NURS 5461/ NURS5461 Final Exam
(NEW 2026/ 2027 Update) Adult
Gerontology Management Review |
Questions and Answers | UTA
**1. A 72-year-old male patient asks about the recommended frequency for the shingles (herpes zoster)
vaccine. He received the live zoster vaccine (Zostavax) five years ago. What is the most appropriate
response?**
- A) "You do not need another shingles vaccine as Zostavax provides lifelong immunity."
- B) "You should receive the recombinant zoster vaccine (Shingrix) now, as it is recommended regardless
of prior Zostavax vaccination."
- C) "You need to wait until you are 75 years old to receive the booster for Zostavax."
- D) "You should receive a second dose of Zostavax to boost your immunity."
- **Correct Answer:** B
- **Rationale:** The CDC recommends the recombinant zoster vaccine (Shingrix) for all adults aged 50
years and older, including those who previously received Zostavax. Shingrix has over 90% efficacy
compared to Zostavax's waning efficacy .
, ---
**2. An 82-year-old female presents with insomnia. Her provider is considering a low-dose hypnotic.
Which age-related physiological change most significantly increases her risk for prolonged sedation?**
- A) Decreased gastric motility
- B) Increased total body water
- C) Increased body fat composition
- D) Decreased hepatic blood flow
- **Correct Answer:** C
- **Rationale:** Aging increases body fat and decreases lean mass. Lipophilic drugs (like many hypnotics
and benzodiazepines) have a larger volume of distribution, leading to a longer half-life and prolonged
duration of action .
---
**3. An 82-year-old patient reports feeling dizzy when standing up quickly. Which age-related
physiological change is the most likely cause?**
- A) Decreased baroreceptor sensitivity
- B) Increased cardiac output
- C) Thickening of the heart valves
- D) Increased blood volume
- **Correct Answer:** A
- **Rationale:** Baroreceptor sensitivity decreases with age, leading to orthostatic hypotension and
dizziness .
---
(NEW 2026/ 2027 Update) Adult
Gerontology Management Review |
Questions and Answers | UTA
**1. A 72-year-old male patient asks about the recommended frequency for the shingles (herpes zoster)
vaccine. He received the live zoster vaccine (Zostavax) five years ago. What is the most appropriate
response?**
- A) "You do not need another shingles vaccine as Zostavax provides lifelong immunity."
- B) "You should receive the recombinant zoster vaccine (Shingrix) now, as it is recommended regardless
of prior Zostavax vaccination."
- C) "You need to wait until you are 75 years old to receive the booster for Zostavax."
- D) "You should receive a second dose of Zostavax to boost your immunity."
- **Correct Answer:** B
- **Rationale:** The CDC recommends the recombinant zoster vaccine (Shingrix) for all adults aged 50
years and older, including those who previously received Zostavax. Shingrix has over 90% efficacy
compared to Zostavax's waning efficacy .
, ---
**2. An 82-year-old female presents with insomnia. Her provider is considering a low-dose hypnotic.
Which age-related physiological change most significantly increases her risk for prolonged sedation?**
- A) Decreased gastric motility
- B) Increased total body water
- C) Increased body fat composition
- D) Decreased hepatic blood flow
- **Correct Answer:** C
- **Rationale:** Aging increases body fat and decreases lean mass. Lipophilic drugs (like many hypnotics
and benzodiazepines) have a larger volume of distribution, leading to a longer half-life and prolonged
duration of action .
---
**3. An 82-year-old patient reports feeling dizzy when standing up quickly. Which age-related
physiological change is the most likely cause?**
- A) Decreased baroreceptor sensitivity
- B) Increased cardiac output
- C) Thickening of the heart valves
- D) Increased blood volume
- **Correct Answer:** A
- **Rationale:** Baroreceptor sensitivity decreases with age, leading to orthostatic hypotension and
dizziness .
---
