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PN 2003 – Practical Nursing Capstone – Final Exam Comprehensive Questions and Verified Answers | 2025 Edition | Graded A+ | Detailed Rationales Included Type of Content: Final exam Q&A with detailed, verified answers

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This document contains a complete set of final exam questions and detailed, verified answers for the PN 2003 Practical Nursing course, graded A+ in 2025. It covers a wide range of essential nursing topics including pharmacology, patient care, ethics, communication, medical-surgical procedures, and critical thinking scenarios. Each answer is accompanied by clear rationales to support understanding and exam readiness. Ideal for practical nursing students preparing for finals or NCLEX-style assessments, this resource ensures clarity and confidence with comprehensive explanations throughout.

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chanes to the respiratory system with age

-PO2 reduced as much as 15% between ages 20-80
-loss of elasticity and increased rigidity
-decreased ciliary action
-forced expiratory volume reduced
-blunting of cough and laryngeal reflexes
-by age 90 approx 50% increase in residual capacity
-alveoli fewer in nuber and larger in size
-thoracic muscles more rigid
-reduced basilar inflation
-lungs become smaller in size and weigh with age
-trachea stiffens due to calcification of its cartilage
-nose experiences connective tissue changes reduce support
-gag reflex weaker
-alveoli are less elasic, develop fibrosis tissue and contain fewer functional capillaries
-kyphosis
-


changes to the cells of the body

-number of cells gradually reduced
-leaving fewer functional cells in the body

,-lean body mass reduced
-fat tissue increase s until the sixth decade of life
-total body fat as a porpotion of the body composition increases.
-Cellular solids and bone mass are decreased
-Extracellular fluid remains failry constant
-where as intracellular fluid is decreased
-resulting in less total body fluid
-This decrease makes dehydration a significant risk to older adults


Gastroinstestinal System age changes

-decreased taste sensation
-esophagus more dilated
-reduced saliva and salivary ptyalin
-liver smaller in size
-reduced instestinal blood flow
-decreased esophageal motility
-atrophy of gastric mucosa
-decreased stomach motility, hunger contractions, and emptying time
-less production of hydrochloric acid, pepsin, lipase, and pancreatic enzymes
- fewer cells on absorbing surface of intestines
-slower peristalisis
-tongue atrophies

,-there is thinning of oral mucosa and a weakening of the muscles involved in mastication
reduced elasticity of stomach
stomach has a higher ph


Urinary System aging

-decreased size of renal mass
-decreased tubuler function
-decreased bladder capacity
-decrease in nephrons
-betweenages 20 and 90, renal blood flow decreases 53% and glomerular filtration rate decreases 50
-weaker bladder muscles
-nocturia
-weak bladder muscles


ageing of the female reproductive system

-fallopian tubes atrophy and shorten
-ovaries become thicker and smaller
-cervix becomes smaller
-drier less elastic vaginal canal
-flattening of labia
-endocervical epithelium atrophies

, -uterus becomes smaller in size
-endometrium atrophies
-more alkaline vaginal environment
-loss of vulvar subcutaneous fat and hair
-vulva atrophy
-vaginal epithelium becomes thin
-cervix, uterus, fallopian tubes, ovaries atrophy
-uterus and overies decrease in size
- breasts sag and less firm
-some retraction of nipples
-fibrosis and calcification of the terminal ducts


Aging of the male reproductive system

-fluid-retaining capacity of seminal vesicles reduces
-possible reduction in sperm count
-venous and arterial sclerosis of penis
-prostate enlarges in most men
-seminal vesicles having a thinner epithelium
-replacement of muscle with connective tissue
-structural changes in the seminiferous tubules include fibrosis, thinning of epithelium,thickening of the basem
membrane
-narrowing of the lumen

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