TEST BANK FOR Advanced Practice Nursing
n n n n n
n in the Care of Older Adults, 3rd Edition
n n n n n n n n
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
n n n n n n n n
,Answers at the end of the Chapter
n n n n n n n
Chapter 1: Changes withAging n n n n
Multiple Choice n
Identify the choice that best completes the statement or answers the question.
n n n n n n n n n n n
1. The major impact of the physiological changes that occur with aging is:
n n n n n n n n n n n
A. Reducedphysiological reserve n n
B. Reduced homeostatic mechanismsn n
C. Impaired immunological response n n
D. All of the above
n n n
2. The strongest evidence regarding normal physiological aging is available through:
n n n n n n n n n
,A. Randomized controlledclinical trials n n n
B. Cross-sectional studies n
C. Longitudinal studies n
D. Case control studies
n n
3. All of the following statements are true about laboratory
nn n n n n n n n n n n
values in older adultsexcept: n n n
A. Referenceranges arepreferable n n n
B. Abnormal findings are often due to physiological aging
n n n n n n n
C. Normal ranges may not be applicable for older adults
n n n n n n n n
D. Reference values are not necessarily acceptable values
n n n n n n
nn n 4. Biochemical individuality is best described as:
n n n n n n
A. Each individual’s variation is often much greater than that of a larger group
n n n n n n n n n n n n
B. The unique biochemical profile of a selected population
n n n n n n n
C. The truly “normal” individual—falling within average range
n n n n n n
D. Each individual’s variation is often much smaller than that of a larger group
n n n n n n n n n n n n
nn n 5. Polypharmacy is best described as taking:
n n n n n n
A. More than nine medications per day
n n n n n
B. Morethan five medications per day
n n n n n
, C. Even a single medication if there is not a clear indication for its use
n n n n n n n n n n n n n
D. When a drug is given to treat the side effect of another drug
n n n n n n n n n n n n
nn n 6. Pharmacokinetic changes with aging is reflective of:
n n n n n n n
A. What the drug does to the body
n n n n n n
B. What the body does to the drug
n n n n n n
C. The effect at the site of action and the time and intensity of the drug
n n n n n n n n n n n n n n
D. The side effects commonly associated with the drug
n n n n n n n
nn n 7. All the following statements are false about drug absorption except:
n n n n n n n n n n
A. Antacids increase the bioavailability of digitalis
n n n n n
B. Gastric acidity decreases with age
n n n n
C. Anticholinergics increase colonic motility n n n
D. Underlying chronic disease has little impact on drug absorption
n n n n n n n n
nn n 8. All of the following statements are true about drug distribution in the
n n n n n n n n n n n n
elderly except: n
A. Drugs distributed in water have lower concentration
n n n n n n
B. Drugs distributed in fat have less intense, more prolonged effect
n n n n n n n n n
C. Drugs highly protein bound have greater potential to causean adverse drug reaction
n n n n n n n n n n n n
n n n n n
n in the Care of Older Adults, 3rd Edition
n n n n n n n n
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
n n n n n n n n
,Answers at the end of the Chapter
n n n n n n n
Chapter 1: Changes withAging n n n n
Multiple Choice n
Identify the choice that best completes the statement or answers the question.
n n n n n n n n n n n
1. The major impact of the physiological changes that occur with aging is:
n n n n n n n n n n n
A. Reducedphysiological reserve n n
B. Reduced homeostatic mechanismsn n
C. Impaired immunological response n n
D. All of the above
n n n
2. The strongest evidence regarding normal physiological aging is available through:
n n n n n n n n n
,A. Randomized controlledclinical trials n n n
B. Cross-sectional studies n
C. Longitudinal studies n
D. Case control studies
n n
3. All of the following statements are true about laboratory
nn n n n n n n n n n n
values in older adultsexcept: n n n
A. Referenceranges arepreferable n n n
B. Abnormal findings are often due to physiological aging
n n n n n n n
C. Normal ranges may not be applicable for older adults
n n n n n n n n
D. Reference values are not necessarily acceptable values
n n n n n n
nn n 4. Biochemical individuality is best described as:
n n n n n n
A. Each individual’s variation is often much greater than that of a larger group
n n n n n n n n n n n n
B. The unique biochemical profile of a selected population
n n n n n n n
C. The truly “normal” individual—falling within average range
n n n n n n
D. Each individual’s variation is often much smaller than that of a larger group
n n n n n n n n n n n n
nn n 5. Polypharmacy is best described as taking:
n n n n n n
A. More than nine medications per day
n n n n n
B. Morethan five medications per day
n n n n n
, C. Even a single medication if there is not a clear indication for its use
n n n n n n n n n n n n n
D. When a drug is given to treat the side effect of another drug
n n n n n n n n n n n n
nn n 6. Pharmacokinetic changes with aging is reflective of:
n n n n n n n
A. What the drug does to the body
n n n n n n
B. What the body does to the drug
n n n n n n
C. The effect at the site of action and the time and intensity of the drug
n n n n n n n n n n n n n n
D. The side effects commonly associated with the drug
n n n n n n n
nn n 7. All the following statements are false about drug absorption except:
n n n n n n n n n n
A. Antacids increase the bioavailability of digitalis
n n n n n
B. Gastric acidity decreases with age
n n n n
C. Anticholinergics increase colonic motility n n n
D. Underlying chronic disease has little impact on drug absorption
n n n n n n n n
nn n 8. All of the following statements are true about drug distribution in the
n n n n n n n n n n n n
elderly except: n
A. Drugs distributed in water have lower concentration
n n n n n n
B. Drugs distributed in fat have less intense, more prolonged effect
n n n n n n n n n
C. Drugs highly protein bound have greater potential to causean adverse drug reaction
n n n n n n n n n n n n
