NR 601 FINAL EXAM WITH CORRECT ACTUAL QUESTIONS AND CORRECTLY WELL DEFINED ANSWERS, Exams of Nursing

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NR 601 FINAL EXAM WITH CORRECT

ACTUAL QUESTIONS AND CORRECTLY

WELL DEFINED ANSWERS LATEST 2024 –

2025 ALREADY GRADED A+

The patient with BPH is seen for follow-up.. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects?

a. headache b. urinary incontinence c. hypotensionn d. impotence - ANSWERS-d. impotence

Which of the following statements is true regarding pain?

a. all of the above b. if a patient complains of pain but has no physical signs, he or she is most likely exhibiting drug-seeking behavior c. pain is a subjective experience related to actual or potential tissue damage

d. acute pain is more intense and severe than chronic pain - ANSWERS-c. pain is a subjective experience related to actual or potential tissue damage

The highest level of evidence to support interventions at the end of life is with

a. hycosamine for respiratory secretions b. stimulant laxatives for treating constipation c. opioids for pain control d. opioids for dyspnea - ANSWERS-d. opioids for dyspnea

The comorbid psychiatric problem with the highest frequency in dementia is:

a. depression b,, agitation and aggression c. psychosis d. anxiety - ANSWERS-a. depression

The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:

a. AV block b. atrial tachycardia

b. Gabapentin c. Methadone d. Morphine - ANSWERS-d. Morphine

Which of the following would you recommend annually for the elderly type 2 diabetic?

a. periodic visits to a gastroenterologist b. colonoscopy c. follow up with a urologist d. eye exam with an opthlamologist - ANSWERS-d. eye exam with an opthlamologist

Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion yesterday. The symptoms have resolved and the CT is normal. What is the next step of the plan for Mr. A?

a. assure the patient that he will not experience the symptoms again b. identify modifiable cardiovascular risk factors c. order ASA 81mg stat d. order a stat EEG and administer O2 by mask - ANSWERS-b. identify modifiable cardiovascular risk factors

A 56-year old male patient screened for diabetes has a fasting plasma glucose level of 96mg/dl. The nurse practitioner management plan includes:

a. repeat fasting plasma glucose in three years b. prescribe Metformin 500mg po BID c. repeat fasting plasma glucose in one year d. refer to ophthalmology for eye exam - ANSWERS-a. repeat fasting plasma glucose in three years

RW, a 57 year old native American female, presents to the office. RW states she feels irritable and has difficulty concentrating as well as fallingn asleep and staying aleep. She states she is worried about her finances, her husband has just lost his job. The NP diagnoses anxiety. The NP prescribes a first line treatment which is

a. Diazepam b. Clonazepam c. Ariprprazole d. Paroxetine - ANSWERS-d. Paroxetine

Which characteristic of delerium helps to distinguish it from dementia?

a, short term memory impairment

a. detecting cancer in asymptomatic paitents or those with specific symptoms b. arranging for follow up including patiennts c. identifying and managing complications of care d. all of the above - ANSWERS-d. all of the above

A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as a new patient. He takes metformin 500mg twice a day. His last Hgb A1c was 7%. He is up to date on eye and foot examinations. His BP is 142/96. According to ACC 2017 guidelines for high blood pressure in adults, what is the most appropriate first line medication?

a. lisinopril b. furosemide c. amlodipine d. clonidine - ANSWERS-a. lisinopril

An older male patient is experiencing acute onset of right sided weakness, slurred speech and confusion. What should the nurse practitioner do promptly?

a. order an EKG and administer O2 by cannula immediately b. Do a through medication review and stat blood sugar c. evaluate for a stroke and arrange transport to the hospital right away

d. administer an aspirin by mouth - ANSWERS-c. evaluate for a stroke and arrange transport to the hospital right away

The NP knows that medications can trigger or worsen heart failure. With this knowledge in mind, the NP will avoiding prescribing the following classes of medications

a. benzodiazepines b. macrolides c. muscle relaxants d. NSAIDS - ANSWERS-d. NSAIDS

MG, a 60 year old female presents with complaints of her "heart flipping in her chest" The NP wants to evaluate for arrhythmia. The nP knows that the cornerstone for arrhythmia evaluation includes:

a. electrocardiogram b. physical examination c. all options are appropriate d. history - ANSWERS-c. all options are appropriate

The elderly are at high risk for delerium because of:

A 52 year old female patient screened for diabetes has a fasting plasma glucose level of 123 mg/dl. The nurse practitioners plan includes:

a. repeat fasting glucose in 1 month b. prescribe memformin 500mg BID po c. repeat fasting plasma glucose in one year d. repeat fasting glucose in three years - ANSWERS-c. repeat fasting plasma glucose in one year

According to the palliative care presentation, most elderly patients die:

a. alone b. at home c. in institutions d. in pain - ANSWERS-c. in institutions

Older adults with dementia sometimes suffer from agnosia, which is defined as the inability to

a. remember events and places b. understand language c. use language d. recognize objects - ANSWERS-d. recognize objects

When treating depression associated with dementia, which of the following would be a poor choice and not be prescribed

a. desimpramine b. amitryptyline c. fluoxitine d. mirtazapine - ANSWERS-b. amitryptyline

Male patient presents with a BMI of 30 presents to the office for an annual exam. You are reviewing the lab results. You ordered a CMP as part of routine labs. The fasting glucose was 130. Your next action is:

a. repeat the fasting glucose b. start metformin 500mg BID c. repeat fasting glucose in 1 year d. call the patient and report lab results as normal - ANSWERS-a. repeat the fasting glucose

The task of grieving include all of the following except

a. begin to disengage b. acknowledge the reality of death

b. any presence of fever c. symptoms of slowed movement, unstable angina and tremor d. resting tremor, slow unsteady gait and cogwheel rigidity - ANSWERS-d. resting tremor, slow unsteady gait and cogwheel rigidity

How dies womans anatomy make them more susceptible to UTI's

a. the female urethra is shorter b. aymptomatic UTI's do not resolve themselves without treatment c. women tend to get UTI's when they are pregnant d. there is a longer distance between the urethra and anus - ANSWERS-a. the female urethra is shorter

Mrs. Smith, a 64 year old woman presents to the clinic for the first time and complains of uruinary incontinece and dyspareunia. She went through menipause 10 years ago without any hormone replacement therapy and had a hysterectomy for a fibroid. Her mother had a hip fracture at 87 years of age. The patiennt's most recent mammogram was 7 years ago and no known family history of breast cancer. She is not taking any medications. Her physical exam is unremarkable except for findings consistant with atrophic vaginitis. You prescribed topical hormone replacement therapy today. Which of the following evaluations should also be ordered today

a. bone mineral density measurement b. mammogram - ANSWERS-b. mammogram

All of the following patients should be screened for diabetes except:

a. a 44 year old caucasian male with hypertension b. a 42 year old femal on disability from back injury from back injury who is unable to exercise c. an overweight middle aged african american woman with a family history of type 2 diabetes mellitus d. an obese hispanic man - ANSWERS-a. a 44 year old caucasian male with hypertension

A 60 year old obese male client has type 2 diabetes mellitus and a lipid panel of TC=250 HDL=32 LDL=165. The nurse practitioner teaches the patient about his modifiable cardiac risk factors, which include:

a. diabetes, obesity and hyperlipidemia b. advancing age, diabetes, hyperlipidemia, and male gender c. hyperlipidemia, smoking and family history of heart disease d. male with age >45, diabetes mellitys and hyperlipidemia - ANSWERS-a. diabetes, obesity and hyperlipidemia

When treating inflammatory pain, the NP knows treatmemnt is focused on managing the inflammation. Appropriate medications for inflammatory pain include all of the following except:

a. multiple sclerosis b. stroke c. alzheimemrs disease d. peripheral neuropathy - ANSWERS-b. stroke

Patients with osteoarthritis of the hip and knee have a distinguishable gait described as:

a. antalgic b. festinating c. steppage d. ataxic - ANSWERS-a. antalgic

According to the 2017 Guideline for High Blood Pressure in Adults the recommended blood pressure goal for a 55 year old man with a history of chronic kidney disease is:

a. <140/ b. <120/ c. <130/ d. <150/90 - ANSWERS-c. <130/

Periods of increased activity, when the patient did not seem to need to sleep or reports being very productive not needing sleep are:

a. symptoms of schizophrenia b. symptoms of worsening depression c. symtoms of unipolar depression d. symptoms of hypomania or mania - ANSWERS-d. symptoms of hypomania or mania

A 56 year old man presents to the office with concerns about low energy, lack of joy in his life and decreased appetite for 2 weeks. The nurse practitioner assesses him using SIG-E CAPS, the NP knows that the E stands for

a. energy (decreased) b. emotional instability c. ego dystonia d. enthusiasm (decreased) - ANSWERS-a. energy (decreased)

Terazosin, an alpha blocker, is prescribed to treat the following conditions:

a. benign prostatic hypertrophy and hypertension b. benign prostatic hypertrophy and hypotension c. urinary tract infection and arrhythmia

d. advise the grandson if the patient reports the concerns at the end of the next visit, the NP is obligated to report to protective services - ANSWERS-c. report the grandson to your states protective services

A male patient with a BMI of 33 presents to the office with complaints of fatigue, excessive hunger and excessive thirst. You ordered a CMP and a Hgb A1C. The results are a fasting glucose 99, Hbg AIC 5.7. The nurse practitioner diagnosis is:

a. type 2 diagnosis mellitus b. prediabetes c. euglycemia d. type 1 diabetes mellitus - ANSWERS-b. prediabetes

All of the following patients have a risk of adverse reactions from Metformin except:

a. patients with renal disease b. patients with BMI > c. patients with alcoholic disorder d. patients with hypoxia - ANSWERS-b. patients with BMI >

According to the ADA guidelines, which of the following arer screening tests for type 2 diabetes mellitus?

a. all options are appropriate b. fasting plasma glucose c. two-hour OGTT d. Hemaglobin A1C - ANSWERS-a. all options are appropriate

The first step in treating delriuim is to:

a. use side rails and/or wrist restraints to keep the patients safe b. give low dose haldol if the patient has psychosis c. identify the cause d. provide reality orientation - ANSWERS-c. identify the cause

A 65 caucasian female presents for her yearly physical. She is 5"1 tall and weighs 102 lbs. A review of her chart reveals she smokes 1 pack of cigarettes a day, and drinks 2 beers every evening since she retired. She has taken synthroid and simvastatin for 10 years. She does not exercise, she likes to sit and knit. The NP knows the non-modifiable risk factor for osteoporosis for this patient include:

a. activity level b. age c. tobacco use d. medications - ANSWERS-b. age