BESTLEC
Test Bank
Advanced Practice Nursing in Care of Older Adults 3rd Edition
By Kennedy Malone
Chapter 1-19| Latest Edition
C
LE
ST
BE
1
, BESTLEC
Chapter 1. Changes With Aging
Multiple Choice
Identify the choice that best completes the statement or answers the question.
All Answers Provided at the End of Each Chapter
1. The major impact of the physiological changes that occur with aging is:
A. Reduced physiological reserve
B. Reduced homeostatic mechanisms
C. Impaired immunological response
D. All of the above
2. The strongest evidence regarding normal physiological aging is available through:
C
A. Randomized controlled clinical trials
B. Cross-sectional studies
LE
C. Longitudinal studies
ST
D. Case control studies
3. All of the following statements are true about laboratory values in older adults except:
A. Reference ranges are preferable
BE
B. Abnormal findings are often due to physiological aging
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable values
4. Biochemical individuality is best described as:
A. Each individual’s variation is often much greater than that of a larger
group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
7. All the following statements are false about drug absorption except:
2
, BESTLEC
A. Antacids increase the bioavailability of digitalis
B. Gastric acidity decreases with age
C. Anticholinergics increase colonic motility
D. Underlying chronic disease has little impact on drug absorption
8
. All of the following statements are true about drug distribution in the elderlyexcept:
A. Drugs distributed in water have lower concentration
B. Drugs distributed in fat have less intense, more prolonged effect
C. Drugs highly protein bound have greater potential to cause an adverse drugreaction
D. The fastest way to deliver a drug to the action site is by inhalation
C
9
. Men have faster and more efficient biotransformation of drugs and this is thoughtto be
due to:
LE
A. Less obesity rates than women
ST
B. Prostate enlargement
C. Testosterone
D. Less estrogen than women
BE
10
. The cytochrome p system involves enzymes that are generally:
A. Inhibited by drugs
B. Induced by drugs
C. Inhibited or induced by drugs
D. Associated with decreased liver perfusion
11
. A statement not shown to be true about pharmacodynamics changes with agingis:
A. Decreased sensitivity to oral anticoagulants
B. Enhanced sensitivity to central nervous system drugs
3
, BESTLEC
C. Drug responsiveness can be influenced by patient activity level
D. There is a decreased sensitivity to beta blockers
12
. Atypical presentation of disease in the elderly is reflected by all the followingexcept:
A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction with chest pain and diaphoresis
D. Cardiac manifestations of thyroid disease
13
C
. Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment of function
LE
C. A comprehensive head-to-toe examination
ST
D. Family report of function
BE
Chapter 1: Changes with AgingAnswer Section
MULTIPLE CHOICE
1.
ANS: D PTS: 1
2.
ANS: C PTS: 1
4
Test Bank
Advanced Practice Nursing in Care of Older Adults 3rd Edition
By Kennedy Malone
Chapter 1-19| Latest Edition
C
LE
ST
BE
1
, BESTLEC
Chapter 1. Changes With Aging
Multiple Choice
Identify the choice that best completes the statement or answers the question.
All Answers Provided at the End of Each Chapter
1. The major impact of the physiological changes that occur with aging is:
A. Reduced physiological reserve
B. Reduced homeostatic mechanisms
C. Impaired immunological response
D. All of the above
2. The strongest evidence regarding normal physiological aging is available through:
C
A. Randomized controlled clinical trials
B. Cross-sectional studies
LE
C. Longitudinal studies
ST
D. Case control studies
3. All of the following statements are true about laboratory values in older adults except:
A. Reference ranges are preferable
BE
B. Abnormal findings are often due to physiological aging
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable values
4. Biochemical individuality is best described as:
A. Each individual’s variation is often much greater than that of a larger
group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
7. All the following statements are false about drug absorption except:
2
, BESTLEC
A. Antacids increase the bioavailability of digitalis
B. Gastric acidity decreases with age
C. Anticholinergics increase colonic motility
D. Underlying chronic disease has little impact on drug absorption
8
. All of the following statements are true about drug distribution in the elderlyexcept:
A. Drugs distributed in water have lower concentration
B. Drugs distributed in fat have less intense, more prolonged effect
C. Drugs highly protein bound have greater potential to cause an adverse drugreaction
D. The fastest way to deliver a drug to the action site is by inhalation
C
9
. Men have faster and more efficient biotransformation of drugs and this is thoughtto be
due to:
LE
A. Less obesity rates than women
ST
B. Prostate enlargement
C. Testosterone
D. Less estrogen than women
BE
10
. The cytochrome p system involves enzymes that are generally:
A. Inhibited by drugs
B. Induced by drugs
C. Inhibited or induced by drugs
D. Associated with decreased liver perfusion
11
. A statement not shown to be true about pharmacodynamics changes with agingis:
A. Decreased sensitivity to oral anticoagulants
B. Enhanced sensitivity to central nervous system drugs
3
, BESTLEC
C. Drug responsiveness can be influenced by patient activity level
D. There is a decreased sensitivity to beta blockers
12
. Atypical presentation of disease in the elderly is reflected by all the followingexcept:
A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction with chest pain and diaphoresis
D. Cardiac manifestations of thyroid disease
13
C
. Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment of function
LE
C. A comprehensive head-to-toe examination
ST
D. Family report of function
BE
Chapter 1: Changes with AgingAnswer Section
MULTIPLE CHOICE
1.
ANS: D PTS: 1
2.
ANS: C PTS: 1
4
