NURS 5432 Final Exam Question and Answer (2026/2027) | Updated Questions and Correct Answers | A+ Verified

NURS 5432 Final Exam Question and Answer
(2026/2027) | Updated Questions and Correct
Answers | A+ Verified
• What age is recommended for Elderly Patients get the Prevnar 13 Vaccination? -
✓✓ Age 65 and older


• What age is recommended for Elderly Patients get the Pneumococcal
Vaccination (PPSV23)? -✓✓ Age 65 and older


• What age is recommended for Elderly Patients get the Shingrix Vaccination? -
✓✓ Age 59 and older


• How many doses are the Shingrix series? -✓✓ 2 doses


• How many months apart should the Shingrix vaccine be given? -✓✓ 2-6 months
apart


• How often should an older adult get the influenza vaccine? -✓✓ Annually (every
fall)


• How often should one get a Tdap Booster shot? -✓✓ Booster every 10 years


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

,C. 30-45 -✓✓ B. 23-30


• Malnutrition risk is considered > 5% weight loss in 1 month, True or False? -✓✓
True


• Malnutrition risk is considered > 10% weight loss in 10 months, True or False? -
✓✓ False.


> 10% weight loss in 6 months


• In how many second should an older adult be able to complete the Get Up and
Go test? -✓✓ < 12 seconds


• What are the 4 main factors that alter drug distributions in older adults? -✓✓ 1.
Increased body fat
2. Decreased lean body mass
3. Decreased body water
4. Reduced serum albumin


• Fat soluble drugs accumulate in the adipose tissue leading to prolonged effects.
True or False? -✓✓ True


• Hepatic Metabolism (Increases/Decreases) with age? -✓✓ 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% -✓✓ (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%


• What labs would you complete to Rule Out Alzheimer's Disease? (5) -✓✓ 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? -✓✓ 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. -✓✓ True
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? -✓✓ 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? -✓✓
Cholinesterase Inhibitors


• What's the MOA of the Cholinesterase Inhibitors? -✓✓ Prevent the breakdown
of acetylcholine, improving neurotransmissions.


• What is the initial dose of Donepezil used for Alzheimer's? (What time of day) -
✓✓ Initial dose is 5mg at Bedtime


• What is the Titration of Donepezil? -✓✓ Increased to 10mg after 4-6 weeks


• What is the max dose of Donepezil? -✓✓ 23mg/day


• What is the initial dose of Galantamine? -✓✓ 4mg twice daily


• What is the titration of Galantamine? -✓✓ Extended release 8mg once daily


• What is the initial dose of Rivastigmine? -✓✓ The initial dose is 1.5mg


• What is the dose is the dose of the transdermal patch of Rivastigmine? How
often does it need to be changed? -✓✓ 4.6mg changed every 24 hours