lOMoAR cPSD|19500986
lOMoARcPSD|19500986
NR 601 MIDTERM EXAM (4 LATEST VERSIONS 2023-2024 )EACH VERSIONWITH 100 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|AGRADE
VERSION A
all of the above
the strongest evidence regarding normal physiological ageing is availiable through longitudinal studies
5-5 Beginning at about age 55, most people can expect which of the following changes? A. A 1- to 2-in.
decline in height B. Stable body weight C. Sharper vision and hearing D. Increased strength
5-31 Which of these musculoskeletal changes accompany older adulthood? A. Change in stature B.
Increased stride length
5-35 Which one of the following is a normal physiological change of aging? A. A decrease in strength and
speed of muscle contraction in the extremities B. Degenerative arthritis C. Rheumatoid arthritis D.
Bulging intervertebral disks
5-37 Evaluating an older adult client according to the successful aging paradigm involves assessment of
A. cognition, problem-solving, physicalskills, and memory. B. health,social engagement, mental activity,
and life satisfaction. C. vision, hearing, balance, and strength. D. coping, social support, fi nancial
resources, and living arrangement.
5-49 The benefi ts of exercise during middle adulthood include which of the following? A. Less need for
an increase in dietary calcium B. Slower decli ne in central nervous system processing<\/p>\n\n\n\n
lOMoAR cPSD|19500986
5-50 When completing the health history and review ofsystemsfor a healthy 88-year-old woman, you
would expect which age-related change to be reported? A. Mildly blurry vision B. Chronically dry and
itchy eyes and eyelids C. Increasing presbyopia
5-61 Which cognitive change is expected in healthy older adults aged 65 and older? A. Decrease in IQ B.
Slower information processing C. Low capacity for learning D. Decreased attentional focus
5-57 Sleep in older adults is characterized by which pattern? A. Increased time spent in REM sleep B.
Increased overall sleep time C. Increased sleep latency D. Increased proportion of deep sleep
5-67 Risks for automobile accidents are increased in older adult drivers due to which normal changes
associated with aging? A. Decreased ability to understand driving-related dangers B. Lack of recognition
of their own physical challenges C. Magnifi ed physiological response to stressfulsituations D. Increased
reaction time
5-85 Older adults face greater risks for fl uid imbalance than young adults and middle adults due to
which age-related factor? A. Increased amounts of intracellular fl uid and total body water B. Higher
proportion of fat to muscle cells C. Faster speed of metabolism D. Increased intestinal motility
5-86 Which strategy for care of older adults is inconsistent with an approach supportive of aging in
place? A. Make changes to the home environment that can accommodate an individual\u2019s changing
needs. B. Refer for home care and adult day-care services. C. Hire assistantsto help with activities of
daily living. D. Emphasize the individual\u2019slimitations and likely need for long-term care placement.
5-96 Which theory of aging focuses on older adults\u2019 development of specifi c strategies to manage losses
of function over time? A. Disengagement theory B. Activity\/developmental task theory C. Personenvironment fi t theory D. Selective optimization with compensation theory
5-107 Why is Alzheimer\u2019s disease (AD) considered a specifi c disease, distinct from the normal . changes
of aging? A. There are types of AD that are inherited and present before age 60. B. There are changes in
biological processes that occur with normal aging. C. There is a notable decline in cognitive functioning
as people age. D. There are multiple changes in organ functioning, especially in the brain.
5-115 Physiological changes of aging can affect functional mobility. Screening for functional mobility of
older adults involves which screening tool? A. Katz Index B. Get Up and Go Test C. Functional
Independence Measure D. Mini Mental State Exam
5-112 Your 66-year-old patient is able to correctly interpret the meaning of the proverb \u201cA penny saved is
a penny earned.\u201d This helps to establish the patient\u2019s expected ability to A. access long-term memory. B.
engage in abstract reasoning. C. execute concrete operations. D. follow complex instructions.
13-68 In the older adult, which physiological change affects pharmacokinetics? A. Decreased creatinine
clearance B. Increased lean muscle mass C. Decreased total body fat D. Increased serum albumin level
18-98 Physiological changes in the immune system of older adults include A. an increase in
immunoglobulin A and G antibodies. B. a high rate of T-lymphocyte proliferation. C. an increase in the
number of cytotoxic T cells. D. an increase in CD8, which affects regulation of the immune system.<\/p>\n\n\n\n
lOMoAR cPSD|19500986
61 The aging process results in a variety of physiological changes. One change is A. a decreased
absorption of fat-soluble vitamins. B. an increase in pupilsize. C. an increase of enzymatic activity. D. an
increase in spleen size.
A- the heart valve
o Lab results- Dunphy Table 77.2
TABLE 77.2 Changes in Laboratory Values for Older Adults
Laboratory Test Normal Values Changes With Age Comments
URINALYSIS
Protein 0\u20135 mg\/100 mL Rises slightly May be due to kidney changes wpathology
Specific gravity 1.005\u20131.020 Lower maximum in
elderly 1.016\u20131.022
Decline in nephrons impairs abiliHEMATOLOGY
Erythrocyte
sedimentation rate
Men: 0\u201320
Women: 0\u201330
Significant increase Neither sensitive nor specific in aIron binding 50\u2013160 mcg\/dL
230\u2013410 mcg\/dL
Slight decrease
Decrease
Hemoglobin Men: 13\u201318 g\/100 mL Men: 10\u201317 g\/mL Anemia common in the elderly
Women: 12\u201316 g\/100
mL
Women: none noted
Hematocrit Men: 45%\u201352%
Women: 37%\u201348%
Slight decrease
speculated
Decline in hematopoiesis
Leukocytes 4,300\u201310,800\/mm3 Drop to 3,100\u2013
9,000\/mm3
Decrease may be due to drugs or immediately to age
Lymphocytes 500\u20132,400 T
cells\/mm3
50\u2013200 B cells\/mm3
T-cell and B-cell levels
fall
Infection risk higher; immunizatiPlatelets 150,000\u2013350,000\/mm3 No change in number
BLOOD CHEMISTRY
Albumin 3.5\u20135.0\/100 mL Decline Related to decrease in liver size amalnutrition common
Globulin 2.3\u20133.5 g\/100 mL Slight increase<\/p>\n\n\n\n
lOMoAR cPSD|19500986
Total serum protein 6.0\u20138.4 g\/100 mL No change Decreases may indicate malnutritBlood urea nitrogen Men: 10\u201325 mg\/100
mL
Women: 8\u201320 mg\/100
mL
Increases significantly
up to 69 mg\/100 mL
Decline in glomerular filtration raCreatinine 0.6\u20131.5 mg\/100 mL Increases to 1.9
mg\/100 mL seen
Related to lean body mass decreaCreatinine clearance 104\u2013124 mL\/min Decreases 10%\/decade
after age 40 years
Used for prescribing medicationsGlucose tolerance 62\u2013110 mg\/dL after
fasting; >120 mg\/dL
after 2 hours
postprandial
Slight increase of 10
mg\/dL\/decade after 30
years of age
Diabetes increasingly prevalent; Alkaline phosphatase 13\u201339 IU\/L Increase by 8\u201310 IU\/L Elevations >20% usually due to dbone abnormalities, drugs (e.g., nall of the following are true about lab results except : abnormal findings are usually due to physiological
aging.
o Atypical disease presentations<\/p>\n\n\n\n
lOMoAR cPSD|19500986lOMoARcPSD|19500986NR 601 MIDTERM EXAM (4 LATEST VERSIONS 2023-2024 )EACH VERSIONWITH 100 QUESTIONS AND CORRECT ANSWERS WITHRATIONALES|AGRADEVERSION Aall of the abovethe strongest evidence regarding normal physiological ageing is availiable through longitudinal studies5-5 Beginning at about age 55, most people can expect which of the following changes? A. A 1- to 2-in.decline in height B. Stable […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113396","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113396","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113396"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113396\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113396"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113396"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113396"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}