(Advanced Practice Nursing in the Care of Older Adults 3rd Edition Laurie Kennedy – Test Bank:Q&A).
Advanced Practice Nursing in the
Care of Older Adults 3rd Edition
Laurie Kennedy – Test Bank
(Practice Questions and Answers)
Preview:
This document covers key topics in advanced practice nursing for older adults,
including geriatric assessment, chronic disease management, and patient-centered
care. It includes a comprehensive test bank with practice questions and answers to
support exam preparation.
The material is designed to align with course objectives and provide thorough
revision for nursing exams.
Page 1 of 599
,(Advanced Practice Nursing in the Care of Older Adults 3rd Edition Laurie Kennedy – Test Bank:Q&A).
Chapter 1: Changes With Aging
Multiple Choice Questions & Answers
1. What is the major impact of physiological changes associated with aging?
A. Reduced physiological reserve
B. Reduced homeostatic mechanisms
✅
C. Impaired immunological response
D. All of the above
2. Which research method provides the strongest evidence about normal
physiological aging?
A. Randomized controlled clinical trials
B. Cross-sectional studies
C. Longitudinal studies
D. Case control studies
3. Which statement about laboratory values in older adults is NOT true?
A. Reference ranges are preferable
B. Abnormal findings are often due to physiological aging
C. Normal ranges may not apply to older adults
D. Reference values are not always acceptable values
4. What best describes biochemical individuality?
A. Individual variation is greater than that of a group
B. Unique biochemical profile of a population
C. A “normal” individual within an average range
D. Individual variation is smaller than that of a group
5. What is the best definition of polypharmacy?
A. Taking more than nine medications daily
B. Taking more than five medications daily
C. Taking even one medication without a clear indication
D. Using one drug to treat the side effect of another
Page 2 of 599
,(Advanced Practice Nursing in the Care of Older Adults 3rd Edition Laurie Kennedy – Test Bank:Q&A).
6. Pharmacokinetics refers to:
✅
A. What the drug does to the body
B. What the body does to the drug
C. Drug effects at the site of action
D. Drug side effects
7. Which statement about drug absorption in older adults is TRUE?
A. Antacids increase digitalis bioavailability
B. Gastric acidity decreases with age
C. Anticholinergics increase colonic motility
D. Chronic disease has little impact on drug absorption
8. Which statement about drug distribution in older adults is NOT true?
A. Water-distributed drugs have lower concentration
B. Fat-distributed drugs have prolonged effects
C. Protein-bound drugs increase risk of adverse reactions
D. Inhalation delivers drugs fastest
9. Why do men generally metabolize drugs more efficiently than women?
A. Lower obesity rates
B. Prostate enlargement
C. Testosterone
D. Lower estrogen levels
10. The cytochrome P450 enzyme system is:
A. Only inhibited by drugs
B. Only induced by drugs
C. Either inhibited or induced by drugs
D. Related to decreased liver perfusion
11. Which statement about pharmacodynamics in aging is NOT true?
A. Decreased sensitivity to oral anticoagulants
B. Increased sensitivity to CNS drugs
C. Activity level affects drug response
D. Decreased sensitivity to beta blockers
12. Which is NOT an atypical disease presentation in older adults?
A. Infection without fever
Page 3 of 599
, (Advanced Practice Nursing in the Care of Older Adults 3rd Edition Laurie Kennedy – Test Bank:Q&A).
✅
B. Depression without sadness
C. Myocardial infarction with chest pain and sweating
D. Thyroid disease with cardiac symptoms
13. The best way to assess functional ability is:
A. Self-report
B. Direct observation
C. Physical exam only
D. Family report
Chapter 2: Health Promotion
Multiple Choice Questions & Answers
1. Leading cause of death in elderly travelers worldwide:
A. Cardiovascular disease
B. Infection
C. Accidents
D. Malaria
2. Which food should be avoided in high-risk areas?
A. Hot coffee
B. Bottled water
C. Salad buffet
D. Unpeeled bananas
3. Which precaution is NOT necessary for insect-borne diseases?
A. Using 100% DEET on skin
B. Treating clothes with permethrin
C. Covering exposed skin
D. Taking malaria prophylaxis
4. Example of secondary prevention:
A. Fecal occult blood test
B. Wearing seat belts
C. Diabetic foot care
D. Tetanus vaccination
Page 4 of 599
Advanced Practice Nursing in the
Care of Older Adults 3rd Edition
Laurie Kennedy – Test Bank
(Practice Questions and Answers)
Preview:
This document covers key topics in advanced practice nursing for older adults,
including geriatric assessment, chronic disease management, and patient-centered
care. It includes a comprehensive test bank with practice questions and answers to
support exam preparation.
The material is designed to align with course objectives and provide thorough
revision for nursing exams.
Page 1 of 599
,(Advanced Practice Nursing in the Care of Older Adults 3rd Edition Laurie Kennedy – Test Bank:Q&A).
Chapter 1: Changes With Aging
Multiple Choice Questions & Answers
1. What is the major impact of physiological changes associated with aging?
A. Reduced physiological reserve
B. Reduced homeostatic mechanisms
✅
C. Impaired immunological response
D. All of the above
2. Which research method provides the strongest evidence about normal
physiological aging?
A. Randomized controlled clinical trials
B. Cross-sectional studies
C. Longitudinal studies
D. Case control studies
3. Which statement about laboratory values in older adults is NOT true?
A. Reference ranges are preferable
B. Abnormal findings are often due to physiological aging
C. Normal ranges may not apply to older adults
D. Reference values are not always acceptable values
4. What best describes biochemical individuality?
A. Individual variation is greater than that of a group
B. Unique biochemical profile of a population
C. A “normal” individual within an average range
D. Individual variation is smaller than that of a group
5. What is the best definition of polypharmacy?
A. Taking more than nine medications daily
B. Taking more than five medications daily
C. Taking even one medication without a clear indication
D. Using one drug to treat the side effect of another
Page 2 of 599
,(Advanced Practice Nursing in the Care of Older Adults 3rd Edition Laurie Kennedy – Test Bank:Q&A).
6. Pharmacokinetics refers to:
✅
A. What the drug does to the body
B. What the body does to the drug
C. Drug effects at the site of action
D. Drug side effects
7. Which statement about drug absorption in older adults is TRUE?
A. Antacids increase digitalis bioavailability
B. Gastric acidity decreases with age
C. Anticholinergics increase colonic motility
D. Chronic disease has little impact on drug absorption
8. Which statement about drug distribution in older adults is NOT true?
A. Water-distributed drugs have lower concentration
B. Fat-distributed drugs have prolonged effects
C. Protein-bound drugs increase risk of adverse reactions
D. Inhalation delivers drugs fastest
9. Why do men generally metabolize drugs more efficiently than women?
A. Lower obesity rates
B. Prostate enlargement
C. Testosterone
D. Lower estrogen levels
10. The cytochrome P450 enzyme system is:
A. Only inhibited by drugs
B. Only induced by drugs
C. Either inhibited or induced by drugs
D. Related to decreased liver perfusion
11. Which statement about pharmacodynamics in aging is NOT true?
A. Decreased sensitivity to oral anticoagulants
B. Increased sensitivity to CNS drugs
C. Activity level affects drug response
D. Decreased sensitivity to beta blockers
12. Which is NOT an atypical disease presentation in older adults?
A. Infection without fever
Page 3 of 599
, (Advanced Practice Nursing in the Care of Older Adults 3rd Edition Laurie Kennedy – Test Bank:Q&A).
✅
B. Depression without sadness
C. Myocardial infarction with chest pain and sweating
D. Thyroid disease with cardiac symptoms
13. The best way to assess functional ability is:
A. Self-report
B. Direct observation
C. Physical exam only
D. Family report
Chapter 2: Health Promotion
Multiple Choice Questions & Answers
1. Leading cause of death in elderly travelers worldwide:
A. Cardiovascular disease
B. Infection
C. Accidents
D. Malaria
2. Which food should be avoided in high-risk areas?
A. Hot coffee
B. Bottled water
C. Salad buffet
D. Unpeeled bananas
3. Which precaution is NOT necessary for insect-borne diseases?
A. Using 100% DEET on skin
B. Treating clothes with permethrin
C. Covering exposed skin
D. Taking malaria prophylaxis
4. Example of secondary prevention:
A. Fecal occult blood test
B. Wearing seat belts
C. Diabetic foot care
D. Tetanus vaccination
Page 4 of 599
