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NR 601 Midterm Exam Study Guide / NR601 Midterm Exam Study Guide(Version-2) (NEWEST, 2021) : Chamberlain College Of Nursing(Download to Score A)$17.49
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nr 601 midterm exam study guide nr601 midterm exam study guideversion 2 newest
2021 chamberlain college of nursing
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Chamberlain College Of Nursing
NR 601 / NR601 (NR601/NR601)
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NR 601 Midterm Exam Study Guide
(In Q & A Combination)
Weeks 1-4 content
Week Topics
1 Developmental changes
o Review Kennedy and Dunphy readings for age related changes
o Physiological the major impact that occurs with physiological changes are –
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, physical skills, 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
,5-50 When completing the health history and review of systems for 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
stressful situations 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’s
changing needs. B. Refer for home care and adult day-care services. C. Hire assistants to help
with activities of daily living. D. Emphasize the individual’s limitations and likely need for long-
term care placement.
5-96 Which theory of aging focuses on older adults’ development of specifi c strategies to
manage losses of function over time? A. Disengagement theory B. Activity/developmental task
theory C. Person-environment fi t theory D. Selective optimization with compensation theory
5-107 Why is Alzheimer’s 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 “A penny
saved is a penny earned.” This helps to establish the patient’s 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.
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 pupil size. 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 0–5 mg/100 mL Rises slightly May be due to kidney changes
renal pathology
Specific gravity 1.005–1.020 Lower maximum in Decline in nephrons impairs ab
elderly 1.016–1.022
HEMATOLOGY
Erythrocyte Men: 0–20 Significant increase Neither sensitive nor specific i
sedimentation rate Women: 0–30
Iron binding 50–160 mcg/dL Slight decrease
230–410 mcg/dL Decrease
Hemoglobin Men: 13–18 g/100 Men: 10–17 g/mL Anemia common in the elderly
mL
Women: 12–16 Women: none noted
g/100 mL
Hematocrit Men: 45%–52% Slight decrease Decline in hematopoiesis
Women: 37%–48% speculated
Leukocytes 4,300–10,800/mm3 Drop to 3,100– Decrease may be due to drugs
9,000/mm3 attributed immediately to age
Lymphocytes 500–2,400 T T-cell and B-cell Infection risk higher; immuniza
cells/mm3 levels fall
50–200 B cells/mm3
Platelets 150,000–350,000/ No change in
, mm3 number
BLOOD CHEMISTRY
Albumin 3.5–5.0/100 mL Decline Related to decrease in liver siz
malnutrition common
Globulin 2.3–3.5 g/100 mL Slight increase
Total serum protein 6.0–8.4 g/100 mL No change Decreases may indicate malnu
Blood urea nitrogen Men: 10–25 mg/100 Increases Decline in glomerular filtration
mL significantly up to 69
Women: 8–20 mg/100 mL
mg/100 mL
Creatinine 0.6–1.5 mg/100 mL Increases to 1.9 Related to lean body mass de
mg/100 mL seen
Creatinine clearance 104–124 mL/min Decreases Used for prescribing medicatio
10%/decade after
age 40 years
Glucose tolerance 62–110 mg/dL after Slight increase of 10 Diabetes increasingly prevalen
fasting; >120 mg/dL mg/dL/decade after intolerance
after 2 hours 30 years of age
postprandial
Alkaline phosphatase 13–39 IU/L Increase by 8–10 Elevations >20% usually due t
IU/L with bone abnormalities, drugs
meal
all of the following are true about lab results except : abnormal findings are usually due to
physiological aging.
o Atypical disease presentations
1. Acute abdomen
Absence of symptoms or vague symptoms, acute confusion, mild discomfort and
constipation, some tachypnea and possibly vague respiratory symptoms, appendicitis
pain may begin in right lower quadrant and become diffuse
2. Depression
Anorexia, vague abdominal complaints, new onset of constipation, insomnia
hyperactivity, lack of sadness
3. Hyperthyroidism
Hyperthyroidism presenting as “apathetic thyrotoxicosis,” i.e., fatigue and weakness;
weight loss may result instead of weight gain; patients report palpitations, tachycardia,
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