LATEST UPDATE FOR 2025/2026
Biochemical individuality is best described as
Each individual's variation is often much smaller than that of a larger group
All of the following statements about drug absorption are false
except
Underlying chronic disease has little impact on drug absorption
The cytochrome p system involves enzymes that are generally:
Inhibited or induced by drugs
A statement not shown to be true about pharmacodynamic changes with
aging is
Decreased sensitivity to oral anticoagulants
The major impact of the physiological changes that occur w/aging is:
Reduced physiological reserve, reduced homeostatic mechanisms, impaired
immunological respons
,The strongest evidence regarding normal physiological aging is available
through
Longitudinal studies
Pharmacokinetic changes with aging is reflective of
What the body does to the drug
All of the following statements are true about drug distribution in the elderly
except
Drugs distributed in water have a lower concentration
Men have faster and more efficient biotransformation of drugs and this is
thought to be due to:
Testosterone
Atypical presentation of disease in elderly is reflected by all of the following
exept
MI with CP and diaphoresis
Polypharmacy is best described as
Even a single med if there is not a clear indication for its use
,What is the major difference between varicose veins and atherosclerosis
Vessels that are affected
Patient has poorly controlled HTN for >10 years. Indicate the most likely
position of his PMI
5th ICS left of MCL
43 year old Hispanic male has audible diastolic murmur best hard at the
mitral point. No audible click. He has been monitored for 2 years. What is the
most likely murmur
Mitral Stenosis
The following are true statements about bipolar disorders in older adults
except
Bipolar disorder is the most commonly diagnosed psychiatric disorder in
older adults.
The caregiver for an older adult with cognitive impairment is concerned
about the individuals seeming disinterest in eating. Which suggestion does
the NP offer based upon a known effect of dementia on a clients nutrition
Establish a routine of when and where the individual will have their meals.
An older man has a hx of medication therapy for hypertension. Which
intervention does the nurse practitioner implement when the client reports
that, I've fallen twice in 5 weeks.
, Orthostatic blood pressures
In the elderly population, the fastest growing group is the age range
85 years or older
Which statement correctly describes normal changes of aging
Individual variations are enormous at every age and in every part of the body
Compared with acute pain, persistent chronic pain requires in the nurse
practitioner to
Educate the patient to the benefit of specific lifestyle changes
When considering Erikson's developmental stages, the task for later life is
referred to as
Ego integrity
What is the method of action of anticholinergics
Block the effect of acetylcholine on muscarinic type 3 receptors resulting in
bronchodilation
What is the method of action of beta agonists