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TEST BANK FOR Advanced Practice Nursing
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in the Care of Older Adults, 3rd Edition
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byLaurieKennedy-Malone, Verified Chapters 1 -23, Complete
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Answers at the end of the Chapter
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Chapter1: Changes withAging
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Multiple Choice n
Identify the choice that best completes the statement or answers the question.
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1. The major impact ofthe physiological changes that occur withaging is:
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A. Reducedphysiological reserve n n
B. Reducedhomeostatic mechanisms n n
C. Impaired immunologicalresponse n n
D. All of theabove
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2. Thestrongestevidenceregarding normal physiological agingis availablethrough:
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A. Randomizedcontrolledclinicaltrials n n n
B. Cross-sectionalstudies n
C. Longitudinalstudies n
D. Casecontrolstudies
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n 3. All ofthe following statements are true about laboratory n n n n n n n n
values in older adultsexcept:
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A. Referenceranges arepreferable n n n
B. Abnormalfindings areoften duetophysiological aging
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C. Normalranges maynot beapplicable for older adults
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D. Referencevalues arenot necessarilyacceptablevalues
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n 4. Biochemical individualityis best describedas: n n n n n
A. Eachindividual’s variationis often muchgreater thanthatofa larger group
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B. Theuniquebiochemical profile of a selectedpopulation
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C. Thetruly“normal” individual—fallingwithinaveragerange
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D. Eachindividual’s variationis often muchsmaller thanthat ofa larger group
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n 5. Polypharmacyis best describedas taking: n n n n n
A. Morethan nine medications per day
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B. Morethanfive medications per day
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C. Evena single medicationif thereis not a clear indicationfor its use
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D. Whena drug is givento treat theside effect of another drug
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n 6. Pharmacokinetic changes withaging is reflective of: n n n n n n
A. What the drug does to thebody
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B. What thebody does to the drug
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C. The effect at thesite of action andthe timeand intensity of the drug
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D. Theside effects commonlyassociated withthe drug
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n 7. All the following statements are false about drug absorptionexcept:
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A. Antacids increasethebioavailability of digitalis
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B. Gastric acidity decreases withage
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C. Anticholinergics increasecolonic motility n n n
D. Underlyingchronic diseasehas littleimpact on drugabsorption
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n 8. All ofthe following statements are true about drug distribution in the
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elderlyexcept: n
A. Drugsdistributedinwater havelower concentration
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B. Drugs distributedinfat haveless intense, moreprolonged effect
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C. Drugs highlyprotein bound have greater potential to causean adverse drug reaction
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