NR601 Final Exam / NR 601 Final Exam Chamberlain College Of Nursing (100 Correct QUESTIONS, Exams of Nursing

Download NR601 Final Exam / NR 601 Final Exam Chamberlain College Of Nursing (100 Correct QUESTIONS and more Exams Nursing in PDF only on Docsity! NR601 Final Exam / NR 601 Final Exam Chamberlain College Of Nursing (100 Correct QUESTIONS AND ANSWERS BEST RATED A+ ASSURED 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? • 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 3 15. Which of the following maneuvers is contraindicated in acute prostatis? • A: Massaging the infected prostate 16. Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20- yearhx of primary HTN and has been on HCTZ 25 mg daily for years , reports that for the past 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon charting NP notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. What actions should the NP perform next? • A: order a fasting blood glucose??? PRESCRIBE METFORMIN XR 500MG PO 17. According to the WHO analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient who presents with moderate pain? • A: Indomethacin/ hydrocodone 18. The cornerstone of pharmacotherapy in treating Alzheimer’s disease is : • A: Cholinesterase inhibitors 19. The highest level of evidence to support interventions at the end of life is with: • A: opioids for dyspnea 20. The comorbid psychiatric problem with the highest frequency in dementia is: • A: Anxiety 21. All of the following are true statements regarding elder abuse EXCEPT: • A : common signs of abuse include decreased anxiety and depression 22. Which of the following is a role of the advanced nurse in ????? • A: All of the above 4 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) 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? 6 • 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 8 52. The most common neurological cause of seizures in an older adult is: • A: stroke 53. A 68-year-old women presents with a c/o urine leakage whenever she sneezes, laughs, or strains for 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 54. The tasks of grieving include all of the following EXCEPT: • A: begin to disengage 55. Acanthosis nigrans is associated with all of the following conditions except: • A: tinea versicolor 56. Which of the following statements is trueregarding pain? • A: pain is subjective experience related to actual or potential tissue damage 57. 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 58. Increased risk factors for erectile dysfunction include all EXCEPT: • A: dominant personality 59. When assessing an elderly client who reports a tremor, which assessment findings would be most reliable in identifying Parkinson’s disease? • A: Resting tremor, slow unsteady gait, and cogwheel resistance 9 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: 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 12 82. The pathophysiology of heart failure is due to: • A: inadequate cardiac output to meet the metabolic and oxygen demands of the body 83. The leading cause of disability worldwide is: • A: depression 84. Which of the following patients has the highest risk for the development of osteoporosis? • A: A 5’4” Asian female weighing 95 lbs 85. 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 risk factor for osteoporosis for Mrs. G is : • A: Age 86. The NP orders bilateral wrist X-rays on a 69-year-old gentleman c/o of pain in both wrists for the past 6 weeks not related to any known trauma. The NP suspects elderly onset RA. The initial radiographic finding in a patient with elderly onset RA would be: • A: soft tissue swelling 87. The NP is reviewing a patient chart prior to the start of the encounter. The NP notes that the patient is using topical CAPSAICIN. The NP knows that topical capsaicin id often used for treatment of: • A: Diabetic neuropathy 88. Which of the following statements about OA is true? 13 • A: It affects primarily weight bearing joints 89. MJ presents to the clinic with the following hx and presentation: hx of structural damage with current s/s of HF. Treatment will be based on MJs stage of HF which is: • A: Stage C 90. Dietary supplements such as Omega 3 (fish oils) are often taken for cardioprotective benefit. The NP knows regarding Omega 3 consumption: • A: randomized control trials have found no reduction in morbidity or mortality 91. A 55-year-old Caucasian male pt follows up with you after referral to a cardiologist. The pt reports he thinks the medication is causing cough and sometimes he has difficulty breathing, which of the following medication was most likely prescribed? • A: Lisinopril 92. The prevalence of depression in nursing home residents is greater than adults living in the community: • A: 3-4 times 93. The NP orders bilateral wrist Xrays on a 69-year-old gentleman c/o of pain in both wrists for the past 6 weeks not related to any known trauma.