NR 509 - FINAL EXAM BATE'S
INTERACTIVE QUESTION BANK WITH
CORRECT ANSWERS
Which of the following best describes the role of the health practitioner in
caring for the aging American population?
a. Prepare all persons age ≥65 years for the eventuality that they will
become frail.
b. Understand that the older population is generally homogenous with
little variation in needs.
c. Evaluate geriatric conditions in terms of functionality and quality of life
rather than via traditional disease models.
d. Employ the same disease models used to treat younger patients with
chronic disease.
e. Assure that all elders complete an annual physical examination. -
CORRECT ANSWER- c. Evaluate geriatric conditions in terms of
functionality and quality of life rather than via traditional disease models.
Which of the following is true about hair in the aging adult?
a. Age-related hair loss in males is normal only after age 50 years.
b. Age-related hair loss on the scalp is abnormal in women and should
be evaluated to rule out underlying pathology.
c. Although hair loss occurs in both sexes, hair on the head, trunk, legs,
and pubic hair is invariably spared any age-related changes.
d. Women may experience the development of sparse coarse facial hair
in their mid-50s.
e. Age-related hair changes are the same for all individuals regardless of
ethnicity or race. - CORRECT ANSWER- d. Women may experience
the development of sparse coarse facial hair in their mid-50s.
,A 75-year-old female in generally good health presents to a new primary
care provider after she recently moved to a new city. She takes no
prescribed medications, but she has been told in the past that her blood
pressure was borderline elevated and might require treatment at some
time in the future. Which of the following findings during the physical
examine is consistent with the normal aging process and not a sign of
cardiovascular disease?
a. A narrowed pulse pressure with increased systolic and diastolic
components
b. A widened pulse pressure with increased systolic pressure (up to 140)
and decreased diastolic pressure
c. An unchanged pulse pressure with equal increases in both systolic
and diastolic pressures
d. A drop in systolic pressure of 25 mm Hg when rising from a supine to
standing position
e. An isolated increase in systolic blood pressure to >150 mm Hg -
CORRECT ANSWER- b. A widened pulse pressure with increased
systolic pressure (up to 140) and decreased diastolic pressure
A 66-year-old recently retired restaurant worker presents to his primary
care provider with a concern about hearing loss. He relates a history of
difficulty distinguishing voices in crowded settings when significant
background noise exists, which hastened his retirement. Which of the
following is true about this patient's experience with hearing and the
aging process?
a. His experience is consistent with the normal aging process.
b. Any hearing impairment that causes functional decline warrants formal
testing and evaluation.
c. Early age-related hearing loss initially affects lower-pitched sounds.
d. Decreased hearing acuity associated with aging is formally known as
hypoacusis.
e. Age-related declines in hearing does not begin until age ≥75 years. -
CORRECT ANSWER- b. Any hearing impairment that causes
functional decline warrants formal testing and evaluation.
,Medications carry both risks and benefits for older patients. Although the
risks of polypharmacy (the use of many medications at once) are very
well known, many older patients take many medications for a variety of
conditions. Which of the following best describes medication prescribing
and utilization in the older adult population?
a. Although older patients take more medications than younger adults,
their rate of hospitalization for drug-related adverse reactions is the
same.
b. Older patients rarely take or have adverse effects from sleep
medications.
c. Only half of all older patients take at least one drug daily.
d. Individuals age >65 years account for 30% of all prescribed drugs.
e. Medications prescribed for known indications are not considered to be
a modifiable risk factor for adverse events.
Submit - CORRECT ANSWER- d. Individuals age >65 years account
for 30% of all prescribed drugs.
Which of the following is true about the presentation of pain in the older
adult?
a. Older patients are more likely to report pain symptoms than younger
patients.
b. The prevalence of pain is greater in community-dwelling older adults
compared to those living in nursing homes.
c. The American Geriatrics Society (AGS) prefers the term "persistent
pain" over the term "chronic pain."
d. Pain is often overtreated in the aging population due to overreporting
and exaggeration of symptoms.
e. The majority of pain complaints in this population are due to cardiac or
gastrointestinal (GI) syndromes. - CORRECT ANSWER- c. The
American Geriatrics Society (AGS) prefers the term "persistent pain"
over the term "chronic pain."
Concerning alcohol consumption in older adults, which of the following is
true?
, a. The CAGE screening for alcohol abuse retains the same sensitivity
and specificity it has for younger populations.
b. The detection of alcohol abuse is higher in older patients than younger
patients due to more frequent ambulatory interactions with health care
providers.
c. Symptoms and signs of alcohol abuse are more overt and easier to
notice during outpatient encounters in older patients than in younger
patients.
d. Alcohol alone does not cause cognitive impairment in older patients.
e. Alcohol consumption is responsible for 10% of all hospitalizations in
patients age >65 years. - CORRECT ANSWER- a. The CAGE
screening for alcohol abuse retains the same sensitivity and specificity it
has for younger populations.
An 80-year-old woman who lives alone at home presents with concerns
about maintaining her independent living status. She continues to drive
and care for herself and her pet dog but reports two falls over the past 4
months. During one fall, she struck her head, causing a bruise over the
right eye. She attributes these episodes to environmental factors: Once
she tripped over a rug, and once she misjudged the depth of the curb
while crossing the street. Which of the following would be the best
approach to this patient?
a. Advise the patient to be more careful and attentive to her
surroundings and provide reassurance that two episodes is not a cause
for concern.
b. Advise her that she may require a walker or a cane to provide better
balance.
c. Advise her that falls are associated with aging and that no preventive
measures have proven effective.
d. Perform a comprehensive assessment of fall risk and plan preventive
inte - CORRECT ANSWER- d. Perform a comprehensive
assessment of fall risk and plan preventive interventions.
A 44-year-old female mathematician presents to clinic with a complaint
of a mass in the right breast. Her partner noticed this mass 2 days ago,
and the patient feels guilty because she has only had one mammogram
and does not engage in breast self-examination (BSE) on any regular
INTERACTIVE QUESTION BANK WITH
CORRECT ANSWERS
Which of the following best describes the role of the health practitioner in
caring for the aging American population?
a. Prepare all persons age ≥65 years for the eventuality that they will
become frail.
b. Understand that the older population is generally homogenous with
little variation in needs.
c. Evaluate geriatric conditions in terms of functionality and quality of life
rather than via traditional disease models.
d. Employ the same disease models used to treat younger patients with
chronic disease.
e. Assure that all elders complete an annual physical examination. -
CORRECT ANSWER- c. Evaluate geriatric conditions in terms of
functionality and quality of life rather than via traditional disease models.
Which of the following is true about hair in the aging adult?
a. Age-related hair loss in males is normal only after age 50 years.
b. Age-related hair loss on the scalp is abnormal in women and should
be evaluated to rule out underlying pathology.
c. Although hair loss occurs in both sexes, hair on the head, trunk, legs,
and pubic hair is invariably spared any age-related changes.
d. Women may experience the development of sparse coarse facial hair
in their mid-50s.
e. Age-related hair changes are the same for all individuals regardless of
ethnicity or race. - CORRECT ANSWER- d. Women may experience
the development of sparse coarse facial hair in their mid-50s.
,A 75-year-old female in generally good health presents to a new primary
care provider after she recently moved to a new city. She takes no
prescribed medications, but she has been told in the past that her blood
pressure was borderline elevated and might require treatment at some
time in the future. Which of the following findings during the physical
examine is consistent with the normal aging process and not a sign of
cardiovascular disease?
a. A narrowed pulse pressure with increased systolic and diastolic
components
b. A widened pulse pressure with increased systolic pressure (up to 140)
and decreased diastolic pressure
c. An unchanged pulse pressure with equal increases in both systolic
and diastolic pressures
d. A drop in systolic pressure of 25 mm Hg when rising from a supine to
standing position
e. An isolated increase in systolic blood pressure to >150 mm Hg -
CORRECT ANSWER- b. A widened pulse pressure with increased
systolic pressure (up to 140) and decreased diastolic pressure
A 66-year-old recently retired restaurant worker presents to his primary
care provider with a concern about hearing loss. He relates a history of
difficulty distinguishing voices in crowded settings when significant
background noise exists, which hastened his retirement. Which of the
following is true about this patient's experience with hearing and the
aging process?
a. His experience is consistent with the normal aging process.
b. Any hearing impairment that causes functional decline warrants formal
testing and evaluation.
c. Early age-related hearing loss initially affects lower-pitched sounds.
d. Decreased hearing acuity associated with aging is formally known as
hypoacusis.
e. Age-related declines in hearing does not begin until age ≥75 years. -
CORRECT ANSWER- b. Any hearing impairment that causes
functional decline warrants formal testing and evaluation.
,Medications carry both risks and benefits for older patients. Although the
risks of polypharmacy (the use of many medications at once) are very
well known, many older patients take many medications for a variety of
conditions. Which of the following best describes medication prescribing
and utilization in the older adult population?
a. Although older patients take more medications than younger adults,
their rate of hospitalization for drug-related adverse reactions is the
same.
b. Older patients rarely take or have adverse effects from sleep
medications.
c. Only half of all older patients take at least one drug daily.
d. Individuals age >65 years account for 30% of all prescribed drugs.
e. Medications prescribed for known indications are not considered to be
a modifiable risk factor for adverse events.
Submit - CORRECT ANSWER- d. Individuals age >65 years account
for 30% of all prescribed drugs.
Which of the following is true about the presentation of pain in the older
adult?
a. Older patients are more likely to report pain symptoms than younger
patients.
b. The prevalence of pain is greater in community-dwelling older adults
compared to those living in nursing homes.
c. The American Geriatrics Society (AGS) prefers the term "persistent
pain" over the term "chronic pain."
d. Pain is often overtreated in the aging population due to overreporting
and exaggeration of symptoms.
e. The majority of pain complaints in this population are due to cardiac or
gastrointestinal (GI) syndromes. - CORRECT ANSWER- c. The
American Geriatrics Society (AGS) prefers the term "persistent pain"
over the term "chronic pain."
Concerning alcohol consumption in older adults, which of the following is
true?
, a. The CAGE screening for alcohol abuse retains the same sensitivity
and specificity it has for younger populations.
b. The detection of alcohol abuse is higher in older patients than younger
patients due to more frequent ambulatory interactions with health care
providers.
c. Symptoms and signs of alcohol abuse are more overt and easier to
notice during outpatient encounters in older patients than in younger
patients.
d. Alcohol alone does not cause cognitive impairment in older patients.
e. Alcohol consumption is responsible for 10% of all hospitalizations in
patients age >65 years. - CORRECT ANSWER- a. The CAGE
screening for alcohol abuse retains the same sensitivity and specificity it
has for younger populations.
An 80-year-old woman who lives alone at home presents with concerns
about maintaining her independent living status. She continues to drive
and care for herself and her pet dog but reports two falls over the past 4
months. During one fall, she struck her head, causing a bruise over the
right eye. She attributes these episodes to environmental factors: Once
she tripped over a rug, and once she misjudged the depth of the curb
while crossing the street. Which of the following would be the best
approach to this patient?
a. Advise the patient to be more careful and attentive to her
surroundings and provide reassurance that two episodes is not a cause
for concern.
b. Advise her that she may require a walker or a cane to provide better
balance.
c. Advise her that falls are associated with aging and that no preventive
measures have proven effective.
d. Perform a comprehensive assessment of fall risk and plan preventive
inte - CORRECT ANSWER- d. Perform a comprehensive
assessment of fall risk and plan preventive interventions.
A 44-year-old female mathematician presents to clinic with a complaint
of a mass in the right breast. Her partner noticed this mass 2 days ago,
and the patient feels guilty because she has only had one mammogram
and does not engage in breast self-examination (BSE) on any regular
