NURS 5461 ADULT GERONTOLOGY FINAL ACTUAL EXAM TEST BANK / NURS 5461 ADULT
GERONTOLOGY FINAL PREP /NURS 5461 ADULT GERONTOLOGY FINAL PRACTICE EXAM
WITH COMPLETE VERIFIED QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES GRADED A +
A patient may be prescribed Prinivil for which of the following conditions?
Excessive blood clotting. Hypertension.
Nerve pain associated with shingles. Bacterial pneumonia. –
Correct Answer :Hypertension.
Prinivil (lisinopril) is prescribed for the treatment of hypertension. It may
be prescribed to protect the kidneys from damage resulting from diabetes.
Prinivil is an ACE inhibitor.
When discussing Human Immunodeficiency virus (HIV) testing with a patient,
the GNP knows:
Sexually active homosexual men are the only ones at risk for HIV. Receiving
blood products from 1985 to 1995 is a risk factor for HIV.
,The screening ELISA test (enzyme-linked immunosorbent assay) detects
antibodies and is 99% sensitive and specific.
There is no need to recheck the ELISA if negative on the first test. –
Correct Answer :The screening ELISA test (enzyme-linked immunosorbent
assay) detects antibodies and is 99% sensitive and specific.
Persons with a history of multiple sex partners, homelessness, STD's, and
IV drug use are also at risk for HIV. The receipt of blood products from
1975 to 1985 is a risk factor as well. The ELISA is recommended to be
rechecked at a six month window period.
At what age is a person initially considered an older adult?
70
65
60
75 –
Correct Answer :65
,The "pill-rolling" tremor that is typical in patients with Parkinson's disease is:
usually unilateral
worse when the patient sleeps present at rest of and with movement
a late manifestation of the disease –
Correct Answer :usually unilateral
Choice A is the right answer. The "pill-rolling" tremor is the earliest
manifestation of the disease. It occurs at rest but not with movement. The
tremor is worse with emotional stress and gets better decreases with sleep.
The United States Preventive Services Task Force recommends screening older
patients for depression:
at each visit
only if symptoms exist if they are at high risk annually –
Correct Answer :annually
, Depression is very common among older adults. Recommendations are to
screen every adult patient annually in the primary care setting. Untreated
depression often leads to higher rates of mortality when other co-morbid
conditions exist, especially heart disease.
You are assessing your aged patient and determine that he has Presbyopia. What
causes Presbyopia?
Sudden increase in intraocular pressure. Hardening of the lens.
Lens clouding.
Gradual onset of increased intraocular pressure. –
Correct Answer :Hardening of the lens.
Presbyopia is caused by the hardening of the lens. Senile cataracts is caused
by lens clouding. Open-angle glaucoma is caused by the gradual onset of
increased intraocular pressure. Angle- closure glaucoma is caused by the
sudden increase in intraocular pressure.
GERONTOLOGY FINAL PREP /NURS 5461 ADULT GERONTOLOGY FINAL PRACTICE EXAM
WITH COMPLETE VERIFIED QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES GRADED A +
A patient may be prescribed Prinivil for which of the following conditions?
Excessive blood clotting. Hypertension.
Nerve pain associated with shingles. Bacterial pneumonia. –
Correct Answer :Hypertension.
Prinivil (lisinopril) is prescribed for the treatment of hypertension. It may
be prescribed to protect the kidneys from damage resulting from diabetes.
Prinivil is an ACE inhibitor.
When discussing Human Immunodeficiency virus (HIV) testing with a patient,
the GNP knows:
Sexually active homosexual men are the only ones at risk for HIV. Receiving
blood products from 1985 to 1995 is a risk factor for HIV.
,The screening ELISA test (enzyme-linked immunosorbent assay) detects
antibodies and is 99% sensitive and specific.
There is no need to recheck the ELISA if negative on the first test. –
Correct Answer :The screening ELISA test (enzyme-linked immunosorbent
assay) detects antibodies and is 99% sensitive and specific.
Persons with a history of multiple sex partners, homelessness, STD's, and
IV drug use are also at risk for HIV. The receipt of blood products from
1975 to 1985 is a risk factor as well. The ELISA is recommended to be
rechecked at a six month window period.
At what age is a person initially considered an older adult?
70
65
60
75 –
Correct Answer :65
,The "pill-rolling" tremor that is typical in patients with Parkinson's disease is:
usually unilateral
worse when the patient sleeps present at rest of and with movement
a late manifestation of the disease –
Correct Answer :usually unilateral
Choice A is the right answer. The "pill-rolling" tremor is the earliest
manifestation of the disease. It occurs at rest but not with movement. The
tremor is worse with emotional stress and gets better decreases with sleep.
The United States Preventive Services Task Force recommends screening older
patients for depression:
at each visit
only if symptoms exist if they are at high risk annually –
Correct Answer :annually
, Depression is very common among older adults. Recommendations are to
screen every adult patient annually in the primary care setting. Untreated
depression often leads to higher rates of mortality when other co-morbid
conditions exist, especially heart disease.
You are assessing your aged patient and determine that he has Presbyopia. What
causes Presbyopia?
Sudden increase in intraocular pressure. Hardening of the lens.
Lens clouding.
Gradual onset of increased intraocular pressure. –
Correct Answer :Hardening of the lens.
Presbyopia is caused by the hardening of the lens. Senile cataracts is caused
by lens clouding. Open-angle glaucoma is caused by the gradual onset of
increased intraocular pressure. Angle- closure glaucoma is caused by the
sudden increase in intraocular pressure.
