NURS 5432 FINAL EXAM EXAM QUIZZES WITH ACCURATE ANSWERS .

NURS 5432 FINAL EXAM EXAM QUIZZES
WITH ACCURATE ANSWERS .


What age is recommended for Elderly Patients get the Prevnar 13 Vaccination? - correct
Answers -Age 65 and older


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


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


How many doses are the Shingrix series? - correct Answers -2 doses


How many months apart should the Shingrix vaccine be given? - correct Answers -2-6 months
apart


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


How often should one get a Tdap Booster shot? - correct Answers -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 Answers -B. 23-30

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


Malnutrition risk is considered > 10% weight loss in 10 months, True or False? - correct
Answers -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
Answers -< 12 seconds


What are the 4 main factors that alter drug distributions in older adults? - correct Answers -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 Answers -True


Hepatic Metabolism (Increases/Decreases) with age? - correct Answers -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 Answers -(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 Answers -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 Answers -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 Answers -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 Answers -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 Answers -
Cholinesterase Inhibitors


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


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


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

, What is the max dose of Donepezil? - correct Answers -23mg/day


What is the initial dose of Galantamine? - correct Answers -4mg twice daily


What is the titration of Galantamine? - correct Answers -Extended release 8mg once daily


What is the initial dose of Rivastigmine? - correct Answers -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 Answers -4.6mg changed every 24 hours


What are some side effects of Rivastigmine? - correct Answers -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 Answers
-Memantine


What's the initial dosing of Memantine? - correct Answers -Initial dose 5mg daily


What is the titration for Memantine? - correct Answers -Titrate 10mg daily, then 10mg twice
daily over 4 weeks


What imaging is used to visualized the infarcts cause by Vascular Dementia? - correct Answers -
CT or MRI of the brain