TestbBankbAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb2ndbeditionbKennedy-
MalonebTestbBankb|bAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb/bEditionb2bTESTBANK_Kennedy-Maloneb
Advanced Practice Nursing in the Care ofO
b b b b b b b
lder Adults / Edition 2 TESTBANK
b b b b b
Chapter 1. Changes With Aging
b b b b
MultiplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b 1. Thebmajorbimpactbofbthebphysiologicalbchangesbthatboccurbwithbagingbis:
A.b Reducedbphysiologicalbreserve
B.b Reducedbhomeostaticbmechanisms
C.b Impairedbimmunologicalbresponse
D.b Allbofbthebabove
b 2. Thebstrongestbevidencebregardingbnormalbphysiologicalbagingbisbavailablebthrough:
A.b Randomizedbcontrolledbclinicalbtrials
B.b Cross-sectionalbstudies
C.b Longitudinalbstudies
D.b Casebcontrolbstudies
b 3. Allbofbthebfollowingbstatementsbarebtruebaboutblaboratorybvaluesbinbolderbadultsbexcept:
A.b Referencebrangesbarebpreferable
B. Abnormalbfindingsbareboftenbduebtobphysiologicalbaging
C. Normalbrangesbmaybnotbbebapplicablebforbolderbadults
D.b Referencebvaluesbarebnotbnecessarilybacceptablebvalues
b 4. Biochemicalbindividualitybisbbestbdescribedbas:
A.b Eachbindividual’sbvariationbisboftenbmuchbgreaterbthanbthatbofbablargerbgroup
B.b Thebuniquebbiochemicalbprofilebofbabselectedbpopulation
C.b Thebtrulyb“normal”bindividual—fallingbwithinbaveragebrange
D.b Eachbindividual’sbvariationbisboftenbmuchbsmallerbthanbthatbofbablargerbgroup
b 5. Polypharmacybisbbestbdescribedbasbtaking:
A.b Morebthanbninebmedicationsbperbday
B.b Morebthanbfivebmedicationsbperbday
C.b Evenbabsinglebmedicationbifbtherebisbnotbabclearbindicationbforbitsbuse
D.b Whenbabdrugbisbgivenbtobtreatbthebsidebeffectbofbanotherbdrug
b 6. Pharmacokineticbchangesbwithbagingbisbreflectivebof:
A.b Whatbthebdrugbdoesbtobthebbody
B.b Whatbthebbodybdoesbtobthebdrug
C.b Thebeffectbatbthebsitebofbactionbandbthebtimebandbintensitybofbthebdrug
,TestbBankbAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb2ndbeditionbKennedy-
MalonebTestbBankb|bAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb/bEditionb2bTESTBANK_Kennedy-Maloneb
D.b Thebsidebeffectsbcommonlybassociatedbwithbthebdrug
b
7. Allbthebfollowingbstatementsbarebfalsebaboutbdrugbabsorptionbexcept:
A. Antacidsbincreasebthebbioavailabilitybofbdigitalis
B. Gastricbaciditybdecreasesbwithbage
C. Anticholinergicsbincreasebcolonicbmotility
D. Underlyingbchronicbdiseasebhasblittlebimpactbonbdrugbabsorption
b
8. Allbofbthebfollowingbstatementsbarebtruebaboutbdrugbdistributionbinbthebelderlybexcept:
A. Drugsbdistributedbinbwaterbhaveblowerbconcentration
B. Drugsbdistributedbinbfatbhaveblessbintense,bmorebprolongedbeffect
C. Drugsbhighlybproteinbboundbhavebgreaterbpotentialbtobcausebanbadversebdrugbr
eaction
D. Thebfastestbwaybtobdeliverbabdrugbtobthebactionbsitebisbbybinhalation
b
9. Menbhavebfasterbandbmorebefficientbbiotransformationbofbdrugsbandbthisbisbthoughtbtobbebduebto:
A. Lessbobesitybratesbthanbwomen
B. Prostatebenlargement
C. Testosterone
D. Lessbestrogenbthanbwomen
b
10. Thebcytochromebpbsystembinvolvesbenzymesbthatbarebgenerally:
A. Inhibitedbbybdrugs
B. Inducedbbybdrugs
C. Inhibitedborbinducedbbybdrugs
D. Associatedbwithbdecreasedbliverbperfusion
b
11. Abstatementbnotbshownbtobbebtruebaboutbpharmacodynamicsbchangesbwithbagingbis:
A. Decreasedbsensitivitybtoboralbanticoagulants
B. Enhancedbsensitivitybtobcentralbnervousbsystembdrugs
C. Drugbresponsivenessbcanbbebinfluencedbbybpatientbactivityblevel
D. Therebisbabdecreasedbsensitivitybtobbetabblockers
b
12. Atypicalbpresentationbofbdiseasebinbthebelderlybisbreflectedbbyballbthebfollowingbexcept:
A. Infectionbwithoutbfever
B. Depressionbwithoutbdysphoricbmood
C. Myocardialbinfarctionbwithbchestbpainbandbdiaphoresis
D. Cardiacbmanifestationsbofbthyroidbdisease
b
13. Functionalbabilitiesbarebbestbassessedbby:
A. Self-reportbofbfunction
B. Observedbassessmentbofbfunction
C. Abcomprehensivebhead-to-toebexamination
D. Familybreportbofbfunction
,TestbBankbAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb2ndbeditionbKennedy-
MalonebTestbBankb|bAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb/bEditionb2bTESTBANK_Kennedy-Maloneb
Chapter 1: Changes with Aging
b b b b b
Answer Section
b
MULTIPLEbCHOICE
1.b ANS: D PTS: 1
2.b ANS: C PTS: 1
3.b ANS: B PTS: 1
4.b ANS: D PTS: 1
5.b ANS: C PTS: 1
6.b ANS: B PTS: 1
7.b ANS: D PTS: 1
8.b ANS: A PTS: 1
9.b ANS: C PTS: 1
10.b ANS: C PTS: 1
11.b ANS: A PTS: 1
12.b ANS: C PTS: 1
13.b ANS: B PTS: 1
Chapter 2. Health Promotion
b b b
MultiplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b 1.b Thebleadingbcausebofbdeathbinbelderlybtravelersbworldwidebis:
A. Cardiovascularbdisease
B. Infections
C. Accidents
D. Malaria
b
2.bWhichbofbthebfollowingbshouldbbebavoidedbinbcountriesbwherebfoodbandbwaterbprecautionsba
rebtobbebobserved?
A. Hotbcoffee
B. Bottledbwater
C. Saladbbuffet
D. Unpeeledbbananas
b 3.b Whatbinsectbprecautionsbarebnotbnecessarybtobpreventbinsect-bornebdiseasesbinbthebtropics?
A. Usingb100%bDEETbonbskinbtobpreventbbites
B. Treatingbclothesbwithbpermetherin
C. Coveringbupbexposedbskinbtoblessenbbitingbsurface
D. Takingbmalariabpillsbasbdirectedbforbareasbatbriskbforbmalaria
, TestbBankbAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb2ndbeditionbKennedy-
MalonebTestbBankb|bAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb/bEditionb2bTESTBANK_Kennedy-Maloneb
b 4.b Anbexamplebofbsecondarybpreventionbyoubcouldbrecommend/orderbforbolderbadultsbwouldbbebto:
A. Checkbforbfecalboccultbblood
B. Wearbseatbbeltsbinbthebcar
C. Providebfootbcarebforbabdiabeticbpatient
D. Administerbabtetanusbshot
bbbbbbbbbbbbb 5.bAlibisbab72-year-
oldbmanbwhobrecentlybcamebtobthebU.S.bfrombNigeria.bHebreportsbhavingbBCGb(bacillebCalmette
-
Guerin)bvaccinationbasbabchild.bWhichbofbthebfollowingbisbcorrectbregardingbabtuberculinbskinbtest
?
A. Itbshouldbnotbbebdonebatball.
B. Itbshouldbbebreadbasbsmallerbthanbitbreallybis.
C. Vaccinationbhistorybisbirrelevant;breadbasbusual.
D. Itbshouldbbebreadbasblargerbthanbitbreallybis.
b 6.bAb72-year-oldbwomanbandbherbhusbandbarebonbabcross-
countrybdrivingbvacation.bAfterbablongbdaybofbdriving,btheybstopbforbdinner.bMidwaybthroughbthebmea
l,bthebwomanbbecomesbverybshortbofbbreath,bwithbchestbpainbandbabfeelingbofbpanic.bWhichbofbthebfoll
owingbproblemsbisbmostblikely?
A. Pulmonarybedema
B. Heartbfailure
C. Pulmonarybembolism
D. Pneumonia
b 7.b IvanbW.bisbab65-year-
oldbmanbwhobisbnewbtob yourbpractice.bHebhasbabhistorybofbCOPD,bCAD,bhypertension,bandbtypeb2bdiabe
tesbmellitus.bHebhasbhadbnobimmunizationsbsincebhisbdischargebfrombthebmilitarybatbageb25.bChildhoodb
diseasesbincludedbchickenpox,bmeasles,bmumps,bandb“Germanbmeasles.”bHebpresentsbforbabdiseasebma
nagementbvisit.bWhichbofbthebfollowingbimmunizationsbwouldbyoubrecommendbforbIvan?
A. MMR,binfluenza,bpneumococcal,bZostavax
B. Influenza,bpneumococcal,bPPD,bHepatitisbB
C. Tdap,bpneumococcal,binfluenza,bZostavax
D. HepatitisbB,binfluenza,bpneumococcal,bHepatitisbA
b 8.b LeobL.bisbab62-year-oldbAfricanbAmericanbmalebwhobcomesbforbanbinitialbvisitbtobyourbpractice.
Personalbhealthbhistorybincludesbsmokingb1bpack/daybsincebageb11,bconsumingbabcasebofbbeerb(24bbottl
es)beverybweekend,bandbworkingbasbanbassemblerb(sedentarybjob)bforbthebpastb10byears.b Familybhistoryb
inbfirst-
degreebrelativesbincludesbhypertension,bhighbcholesterol,bheartbattack,bandbtypeb2bdiabetesbmellitus.bLe
o’sbBMIbisb32;bBPbtodaybisb130/86.bYouborderbabfastingbglucose,blipidbprofile,bandbreturnbvisitb forbBPbc
heck.bThisbisbanbexamplebof:
A. Primarybprevention
B. Secondarybprevention
C. Tertiarybprevention
D. Healthbprofiling
b 9.bAblocalbchapterbofbabnursebpractitionerborganizationbhasbbegunbplanningbabcommunity-
basedbscreeningbforbhypertensionbatbablocalbcongregateblivingbfacility.bThisbpopulationbwasbselectedbo
nbthebbasisbof:
A. Abpredictedbdecreasedbincidencebofbhighbbloodbpressurebinbthisbpopulation
B. Abrecognizedbelementbofbhighbriskbwithinbthisbgroup
MalonebTestbBankb|bAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb/bEditionb2bTESTBANK_Kennedy-Maloneb
Advanced Practice Nursing in the Care ofO
b b b b b b b
lder Adults / Edition 2 TESTBANK
b b b b b
Chapter 1. Changes With Aging
b b b b
MultiplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b 1. Thebmajorbimpactbofbthebphysiologicalbchangesbthatboccurbwithbagingbis:
A.b Reducedbphysiologicalbreserve
B.b Reducedbhomeostaticbmechanisms
C.b Impairedbimmunologicalbresponse
D.b Allbofbthebabove
b 2. Thebstrongestbevidencebregardingbnormalbphysiologicalbagingbisbavailablebthrough:
A.b Randomizedbcontrolledbclinicalbtrials
B.b Cross-sectionalbstudies
C.b Longitudinalbstudies
D.b Casebcontrolbstudies
b 3. Allbofbthebfollowingbstatementsbarebtruebaboutblaboratorybvaluesbinbolderbadultsbexcept:
A.b Referencebrangesbarebpreferable
B. Abnormalbfindingsbareboftenbduebtobphysiologicalbaging
C. Normalbrangesbmaybnotbbebapplicablebforbolderbadults
D.b Referencebvaluesbarebnotbnecessarilybacceptablebvalues
b 4. Biochemicalbindividualitybisbbestbdescribedbas:
A.b Eachbindividual’sbvariationbisboftenbmuchbgreaterbthanbthatbofbablargerbgroup
B.b Thebuniquebbiochemicalbprofilebofbabselectedbpopulation
C.b Thebtrulyb“normal”bindividual—fallingbwithinbaveragebrange
D.b Eachbindividual’sbvariationbisboftenbmuchbsmallerbthanbthatbofbablargerbgroup
b 5. Polypharmacybisbbestbdescribedbasbtaking:
A.b Morebthanbninebmedicationsbperbday
B.b Morebthanbfivebmedicationsbperbday
C.b Evenbabsinglebmedicationbifbtherebisbnotbabclearbindicationbforbitsbuse
D.b Whenbabdrugbisbgivenbtobtreatbthebsidebeffectbofbanotherbdrug
b 6. Pharmacokineticbchangesbwithbagingbisbreflectivebof:
A.b Whatbthebdrugbdoesbtobthebbody
B.b Whatbthebbodybdoesbtobthebdrug
C.b Thebeffectbatbthebsitebofbactionbandbthebtimebandbintensitybofbthebdrug
,TestbBankbAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb2ndbeditionbKennedy-
MalonebTestbBankb|bAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb/bEditionb2bTESTBANK_Kennedy-Maloneb
D.b Thebsidebeffectsbcommonlybassociatedbwithbthebdrug
b
7. Allbthebfollowingbstatementsbarebfalsebaboutbdrugbabsorptionbexcept:
A. Antacidsbincreasebthebbioavailabilitybofbdigitalis
B. Gastricbaciditybdecreasesbwithbage
C. Anticholinergicsbincreasebcolonicbmotility
D. Underlyingbchronicbdiseasebhasblittlebimpactbonbdrugbabsorption
b
8. Allbofbthebfollowingbstatementsbarebtruebaboutbdrugbdistributionbinbthebelderlybexcept:
A. Drugsbdistributedbinbwaterbhaveblowerbconcentration
B. Drugsbdistributedbinbfatbhaveblessbintense,bmorebprolongedbeffect
C. Drugsbhighlybproteinbboundbhavebgreaterbpotentialbtobcausebanbadversebdrugbr
eaction
D. Thebfastestbwaybtobdeliverbabdrugbtobthebactionbsitebisbbybinhalation
b
9. Menbhavebfasterbandbmorebefficientbbiotransformationbofbdrugsbandbthisbisbthoughtbtobbebduebto:
A. Lessbobesitybratesbthanbwomen
B. Prostatebenlargement
C. Testosterone
D. Lessbestrogenbthanbwomen
b
10. Thebcytochromebpbsystembinvolvesbenzymesbthatbarebgenerally:
A. Inhibitedbbybdrugs
B. Inducedbbybdrugs
C. Inhibitedborbinducedbbybdrugs
D. Associatedbwithbdecreasedbliverbperfusion
b
11. Abstatementbnotbshownbtobbebtruebaboutbpharmacodynamicsbchangesbwithbagingbis:
A. Decreasedbsensitivitybtoboralbanticoagulants
B. Enhancedbsensitivitybtobcentralbnervousbsystembdrugs
C. Drugbresponsivenessbcanbbebinfluencedbbybpatientbactivityblevel
D. Therebisbabdecreasedbsensitivitybtobbetabblockers
b
12. Atypicalbpresentationbofbdiseasebinbthebelderlybisbreflectedbbyballbthebfollowingbexcept:
A. Infectionbwithoutbfever
B. Depressionbwithoutbdysphoricbmood
C. Myocardialbinfarctionbwithbchestbpainbandbdiaphoresis
D. Cardiacbmanifestationsbofbthyroidbdisease
b
13. Functionalbabilitiesbarebbestbassessedbby:
A. Self-reportbofbfunction
B. Observedbassessmentbofbfunction
C. Abcomprehensivebhead-to-toebexamination
D. Familybreportbofbfunction
,TestbBankbAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb2ndbeditionbKennedy-
MalonebTestbBankb|bAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb/bEditionb2bTESTBANK_Kennedy-Maloneb
Chapter 1: Changes with Aging
b b b b b
Answer Section
b
MULTIPLEbCHOICE
1.b ANS: D PTS: 1
2.b ANS: C PTS: 1
3.b ANS: B PTS: 1
4.b ANS: D PTS: 1
5.b ANS: C PTS: 1
6.b ANS: B PTS: 1
7.b ANS: D PTS: 1
8.b ANS: A PTS: 1
9.b ANS: C PTS: 1
10.b ANS: C PTS: 1
11.b ANS: A PTS: 1
12.b ANS: C PTS: 1
13.b ANS: B PTS: 1
Chapter 2. Health Promotion
b b b
MultiplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b 1.b Thebleadingbcausebofbdeathbinbelderlybtravelersbworldwidebis:
A. Cardiovascularbdisease
B. Infections
C. Accidents
D. Malaria
b
2.bWhichbofbthebfollowingbshouldbbebavoidedbinbcountriesbwherebfoodbandbwaterbprecautionsba
rebtobbebobserved?
A. Hotbcoffee
B. Bottledbwater
C. Saladbbuffet
D. Unpeeledbbananas
b 3.b Whatbinsectbprecautionsbarebnotbnecessarybtobpreventbinsect-bornebdiseasesbinbthebtropics?
A. Usingb100%bDEETbonbskinbtobpreventbbites
B. Treatingbclothesbwithbpermetherin
C. Coveringbupbexposedbskinbtoblessenbbitingbsurface
D. Takingbmalariabpillsbasbdirectedbforbareasbatbriskbforbmalaria
, TestbBankbAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb2ndbeditionbKennedy-
MalonebTestbBankb|bAdvancedbPracticebNursingbinbthebCarebofbOlderbAdultsb/bEditionb2bTESTBANK_Kennedy-Maloneb
b 4.b Anbexamplebofbsecondarybpreventionbyoubcouldbrecommend/orderbforbolderbadultsbwouldbbebto:
A. Checkbforbfecalboccultbblood
B. Wearbseatbbeltsbinbthebcar
C. Providebfootbcarebforbabdiabeticbpatient
D. Administerbabtetanusbshot
bbbbbbbbbbbbb 5.bAlibisbab72-year-
oldbmanbwhobrecentlybcamebtobthebU.S.bfrombNigeria.bHebreportsbhavingbBCGb(bacillebCalmette
-
Guerin)bvaccinationbasbabchild.bWhichbofbthebfollowingbisbcorrectbregardingbabtuberculinbskinbtest
?
A. Itbshouldbnotbbebdonebatball.
B. Itbshouldbbebreadbasbsmallerbthanbitbreallybis.
C. Vaccinationbhistorybisbirrelevant;breadbasbusual.
D. Itbshouldbbebreadbasblargerbthanbitbreallybis.
b 6.bAb72-year-oldbwomanbandbherbhusbandbarebonbabcross-
countrybdrivingbvacation.bAfterbablongbdaybofbdriving,btheybstopbforbdinner.bMidwaybthroughbthebmea
l,bthebwomanbbecomesbverybshortbofbbreath,bwithbchestbpainbandbabfeelingbofbpanic.bWhichbofbthebfoll
owingbproblemsbisbmostblikely?
A. Pulmonarybedema
B. Heartbfailure
C. Pulmonarybembolism
D. Pneumonia
b 7.b IvanbW.bisbab65-year-
oldbmanbwhobisbnewbtob yourbpractice.bHebhasbabhistorybofbCOPD,bCAD,bhypertension,bandbtypeb2bdiabe
tesbmellitus.bHebhasbhadbnobimmunizationsbsincebhisbdischargebfrombthebmilitarybatbageb25.bChildhoodb
diseasesbincludedbchickenpox,bmeasles,bmumps,bandb“Germanbmeasles.”bHebpresentsbforbabdiseasebma
nagementbvisit.bWhichbofbthebfollowingbimmunizationsbwouldbyoubrecommendbforbIvan?
A. MMR,binfluenza,bpneumococcal,bZostavax
B. Influenza,bpneumococcal,bPPD,bHepatitisbB
C. Tdap,bpneumococcal,binfluenza,bZostavax
D. HepatitisbB,binfluenza,bpneumococcal,bHepatitisbA
b 8.b LeobL.bisbab62-year-oldbAfricanbAmericanbmalebwhobcomesbforbanbinitialbvisitbtobyourbpractice.
Personalbhealthbhistorybincludesbsmokingb1bpack/daybsincebageb11,bconsumingbabcasebofbbeerb(24bbottl
es)beverybweekend,bandbworkingbasbanbassemblerb(sedentarybjob)bforbthebpastb10byears.b Familybhistoryb
inbfirst-
degreebrelativesbincludesbhypertension,bhighbcholesterol,bheartbattack,bandbtypeb2bdiabetesbmellitus.bLe
o’sbBMIbisb32;bBPbtodaybisb130/86.bYouborderbabfastingbglucose,blipidbprofile,bandbreturnbvisitb forbBPbc
heck.bThisbisbanbexamplebof:
A. Primarybprevention
B. Secondarybprevention
C. Tertiarybprevention
D. Healthbprofiling
b 9.bAblocalbchapterbofbabnursebpractitionerborganizationbhasbbegunbplanningbabcommunity-
basedbscreeningbforbhypertensionbatbablocalbcongregateblivingbfacility.bThisbpopulationbwasbselectedbo
nbthebbasisbof:
A. Abpredictedbdecreasedbincidencebofbhighbbloodbpressurebinbthisbpopulation
B. Abrecognizedbelementbofbhighbriskbwithinbthisbgroup
