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NR601 Final Exam (2 Versions, New-2023) / NR 601 Final Exam:
|100% Correct Q & A
Which of the following statements is NOT true about palliative care teams?
- A: Provide weekly home visits A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concernedabout her kidneys. She has no report of dysuria, frequency or urgency at this time. Which of the following is the best action to follow?
- A: Recheck UA dipstick today According to the sexuality presentation, atrophic vaginitis (AV)
- A: Is a contributing factor for frequent UTIs A 68-year-old women is being worked up for stress incontinence. UA reveals positive leukocyte esterase, positive nitrites, 15 WBCs, no RBS, no protein, no casts. She denies frequency, urgency, suprapubic pressure or urgency. What is the first treatment for her US results? - A: no treatment is necessary
The elderly are at higher risk for delirium because of:
- A: All of the above A 63-year-old man is seen in the clinic with a c/o nocturia. Which of the following should beincluded in the differential diagnosis? - A: Benign prostatic hypertrophy (BPH) A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which of thefollowing statements is true regarding the management of pain with opioids in the elderly? - A: none of the above The highest level of evidence with the use of adjuvant analgesics is with:
- A: Ageist attitudes Mrs. Smith a 65-year-old women presents to the clinic for the first time and c/o UI and dyspareunia, she went through menopause 10 years ago without any hormone replacement therapyand had a hysterectomy for fibroid. Her mother had a hip fracture at 82, pt had mammogram 5 years ago and no known fam hx of breast cancer……you decide to begin topical hormone replacement therapy. Which of the following evaluations would be necessary prior initiating hormone replacement therapy?
- A: Mammogram Mr. A experienced a brief onset of right-sided weakness, slurred speech and confusion yesterday. The symptom has resolved. What should the NP do? - A: identify modifiable cardiovascular risk factors Any women with a complicated cystitis or symptoms of upper tract disease needs a urine cultureand - A: sensitivity test All of the following patients have a risk of adverse reaction from Metformin except: - A: patients with BMI >
A middle-aged patient has been diagnosed with Parkinson’s disease. What influences the NP’sdecision to begin pharmacological treatment for this patient?
- A: symptom interfering with functional ability Which of the following medications can blunt the signs of hypoglycemia in diabetes? - A: beta blockers The Mini-cog is a short screening tool used to assess cognition. Which of the following statementspertaining to the test is a true statement? - A: A score of 0-2 is a positive screen for dementia What is a sign of insulin resistance that can present in African American patients? - A: Acanthosis Nigricans
Age related changes in bladder, urethra and ureters include all of the following in older womenexcept:
- A: increased estrogen production’s influence on the bladder and ureter The majority of patients enrolled in hospice care die: - A: at home Ms. L 55-year-old women with BMI of 28, has 20-yearhx of primary HTN and has been on hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210 mg/dl. What is the next appropriate test? - A: Prescribe Metformin 500 mg PO BID A patient has been prescribed Metformin (Glucophage). One week later he returns with loweredblood sugars but complaints of some loose stools during the week. How should the NP respond? - A: Reassure the patient that this is an anticipated side effect A 60-year-old obese male client has type 2 DM and a lipid panel of TC=
Lifestyle approaches to postmenopausal symptom management include
- A: avoiding sugar, coffee, chocolate and alcohol When treating depression associated with dementia, which of the following would be a poorchoice and should not be prescribed? - A: Amitriptyline How does women’s anatomy make them more susceptible to UTIs? - A: the urethra is shorter Which of the following is a role of the advanced nurse in ????? - A: All of the above All of the following statements are true regarding anxiety EXCEPT:
- A: is a normal part of aging A 48-year-old male patient screened for diabetes has a fasting plasma
glucose level of 120 mg/dl. The NP plan includes
- A: Educate the patient of lifestyle changes to lower blood glucose Which of the following assessments are commonly noted in a client with Parkinson’s disease? - A: Micrographia and bradykinesia A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explorewhich of these causes of incontinence in men? - A: Urinary Tract Infection (UTI)
- A: opioids for dyspnea The comorbid psychiatric problem with the highest frequency in dementia is: - A: Anxiety All of the following are true statements regarding elder abuse EXCEPT: - A : common signs of abuse include decreased anxiety and depression Which of the following is a role of the advanced nurse in ????? - A: All of the above
The proposed mechanism by which diphenhydramine causes delirium is:
- A: Anticholinergic effect A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea)is : - A : Morphine According to the Palliative Care presentation, hospice care may be provided to: - A: those with a life expectancy < 6 months Diabetes is the leading cause of: - A: kidney failure A male pt with a BMI of 30 presents to the office for an annual exam. You ordered a CMP as part of routine labs. The fasting glucose was 130. Your next action is: - A: repeat the fasting glucose
The most common neurological cause of seizures in an older adult is:
- A: stroke A 68-year-old women presents with a c/o urine leakage whenever she sneezes, laughs, or strainsfor the past 4 months. She denies dysuria, frequency and nocturia. US dipsticks is negative for RBCs, leukocytes esterase, nitrites, ketones and urobilinogen. What is the diagnosis?
- A: stress incontinence The tasks of grieving include all of the following EXCEPT: - A: begin to disengage Acanthosis nigrans is associated with all of the following conditions except: - A: tinea versicolor Which of the following statements is trueregarding pain? - A: pain is subjective experience related to actual or potential tissue damage
A 51-year-old male pt screened for diabetes has a fasting plasma glucose level of 98 mg/dl. The NP plan includes:
- A: repeat fasting plasma glucose in 3 years Increased risk factors for erectile dysfunction include all EXCEPT:
- A: dominant personality When assessing an elderly client who reports a tremor, which assessment findings would be mostreliable in identifying Parkinson’s disease? - A: Resting tremor, slow unsteady gait, and cogwheel resistance
- A: A 5’4” Asian female weighing 95 lbs When assessing a patient’s mental health, the NP knows: - A: both A & B ( cognition affects mental status and affect reflects mood) You are working with an older male adult with a long hx of alcohol abuse and a 30-yearhx ofsmoking. In recommending an intervention for this client, your responsibility is to:
- A: Promote positive change in lifestyle choices
The pathophysiology of heart failure is due to:
- A: inadequate cardiac output to meet the metabolic and oxygen demands of thebody The leading cause of disability worldwide is: - A: depression Which of the following patients has the highest risk for the development of osteoporosis? - A: A 5’4” Asian female weighing 95 lbs Mrs. G is a 65-year-old Caucasian female who presents for her yearly physical. A review of her chart reveals she smokes 1 pack of cigarettes a day, and drinks 2 beers every evening since she retired. She does not exercise, she likes to sit and knit. The NP know the NONMODIFIABLE riskfactor for osteoporosis for Mrs. G is : - A: Age The NP orders bilateral wrist X-rays on a 69-year-old gentleman
