Bedtime
What is the Titration of Donepezil? - correct-answer -Increased to 10mg after 4-6
weeks
What is the max dose of Donepezil? - correct-answer -23mg/day
What is the initial dose of Galantamine? - correct-answer -4mg twice daily
What is the titration of Galantamine? - correct-answer -Extended release 8mg
once daily
