NURS 5432 Final Exam 2025 – Updated Actual Questions & Correct Solutions

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NURS 5432 FINAL EXAM 2025 UPDATED
ACTUAL EXAM WITH CORRECT
SOLUTIONS.

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

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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

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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%

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(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