Question 1

An elderly patient who gains more than how many pound(s) in a week may be suffering from CHF?

Accepted Answer

A) 1 lb 
B) 3 lb 
C) 5 lb 
D) 7 lb 
A) 1 lb 
B) 3 lb 
C) 5 lb 
D) 7 lb C

Question 2

Which clinical symptom that is indicative of dehydration in younger adults loses its significance in the elderly because of diminished skin turgor?

Accepted Answer

A) Tenting 
B) Pitting edema 
C) Cyanosis 
D) Clubbing 
A) Tenting 
B) Pitting edema 
C) Cyanosis 
D) Clubbing A

Question 3

Which of the following laboratory values decreases with age?

Accepted Answer

A) Albumin 
B) Hemoglobin 
C) Serum glucose 
D) Serum cholesterol 
A) Albumin 
B) Hemoglobin 
C) Serum glucose 
D) Serum cholesterol A

Question 4

Which of the following disorders would be characterized by intermittent cutaneous pallor or cyanosis?

Accepted Answer

A) COPD 
B) Asthma 
C) Acute renal failure 
D) Raynaud phenomenon 
A) COPD 
B) Asthma 
C) Acute renal failure 
D) Raynaud phenomenon

Question 5

Why is pulmonary auscultation more difficult to assess in an elderly patient?

Accepted Answer

A) Pulmonary abnormalities do not result in abnormal breath sounds in this age group. 
B) Coarse breath sounds are common even over normal lung tissue. 
C) Fine inspiratory crackles may indicate the presence of asthma. 
D) Patients often cannot sustain deep breathing of good quality. 
A) Pulmonary abnormalities do not result in abnormal breath sounds in this age group. 
B) Coarse breath sounds are common even over normal lung tissue. 
C) Fine inspiratory crackles may indicate the presence of asthma. 
D) Patients often cannot sustain deep breathing of good quality.

Question 6

Which of the following best describes the manner in which a clinician should address the older adult patient?

Accepted Answer

A) Use the patient's first name to promote an atmosphere of equality. 
B) Address the patient by his or her last name with the appropriate title. 
C) Approach the patient in a matter-of-fact, business-like manner. 
D) Avoid physical contact with the elderly. 
A) Use the patient's first name to promote an atmosphere of equality. 
B) Address the patient by his or her last name with the appropriate title. 
C) Approach the patient in a matter-of-fact, business-like manner. 
D) Avoid physical contact with the elderly.

Question 7

In the 65- to 75-year-old age group, about what percentage of adults experience hearing loss?

Accepted Answer

A) 23% 
B) 32% 
C) 37% 
D) 40% 
A) 23% 
B) 32% 
C) 37% 
D) 40%

Question 8

Age is the major risk factor for developing which of the following eye disorders?

Accepted Answer

A) Cataract 
B) Glaucoma 
C) Vascular disorders 
D) Diabetic retinopathy 
A) Cataract 
B) Glaucoma 
C) Vascular disorders 
D) Diabetic retinopathy

Question 9

Which of the following would explain the presence of "clubbing" in the aged?

Accepted Answer

A) COPD 
B) Simple aging process 
C) CHF 
D) Connective tissue disorders 
A) COPD 
B) Simple aging process 
C) CHF 
D) Connective tissue disorders

Question 10

Which of the following laboratory values increases with age?

Accepted Answer

A) Albumin 
B) Serum glucose 
C) Serum creatinine 
D) Creatinine clearance 
A) Albumin 
B) Serum glucose 
C) Serum creatinine 
D) Creatinine clearance

Question 11

Which of the following is the most common complaint from a patient suffering from an acute myocardial infarction?

Accepted Answer

A) Chest pain 
B) Throat pain 
C) Shoulder pain 
D) Abdominal pain 
A) Chest pain 
B) Throat pain 
C) Shoulder pain 
D) Abdominal pain

Question 12

Which of the following disorders would be characterized by Cheyne-Stokes breathing?

Accepted Answer

A) COPD 
B) Asthma 
C) CHF 
D) Raynaud phenomenon 
A) COPD 
B) Asthma 
C) CHF 
D) Raynaud phenomenon

Question 13

What is the physiologic effect of aging on pulmonary function?

Accepted Answer

A) Decreased residual volume (RV) 
B) Increased functional residual capacity (FR
C)  
C) Increased tidal volume (VT) 
D) Decreased total lung capacity (TL
C)  
A) Decreased residual volume (RV) 
B) Increased functional residual capacity (FR
C)  
C) Increased tidal volume (VT) 
D) Decreased total lung capacity (TL
C)

Question 14

In healthy elderly men, what is the expected supine resting heart rate?

Accepted Answer

A) 50 to 60 beats/min 
B) 60 to 100 beats/min 
C) 90 to 110 beats/min 
D) >110 beats/min 
A) 50 to 60 beats/min 
B) 60 to 100 beats/min 
C) 90 to 110 beats/min 
D) >110 beats/min

Question 15

Which of the following pulmonary function measurements increases with age?

Accepted Answer

A) Vital capacity 
B) Closing capacity 
C) Diffusing capacity 
D) Inspiratory capacity 
A) Vital capacity 
B) Closing capacity 
C) Diffusing capacity 
D) Inspiratory capacity

Question 16

What percentage of adults older than 65 years have elevated systolic or diastolic pressure?

Accepted Answer

A) 20% 
B) 30% 
C) 40% 
D) 60% 
A) 20% 
B) 30% 
C) 40% 
D) 60%

Question 17

Which of the following PaO₂ values would be normal for an 80-year-old individual who is breathing room air?

Accepted Answer

A) 60 mm Hg 
B) 65 mm Hg 
C) 50 mm Hg 
D) 85 mm Hg 
A) 60 mm Hg 
B) 65 mm Hg 
C) 50 mm Hg 
D) 85 mm Hg

Question 18

Ageism in the healthcare setting can lead to:

Accepted Answer

A) practitioners spending more time with older patients. 
B) practitioners listening to older patients less carefully. 
C) practitioners treating older patients with compassion. 
D) better communication with elderly patients. 
A) practitioners spending more time with older patients. 
B) practitioners listening to older patients less carefully. 
C) practitioners treating older patients with compassion. 
D) better communication with elderly patients.

Question 19

Which of the following statements is true about the effects of aging on the pulmonary system?
1)Alveolar septa gradually deteriorate.
2)The number of alveoli gradually decreases.
3)Loss of alveolar walls reduces the surface area for gas exchange.
4)Smooth muscle fibers in the lungs are progressively replaced with fibrous connective tissue.

Accepted Answer

A) 1, 2, 3 
B) 2, 4 
C) 1, 3 
D) 1, 3, 4 
A) 1, 2, 3 
B) 2, 4 
C) 1, 3 
D) 1, 3, 4

Question 20

What would be a normal pulse pressure in the older adult?

Accepted Answer

A) 20 
B) 70 
C) 110 
D) 130 
A) 20 
B) 70 
C) 110 
D) 130

An elderly patient who gains more than how many pound(s) in a week may be suffering from CHF?

Which clinical symptom that is indicative of dehydration in younger adults loses its significance in the elderly because of diminished skin turgor?

Which of the following laboratory values decreases with age?

Which of the following disorders would be characterized by intermittent cutaneous pallor or cyanosis?

Why is pulmonary auscultation more difficult to assess in an elderly patient?

Which of the following best describes the manner in which a clinician should address the older adult patient?

In the 65- to 75-year-old age group, about what percentage of adults experience hearing loss?

Age is the major risk factor for developing which of the following eye disorders?

Which of the following would explain the presence of "clubbing" in the aged?

Which of the following laboratory values increases with age?

Which of the following is the most common complaint from a patient suffering from an acute myocardial infarction?

Which of the following disorders would be characterized by Cheyne-Stokes breathing?

What is the physiologic effect of aging on pulmonary function?

In healthy elderly men, what is the expected supine resting heart rate?

Which of the following pulmonary function measurements increases with age?

What percentage of adults older than 65 years have elevated systolic or diastolic pressure?

Which of the following PaO₂ values would be normal for an 80-year-old individual who is breathing room air?

Ageism in the healthcare setting can lead to:

What would be a normal pulse pressure in the older adult?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Bronchoscopy

Nutrition Assessment

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

Filters

Exam 13: Older Patient Assessment

An elderly patient who gains more than how many pound(s) in a week may be suffering from CHF?

Which clinical symptom that is indicative of dehydration in younger adults loses its significance in the elderly because of diminished skin turgor?

Which of the following laboratory values decreases with age?

Which of the following disorders would be characterized by intermittent cutaneous pallor or cyanosis?

Why is pulmonary auscultation more difficult to assess in an elderly patient?

Which of the following best describes the manner in which a clinician should address the older adult patient?

In the 65- to 75-year-old age group, about what percentage of adults experience hearing loss?

Age is the major risk factor for developing which of the following eye disorders?

Which of the following would explain the presence of "clubbing" in the aged?

Which of the following laboratory values increases with age?

Which of the following is the most common complaint from a patient suffering from an acute myocardial infarction?

Which of the following disorders would be characterized by Cheyne-Stokes breathing?

What is the physiologic effect of aging on pulmonary function?

In healthy elderly men, what is the expected supine resting heart rate?

Which of the following pulmonary function measurements increases with age?

What percentage of adults older than 65 years have elevated systolic or diastolic pressure?

Which of the following PaO₂ values would be normal for an 80-year-old individual who is breathing room air?

Ageism in the healthcare setting can lead to:

What would be a normal pulse pressure in the older adult?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Bronchoscopy

Nutrition Assessment

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

Filters