NSG6420 Question Bank
, NSG6420 Question Bank for Week 1 to Week 9 Quiz, Final
Exam, and Midterm Exam
Week 1 Quiz
Question 1. Question :
Functional abilities are best assessed by:
Self-report of function
CORRECT Observed assessment of function
A comprehensive head-to-toe examination
Family report of function
Instructor Explanation: Two well-established tools used to evaluate function in older
adults are the Katz Activities of Daily Living Scale (Katz et al., 1963) and the Lawton and Brody
scale for Instrumental Activities of Daily Living (Lawton & Brody, 1969). It is important to be
cautious about self-report of function (rather than direct observation of function) and to ask, “Do
you …?” instead of “Can you …?” in order to determine if patients actually perform the activity.
(Kennedy-Malone 40)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in
the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.
Question 2. Question :
Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This
classification refers to which of the following laboratory data?
Hemoglobin and Hematocrit
CORRECT Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)
,Serum ferritin and serum iron
Total iron binding capacity and transferrin saturation
Instructor Explanation: RBC indices reveal an MCV (mean corpuscular
volume/RBC size) that will be decreased to <80 fL in adults; MCH (mean corpuscular
hemoglobin/RBC color) will show hypochromia or pale cells; RBC distribution width
(RDW)/volume variation will be increased.
(Kennedy-Malone page 519)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in
the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.
Question 3. Question :
When interpreting laboratory data, you would expect to see the following in a patient with
Anemia of Chronic Disease (ACD):
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
CORRECT Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
Instructor Explanation: Hemoglobin (Hgb): <12 g/dL (120 g/L) women <13 g/dL
(130 g/L) men Rarely <10 g/dL (100 g/L) Mean corpuscular volume: 80–96 mcm3 (normocytic)
Mean corpuscular hemoglobin Normochromic (normal color) RBC distribution width: normal
(Kennedy-Malone page 517)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in
the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.
Question 4 :
, The major impact of the physiological changes that occur with aging is:
Reduced physiological reserve
Reduced homeostatic mechanisms
Impaired immunological response
CORRECT All of the above
Instructor Explanation: The major impact of all of these physiological changes can
be highlighted with three primary points. First, there is a reduced physiological reserve of most
body systems, particularly cardiac, respiratory, and renal. Second, there are reduced homeostatic
mechanisms that fail to adjust regulatory systems such as temperature control and fluid and
electrolyte balance. Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in
the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.
Question 5. Question :
Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
Less obesity rates than women
Prostate enlargement
CORRECT Less estrogen than women
Instructor Explanation: Men have faster and more efficient biotransformation,
presumably because of serum testosterone. Conditions of increased or decreased liver perfusion
alter the overall level of the drug that is absorbed and how it is metabolized. (Kennedy-Malone
5)
, NSG6420 Question Bank for Week 1 to Week 9 Quiz, Final
Exam, and Midterm Exam
Week 1 Quiz
Question 1. Question :
Functional abilities are best assessed by:
Self-report of function
CORRECT Observed assessment of function
A comprehensive head-to-toe examination
Family report of function
Instructor Explanation: Two well-established tools used to evaluate function in older
adults are the Katz Activities of Daily Living Scale (Katz et al., 1963) and the Lawton and Brody
scale for Instrumental Activities of Daily Living (Lawton & Brody, 1969). It is important to be
cautious about self-report of function (rather than direct observation of function) and to ask, “Do
you …?” instead of “Can you …?” in order to determine if patients actually perform the activity.
(Kennedy-Malone 40)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in
the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.
Question 2. Question :
Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This
classification refers to which of the following laboratory data?
Hemoglobin and Hematocrit
CORRECT Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)
,Serum ferritin and serum iron
Total iron binding capacity and transferrin saturation
Instructor Explanation: RBC indices reveal an MCV (mean corpuscular
volume/RBC size) that will be decreased to <80 fL in adults; MCH (mean corpuscular
hemoglobin/RBC color) will show hypochromia or pale cells; RBC distribution width
(RDW)/volume variation will be increased.
(Kennedy-Malone page 519)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in
the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.
Question 3. Question :
When interpreting laboratory data, you would expect to see the following in a patient with
Anemia of Chronic Disease (ACD):
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
CORRECT Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
Instructor Explanation: Hemoglobin (Hgb): <12 g/dL (120 g/L) women <13 g/dL
(130 g/L) men Rarely <10 g/dL (100 g/L) Mean corpuscular volume: 80–96 mcm3 (normocytic)
Mean corpuscular hemoglobin Normochromic (normal color) RBC distribution width: normal
(Kennedy-Malone page 517)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in
the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.
Question 4 :
, The major impact of the physiological changes that occur with aging is:
Reduced physiological reserve
Reduced homeostatic mechanisms
Impaired immunological response
CORRECT All of the above
Instructor Explanation: The major impact of all of these physiological changes can
be highlighted with three primary points. First, there is a reduced physiological reserve of most
body systems, particularly cardiac, respiratory, and renal. Second, there are reduced homeostatic
mechanisms that fail to adjust regulatory systems such as temperature control and fluid and
electrolyte balance. Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in
the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.
Question 5. Question :
Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
Less obesity rates than women
Prostate enlargement
CORRECT Less estrogen than women
Instructor Explanation: Men have faster and more efficient biotransformation,
presumably because of serum testosterone. Conditions of increased or decreased liver perfusion
alter the overall level of the drug that is absorbed and how it is metabolized. (Kennedy-Malone
5)
