Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd edition Kennedy-
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Malone Test Bank | Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK_Kennedy-Malone
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Advanced Practice Nursing in the Care of
5t 5t 5t 5t 5t 5t 5
t
Older Adults / Edition 2 TESTBANK
5t 5t 5t 5t 5t
,Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd edition Kennedy-
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Malone Test Bank | Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK_Kennedy-Malone
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Chapter 1. Changes With Aging 5t 5t 5t 5t
Multiple Choice 5t
Identify the choice that best completes the statement or answers the question.
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t 1. The major impact of the physiological changes that occur with aging is:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Reduced physiological reserve
5 t 5t 5t
B. Reduced homeostatic mechanisms
5 t 5t 5t
C. Impaired immunological response
5 t 5t 5t
D. All of the above
5 t 5t 5t 5t
5t 2. The strongest evidence regarding normal physiological aging is available through:
5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Randomized controlled clinical trials
5 t 5t 5t 5t
B. Cross-sectional studies
5 t 5t
C. Longitudinal studies
5 t 5t
D. Case control studies
5 t 5t 5t
5t 3. All of the following statements are true about laboratory values in older adults except:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Reference ranges are preferable
5 t 5t 5t 5t
B. Abnormal findings are often due to physiological aging 5t 5t 5t 5t 5t 5t 5t
C. Normal ranges may not be applicable for older adults 5t 5t 5t 5t 5t 5t 5t 5t
D. Reference values are not necessarily acceptable values
5 t 5t 5t 5t 5t 5t 5t
5t 4. Biochemical individuality is best described as: 5t 5t 5t 5t 5t
A. Each individual’s variation is often much greater than that of a larger group
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
B. The unique biochemical profile of a selected population
5 t 5t 5t 5t 5t 5t 5t 5t
C. The truly “normal” individual—falling within average range
5 t 5t 5t 5t 5t 5t 5t
D. Each individual’s variation is often much smaller than that of a larger group
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t 5. Polypharmacy is best described as taking: 5t 5t 5t 5t 5t
A. More than nine medications per day
5 t 5t 5t 5t 5t 5t
B. More than five medications per day
5 t 5t 5t 5t 5t 5t
C. Even a single medication if there is not a clear indication for its use
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
D. When a drug is given to treat the side effect of another drug
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t 6. Pharmacokinetic changes with aging is reflective of: 5t 5t 5t 5t 5t 5t
A. What the drug does to the body
5 t 5t 5t 5t 5t 5t 5t
B. What the body does to the drug
5 t 5t 5t 5t 5t 5t 5t
C. The effect at the site of action and the time and intensity of the drug
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
,Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd edition Kennedy-
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Malone Test Bank | Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK_Kennedy-Malone
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
D. The side effects commonly associated with the drug
5 t 5t 5t 5t 5t 5t 5t 5t
5t
7. All the following statements are false about drug absorption except:
5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Antacids increase the bioavailability of digitalis 5t 5t 5t 5t 5t
B. Gastric acidity decreases with age 5t 5t 5t 5t
C. Anticholinergics increase colonic motility 5t 5t 5t
D. Underlying chronic disease has little impact on drug absorption 5t 5t 5t 5t 5t 5t 5t 5t
5t
8. All of the following statements are true about drug distribution in the elderly except:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Drugs distributed in water have lower concentration
5t 5t 5t 5t 5t 5t
B. Drugs distributed in fat have less intense, more prolonged effect
5t 5t 5t 5t 5t 5t 5t 5t 5t
C. Drugs highly protein bound have greater potential to cause an adverse drug
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5
reaction
D. The fastest way to deliver a drug to the action site is by inhalation
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5t
9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Less obesity rates than women 5t 5t 5t 5t
B. Prostate enlargement 5t
C. Testosterone
D. Less estrogen than women 5t 5t 5t
5t
10. The cytochrome p system involves enzymes that are generally:
5t 5t 5t 5t 5t 5t 5t 5t
A. Inhibited by drugs 5t 5t
B. Induced by drugs 5t 5t
C. Inhibited or induced by drugs 5t 5t 5t 5t
D. Associated with decreased liver perfusion 5t 5t 5t 5t
5t
11. A statement not shown to be true about pharmacodynamics changes with aging is:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Decreased sensitivity to oral anticoagulants 5t 5t 5t 5t
B. Enhanced sensitivity to central nervous system drugs 5t 5t 5t 5t 5t 5t
C. Drug responsiveness can be influenced by patient activity level
5t 5t 5t 5t 5t 5t 5t 5t
D. There is a decreased sensitivity to beta blockers
5t 5t 5t 5t 5t 5t 5t
5t
12. Atypical presentation of disease in the elderly is reflected by all the following except:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Infection without fever 5t 5t
B. Depression without dysphoric mood 5t 5t 5t
C. Myocardial infarction with chest pain and diaphoresis 5t 5t 5t 5t 5t 5t
D. Cardiac manifestations of thyroid disease 5t 5t 5t 5t
5t
13. Functional abilities are best assessed by: 5t 5t 5t 5t 5t
A. Self-report of function 5t 5t
B. Observed assessment of function 5t 5t 5t
C. A comprehensive head-to-toe examination
5t 5t 5t
D. Family report of function 5t 5t 5t
, Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd edition Kennedy-
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Malone Test Bank | Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK_Kennedy-Malone
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Chapter 1: Changes with Aging
5t 5t 5t 5t 5t
Answer Section 5t
MULTIPLE CHOICE 5t
1. 5 t ANS: D PTS: 1
2. 5 t ANS: C PTS: 1
3. 5 t ANS: B PTS: 1
4. 5 t ANS: D PTS: 1
5. 5 t ANS: C PTS: 1
6. 5 t ANS: B PTS: 1
7. 5 t ANS: D PTS: 1
8. 5 t ANS: A PTS: 1
9. 5 t ANS: C PTS: 1
10. 5 t ANS: C PTS: 1
11. 5 t ANS: A PTS: 1
12. 5 t ANS: C PTS: 1
13. 5 t ANS: B PTS: 1
Chapter 2. Health Promotion 5t 5t 5t
Multiple Choice 5t
Identify the choice that best completes the statement or answers the question.
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t 1. The leading cause of death in elderly travelers worldwide is:
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Cardiovascular disease 5t
B. Infections
C. Accidents
D. Malaria
5t
2. Which of the following should be avoided in countries where food and water precautions
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
are to beobserved?
5t 5t 5t 5t
A. Hot coffee 5t
B. Bottled water 5t
C. Salad buffet 5t
D. Unpeeled bananas 5t
5t 3. What insect precautions are not necessary to prevent insect-borne diseases in the tropics?
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Using 100% DEET on skin to prevent bites 5t 5t 5t 5t 5t 5t 5t
B. Treating clothes with permetherin 5t 5t 5t
C. Covering up exposed skin to lessen biting surface 5t 5t 5t 5t 5t 5t 5t
D. Taking malaria pills as directed for areas at risk for malaria 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Malone Test Bank | Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK_Kennedy-Malone
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Advanced Practice Nursing in the Care of
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t
Older Adults / Edition 2 TESTBANK
5t 5t 5t 5t 5t
,Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd edition Kennedy-
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Malone Test Bank | Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK_Kennedy-Malone
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Chapter 1. Changes With Aging 5t 5t 5t 5t
Multiple Choice 5t
Identify the choice that best completes the statement or answers the question.
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t 1. The major impact of the physiological changes that occur with aging is:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Reduced physiological reserve
5 t 5t 5t
B. Reduced homeostatic mechanisms
5 t 5t 5t
C. Impaired immunological response
5 t 5t 5t
D. All of the above
5 t 5t 5t 5t
5t 2. The strongest evidence regarding normal physiological aging is available through:
5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Randomized controlled clinical trials
5 t 5t 5t 5t
B. Cross-sectional studies
5 t 5t
C. Longitudinal studies
5 t 5t
D. Case control studies
5 t 5t 5t
5t 3. All of the following statements are true about laboratory values in older adults except:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Reference ranges are preferable
5 t 5t 5t 5t
B. Abnormal findings are often due to physiological aging 5t 5t 5t 5t 5t 5t 5t
C. Normal ranges may not be applicable for older adults 5t 5t 5t 5t 5t 5t 5t 5t
D. Reference values are not necessarily acceptable values
5 t 5t 5t 5t 5t 5t 5t
5t 4. Biochemical individuality is best described as: 5t 5t 5t 5t 5t
A. Each individual’s variation is often much greater than that of a larger group
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
B. The unique biochemical profile of a selected population
5 t 5t 5t 5t 5t 5t 5t 5t
C. The truly “normal” individual—falling within average range
5 t 5t 5t 5t 5t 5t 5t
D. Each individual’s variation is often much smaller than that of a larger group
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t 5. Polypharmacy is best described as taking: 5t 5t 5t 5t 5t
A. More than nine medications per day
5 t 5t 5t 5t 5t 5t
B. More than five medications per day
5 t 5t 5t 5t 5t 5t
C. Even a single medication if there is not a clear indication for its use
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
D. When a drug is given to treat the side effect of another drug
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t 6. Pharmacokinetic changes with aging is reflective of: 5t 5t 5t 5t 5t 5t
A. What the drug does to the body
5 t 5t 5t 5t 5t 5t 5t
B. What the body does to the drug
5 t 5t 5t 5t 5t 5t 5t
C. The effect at the site of action and the time and intensity of the drug
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
,Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd edition Kennedy-
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Malone Test Bank | Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK_Kennedy-Malone
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
D. The side effects commonly associated with the drug
5 t 5t 5t 5t 5t 5t 5t 5t
5t
7. All the following statements are false about drug absorption except:
5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Antacids increase the bioavailability of digitalis 5t 5t 5t 5t 5t
B. Gastric acidity decreases with age 5t 5t 5t 5t
C. Anticholinergics increase colonic motility 5t 5t 5t
D. Underlying chronic disease has little impact on drug absorption 5t 5t 5t 5t 5t 5t 5t 5t
5t
8. All of the following statements are true about drug distribution in the elderly except:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Drugs distributed in water have lower concentration
5t 5t 5t 5t 5t 5t
B. Drugs distributed in fat have less intense, more prolonged effect
5t 5t 5t 5t 5t 5t 5t 5t 5t
C. Drugs highly protein bound have greater potential to cause an adverse drug
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t t
5
reaction
D. The fastest way to deliver a drug to the action site is by inhalation
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t
9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Less obesity rates than women 5t 5t 5t 5t
B. Prostate enlargement 5t
C. Testosterone
D. Less estrogen than women 5t 5t 5t
5t
10. The cytochrome p system involves enzymes that are generally:
5t 5t 5t 5t 5t 5t 5t 5t
A. Inhibited by drugs 5t 5t
B. Induced by drugs 5t 5t
C. Inhibited or induced by drugs 5t 5t 5t 5t
D. Associated with decreased liver perfusion 5t 5t 5t 5t
5t
11. A statement not shown to be true about pharmacodynamics changes with aging is:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Decreased sensitivity to oral anticoagulants 5t 5t 5t 5t
B. Enhanced sensitivity to central nervous system drugs 5t 5t 5t 5t 5t 5t
C. Drug responsiveness can be influenced by patient activity level
5t 5t 5t 5t 5t 5t 5t 5t
D. There is a decreased sensitivity to beta blockers
5t 5t 5t 5t 5t 5t 5t
5t
12. Atypical presentation of disease in the elderly is reflected by all the following except:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Infection without fever 5t 5t
B. Depression without dysphoric mood 5t 5t 5t
C. Myocardial infarction with chest pain and diaphoresis 5t 5t 5t 5t 5t 5t
D. Cardiac manifestations of thyroid disease 5t 5t 5t 5t
5t
13. Functional abilities are best assessed by: 5t 5t 5t 5t 5t
A. Self-report of function 5t 5t
B. Observed assessment of function 5t 5t 5t
C. A comprehensive head-to-toe examination
5t 5t 5t
D. Family report of function 5t 5t 5t
, Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd edition Kennedy-
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Malone Test Bank | Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK_Kennedy-Malone
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
Chapter 1: Changes with Aging
5t 5t 5t 5t 5t
Answer Section 5t
MULTIPLE CHOICE 5t
1. 5 t ANS: D PTS: 1
2. 5 t ANS: C PTS: 1
3. 5 t ANS: B PTS: 1
4. 5 t ANS: D PTS: 1
5. 5 t ANS: C PTS: 1
6. 5 t ANS: B PTS: 1
7. 5 t ANS: D PTS: 1
8. 5 t ANS: A PTS: 1
9. 5 t ANS: C PTS: 1
10. 5 t ANS: C PTS: 1
11. 5 t ANS: A PTS: 1
12. 5 t ANS: C PTS: 1
13. 5 t ANS: B PTS: 1
Chapter 2. Health Promotion 5t 5t 5t
Multiple Choice 5t
Identify the choice that best completes the statement or answers the question.
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t 1. The leading cause of death in elderly travelers worldwide is:
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Cardiovascular disease 5t
B. Infections
C. Accidents
D. Malaria
5t
2. Which of the following should be avoided in countries where food and water precautions
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
are to beobserved?
5t 5t 5t 5t
A. Hot coffee 5t
B. Bottled water 5t
C. Salad buffet 5t
D. Unpeeled bananas 5t
5t 3. What insect precautions are not necessary to prevent insect-borne diseases in the tropics?
5 t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Using 100% DEET on skin to prevent bites 5t 5t 5t 5t 5t 5t 5t
B. Treating clothes with permetherin 5t 5t 5t
C. Covering up exposed skin to lessen biting surface 5t 5t 5t 5t 5t 5t 5t
D. Taking malaria pills as directed for areas at risk for malaria 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
