TEST BANK
Advanced Practice Nursing in the Care of Older Adults
3rd Edition
Author:
Laurie Kennedy
Comprehensive Test Bank Resource
Complete Chapter-by-Chapter Questions & Answers
Multiple Choice • Case Studies • Clinical Application • Critical
Thinking
Prepared For:
Advanced Practice Nursing Students
Nurse Practitioner Programs
Graduate Nursing Education
Edition: Third Edition
Resource Type: Test Bank
Format: Digital Study Material
Academic Year: 2026
Page 1 of 132 2/24/2026, 5:13:07 AM
,Page 2 of 132 2/24/2026, 5:13:07 AM
, Advanced Practice Nursing in the Care
of Older Adults (2nd Edition) – Test Bank
with Rationales
Chapter 1: Changes with Aging
1. The major impact of physiological aging is:
Answer: D – All of the above
Rationale: Aging results in reduced physiologic reserve, diminished homeostatic regulation,
and impaired immune function. Together, these changes decrease the older adult’s ability to
respond to stressors such as illness, trauma, and environmental changes.
2. The strongest evidence regarding normal physiological aging comes
from:
Answer: C – Longitudinal studies
Rationale: Longitudinal studies follow the same individuals over time, allowing researchers
to distinguish normal aging changes from disease-related processes, making them the gold
standard for aging research.
3. All are true regarding laboratory values except:
Answer: B – Abnormal findings are often due to physiological aging
Rationale: Abnormal laboratory findings should not automatically be attributed to aging.
Most significant lab abnormalities reflect pathology rather than normal aging processes.
4. Biochemical individuality refers to:
Answer: D – Individual variation is often smaller than that of a larger group
Page 3 of 132 2/24/2026, 5:13:07 AM
, Rationale: Biochemical individuality recognizes that each person maintains a narrow
personal homeostatic range, which may differ from population norms but remains stable for
that individual.
5. Polypharmacy is best described as:
Answer: C – Even one medication without clear indication
Rationale: Polypharmacy is not strictly defined by number alone; inappropriate
prescribing—even of a single unnecessary medication—meets the definition because it
increases risk for adverse effects.
6. Pharmacokinetics describes:
Answer: B – What the body does to the drug
Rationale: Pharmacokinetics includes absorption, distribution, metabolism, and excretion.
These processes are commonly altered in older adults.
7. All statements are false except:
Answer: D – Chronic disease has little impact on absorption
Rationale: Although aging alters gastric pH and motility, clinically significant absorption
changes are uncommon unless chronic disease interferes with gastrointestinal function.
8. All are true about drug distribution except:
Answer: A – Water-distributed drugs have lower concentration
Rationale: Older adults have decreased total body water, which increases serum
concentration of water-soluble drugs, not lowers it.
9. Men have more efficient drug biotransformation due to:
Answer: C – Testosterone
Rationale: Testosterone enhances hepatic enzyme activity, contributing to faster drug
metabolism compared with women.
Page 4 of 132 2/24/2026, 5:13:07 AM
, 10. The cytochrome P450 system is:
Answer: C – Inhibited or induced by drugs
Rationale: Many drugs either inhibit or induce CYP450 enzymes, leading to significant
drug–drug interactions.
11. Not shown to be true regarding pharmacodynamics:
Answer: A – Decreased sensitivity to oral anticoagulants
Rationale: Older adults are generally more sensitive—not less—to anticoagulants,
increasing bleeding risk.
12. Atypical disease presentation includes all except:
Answer: C – MI with chest pain and diaphoresis
Rationale: Older adults often present with atypical myocardial infarction symptoms (e.g.,
fatigue, dyspnea, confusion) rather than classic chest pain.
13. Functional abilities are best assessed by:
Answer: B – Observed assessment
Rationale: Direct observation provides objective measurement and is more reliable than
self- or family-report alone.
Chapter 2: Health Promotion
1. Leading cause of death in elderly travelers:
Answer: C – Accidents
Rationale: Accidental injuries (motor vehicle crashes, falls) remain the leading cause of
death in elderly travelers worldwide.
Page 5 of 132 2/24/2026, 5:13:07 AM
Advanced Practice Nursing in the Care of Older Adults
3rd Edition
Author:
Laurie Kennedy
Comprehensive Test Bank Resource
Complete Chapter-by-Chapter Questions & Answers
Multiple Choice • Case Studies • Clinical Application • Critical
Thinking
Prepared For:
Advanced Practice Nursing Students
Nurse Practitioner Programs
Graduate Nursing Education
Edition: Third Edition
Resource Type: Test Bank
Format: Digital Study Material
Academic Year: 2026
Page 1 of 132 2/24/2026, 5:13:07 AM
,Page 2 of 132 2/24/2026, 5:13:07 AM
, Advanced Practice Nursing in the Care
of Older Adults (2nd Edition) – Test Bank
with Rationales
Chapter 1: Changes with Aging
1. The major impact of physiological aging is:
Answer: D – All of the above
Rationale: Aging results in reduced physiologic reserve, diminished homeostatic regulation,
and impaired immune function. Together, these changes decrease the older adult’s ability to
respond to stressors such as illness, trauma, and environmental changes.
2. The strongest evidence regarding normal physiological aging comes
from:
Answer: C – Longitudinal studies
Rationale: Longitudinal studies follow the same individuals over time, allowing researchers
to distinguish normal aging changes from disease-related processes, making them the gold
standard for aging research.
3. All are true regarding laboratory values except:
Answer: B – Abnormal findings are often due to physiological aging
Rationale: Abnormal laboratory findings should not automatically be attributed to aging.
Most significant lab abnormalities reflect pathology rather than normal aging processes.
4. Biochemical individuality refers to:
Answer: D – Individual variation is often smaller than that of a larger group
Page 3 of 132 2/24/2026, 5:13:07 AM
, Rationale: Biochemical individuality recognizes that each person maintains a narrow
personal homeostatic range, which may differ from population norms but remains stable for
that individual.
5. Polypharmacy is best described as:
Answer: C – Even one medication without clear indication
Rationale: Polypharmacy is not strictly defined by number alone; inappropriate
prescribing—even of a single unnecessary medication—meets the definition because it
increases risk for adverse effects.
6. Pharmacokinetics describes:
Answer: B – What the body does to the drug
Rationale: Pharmacokinetics includes absorption, distribution, metabolism, and excretion.
These processes are commonly altered in older adults.
7. All statements are false except:
Answer: D – Chronic disease has little impact on absorption
Rationale: Although aging alters gastric pH and motility, clinically significant absorption
changes are uncommon unless chronic disease interferes with gastrointestinal function.
8. All are true about drug distribution except:
Answer: A – Water-distributed drugs have lower concentration
Rationale: Older adults have decreased total body water, which increases serum
concentration of water-soluble drugs, not lowers it.
9. Men have more efficient drug biotransformation due to:
Answer: C – Testosterone
Rationale: Testosterone enhances hepatic enzyme activity, contributing to faster drug
metabolism compared with women.
Page 4 of 132 2/24/2026, 5:13:07 AM
, 10. The cytochrome P450 system is:
Answer: C – Inhibited or induced by drugs
Rationale: Many drugs either inhibit or induce CYP450 enzymes, leading to significant
drug–drug interactions.
11. Not shown to be true regarding pharmacodynamics:
Answer: A – Decreased sensitivity to oral anticoagulants
Rationale: Older adults are generally more sensitive—not less—to anticoagulants,
increasing bleeding risk.
12. Atypical disease presentation includes all except:
Answer: C – MI with chest pain and diaphoresis
Rationale: Older adults often present with atypical myocardial infarction symptoms (e.g.,
fatigue, dyspnea, confusion) rather than classic chest pain.
13. Functional abilities are best assessed by:
Answer: B – Observed assessment
Rationale: Direct observation provides objective measurement and is more reliable than
self- or family-report alone.
Chapter 2: Health Promotion
1. Leading cause of death in elderly travelers:
Answer: C – Accidents
Rationale: Accidental injuries (motor vehicle crashes, falls) remain the leading cause of
death in elderly travelers worldwide.
Page 5 of 132 2/24/2026, 5:13:07 AM
