NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTE, Exams of Nursing

Download NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTE and more Exams Nursing in PDF only on Docsity! 1NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients). Chamberlain College Of Nursing (100 Correct Q & A) (SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients) NR601 Final Exam 1. Which of the following statements is NOT true about palliative care teams? • A: Provide weekly home visits 2. A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned about 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 3. According to the sexuality presentation, atrophic vaginitis (AV) • A: Is a contributing factor for frequent UTIs 4. 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 5. A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but complaints of some loose stools during the week. How should the NP respond? 2NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients). • A: Reassure the patient that this is an anticipated side effect 6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL= 165. The NP teaches the patient about his modifiable cardiac risk factors which include: • A: Diabetes, obesity, and hyperlipidemia 5NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients). 23. The proposed mechanism by which diphenhydramine causes delirium is: • A: Anticholinergic effect 24. A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is : • A : Morphine 25. According to the Palliative Care presentation, hospice care may be provided to: • A: those with a life expectancy < 6 months 26. 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 27. The elderly are at higher risk for delirium because of: • A: All of the above 28. A 63-year-old man is seen in the clinic with a c/o nocturia. Which of the following should be included in the differential diagnosis? • A: Benign prostatic hypertrophy (BPH) 29. A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which of the following statements is true regarding the management of pain with opioids in the elderly? • A: none of the above 30. The highest level of evidence with the use of adjuvant analgesics is with: 6NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients). • A: neuropathic pain patients are candidates for adjuvant analgesia 31. The 56-year-old man with chronic prostatis should initially be treated with antibiotics for how long? • A: 14 days 32. A 50-year-old female patient screened for diabetes has a fasting plasma glucose level of 124 mg/dl. The NP plan includes: • A: repeat fasting plasma glucose in one year 33. When assessing a patient who complains of a tremor, the NP must differentiate essential tremor from the tremor of Parkinson’s disease. Which of the following findings are consistent with essential tremor? • A: The tremor occurs with purposeful movement 34. Which characteristic of delirium helps to distinguish it from dementia? • A: abrupt or Acute onset 35. According to the sexuality presentation, the biggest barrier to appropriate sexual evaluation in the older patient: • A: Ageist attitudes 36. 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 therapy and 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? 7NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients). • A: Mammogram 37. 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 38. Any women with a complicated cystitis or symptoms of upper tract disease needs a urine culture and • A: sensitivity test 39. All of the following patients have a risk of adverse reaction from Metformin except: • A: patients with BMI >30 40. A middle-aged patient has been diagnosed with Parkinson’s disease. What influences the NP’s decision to begin pharmacological treatment for this patient? • A: symptom interfering with functional ability 41. Which of the following medications can blunt the signs of hypoglycemia in diabetes? • A: beta blockers 42. The Mini-cog is a short screening tool used to assess cognition. Which of the following statements pertaining to the test is a true statement? • A: A score of 0-2 is a positive screen for dementia 43. What is a sign of insulin resistance that can present in African American patients? • A: Acanthosis Nigricans 10NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients). 60. Which of the following is the most appropriate screening tool for delirium? • A: Confusion Assessment Method 61. An 82-year-old man is seen in the primary care office with complaints of dribbling urine, difficulty starting his stream. Which of the following should be included in the list of differential diagnosis? • A: all of the above (BPH, Parkinson’s disease, prostate cancer) 62. 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 the side effects? • A: Erectile dysfunction 63. Hospice care differs from palliative care in that: • A: supports patients and families through both the dying and the bereavement process 64. According to the genitourinary presentation, the number 1 risk factor for urinary incontinence is: • A: AGING 65. The firs step in treating delirium is to: • A: identify the cause 66. Which of the listed conditions is most likely to cause delirium? • A: Acute infection 67. You are working up a 52-year-old patient for microscopic hematuria. Your differential diagnosis list includes all of the following EXCEPT: • A: renal stenosis 11NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients). 68. Don’t have 69. A 55-year-old Caucasian man with type 2 DM presents to the clinic a as new pt. he takes metformin 500 mg 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 JNC8, what is the most appropriate medication? • A: lisinopril 70. Delirium is typically characterized by all of the following except: • A: Hyperactive level of psychomotor activity 71. An 80-year-old female widow asks her NP about hospice enrolment. Her diagnosis includes congestive HF, HTN and DM2. She has noticed that in the last month she has lower extremity edema and she is finding it difficult to walk to the grocery store and church, she does not use oxygen. She is able to maintain her home but requires more frequent rest after vacuuming. She does not wish to be admitted to the hospital again in the future but if admitted wants to remain full code status. Why is this patient NOT appropriate for hospice? • A: her prognosis is > 6 months 72. Jean a 42-year-old, presents to the clinic with c/o dysuria, frequency and strong odor of her urine for 5 days. This is the second occurrence this year. What is the appropriate next step to this patient? • A: order UA and urine culture and sensitivity and treat the patient with antibiotics today 73. All of the following patients should be screened for diabetes EXCEPT: • A: 44-year-old Caucasian with HTN 12NR601 Final Exam/ Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients). 74. A male patient with a BMI of 33 presents to the office with c/o fatique, excessive hunger and excessive thirst. You suspect type 2 DM . initial testing to confirm diagnosis can include: • A: all of the above 75. An 87-year-old tells the NP that his grandson locks him in his bedroom when he goes out. The grandson withholds food if the patient does not give him money every week. The patient appears frail, ungroomed, and his clothes are visibly dirty and smell of urine. Which of the following is the best action for NP? • A: report the grandson to your state’s protective services 76. The leading cause of death in elderly travelers worldwide is: • A: accidents 77. The majority of depressed older adults remain untreated because of : • A: All of the above (misdiagnosis, social stigma, environmental…) 78. When examining the spine of an older adult you notice a curvature with a sharp angle. This is referred to as a: • A: scoliosis 79. Which of the following patients has the highest risk for the development of osteoporosis? • A: A 5’4” Asian female weighing 95 lbs 80. When assessing a patient’s mental health, the NP knows: • A: both A & B ( cognition affects mental status and affect reflects mood) 81. You are working with an older male adult with a long hx of alcohol abuse and a 30-yearhx of smoking. In recommending an intervention for this client, your responsibility is to: • A: Promote positive change in lifestyle choices