NURS 5432 Final Exam UPDATED ACTUAL Questions and CORRECT Answers

NURS 5432 Final Exam UPDATED
ACTUAL Questions and CORRECT
Answers
What age is recommended for Elderly Patients get the Prevnar 13 Vaccination? - CORRECT
ANSWER - Age 65 and older


What age is recommended for Elderly Patients get the Pneumococcal Vaccination (PPSV23)? -
CORRECT ANSWER - Age 65 and older


What age is recommended for Elderly Patients get the Shingrix Vaccination? - CORRECT
ANSWER - Age 59 and older



How many doses are the Shingrix series? - CORRECT ANSWER - 2 doses



How many months apart should the Shingrix vaccine be given? - CORRECT ANSWER -
2-6 months apart


How often should an older adult get the influenza vaccine? - CORRECT ANSWER -
Annually (every fall)


How often should one get a Tdap Booster shot? - CORRECT ANSWER - Booster every
10 years


Which of the follow are considered normal BMI range for older adults?
A. 20-25
B. 23-30

C. 30-45 - CORRECT ANSWER - B. 23-30

,Malnutrition risk is considered > 5% weight loss in 1 month, True or False? - CORRECT
ANSWER - True


Malnutrition risk is considered > 10% weight loss in 10 months, True or False? - CORRECT
ANSWER - False.


> 10% weight loss in 6 months


In how many second should an older adult be able to complete the Get Up and Go test? -
CORRECT ANSWER - < 12 seconds


What are the 4 main factors that alter drug distributions in older adults? - CORRECT
ANSWER - 1. Increased body fat
2. Decreased lean body mass
3. Decreased body water
4. Reduced serum albumin


Fat soluble drugs accumulate in the adipose tissue leading to prolonged effects. True or False? -
CORRECT ANSWER - True



Hepatic Metabolism (Increases/Decreases) with age? - CORRECT ANSWER - Decreases


Age Dependent Changes in Body Composition


(Inc/Dec) in body fat by 35%
(Inc/Dec) in plasma volume by 8%
(Inc/Dec) in total body water by 17%

(Inc/Dec) in extracellular body fluid by 40% - CORRECT ANSWER - (Inc) in body fat by
35%
(Dec) in plasma volume by 8%

,(Dec) in total body water by 17%
(Dec) in extracellular body fluid by 40%


What labs would you complete to Rule Out Alzheimer's Disease? (5) - CORRECT
ANSWER - 1. CBC
2. Metabolic Panel
3. Vitamins B12 and Folate
4. RPR Test
5. TSH


Why would an RPR Test be completed to rule out Alzheimer's? - CORRECT ANSWER -
RPR Test is to help rule of Syphilis


Brain imagining like a CT or MRI should be done in someone who is suspected of having
Alzheimer's, True or False. - CORRECT ANSWER - True
these imaging studies are essential in order to rule out brain, pathology, or identify structural
abnormalities


Rapid progression or onset of Alzheimer's before age 80 is a red flag and the patient should be
referred to Neurology, True or False? - CORRECT ANSWER - False


Rapid progression or onset of Alzheimer's before age 60 is a red flag


What is the First-Line medication used for Alzheimer's disease? - CORRECT ANSWER -
Cholinesterase Inhibitors


What's the MOA of the Cholinesterase Inhibitors? - CORRECT ANSWER - Prevent the
breakdown of acetylcholine, improving neurotransmissions.

, What is the initial dose of Donepezil used for Alzheimer's? (What time of day) - CORRECT
ANSWER - Initial dose is 5mg at Bedtime



What is the Titration of Donepezil? - CORRECT ANSWER - Increased to 10mg after 4-6
weeks


What is the max dose of Donepezil? - CORRECT ANSWER - 23mg/day



What is the initial dose of Galantamine? - CORRECT ANSWER - 4mg twice daily



What is the titration of Galantamine? - CORRECT ANSWER - Extended release 8mg
once daily


What is the initial dose of Rivastigmine? - CORRECT ANSWER - The initial dose is
1.5mg


What is the dose is the dose of the transdermal patch of Rivastigmine? How often does it need to
be changed? - CORRECT ANSWER - 4.6mg changed every 24 hours



What are some side effects of Rivastigmine? - CORRECT ANSWER - Anorexia
Weight loss
Nausea and vomiting
Loss of appetite
Dehydration
Headaches
AV Block


What medication is Second Line for Adjunct Therapy for Alzheimer's disease? - CORRECT
ANSWER - Memantine