Download NR601 APPB Questions And Answers Latest Update 2024 RATED A+ and more Exams Nursing in PDF only on Docsity! NR601 APPB Questions And Answers Latest Update 2024 RATED A+ There are well described racial and socioeconomic disparities in diagnosis, the following populations have the higher incidence and lower survival - CORRECT ANSWERS black and hispanic older adults in general A 72 yo female has residual effects from a stroke that includes memory loss and apathy. Which intervention can best improve the brain's functional reserve? - CORRECT ANSWERS decrease overstimulating the patient to avoid agitation Which of the following considerations is necessary for the NP who is evaluating the effectiveness of a prescribed opioid for an elderly patient with chronic, debilitating pain? - CORRECT ANSWERS All of the above The NP is providing chronic management for a 74-year-old male with longstanding COPD. He presents to the primary care office with increased shortness of breath to the point that he is unable to walk to the mailbox or send a flight of stairs in his home. He reports that he still smokes 1/4 pack of cigarettes per day. He tells the NP I guess I'm just getting too old to do normal things anymore. The NP recognizes that the decline in the patient's physical function is due to: - CORRECT ANSWERS disease-related disability The physiologic eye changes that occur in adults between the ages of 42 to 50 years of age that indicate the new reading glasses are due to - CORRECT ANSWERS reduced lens elasticity -year-old male reports to the primary care office with a complaint of feeling down since the death of his spouse eight months ago. He has suppressed his depression through the use of alcohol. His medical history includes gerd, atrial fibrillation, and chronic back pain. His medications include: Cyclobenzaprine 10 milligrams as needed for pain, warfarin 5 milligrams daily, pantoprazole 40 milligrams daily, lisinopril 10 milligrams daily, Flomax 0.4 milligrams daily, multivitamin daily, vitamin C 500 milligrams daily, and vitamin D 1000 IU daily. The MP decides to perform the cage assessment to determine the patient's extent of alcohol dependency and obtains a score of three which signifies alcohol use disorder. The NP also performs a medication review and identifies that some of his medications metabolic effects are altered by alcohol. Which of the medications should be of concern for the NP? - CORRECT ANSWERS Cyclobenzaprine (Amrix), Warfarin, and Pantoprazole (Protonix) NR601 APPB Questions And Answers Latest Update 2024 RATED A+ A 68-year-old female presents to the primary care office as a new patient who recently located from Florida. The patient reports a past medical history of vitamin B12 deficiency, hypertension, hyperlipidemia, and gerd. The patient reports that one year ago she was seen by gastroenterologist for gerd symptoms where she was prescribed omeprazole 40 milligrams daily. She reports that after being on the omeprazole for two months she stopped having guard symptoms. Therefore an endoscopy was not indicated. Despite having no symptoms she continued to take omeprazole because she did not want her symptoms to return. She also reports that diet modification has also helped him reduce and gerd symptoms. The MP determines that omeprazole should be prescribed. The best prescribing method for this patient is - CORRECT ANSWERS Reducing the omeprazole from 40 mg to 20 mg To ensure the older adults correct use of prescribed metered dose inhalers that NP should - CORRECT ANSWERS Recommend a spacer device A 64 year old homeless female reports to the primary care clinic with shortness of breath. Approximately one week the patient presented to the emergency room with mild sternal chest pain. A cardiac workup revealed no abnormalities And the patient was released. Today the patient reports that her breathlessness is worse. The pmh includes hypertension, hyperlipidemia, atherosclerotic heart disease. The patient is also pack year smoker. Other than seeking medical care at the ER last week the patient has not seen a health care provider in five years period based on the patient's age and condition what immunizations are most important for the MP to administer today? - CORRECT ANSWERS Influenza, Prevnar-13 A 65 year old male patient is a 36 pack year smoker who is seeing the MP today for smoking cessation intervention. The MPP plans to use the 5 A's in planning interventions for this patient. In addition to prescribing a nicotine patch the patient has also agreed to participate in intensive cessation counseling covered by Medicare. When the NP scheduled future follow up visit for the patient which 5A is being utilized? - CORRECT ANSWERS Arrange The NP has diagnosed a 62-year-old female with Graves' disease. What lab value below was used to diagnose? - CORRECT ANSWERS Decreased TSH level NR601 APPB Questions And Answers Latest Update 2024 RATED A+ In older adults hypertension may be linked to functional issues that impact their quality of life. What may impact the quality of life of an older hypertensive individual? - CORRECT ANSWERS All choices are correct Which of the following is not true regarding the low rates of successful treatment for hypertension in older adults? - CORRECT ANSWERS Among persons greater than or equal to 60 years of age, at least 70% will have their blood pressure under control As people age, what abnormal parameter is the best predictor of heart disease? - CORRECT ANSWERS widening pulse pressure According to ACC/AHRA guidelines for maintaining hypertension when should treatment be initiated for adults greater than or equal to 65 years of age? - CORRECT ANSWERS When the average SBP is greater than 130 mmHg A 62-year-old male patient is diagnosed with uncomplicated hypertension. According to JNC-8 guidelines what classifications are recommended for first line treatment in this age group? - CORRECT ANSWERS Calcium channel blocker and diuretic The NP is performing a medication review on a new patient who presents with hypertension. The patient is taking the following medications Aleve, Suphedrine, methylphenidate. Which one should be eliminated based on its blood pressure rising effects? - CORRECT ANSWERS All choices ar correct DM. Because of relocating to a new town he has been without his antihypertensive medication for six months and reports that up to now he was not aware that he had diabetes and therefore has never taken treatment for it. Based on his age his hypertension and new diagnosis of T2DM the MP should choose antihypertensive medications from which of the following classifications? - CORRECT ANSWERS All of the above A 70-year-old female with atrial fibrillation has an associated rapid ventricular response (AF RVR). The NP recognizes that the long-term management of heart rate NR601 APPB Questions And Answers Latest Update 2024 RATED A+ can prevent morbidity from afib RVR. What medication should the NP prescribe for a long-term management of heart rate in afib RVR? - CORRECT ANSWERS Diltiazem The NP is performing a cardiac exam on an 80-year-old patient with heart failure and here's an S4 gallop. The MP recognizes that this heart sound may be common in older adults with heart failure due to: - CORRECT ANSWERS stiffness of the left ventricle The NP identifies an elevated NT-proBNP and a 78-year-old female patient. Before making a diagnosis of heart failure what important factors should be considered as a reason for the elevated value? - CORRECT ANSWERS The value may be elevated in older patients who have renal disease After a trial of lifestyle modification, a 72 year old male has a blood pressure of 150/ 90. What do you do next? - CORRECT ANSWERS Prescribe the patient an antihypertensive drug in addition to lifestyle modifications A 65-year-old male is a new patient that presents to the primary care office with increasing dyspnea and a productive cough that started four days ago. The cough has been on and off for the last six months. He reports smoking one pack of cigarettes per day since age of 25, but recently cut back to 1/2 pack per day. One assessment the MP observes the patients increased effort to breathe. On exam and P notes the presence of wheezing and rock eye. Due to the patient's increased breathing effort smoking history and chronic cough the emphasis effect COPD. To confirm the diagnosis what should the NP order first? - CORRECT ANSWERS Spirometry to classify airway obstruction Which of the following spirometry classifications indicate a moderate airflow obstruction according to the GC guidelines? - CORRECT ANSWERS 50% _< FEVI < 80% predicted The treatment of COPD is based on the patient's clinical symptoms and the number of recent exacerbations that may or may not lead to hospitalization. According to the gold guidelines, the recommended treatment for a patient who has had zero or one moderate exacerbations requiring no hospitalization and an MRC 0-1, CAT <10 is? - CORRECT ANSWERS A bronchodilator NR601 APPB Questions And Answers Latest Update 2024 RATED A+ The treatment of COPD is guided by: - CORRECT ANSWERS All the above The FeV1/FVC ratio for a patient with a restrictive lung disorder indicates: - CORRECT ANSWERS Asthma A 60-year-old male presents with dyspnea, nonproductive cough, inspiratory rails and clubbing interstitial lung disease. Which of the following diagnostic findings would support a diagnosis? - CORRECT ANSWERS High resolution CT scan shows honeycombing The benefit of the six-minute walk test is that it can help the NP determine: - CORRECT ANSWERS The patient's supplemental oxygen needs on exertion There are well described racial and socioeconomic disparities in diagnosing lung cancer, treatment of the following populations has the higher incidence and lower survival rates of lung cancer? - CORRECT ANSWERS Black and Hispanic older adults in general For older adults with early-stage non-small cell lung cancer what is the appropriate treatment for those who are strong candidates? - CORRECT ANSWERS Lung resection They knew Beutler and Warren criteria provides hemoglobin thresholds to define anemia in adults aged 60 and above as: - CORRECT ANSWERS All of the above The NP has determined that a 72-year-old female patient that she has been following for the last four years for anemia evaluation. Which clinical data below guided the NP's decision? - CORRECT ANSWERS A 1 g/dL decrease in Hgb in less than 5 years NR601 APPB Questions And Answers Latest Update 2024 RATED A+ The dietitian has recommended a textured modified diet for an 87-year-old patient who is having pain upon chewing. What will this type of diet include? - CORRECT ANSWERS All of the above The NP is discussing making lifestyle changes that will decrease the older adults risk for cardiovascular disease. Which of the following is most important to include in this discussion? - CORRECT ANSWERS Control HTN, stop smoking, maintain normal weight, and exercise regularly The NP is reviewing a 72-year-old patient's history in the clinical setting. Which finding requires a priority action of health promotion and maintenance? - CORRECT ANSWERS Patient is not current for flu vaccine An effective treatment that produces less side effects for Constipation associated fecal incontinence for older adults who reside in long term care facilities is: - CORRECT ANSWERS Dietary modification It is important for the NP to consider mealtime and environmental issues that may be present in the older adult who has dementia what important teaching should be provided to family members who are caring for the patient with dementia? - CORRECT ANSWERS Check for pocketing of foods during mealtime Conservative treatment is often recommended for older adults with fecal incontinence. Which of the following are considered to be a conservative treatment? - CORRECT ANSWERS All of the above What would be the best bulking agent to prescribe for treating Constipation in the older adult? - CORRECT ANSWERS Psyllium (metamucil) A 94-year-old male nursing home resident exhibits fecal incontinence. He now wears adult diapers 24 hours a day, he is bedridden, and cannot use a bedside commode or ambulate to the bathroom even with assistance. Which of the following is the most common type of fecal incontinence in this patient? - CORRECT ANSWERS Overflow incontinence NR601 APPB Questions And Answers Latest Update 2024 RATED A+ Which of the following medications may prevent cancer of the upper airways in smokers? - CORRECT ANSWERS Retinoids For men who are 70 years of age and older with a 2 what would be a reasonable approach at this time?????? - CORRECT ANSWERS Close observation Which of the following symptom is excluded from the definition of fecal incontinence by the international continent society? - CORRECT ANSWERS Flatal incontinence Older adults are likely to experience severe bone marrow suppression during chemotherapy. What does the NCCN and SIOG guidelines recommend for routine prevention of neutropenia? - CORRECT ANSWERS Pegfilgrastim