AGPNP PREP With Reviewed Answers
A healthy adult patient should be able to repeat a series of how many numbers? -
ANSWER-When assessing immediate recall or new learning, a healthy adult patient
without cognitive decline should be able to repeat a series of 5-8 numbers.
A normal physiologic change of the respiratory system that occurs with aging? -
ANSWER-Hyperresonance
A sudden decrease or loss of peripheral vision can be indicative of what condition which
requires immediate treatment by an ophthalmologist. - ANSWER-a detached retina
Adolescents may be reluctant to talk, and have a clear need for confidentiality. -
ANSWER-TRUE
Age-related changes result in an increase in the residual lung volume (RV) and
decrease in the forced vital capacity - ANSWER-TRUE
As an individual ages how is REM sleep affected? - ANSWER-REM sleep decreases
As an individual ages, which physiologic change would affect responses to
pharmacologic agents? - ANSWER-Medications are often protein bound (not fat bound);
albumin decreases with age. A low albumin level decreases the number of protein-
binding sites, causing an increase in the amount of free drug in the plasma. Drug
overdose may occur in older adult patients.
As patients age, it becomes particularly important to encourage an increased intake of: -
ANSWER-Decreased hydrochloric acid, which occurs with aging, leads to decreased
absorption of iron and vitamin B12 and is related to loss of intrinsic factor. Older adults
are considered at risk for vitamin D deficiency, which contributes to osteoporosis. Bone
loss that occurs with aging is related to low calcium.
astigmatism - ANSWER-distorted vision at all distances
Beers' List - ANSWER-Beers' List of Inappropriate drugs for Older Adults
Chloasma - ANSWER-Chloasma is hyperpigmentation occurring on the face of a
pregnant woman
clinical findings would indicate a deviation from the normal age-related changes in the
neurologic system that may have some diagnostic significance for the older patient? -
ANSWER-Decreased ability to maintain balance may indicate a cerebellar complication.
The other findings (decreased sense of touch, diminished ankle tendon reflex, and
decreased short-term memory are normal age-related changes.
Common abnormal skin lesions in the older adult includes... - ANSWER-Seborrheic
dermatitis
Senile keratosis
Squamous cell
Common age-related changes in the GI system include... - ANSWER-increased adipose
tissue, decreased liver size, reduced motility and peristalsis, decreased acid secretions
and motor activity of the stomach, and decreased glomerular filtration rate.
, Common physiologic changes in the gastrointestinal system of an older adult patient
include - ANSWER-Decreased hydroelectric acid, which occurs with aging, leads to
decreased absorption of iron and vitamin B12.
Excessive growth of certain bacteria (bacterial overgrowth syndrome) becomes more
common with age and can lead to pain, bloating, and weight loss.
Bacterial overgrowth may also lead to decreased absorption of certain nutrients, such
as vitamin B12, iron, and calcium.
The stomach cannot accommodate as much food (because of decreased elasticity).
The rate at which the stomach empties food into the small intestine decreases with
aging.
Fat absorption will decrease
Peristalsis decreases
Complications from falls include ... - ANSWER-Fractures, pneumonia, pressure ulcers,
pain, and immobility.
constitutional symptoms include: - ANSWER-A constitutional symptom is defined as a
symptom that affects the general well-being or general status of a patient. Examples
include weight loss, shaking, chills, fever, pain, and vomiting. Constitutional symptoms
tend to be nonspecific to a particular disease and because of this, they are not useful in
diagnosis of conditions as non-constitutional symptoms.
Frailty - ANSWER-Frailty (also known as failure to thrive) is a common clinical
syndrome in older adults. Common findings with the condition of frailty are low grip
strength, slowed walking speed, low physical activity, unintentional weight loss,
decreased lean body mass (sarcopenia), osteopenia, cognitive impairment, and
anemia. Frailty can leave a patient vulnerable to falls, functional decline, disability,
disease, and death.
hyperopia - ANSWER-farsightedness
In assessing the nutritional status of an older adult patient, the adult-gerontology
primary care nurse practitioner identifies the common physiologic change in the
gastrointestinal system to be - ANSWER-Decreased hydrochloric acid, which occurs
with aging, leads to decreased absorption of iron and vitamin B12. Excessive growth of
certain bacteria (bacterial overgrowth syndrome) becomes more common with age and
can lead to pain, bloating, and weight loss.
In the older adult population, which group is considered the fastest growing cohort? -
ANSWER-85 years and older
Ineffective water conservation and Decreased thirst drive and the older adult -
ANSWER-As an individual ages, dehydration becomes a more prevalent problem
because of ineffective water conservation and Decreased thirst drive and the older adult
Katz Index - ANSWER-helps identify daily activities with which the patient needs
assistance
Medication Appropriateness Index (MAI) - ANSWER-the MAI may serve as a valuable
tool for measuring potentially inappropriate prescribing in older adults.
Mini-Mental State Examination - ANSWER-The Mini-Mental State Examination is used
to evaluate memory, orientation, and attention.
myopia - ANSWER-nearsightedness
Normal vision changes that occur with aging include... - ANSWER-Increased sensitivity
to glare and sunlight, diminished color vision with colors appearing faded, difficulty in
A healthy adult patient should be able to repeat a series of how many numbers? -
ANSWER-When assessing immediate recall or new learning, a healthy adult patient
without cognitive decline should be able to repeat a series of 5-8 numbers.
A normal physiologic change of the respiratory system that occurs with aging? -
ANSWER-Hyperresonance
A sudden decrease or loss of peripheral vision can be indicative of what condition which
requires immediate treatment by an ophthalmologist. - ANSWER-a detached retina
Adolescents may be reluctant to talk, and have a clear need for confidentiality. -
ANSWER-TRUE
Age-related changes result in an increase in the residual lung volume (RV) and
decrease in the forced vital capacity - ANSWER-TRUE
As an individual ages how is REM sleep affected? - ANSWER-REM sleep decreases
As an individual ages, which physiologic change would affect responses to
pharmacologic agents? - ANSWER-Medications are often protein bound (not fat bound);
albumin decreases with age. A low albumin level decreases the number of protein-
binding sites, causing an increase in the amount of free drug in the plasma. Drug
overdose may occur in older adult patients.
As patients age, it becomes particularly important to encourage an increased intake of: -
ANSWER-Decreased hydrochloric acid, which occurs with aging, leads to decreased
absorption of iron and vitamin B12 and is related to loss of intrinsic factor. Older adults
are considered at risk for vitamin D deficiency, which contributes to osteoporosis. Bone
loss that occurs with aging is related to low calcium.
astigmatism - ANSWER-distorted vision at all distances
Beers' List - ANSWER-Beers' List of Inappropriate drugs for Older Adults
Chloasma - ANSWER-Chloasma is hyperpigmentation occurring on the face of a
pregnant woman
clinical findings would indicate a deviation from the normal age-related changes in the
neurologic system that may have some diagnostic significance for the older patient? -
ANSWER-Decreased ability to maintain balance may indicate a cerebellar complication.
The other findings (decreased sense of touch, diminished ankle tendon reflex, and
decreased short-term memory are normal age-related changes.
Common abnormal skin lesions in the older adult includes... - ANSWER-Seborrheic
dermatitis
Senile keratosis
Squamous cell
Common age-related changes in the GI system include... - ANSWER-increased adipose
tissue, decreased liver size, reduced motility and peristalsis, decreased acid secretions
and motor activity of the stomach, and decreased glomerular filtration rate.
, Common physiologic changes in the gastrointestinal system of an older adult patient
include - ANSWER-Decreased hydroelectric acid, which occurs with aging, leads to
decreased absorption of iron and vitamin B12.
Excessive growth of certain bacteria (bacterial overgrowth syndrome) becomes more
common with age and can lead to pain, bloating, and weight loss.
Bacterial overgrowth may also lead to decreased absorption of certain nutrients, such
as vitamin B12, iron, and calcium.
The stomach cannot accommodate as much food (because of decreased elasticity).
The rate at which the stomach empties food into the small intestine decreases with
aging.
Fat absorption will decrease
Peristalsis decreases
Complications from falls include ... - ANSWER-Fractures, pneumonia, pressure ulcers,
pain, and immobility.
constitutional symptoms include: - ANSWER-A constitutional symptom is defined as a
symptom that affects the general well-being or general status of a patient. Examples
include weight loss, shaking, chills, fever, pain, and vomiting. Constitutional symptoms
tend to be nonspecific to a particular disease and because of this, they are not useful in
diagnosis of conditions as non-constitutional symptoms.
Frailty - ANSWER-Frailty (also known as failure to thrive) is a common clinical
syndrome in older adults. Common findings with the condition of frailty are low grip
strength, slowed walking speed, low physical activity, unintentional weight loss,
decreased lean body mass (sarcopenia), osteopenia, cognitive impairment, and
anemia. Frailty can leave a patient vulnerable to falls, functional decline, disability,
disease, and death.
hyperopia - ANSWER-farsightedness
In assessing the nutritional status of an older adult patient, the adult-gerontology
primary care nurse practitioner identifies the common physiologic change in the
gastrointestinal system to be - ANSWER-Decreased hydrochloric acid, which occurs
with aging, leads to decreased absorption of iron and vitamin B12. Excessive growth of
certain bacteria (bacterial overgrowth syndrome) becomes more common with age and
can lead to pain, bloating, and weight loss.
In the older adult population, which group is considered the fastest growing cohort? -
ANSWER-85 years and older
Ineffective water conservation and Decreased thirst drive and the older adult -
ANSWER-As an individual ages, dehydration becomes a more prevalent problem
because of ineffective water conservation and Decreased thirst drive and the older adult
Katz Index - ANSWER-helps identify daily activities with which the patient needs
assistance
Medication Appropriateness Index (MAI) - ANSWER-the MAI may serve as a valuable
tool for measuring potentially inappropriate prescribing in older adults.
Mini-Mental State Examination - ANSWER-The Mini-Mental State Examination is used
to evaluate memory, orientation, and attention.
myopia - ANSWER-nearsightedness
Normal vision changes that occur with aging include... - ANSWER-Increased sensitivity
to glare and sunlight, diminished color vision with colors appearing faded, difficulty in
