Primary Care of Older Adults Solved Exam Questions
Course Introduction
Primary Care of Older Adults focuses on the comprehensive healthcare needs of aging populations in community and clinical settings. The course emphasizes assessment, diagnosis, and management of chronic and acute health issues common among older adults, while addressing preventive care, functional ability, psychosocial concerns, and quality of life. Students learn to develop holistic, interdisciplinary care plans that incorporate evidence-based practices and consider social determinants of health, patient preferences, and advanced care planning. The course prepares healthcare providers to deliver compassionate, effective, and patient-centered care for older adults across diverse backgrounds.
Recommended Textbook
Advanced Practice Nursing in the Care of Older Adults 1st Edition by Laurie Kennedy Malone
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19 Chapters
312 Verified Questions
312 Flashcards
Source URL: https://quizplus.com/study-set/3891 Page 2
Chapter 1: Changes With Aging
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/77498
Sample Questions
Q1) Pharmacokinetic changes with aging is reflective of:
A) What the drug does to the body
B) What the body does to the drug
C) The effect at the site of action and the time and intensity of the drug
D) The side effects commonly associated with the drug
Answer: B
Q2) The cytochrome p system involves enzymes that are generally:
A) Inhibited by drugs
B) Induced by drugs
C) Inhibited or induced by drugs
D) Associated with decreased liver perfusion
Answer: C
Q3) All of the following statements are true about drug distribution in the elderly except:
A) Drugs distributed in water have lower concentration
B) Drugs distributed in fat have less intense,more prolonged effect
C) Drugs highly protein bound have greater potential to cause an adverse drug reaction
D) The fastest way to deliver a drug to the action site is by inhalation
Answer: A
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Chapter 2: Health Promotion
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Performing range of motion exercises on a client who has had a stroke is an example of which level of prevention?
A) Primary prevention
B) Tertiary prevention
C) Secondary prevention
D) Rehabilitation prevention
Answer: B
Q2) A local chapter of a nurse practitioner organization has begun planning a community-based screening for hypertension at a local congregate living facility.This population was selected on the basis of:
A) A predicted decreased incidence of high blood pressure in this population
B) A recognized element of high risk within this group
C) Readily available treatment measures
D) Achieving an administrative goal for the congregate living facility
Answer: B
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Chapter 3: Exercise in Older Adults
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5 Verified Questions
5 Flashcards
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Sample Questions
Q1) Which of the following medical conditions is not considered restrictive for engaging in physical activity?
A) Unstable angina
B) Dehydration
C) Depression
D) Uncontrolled tachycardia
Answer: C
Q2) Preferred amount of exercise for older adults is:
A) 10 minutes of physical activity each morning
B) 30 minutes per day of aerobic activity five times a week
C) Any increase in physical activity over a sedentary lifestyle
D) 60 minutes per day that includes 30 minutes of aerobic activity and 30 minutes of weight training five times a week
Answer: D
Q3) Exercise recommended for older adults should include activities that:
A) Conserve energy
B) Restrict flexibility
C) Strengthen muscles
D) Are anaerobic in nature
Answer: C
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Chapter 4: Comprehensive Geriatric Assessment
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The evidence reflects that comprehensive geriatric assessment should be conducted:
A) On all individuals 65 and older
B) On all individuals 75 and older
C) By an inter-disciplinary team of professionals
D) Targeting the vulnerable and frail elderly
Q2) A validated tool for assessing cognitive function specific to dementia is:
A) Mini-cog
B) Confusion assessment method
C) Yesavage GDS scale
D) NuDesc
Q3) A review of the evidence relative to screening of the elderly reveals the highest evidence rating for:
A) Vision screening
B) Mammography screening
C) Hearing screening
D) Dementia screening
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Chapter 5: Symptoms and Syndromes
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Drug-induced pruritus is distinguished because it:
A) Occurs soon after a new drug is taken
B) Usually is a generalized rash
C) May occur right after the drug is taken or months later
D) Usually involves localized circumscribed lesions
Q2) The anal wink reflex is used to test:
A) Rectal prolapse
B) Sensation and pudental nerve function
C) Baseline and squeeze sphincter tone
D) Fissures and fistulas
Q3) Recent weight loss is defined as:
A) loss of >10 pounds over the past 3-6 months
B) loss of >2 pounds a week
C) 5% weight loss in three months
D) 10% weight loss in one year
Q4) The most cost-effective interventions used to prevent falls are:
A) Use of sitters
B) Use of alarms (bed,chair,monitors)
C) Tai Chi exercises
D) Home modifications and vitamin D supplements
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Chapter 6: Skin and Lymphatic Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Asymmetrical bi-color lesion with irregular border measuring 8 mm is found on the right lower arm of an adult patient.This assessment finding is consistent with:
A) Melanoma
B) Basal cell carcinoma
C) Leukoplakia
D) Senile lentigines
Q2) An older adult male presents with pain in his right chest wall for the past 48 hours.Upon examination,the nurse practitioner notices a vesicular eruption along the dermatome and identifies this as herpes zoster.The NP informs the gentleman that:
A) All symptoms should disappear within three days
B) Oral medications can dramatically reduce the duration and intensity of his symptoms
C) He has chickenpox and can be contagious to his grandchildren
D) He has a sexually transmitted disease
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Chapter 7: Head, neck, and Face Disorders
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nonmodifiable risk factor for the development of cataracts is:
A) Long-term exposure to ultraviolet B radiation
B) High alcohol intake
C) Strong family history
D) Diabetes mellitus
Q2) A 64-year-old male presents with erythema of the sclera,tearing,and bilateral pruritus of the eyes.The symptoms occur intermittently throughout the year and he has associated clear nasal discharge.Which of the following is most likely because of the inflammation?
A) Bacterium
B) Allergen
C) Virus
D) Fungi
Q3) The nurse practitioner knows that antihistamines work primarily through which of the following mechanisms?
A) Vasodilatation
B) Blocking leukotriene effects
C) Inhibiting histamine receptor sites
D) Vasoconstriction
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Page 9
Chapter 8: Chest Disorders
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy exertion.There were no complaints of chest pain.Her ECG indicates normal sinus rhythm without ST segment abnormalities.Your plan may include:
A) Echocardiogram
B) Exercise stress test
C) Cardiac catheterization
D) Myocardial perfusion imaging
Q2) The organism most commonly responsible for community-acquired pneumonia in older adults is:
A) Pseudomonas aeruginosa
B) Staphylococcus aureus
C) Proteus mirabilis
D) Streptococcus pneumonia
Q3) In mitral stenosis,p waves may suggest:
A) Left atrial enlargement
B) Right atrial enlargement
C) Left ventricle enlargement
D) Right ventricle enlargement
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Chapter 9: Peripheral Vascular Disorders
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/77490
Sample Questions
Q1) The initial treatment for symptomatic abdominal aortic aneurysm involves:
A) Emergency surgery
B) Aggressive blood pressure control
C) Watch-and-wait approach
D) Cardiology consult
Q2) Exercise is an essential element of peripheral arterial disease management primarily because:
A) It encourages weight loss,as being overweight is a contributing factor to PAD
B) Evidence shows exercise reduces smoking
C) Collateral vessels are strengthened
D) It improves aerobic capacity
Q3) The best initial screening test for abdominal aortic aneurysm is:
A) Angiography
B) CT scan with IV contrast
C) Abdominal ultrasound
D) MRI
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Chapter 10: Abdominal Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When counseling clients regarding the use of antidiarrheal drugs such as Imodium anti-diarrheal and Kaopectate,the nurse practitioner advises patients to:
A) Use all the medication
B) Do not use for possible infectious diarrhea
C) Use should exceed one week for effectiveness
D) These drugs provide exactly the same pharmaceutical effects
Q2) Asymptomatic 1+ bacteruria is found in a nursing home resident with an indwelling catheter.The nurse practitioner's initial intervention includes:
A) Assessing resident's cognitive status and last change of the catheter/bag
B) Prescribing prophylactic Bactrim 1 tablet at bedtime
C) Ordering a urine culture and sensitivity and prescribing empiric treatment until results obtained
D) Ordering an x-ray of the kidney,urine,and bladder
Q3) A clinical clue for suspected renal artery stenosis would be:
A) Decreased urine output
B) Development of resistant hypertension in a previously well-controlled patient
C) Retroperitoneal pain on the affected side
D) Rising BUN level with normal creatinine level
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Chapter 11: Urological and Gynecological Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/77488
Sample Questions
Q1) Age-related changes in the bladder,urethra,and ureters include all of the following in older women except:
A) Increased estrogen production's influence on the bladder and ureter
B) Decline in bladder outlet function
C) Decline in ureteral resistance pressure
D) Laxity of the pelvic muscle
Q2) Which ethnic group has the highest incidence of prostate cancer?
A) Asians
B) Hispanics
C) African Americans
D) American Indians
Q3) All of the following antimicrobials may be indicated in chronic bacterial prostatitis except:
A) Ciprofloxacin
B) Levofloxacin
C) Trimethoprim
D) Azithromycin
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Chapter 12: Musculoskeletal Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77487
Sample Questions
Q1) Your 63-year-old Caucasian woman with polymyalgia rheumatica (PMR)will begin treatment with corticosteroids until the condition has resolved.You look over her records and it has been 2 years since her last physical examination and any laboratory or diagnostic tests as she relocated and had not yet identified a health-care provider.In prioritizing your management plan,your first orders should include:
A) Recommending she increase her dietary intake of Calcium and Vitamin D
B) Ordering once a year bisphosphonate and a proton pump inhibitor
C) Participate in a fall prevention program
D) Dual-energy x-ray (DEXA)scan and updating immunizations
Q2) Osteoarthritis of the cervical and lumbar spine causes pain that is related to all of the following except:
A) Bone spur formation
B) Pressure of the ligaments
C) Reactive muscle spasm
D) Crystal deposition
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Chapter 13: Central and Peripheral Nervous System Disorders
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following assessment findings is commonly noted in a client with advanced Parkinson's disease?
A) Macrographia
B) Micrographia
C) Ataxic gait
D) Increased arm swing
Q2) An older adult client with a history of a seizure disorder comes into the clinic for a routine check-up.Although seizure free,the client continues on long-term phenytoin treatment.The nurse practitioner would assess for which of the following long-term effects?
A) Lid lag and nystagmus
B) Gingival hyperplasia and nystagmus
C) Nystagmus and microcytic anemia
D) Gingival hyperplasia and iron deficiency anemia
Q3) Which of the following assessments are commonly noted in a client with Parkinson's disease?
A) Macrographia and bradycardia
B) Micrographia and bradykinesia
C) Exaggeration of rapid successive movements
D) Increased arm swing
Page 15
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Chapter 14: Endocrine, metabolic, and Nutritional Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77485
Sample Questions
Q1) The primary reason levothyroxine sodium is initiated at a low dose in an elderly patient with hypothyroidism is to prevent which of the following untoward effects?
A) Angina and arrhythmia
B) Nausea and diarrhea
C) Confusion and delirium
D) Osteoporosis and muscle weakness
Q2) A diabetic patient presents with the complaint of right foot pain but denies any recent known injury.He states it has gotten progressively worse over the past few months.On exam,vibratory sense,as well as sensation tested with a monofilament,was abnormal.The patient's foot is warm,edematous,and misshapen.The nurse practitioner suspects Charcot foot.What intervention is indicated?
A) Warm soaks and return for follow-up in 1 week
B) Referral to a pain management clinic
C) Referral to an orthopedist
D) Referral to a cardiologist for evaluation of peripheral vascular disease
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16
Chapter 15: Hematological and Immune System Disorders
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Education of patient and family regarding ACD includes discussion of all of the following except:
A) Early prevention of chronic conditions through healthy lifestyle measures
B) Importance of adherence to the treatment plan for management of chronic conditions
C) Explaining the ACD is mainly attributed to the aging process
D) Importance of regular follow-up to monitor responses to treatments
Q2) The pathophysiological hallmark of ACD is:
A) Depleted iron stores
B) Impaired ability to use iron stores
C) Chronic uncorrectable bleeding
D) Reduced intestinal absorption of iron
Q3) Despite adherence to oral iron therapy of 2 weeks,your elderly patient with IDA demonstrates a drop in his hemoglobin from 8.4 to 7.4.He is complaining of fatigue,dyspnea,and heart racing.You would change his therapy by which of the following:
A) Schedule patient for outpatient parenteral iron infusion
B) Switch to a different form of oral therapy
C) Schedule patient for outpatient blood transfusion
D) Make no changes until evaluated by GI specialist
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Chapter 16: Psychological Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/77483
Sample Questions
Q1) A consistent finding in delirium,regardless of cause,is:
A) Dopamine deficiency
B) Serotinergic toxicity
C) Acetylcholine deficiency
D) Reduction in regional cerebral perfusion
Q2) The majority of depressed older adults remain untreated because of:
A) Misdiagnosis
B) Social stigma
C) Environmental barriers
D) All of the above
Q3) The comorbid psychiatric problem with the highest frequency in dementia is:
A) Anxiety
B) Depression
C) Agitation and aggression
D) Psychosis
Q4) Symptoms of depression distinct to the elderly include:
A) Flat affect
B) Loss of pleasure in usual activities
C) Appetite and weight disturbances
D) Lack of emotions
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Chapter 17: Nutritional Support in the Older Adult
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Patients at risk of Refeeding Syndrome include those with:
A) No food intake for more than 10 days
B) Chronic malnutrition
C) Dysphagia
D) All of the above
Q2) Which of the following is a major indicator of protein-energy malnutrition?
A) Total cholesterol less than 200 mg/dl with LDL <100
B) Intentional weight loss of 25 pounds in 2 years
C) Mid-arm circumference less than 16 inches
D) Unintentional low body weight less than 10% of average for height and age
Q3) What is the name of the federal program that allots a month supply of food stamps to eligible participants?
A) Meals on Wheels
B) Food Assistance
C) Second Harvest
D) Supplemental Nutrition Assistance Program (SNAP)
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Chapter 18: Chronic Illness and the Advanced Practice
Registered Nurse Aprn
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/77481
Sample Questions
Q1) Reported outcome measures for the Patient Centered Medical Home include all of the following except:
A) Emergency room use
B) Hospitalizations
C) Patient/family satisfaction
D) Number of primary care visits
Q2) Which statement about chronic mental disorders is false?
A) The numbers are projected to increase in the next decade
B) Individuals with mental health problems actually have a decreased risk of medical problems
C) The number of older adults with addiction problems is projected to increase in the next decade
D) Nearly half of individuals with dementia are not diagnosed prior to hospitalization
Q3) The highest number of people with multiple chronic conditions are those that are:
A) Over age 85
B) Diagnosed with type 2 diabetes
C) African American women over age 65
D) Diagnosed with COPD
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Chapter 19: Palliative Care and End-Of-Life Care
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/77480
Sample Questions
Q1) A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea)is:
A) Morphine
B) Methadone
C) Gabapentin
D) Lorazepam
Q2) Pain at the end of life is most often due to all of the following except:
A) Musculoskeletal disorders
B) Headache
C) Cancer pain
D) Neuropathic pain
Q3) The highest level of evidence with the use of adjuvant analgesics is with:
A) Tricyclic antidepressants avoided due to high adverse events
B) Therapeutic trials before discontinuing drugs
C) Patient with fibromyalgia are candidates for adjuvant analgesics
D) Neuropathic pain patients are candidates for adjuvant analgesia
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