,Geriatric Nursing Intelligence: Mastering
Care for Older Adults Through Q&A
Practice
📘 Table of Contents
Unit I: The Healthy Older Adult
1. Changes with Aging
2. Health Promotion
3. Exercise in Older Adults
4. Nutritional Support in the Older Adult
5. Settings of Care (new chapter in this edition)
Unit II: Assessment
6. Comprehensive Geriatric Assessment
7. Symptoms and Syndromes (covers common geriatric
syndromes and their atypical presentations)
Unit III: Treating Disorders
(Returns to system-based chapters with signal-symptoms, SORT
evidence ratings, in-text case studies)
8. Dermatologic Disorders
9. Head, Neck, and Face Disorders
10. Cardiovascular Disorders
11. Respiratory Disorders
12. Peripheral Vascular Disorders
,13. Gastrointestinal Disorders
14. Urologic and Renal Disorders
15. Gynecologic Disorders
16. Musculoskeletal Disorders
17. Central and Peripheral Nervous System Disorders
18. Endocrine and Metabolic Disorders
19. Hematologic Disorders
20. Psychosocial Disorders
Unit IV: Complex Illness
21. Polypharmacy
22. Chronic Illness and the APRN
23. Palliative Care and End-of-Life
, Chapter 1 “Changes With Aging” from Advanced Practice
Nursing in the Care of Older Adults, 3rd Ed.
1. An 80-year-old man presents for routine follow-up. Which of
the following reflects a normal aging change in his
cardiovascular system?
A. ↑ Left ventricular compliance
B. ↓ Arterial stiffness
C. ↑ Systolic blood pressure
D. ↓ Pulse pressure
Answer: C. ↑ Systolic blood pressure
Rationale:
With aging, arterial stiffening and reduced baroreceptor
sensitivity lead to isolated systolic hypertension (↑ SBP). LV
compliance actually ↓ (not ↑) with age; arterial stiffness ↑
(not ↓); pulse pressure widens (↑), not ↓.
2. A 75-year-old woman’s labs show BUN 28 mg/dL (normal 7–
18) and creatinine 0.8 mg/dL (normal 0.6–1.2). What is the
most appropriate interpretation?
A. Acute renal failure
B. Dehydration or prerenal azotemia
C. Normal for age
D. Intrinsic renal disease
Answer: B. Dehydration or prerenal azotemia
Rationale:
Care for Older Adults Through Q&A
Practice
📘 Table of Contents
Unit I: The Healthy Older Adult
1. Changes with Aging
2. Health Promotion
3. Exercise in Older Adults
4. Nutritional Support in the Older Adult
5. Settings of Care (new chapter in this edition)
Unit II: Assessment
6. Comprehensive Geriatric Assessment
7. Symptoms and Syndromes (covers common geriatric
syndromes and their atypical presentations)
Unit III: Treating Disorders
(Returns to system-based chapters with signal-symptoms, SORT
evidence ratings, in-text case studies)
8. Dermatologic Disorders
9. Head, Neck, and Face Disorders
10. Cardiovascular Disorders
11. Respiratory Disorders
12. Peripheral Vascular Disorders
,13. Gastrointestinal Disorders
14. Urologic and Renal Disorders
15. Gynecologic Disorders
16. Musculoskeletal Disorders
17. Central and Peripheral Nervous System Disorders
18. Endocrine and Metabolic Disorders
19. Hematologic Disorders
20. Psychosocial Disorders
Unit IV: Complex Illness
21. Polypharmacy
22. Chronic Illness and the APRN
23. Palliative Care and End-of-Life
, Chapter 1 “Changes With Aging” from Advanced Practice
Nursing in the Care of Older Adults, 3rd Ed.
1. An 80-year-old man presents for routine follow-up. Which of
the following reflects a normal aging change in his
cardiovascular system?
A. ↑ Left ventricular compliance
B. ↓ Arterial stiffness
C. ↑ Systolic blood pressure
D. ↓ Pulse pressure
Answer: C. ↑ Systolic blood pressure
Rationale:
With aging, arterial stiffening and reduced baroreceptor
sensitivity lead to isolated systolic hypertension (↑ SBP). LV
compliance actually ↓ (not ↑) with age; arterial stiffness ↑
(not ↓); pulse pressure widens (↑), not ↓.
2. A 75-year-old woman’s labs show BUN 28 mg/dL (normal 7–
18) and creatinine 0.8 mg/dL (normal 0.6–1.2). What is the
most appropriate interpretation?
A. Acute renal failure
B. Dehydration or prerenal azotemia
C. Normal for age
D. Intrinsic renal disease
Answer: B. Dehydration or prerenal azotemia
Rationale:
