NURS 5432 FINAL EXAMW WITH
VERIFIED QUESTIONS AND
ANSWERS 2026/2027
What age is recommended for Elderly Patients get the Prevnar 13 Vaccination? - Correct
Answers-Age 65 and older
What age is recommended for Elderly Patients get the Pneumococcal Vaccination (PPSV23)? -
Correct Answers-Age 65 and older
What age is recommended for Elderly Patients get the Shingrix Vaccination? - Correct Answers-
Age 59 and older
How many doses are the Shingrix series? - Correct Answers-2 doses
How many months apart should the Shingrix vaccine be given? - Correct Answers-2-6 months
apart
How often should an older adult get the influenza vaccine? - Correct Answers-Annually (every
fall)
How often should one get a Tdap Booster shot? - Correct Answers-Booster every 10 years
Which of the follow are considered normal BMI range for older adults?
A. 20-25
B. 23-30
C. 30-45 - Correct Answers-B. 23-30
,Malnutrition risk is considered > 5% weight loss in 1 month, True or False? - Correct Answers-
True
Malnutrition risk is considered > 10% weight loss in 10 months, True or False? - Correct
Answers-False.
> 10% weight loss in 6 months
In how many second should an older adult be able to complete the Get Up and Go test? - Correct
Answers-< 12 seconds
What are the 4 main factors that alter drug distributions in older adults? - Correct Answers-1.
Increased body fat
2. Decreased lean body mass
3. Decreased body water
4. Reduced serum albumin
Fat soluble drugs accumulate in the adipose tissue leading to prolonged effects. True or False? -
Correct Answers-True
Hepatic Metabolism (Increases/Decreases) with age? - Correct Answers-Decreases
Age Dependent Changes in Body Composition
(Inc/Dec) in body fat by 35%
(Inc/Dec) in plasma volume by 8%
(Inc/Dec) in total body water by 17%
(Inc/Dec) in extracellular body fluid by 40% - Correct Answers-(Inc) in body fat by 35%
(Dec) in plasma volume by 8%
,(Dec) in total body water by 17%
(Dec) in extracellular body fluid by 40%
What labs would you complete to Rule Out Alzheimer's Disease? (5) - Correct Answers-1. CBC
2. Metabolic Panel
3. Vitamins B12 and Folate
4. RPR Test
5. TSH
Why would an RPR Test be completed to rule out Alzheimer's? - Correct Answers-RPR Test is to
help rule of Syphilis
Brain imagining like a CT or MRI should be done in someone who is suspected of having
Alzheimer's, True or False. - Correct Answers-True
these imaging studies are essential in order to rule out brain, pathology, or identify structural
abnormalities
Rapid progression or onset of Alzheimer's before age 80 is a red flag and the patient should be
referred to Neurology, True or False? - Correct Answers-False
Rapid progression or onset of Alzheimer's before age 60 is a red flag
What is the First-Line medication used for Alzheimer's disease? - Correct Answers-
Cholinesterase Inhibitors
What's the MOA of the Cholinesterase Inhibitors? - Correct Answers-Prevent the breakdown of
acetylcholine, improving neurotransmissions.
, What is the initial dose of Donepezil used for Alzheimer's? (What time of day) - Correct
Answers-Initial dose is 5mg at Bedtime
What is the Titration of Donepezil? - Correct Answers-Increased to 10mg after 4-6 weeks
What is the max dose of Donepezil? - Correct Answers-23mg/day
What is the initial dose of Galantamine? - Correct Answers-4mg twice daily
What is the titration of Galantamine? - Correct Answers-Extended release 8mg once daily
What is the initial dose of Rivastigmine? - Correct Answers-The initial dose is 1.5mg
What is the dose is the dose of the transdermal patch of Rivastigmine? How often does it need to
be changed? - Correct Answers-4.6mg changed every 24 hours
What are some side effects of Rivastigmine? - Correct Answers-Anorexia
Weight loss
Nausea and vomiting
Loss of appetite
Dehydration
Headaches
AV Block
What medication is Second Line for Adjunct Therapy for Alzheimer's disease? - Correct
Answers-Memantine
What's the initial dosing of Memantine? - Correct Answers-Initial dose 5mg daily
VERIFIED QUESTIONS AND
ANSWERS 2026/2027
What age is recommended for Elderly Patients get the Prevnar 13 Vaccination? - Correct
Answers-Age 65 and older
What age is recommended for Elderly Patients get the Pneumococcal Vaccination (PPSV23)? -
Correct Answers-Age 65 and older
What age is recommended for Elderly Patients get the Shingrix Vaccination? - Correct Answers-
Age 59 and older
How many doses are the Shingrix series? - Correct Answers-2 doses
How many months apart should the Shingrix vaccine be given? - Correct Answers-2-6 months
apart
How often should an older adult get the influenza vaccine? - Correct Answers-Annually (every
fall)
How often should one get a Tdap Booster shot? - Correct Answers-Booster every 10 years
Which of the follow are considered normal BMI range for older adults?
A. 20-25
B. 23-30
C. 30-45 - Correct Answers-B. 23-30
,Malnutrition risk is considered > 5% weight loss in 1 month, True or False? - Correct Answers-
True
Malnutrition risk is considered > 10% weight loss in 10 months, True or False? - Correct
Answers-False.
> 10% weight loss in 6 months
In how many second should an older adult be able to complete the Get Up and Go test? - Correct
Answers-< 12 seconds
What are the 4 main factors that alter drug distributions in older adults? - Correct Answers-1.
Increased body fat
2. Decreased lean body mass
3. Decreased body water
4. Reduced serum albumin
Fat soluble drugs accumulate in the adipose tissue leading to prolonged effects. True or False? -
Correct Answers-True
Hepatic Metabolism (Increases/Decreases) with age? - Correct Answers-Decreases
Age Dependent Changes in Body Composition
(Inc/Dec) in body fat by 35%
(Inc/Dec) in plasma volume by 8%
(Inc/Dec) in total body water by 17%
(Inc/Dec) in extracellular body fluid by 40% - Correct Answers-(Inc) in body fat by 35%
(Dec) in plasma volume by 8%
,(Dec) in total body water by 17%
(Dec) in extracellular body fluid by 40%
What labs would you complete to Rule Out Alzheimer's Disease? (5) - Correct Answers-1. CBC
2. Metabolic Panel
3. Vitamins B12 and Folate
4. RPR Test
5. TSH
Why would an RPR Test be completed to rule out Alzheimer's? - Correct Answers-RPR Test is to
help rule of Syphilis
Brain imagining like a CT or MRI should be done in someone who is suspected of having
Alzheimer's, True or False. - Correct Answers-True
these imaging studies are essential in order to rule out brain, pathology, or identify structural
abnormalities
Rapid progression or onset of Alzheimer's before age 80 is a red flag and the patient should be
referred to Neurology, True or False? - Correct Answers-False
Rapid progression or onset of Alzheimer's before age 60 is a red flag
What is the First-Line medication used for Alzheimer's disease? - Correct Answers-
Cholinesterase Inhibitors
What's the MOA of the Cholinesterase Inhibitors? - Correct Answers-Prevent the breakdown of
acetylcholine, improving neurotransmissions.
, What is the initial dose of Donepezil used for Alzheimer's? (What time of day) - Correct
Answers-Initial dose is 5mg at Bedtime
What is the Titration of Donepezil? - Correct Answers-Increased to 10mg after 4-6 weeks
What is the max dose of Donepezil? - Correct Answers-23mg/day
What is the initial dose of Galantamine? - Correct Answers-4mg twice daily
What is the titration of Galantamine? - Correct Answers-Extended release 8mg once daily
What is the initial dose of Rivastigmine? - Correct Answers-The initial dose is 1.5mg
What is the dose is the dose of the transdermal patch of Rivastigmine? How often does it need to
be changed? - Correct Answers-4.6mg changed every 24 hours
What are some side effects of Rivastigmine? - Correct Answers-Anorexia
Weight loss
Nausea and vomiting
Loss of appetite
Dehydration
Headaches
AV Block
What medication is Second Line for Adjunct Therapy for Alzheimer's disease? - Correct
Answers-Memantine
What's the initial dosing of Memantine? - Correct Answers-Initial dose 5mg daily
