HERZING UNIVERSITY MSN-DE
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ Multiple and severe illnesses in older adults are known as _____..
Answer: comorbidities
◍ Lavinia Dock.
Answer: social reformist who focused on the professionalism of nursing and
equality of women
◍ Florence Nightengale.
Answer: realized link between poor sanitation and cholera/dysentary;
brought nursing education out of hospitals
◍ Lilian Wald.
Answer: advocated for healthcare for all individuals; opened Henry's street
settlement (a storefront health clinic in a poverty stricken New York area)
◍ Patricia Benner.
Answer: theorized "novice to expert" level in nursing
◍ From early adulthood on, there is a gradual, progressive decline in organ
function.True/False.
Answer: True
◍ Increased renal drug elimination happens in older adults.True/False.
Answer: False
,◍ Clara Barton.
Answer: nurse during the civil war who founded the American Red Cross
◍ Physiologic changes in the older adult that cause alterations in absorption
include which of the following? Select all that applydelayed gastric
emptyingincreased gastric pHdecreased GI motilityincreased body
fatdecreased cardiac output.
Answer: Increased gastric pHDecreased GI motilityDelayed gastric
emptying
◍ Nursing Process (ADPIE).
Answer: AssessmentDiagnosisPlanningImplementationEvaluation
◍ Changes in older adults that affect the distribution of drugs include which of
the following? Select all that applyDecreased cardiac outputDecreased
serum albuminDecreased hepatic massIncreased body fatDelayed gastric
emptying.
Answer: Increased body fatDecreased serum albuminDecreased cardiac
output
◍ Assessment.
Answer: establish a database about client's response to health concerns
◍ Diagnosis.
Answer: the analysis of collected data to identify the problem; all activities
preceding this phase are directed to formulating a diagnosis
◍ All older adults have the same degree of decline in drug
metabolism.True/False.
Answer: False
◍ Planning.
Answer: two part process of using SMART goals and selecting appropriate
nursing interventions
◍ Implementation.
Answer: making the right conclusions about interventions to address a
, patient's response to health conditions or a life process
◍ The decline in renal function in older adults is a result of which of the
following? Select all that apply.Reduction in hepatic blood flowReduction
in the number of nephronsDelayed gastric emptyingReduction in glomerular
filtration rateReduction in renal blood flow.
Answer: Reduction in renal blood flowReduction in the number of
nephronsReduction in glomerular filtration rate
◍ Measures to reduce adverse drug reactions in older adults is to avoid
prescribing drugs included in the Beers Criteria list.True/False.
Answer: TRUE
◍ Nursing interventions to prevent adverse drug events in older adults starts
with taking a drug _____ at each encounter with the patient..
Answer: history
◍ Evaluation.
Answer: determine client's process/progress and monitor client's response
◍ Which of the following tools should the utilize to decrease the number of
adverse drug reactions in older adults? Select the appropriate
tools.STARTADRADLSTOPP criteriaBeers List.
Answer: START, STOPP, Beers ListTHINK: To decrease drug reactions:
Start, Stop, then have a beer.
◍ The aging process affects all _____ phases of pharmacokinetics. (Hint: It's a
number).
Answer: 4
◍ A major cause of death or disability is _____ trauma..
Answer: physical
◍ Trauma can be caused as a result of which of the following? Select all that
apply.ViolenceHomeostasisAccidentSelf-injury.
Answer: AccidentViolenceSelf-injury
◍ Types of Power.