NURS 5432 FINAL EXAM REVIEW|2025 UPDATE WITH COMPLETE SOLUTION.

NURS 5432 FINAL EXAM REVIEW|2025 UPDATE WITH COMPLETE
SOLUTION.


What age is recommended for Elderly Patients get the Prevnar 13 Vaccination? - (Correct
Answer) - Age 65 and older



What age is recommended for Elderly Patients get the Pneumococcal Vaccination (PPSV23)? -
(Correct Answer) - Age 65 and older



What age is recommended for Elderly Patients get the Shingrix Vaccination? - (Correct Answer)
- Age 59 and older



How many doses are the Shingrix series? - (Correct Answer) - 2 doses



How many months apart should the Shingrix vaccine be given? - (Correct Answer) - 2-6 months
apart



How often should an older adult get the influenza vaccine? - (Correct Answer) - Annually (every
fall)



How often should one get a Tdap Booster shot? - (Correct Answer) - 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 Answer) - B. 23-30

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Malnutrition risk is considered > 5% weight loss in 1 month, True or False? - (Correct Answer) -
True



Malnutrition risk is considered > 10% weight loss in 10 months, True or False? - (Correct
Answer) - 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 Answer) - < 12 seconds



What are the 4 main factors that alter drug distributions in older adults? - (Correct Answer) - 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 Answer) - True



Hepatic Metabolism (Increases/Decreases) with age? - (Correct Answer) - Decreases



Age Dependent Changes in Body Composition

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(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 Answer) - (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 Answer) - 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 Answer) - 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 Answer) - True

these imaging studies are essential in order to rule out brain, pathology, or identify structural
abnormalities

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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 Answer) - 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 Answer) -
Cholinesterase Inhibitors



What's the MOA of the Cholinesterase Inhibitors? - (Correct Answer) - Prevent the breakdown of
acetylcholine, improving neurotransmissions.



What is the initial dose of Donepezil used for Alzheimer's? (What time of day) - (Correct
Answer) - Initial dose is 5mg at Bedtime



What is the Titration of Donepezil? - (Correct Answer) - Increased to 10mg after 4-6 weeks



What is the max dose of Donepezil? - (Correct Answer) - 23mg/day



What is the initial dose of Galantamine? - (Correct Answer) - 4mg twice daily



What is the titration of Galantamine? - (Correct Answer) - Extended release 8mg once daily



What is the initial dose of Rivastigmine? - (Correct Answer) - The initial dose is 1.5mg