NRNP 6540 DIDACTIC -FINAL EXAM 2025 QUESTIONS AND ANSWERS (VERIFIEDANSWERS)
|WALDEN UNIVERSITY
1. There are benign and lethal murmurs. Which of the following are true of lethal
murmurs(ANSWER) hospitalization is required when arrhythmias result from hemody-
namic compromise @#$%^&*()_
Cardioversion pre-hospitalization may be needed
Aggressive therapeutic treatment is needed when symptomatic
Underlying cardiac problems need to be discovered
2. What are the classes of BMI for obesity(ANSWER) Class 1
30-35 Class II 35-39.9
Class morbid >40
3. What is the screening tool for alcohol(ANSWER) Cage
It is positive if they answer yes to two or more and then perform a SMAST-G screening tool
4. What are the hypertension guidelines for patients greater than 60 years of
age(ANSWER) 150/90 for patients without DM or CKD
140/90 for patients with DM or CKD
5. Why would you initiate statins on elderly patients(ANSWER) 1-
cvd 2 - LDL >190
3-in patients age 40-75, LDL of 70-189
6. Was what is a positive malnutrition score(ANSWER) Greater than 10 lb weight loss in 6
months
Use the MUST tool
7. Elderly population should you screen for hyperlipidemia(ANSWER) Patients that have
known hypertension, smoking, or diabetes
8. What is the scales nutrition screening tool(ANSWER) S-sadness, C-cholesterol, A-albu-
min, L- loss of weight E- eating problems, S - shopping problems
9. What are the vision screening requirements of patients > 65(ANSWER) Snelling chart
- annually
Patients with hypertension or diabetes must have a dilated exam annually
10. What are the hearing screening requirements of patients > 65(ANSWER) Asking
questions about whether people say they appear to have problems with turning the volume
up
11. When should you screen for osteoporosis(ANSWER) Women
>65 Men > 70
You must use a dual energy dxa x-ray And
perform at-score
, NRNP 6540 DIDACTIC -FINAL EXAM 2025 QUESTIONS AND ANSWERS (VERIFIEDANSWERS)
|WALDEN UNIVERSITY
12. What is the T score for osteoporosis?(ANSWER) Normal
1.0 Osteopenia -1 to -2.5
Osteoporosis -2.5 @#$%^&*()_
Severe osteoporosis < 2.5 and fragility fracture
13. What are the mammogram screening requirements(ANSWER) Age greater than 40-74
14. What are the colon cancer screening recommendations(ANSWER) All patients over
the age of 50
Colonoscopy every 10 years
Sigmoidoscopy every 5 years
Occult blood yearly
15. What are the cervical cancer screening recommendations(ANSWER) Age 21-65
> age 65 is not required
16. What are the requirements for counseling patients > 65(ANSWER) Exercise, nutrition,
tobacco, alcohol
17. What are the requirements of exercise for patients 65(ANSWER) Aerobic exercise for
30 minutes three times a week
Strength exercise two times a week
18. What are the alcohol recommendations for an adult(ANSWER) one per day for women
Per day for men
19. What are the pneumonia immunization recommendations for patients >65-
(ANSWER) Pcv13 first
PPS 23 one year later
20. What are the zoster immunization recommendations(ANSWER) All patients over the
age of 60-regardless if they have had shingles or chicken pox in the past
Contraindications-allergy to neomycin or gelatin Bone
marrow cancer - such as lymphoma Current
chemotherapy or steroids
AIDS patients
21. the major impact of the physiological changes that occur with aging is(ANSWER) Re-
duced physiological Reserve-Particularly the cardiac, respiratory, and renal systems
Reduced homeostatic mechanisms-That fail to adjust regulatory systems such as temperatur
control and fluid and electrolyte balance
Changes in the sympathetic response-which contribute to orthostasis and Falls as well as a
lack of hypoglycemic response
, NRNP 6540 DIDACTIC -FINAL EXAM 2025 QUESTIONS AND ANSWERS (VERIFIEDANSWERS)
|WALDEN UNIVERSITY
Impaired immunologic response
@#$%^&*()_
, NRNP 6540 DIDACTIC -FINAL EXAM 2025 QUESTIONS AND ANSWERS (VERIFIEDANSWERS)
|WALDEN UNIVERSITY
22. the strongest evidence regarding normal physiological aging is available
through(ANSWER) Longitudinal studies
23. the following statements are true about laboratory values in older adults-
@#$%^&*()_
(ANSWER) Reference ranges are preferable
Normal ranges may not be applicable for older adults
Reference ranges are not necessarily acceptable values
24. biochemical individuality is best described as(ANSWER) Each individual's variation is
often much smaller than that of a larger group
25. polypharmacy is best described as(ANSWER) Even a single med if there is not a clear
indication for its use
26. pharmacokinetic changes with aging is reflective of(ANSWER) What the body does to
the drug
27. All of the following statements are false about drug absorption except(ANSWER) Un-
derlying chronic disease has little impact on drug absorption
28. all of the following statements are true about drug distribution in the
elderly(ANSWER) drugs distributed in fat have less intense, more prolonged effect
drugs highly protein bound have greater potential to cause an adverse drug reaction
the fastest way to deliver a drug to the action site is by inhalation
29. men have faster and more efficient biotransformation of drugs and this is thought to be
due to(ANSWER) testosterone
30. the cytochrome P system involves enzymes that are generally(ANSWER) Inhibited or
induced by drugs
31. a statement not shown to be true about pharmacodynamics changes with
aging(ANSWER) and hand sensitivity to central nervous system drugs
drug responsiveness can be influenced by patients activity level decreased
sensitivity to beta blockers
they do not have a decrease sensitivity to oral anticoagulants
32. a typical presentation of disease in the elderly is reflected by all of the
following(ANSWER) infection without fever
depression without dysphoric mood
cardiac manifestations of thyroid disease
|WALDEN UNIVERSITY
1. There are benign and lethal murmurs. Which of the following are true of lethal
murmurs(ANSWER) hospitalization is required when arrhythmias result from hemody-
namic compromise @#$%^&*()_
Cardioversion pre-hospitalization may be needed
Aggressive therapeutic treatment is needed when symptomatic
Underlying cardiac problems need to be discovered
2. What are the classes of BMI for obesity(ANSWER) Class 1
30-35 Class II 35-39.9
Class morbid >40
3. What is the screening tool for alcohol(ANSWER) Cage
It is positive if they answer yes to two or more and then perform a SMAST-G screening tool
4. What are the hypertension guidelines for patients greater than 60 years of
age(ANSWER) 150/90 for patients without DM or CKD
140/90 for patients with DM or CKD
5. Why would you initiate statins on elderly patients(ANSWER) 1-
cvd 2 - LDL >190
3-in patients age 40-75, LDL of 70-189
6. Was what is a positive malnutrition score(ANSWER) Greater than 10 lb weight loss in 6
months
Use the MUST tool
7. Elderly population should you screen for hyperlipidemia(ANSWER) Patients that have
known hypertension, smoking, or diabetes
8. What is the scales nutrition screening tool(ANSWER) S-sadness, C-cholesterol, A-albu-
min, L- loss of weight E- eating problems, S - shopping problems
9. What are the vision screening requirements of patients > 65(ANSWER) Snelling chart
- annually
Patients with hypertension or diabetes must have a dilated exam annually
10. What are the hearing screening requirements of patients > 65(ANSWER) Asking
questions about whether people say they appear to have problems with turning the volume
up
11. When should you screen for osteoporosis(ANSWER) Women
>65 Men > 70
You must use a dual energy dxa x-ray And
perform at-score
, NRNP 6540 DIDACTIC -FINAL EXAM 2025 QUESTIONS AND ANSWERS (VERIFIEDANSWERS)
|WALDEN UNIVERSITY
12. What is the T score for osteoporosis?(ANSWER) Normal
1.0 Osteopenia -1 to -2.5
Osteoporosis -2.5 @#$%^&*()_
Severe osteoporosis < 2.5 and fragility fracture
13. What are the mammogram screening requirements(ANSWER) Age greater than 40-74
14. What are the colon cancer screening recommendations(ANSWER) All patients over
the age of 50
Colonoscopy every 10 years
Sigmoidoscopy every 5 years
Occult blood yearly
15. What are the cervical cancer screening recommendations(ANSWER) Age 21-65
> age 65 is not required
16. What are the requirements for counseling patients > 65(ANSWER) Exercise, nutrition,
tobacco, alcohol
17. What are the requirements of exercise for patients 65(ANSWER) Aerobic exercise for
30 minutes three times a week
Strength exercise two times a week
18. What are the alcohol recommendations for an adult(ANSWER) one per day for women
Per day for men
19. What are the pneumonia immunization recommendations for patients >65-
(ANSWER) Pcv13 first
PPS 23 one year later
20. What are the zoster immunization recommendations(ANSWER) All patients over the
age of 60-regardless if they have had shingles or chicken pox in the past
Contraindications-allergy to neomycin or gelatin Bone
marrow cancer - such as lymphoma Current
chemotherapy or steroids
AIDS patients
21. the major impact of the physiological changes that occur with aging is(ANSWER) Re-
duced physiological Reserve-Particularly the cardiac, respiratory, and renal systems
Reduced homeostatic mechanisms-That fail to adjust regulatory systems such as temperatur
control and fluid and electrolyte balance
Changes in the sympathetic response-which contribute to orthostasis and Falls as well as a
lack of hypoglycemic response
, NRNP 6540 DIDACTIC -FINAL EXAM 2025 QUESTIONS AND ANSWERS (VERIFIEDANSWERS)
|WALDEN UNIVERSITY
Impaired immunologic response
@#$%^&*()_
, NRNP 6540 DIDACTIC -FINAL EXAM 2025 QUESTIONS AND ANSWERS (VERIFIEDANSWERS)
|WALDEN UNIVERSITY
22. the strongest evidence regarding normal physiological aging is available
through(ANSWER) Longitudinal studies
23. the following statements are true about laboratory values in older adults-
@#$%^&*()_
(ANSWER) Reference ranges are preferable
Normal ranges may not be applicable for older adults
Reference ranges are not necessarily acceptable values
24. biochemical individuality is best described as(ANSWER) Each individual's variation is
often much smaller than that of a larger group
25. polypharmacy is best described as(ANSWER) Even a single med if there is not a clear
indication for its use
26. pharmacokinetic changes with aging is reflective of(ANSWER) What the body does to
the drug
27. All of the following statements are false about drug absorption except(ANSWER) Un-
derlying chronic disease has little impact on drug absorption
28. all of the following statements are true about drug distribution in the
elderly(ANSWER) drugs distributed in fat have less intense, more prolonged effect
drugs highly protein bound have greater potential to cause an adverse drug reaction
the fastest way to deliver a drug to the action site is by inhalation
29. men have faster and more efficient biotransformation of drugs and this is thought to be
due to(ANSWER) testosterone
30. the cytochrome P system involves enzymes that are generally(ANSWER) Inhibited or
induced by drugs
31. a statement not shown to be true about pharmacodynamics changes with
aging(ANSWER) and hand sensitivity to central nervous system drugs
drug responsiveness can be influenced by patients activity level decreased
sensitivity to beta blockers
they do not have a decrease sensitivity to oral anticoagulants
32. a typical presentation of disease in the elderly is reflected by all of the
following(ANSWER) infection without fever
depression without dysphoric mood
cardiac manifestations of thyroid disease
