NURS 5461 Adult Gerontology
NURS 5461 Adult Gerontology Final Actual
Exam Test Bank / NURS 5461 Adult
Gerontology Final Prep /NURS 5461 Adult
Gerontology Final Practice Exam
With Complete Verified Questions And Correct
Answers with Detailed Rationales Graded A +
A patient may be prescribed Prinivil for which of the following conditions?
Excessive blood clotting.
Hypertension.
Nerve pain associated with shingles.
Bacterial pneumonia. –
Correct Answer :Hypertension.
Prinivil (lisinopril) is prescribed for the treatment of hypertension. It may be prescribed to
protect the kidneys from damage resulting from diabetes. Prinivil is an ACE inhibitor.
When discussing Human Immunodeficiency virus (HIV) testing with a patient, the GNP knows:
Sexually active homosexual men are the only ones at risk for HIV.
Receiving blood products from 1985 to 1995 is a risk factor for HIV.
A+ TEST BANK 1
, NURS 5461 Adult Gerontology
The screening ELISA test (enzyme-linked immunosorbent assay) detects antibodies and is 99%
sensitive and specific.
There is no need to recheck the ELISA if negative on the first test. –
Correct Answer :The screening ELISA test (enzyme-linked immunosorbent assay) detects
antibodies and is 99% sensitive and specific.
Persons with a history of multiple sex partners, homelessness, STD's, and IV drug use are also at
risk for HIV. The receipt of blood products from 1975 to 1985 is a risk factor as well. The ELISA is
recommended to be rechecked at a six month window period.
At what age is a person initially considered an older adult?
70
65
60
75 –
Correct Answer :65
Nurses need to be familiar with the stages of life. Older adults at the age of 65 onward
experience development changes. A decline in health and mobility affects life and function.
The "pill-rolling" tremor that is typical in patients with Parkinson's disease is:
usually unilateral
worse when the patient sleeps
present at rest of and with movement
A+ TEST BANK 2
, NURS 5461 Adult Gerontology
a late manifestation of the disease –
Correct Answer :usually unilateral
Choice A is the right answer. The "pill-rolling" tremor is the earliest manifestation of the disease.
It occurs at rest but not with movement. The tremor is worse with emotional stress and gets
better decreases with sleep.
The United States Preventive Services Task Force recommends screening older patients for
depression:
at each visit
only if symptoms exist
if they are at high risk
annually –
Correct Answer :annually
Depression is very common among older adults. Recommendations are to screen every adult
patient annually in the primary care setting. Untreated depression often leads to higher rates of
mortality when other co-morbid conditions exist, especially heart disease.
You are assessing your aged patient and determine that he has Presbyopia. What causes
Presbyopia?
Sudden increase in intraocular pressure.
Hardening of the lens.
A+ TEST BANK 3
, NURS 5461 Adult Gerontology
Lens clouding.
Gradual onset of increased intraocular pressure. –
Correct Answer :Hardening of the lens.
Presbyopia is caused by the hardening of the lens. Senile cataracts is caused by lens clouding.
Open-angle glaucoma is caused by the gradual onset of increased intraocular pressure. Angle-
closure glaucoma is caused by the sudden increase in intraocular pressure.
Which statement is true regarding the Varicella vaccine?
The Varicella vaccine is administered only to adults over 50.
The Varicella vaccine provides temporary passive immunity to infection.
Women who do not have immunity should receive the first dose upon completion or
termination of pregnancy and before discharge from the health-care facility.
The vaccine provides minimal protection against invasive Varicella. –
Correct Answer :Women who do not have immunity should receive the first dose upon
completion or termination of pregnancy and before discharge from the health-care facility.
Pregnant women should be assessed for Varicella immunity and vaccinated if no evidence of
immunity exists.
As we age, skin disorders are common. Which of the following statements about skin problems
in older adults is false?
Intertrigo disorder is a painful inflammation in the skin folds and skin discoloration that occurs in
older people.
A+ TEST BANK 4
NURS 5461 Adult Gerontology Final Actual
Exam Test Bank / NURS 5461 Adult
Gerontology Final Prep /NURS 5461 Adult
Gerontology Final Practice Exam
With Complete Verified Questions And Correct
Answers with Detailed Rationales Graded A +
A patient may be prescribed Prinivil for which of the following conditions?
Excessive blood clotting.
Hypertension.
Nerve pain associated with shingles.
Bacterial pneumonia. –
Correct Answer :Hypertension.
Prinivil (lisinopril) is prescribed for the treatment of hypertension. It may be prescribed to
protect the kidneys from damage resulting from diabetes. Prinivil is an ACE inhibitor.
When discussing Human Immunodeficiency virus (HIV) testing with a patient, the GNP knows:
Sexually active homosexual men are the only ones at risk for HIV.
Receiving blood products from 1985 to 1995 is a risk factor for HIV.
A+ TEST BANK 1
, NURS 5461 Adult Gerontology
The screening ELISA test (enzyme-linked immunosorbent assay) detects antibodies and is 99%
sensitive and specific.
There is no need to recheck the ELISA if negative on the first test. –
Correct Answer :The screening ELISA test (enzyme-linked immunosorbent assay) detects
antibodies and is 99% sensitive and specific.
Persons with a history of multiple sex partners, homelessness, STD's, and IV drug use are also at
risk for HIV. The receipt of blood products from 1975 to 1985 is a risk factor as well. The ELISA is
recommended to be rechecked at a six month window period.
At what age is a person initially considered an older adult?
70
65
60
75 –
Correct Answer :65
Nurses need to be familiar with the stages of life. Older adults at the age of 65 onward
experience development changes. A decline in health and mobility affects life and function.
The "pill-rolling" tremor that is typical in patients with Parkinson's disease is:
usually unilateral
worse when the patient sleeps
present at rest of and with movement
A+ TEST BANK 2
, NURS 5461 Adult Gerontology
a late manifestation of the disease –
Correct Answer :usually unilateral
Choice A is the right answer. The "pill-rolling" tremor is the earliest manifestation of the disease.
It occurs at rest but not with movement. The tremor is worse with emotional stress and gets
better decreases with sleep.
The United States Preventive Services Task Force recommends screening older patients for
depression:
at each visit
only if symptoms exist
if they are at high risk
annually –
Correct Answer :annually
Depression is very common among older adults. Recommendations are to screen every adult
patient annually in the primary care setting. Untreated depression often leads to higher rates of
mortality when other co-morbid conditions exist, especially heart disease.
You are assessing your aged patient and determine that he has Presbyopia. What causes
Presbyopia?
Sudden increase in intraocular pressure.
Hardening of the lens.
A+ TEST BANK 3
, NURS 5461 Adult Gerontology
Lens clouding.
Gradual onset of increased intraocular pressure. –
Correct Answer :Hardening of the lens.
Presbyopia is caused by the hardening of the lens. Senile cataracts is caused by lens clouding.
Open-angle glaucoma is caused by the gradual onset of increased intraocular pressure. Angle-
closure glaucoma is caused by the sudden increase in intraocular pressure.
Which statement is true regarding the Varicella vaccine?
The Varicella vaccine is administered only to adults over 50.
The Varicella vaccine provides temporary passive immunity to infection.
Women who do not have immunity should receive the first dose upon completion or
termination of pregnancy and before discharge from the health-care facility.
The vaccine provides minimal protection against invasive Varicella. –
Correct Answer :Women who do not have immunity should receive the first dose upon
completion or termination of pregnancy and before discharge from the health-care facility.
Pregnant women should be assessed for Varicella immunity and vaccinated if no evidence of
immunity exists.
As we age, skin disorders are common. Which of the following statements about skin problems
in older adults is false?
Intertrigo disorder is a painful inflammation in the skin folds and skin discoloration that occurs in
older people.
A+ TEST BANK 4
