NR601 Midterm Exam Q&A at Chamberlain College of Nursing (2024), Exams of Nursing

Download NR601 Midterm Exam Q&A at Chamberlain College of Nursing (2024) and more Exams Nursing in PDF only on Docsity! 1NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 NR601MIDTERMEXAM– QUESTIONWITHANSWERS(LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 1. ThepercentageoftheFVCexpiredinonesecondis: a. FEV1/FVCratio 2. Theagingprocesscauseswhatnormalphysiologicalchangesintheheart? a. Theheartvalvethickensandbecomesrigid,secondarytofibrosisandscler osis. 3. A 55yo Caucasian male follows up after referral to cardiologist. He thinks his med is causingacoughandsometimeshehasdifficultybreathing.Whichmedwasmostlikely prescribed? a. Lisinopril 4. JMisa68yomanwhopresentsforaphysical.HehasT2DMx5yrs,smokes1/2PPD,BMI is 30. No other previous medical dx, no current complaints. According to the AHA/ACC guidelines, JM is stage A HF. Treatment goals for him include: a. Hearthealthylifestyle 5. MJpresentswithh/ostructuraldamagewithcurrents/sofHF.Treatmentwillbebased on his stage of HF, which is: a. StageC 6. 65yoCaucasianfemalepresentswithmitralvalvestenosis,physicalexam unremarkable. You know her stage of HF is: a.B 7. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning after strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise 0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest. Occasional nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by limitingactivity.Painisworsetoday,didnotgoawayafterstoppedwalking.BP120/80, HR 72 and regular. Normal heart sounds, no murmur, S1, S2. Which differential dx would be most likely? a. Coronaryarterydzw/anginapectoris 2NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 8. Thebestwaytodxstructuralheartdz/dysfunctionnon-invasivelyis: a. Echocardiogram 9. Chronicpaincanhavemajorimpactonpt'sabilitytofunctionandhaveprofound impact on overall QOL. Ongoing pain may be linked to: a. Depression,sleepdisturbance,decreasedsocialization 10.TheBeerscriteriaareappropriateforuseinevaluatinguseofcertainmedsinpts: a. >65yo 11.Ptpresentswithc/oincreasingSOB,coughw/occasionalwhitesputum,fatigue.Aspart of the plan you order labs. You know the likelihood of HF is low if the BNP is: a. <100 12.Allofthefollowingstatementsaretrueaboutlabvaluesinolderadultsexcept: a. Normalrangesmaynotbeapplicabletoolderadults b. Abnormalfindingsareoftenduetophysiologicalaging c. Referencerangesarepreferable d. Referencesvaluesarenotnecessarilyacceptablevalues a. B 13.Accordingtothe2017ACCHTNguidelines,therecommendedBPgoalfora65yo African American woman w/a h/o HTN and DM and no h/o CKD is: a. <140/80 14.ThepathophysiologyofHFisdue to: a. InadequatecardiacoutputtomeetthemetabolicandO2demandsofthebody 15.A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough w/increased sputum, worse in the AM, occurring over past 3 months. She tells you, "I havethesamethingyearafteryear."Whichofthefollowingchoiceswouldyouconsider strongly in your critical thinking process? a. Chronicbronchitis 5NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 33.Afluoroquinolone(Cipro)isprescribedforamaleptw/aUTI.Whatshouldyouteach him regarding this med? a. Itseffectivenessisdecreasedbyantacids,iron,orcaffeine 34.Pthasbeenrx'dmetformin(Glucophage).Onewklater,hereturnsw/loweredBGLbut c/o loose stools during the week. How should you respond? a. ReassurehimthatthisisananticipatedSE 35.Whichofthefollowings/sofhyperthyroidismcommonlymanifestinyounger populations, but is notably lacking in elderly? a. Exopthalmos 36.60yoobesemalehasT2DMandlipidpanelofTC=250,HDL=32,LDL=165.Youteach him about his modifiable cardiac risk factors, which include: a. DM,obesity,hyperlipidemia 37.Diabeticptpresentsw/Rfootpainbutdeniesanyrecentknowninjury.Hestatesithas gottenprogressivelyworseoverpastfewmonths.Onexam,vibratorysense,aswellas sensation tested w/monofilament, was abnormal. Pt's foot is warm, edematous, misshapen. You suspect Charcot foot. What intervention is indicated? a. Referraltoorthopedist 38.Whatisas/sofinsulinresistancethatcanpresentinAfricanAmericans? a. AcanthosisNigricans 39.Duringroutineexamof62yofemale,youIDxanthelasmaaroundbotheyes.Whatisthe significance of this? a. Abnormallipidmetabolismrequiringmedicalmanagement 40.Mr. White is 62yo, had CKD that has been relatively stable. He also has h/o hyperlipidemia,OA,HTN.Heiscompliantw/meds,BPhasbeenwellcontrolledonCCB. Last lipidsshowed: TC =201, HDL =40,TG=180, LDL=98.He currentlytakesCrestor 20mg daily. Today his BP is 188/90 and urine dip shows significant proteinuria. He denies changes in dietary habits or med regimen. What would be the best med change at this point? a. ChangeCCBtoACEi 6NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 41.You are working as NP in Fast Track of ER. 76yo male presents w/LUQ pain. There can bemanyconditionsthatpresentasLUQpain,butwhichofthefollowingisleastlikelyto cause pain here? a. Acutepancreatitis 42.Whichiscardinalfeatureoffailuretothrive? a. Poornutritionalstatus 43.Feedinggastrostomytubesatend-of-lifeAlzheimer'spt'shavebeenassociatedwith: a. Aspirationpna 44.Whichofthefollowingnutritionalindicatorsisnotanindicationofpoornutritional status in elderly? a. BMI25 45.OAofcervicalandlumbarspinecausespainrelatedtoallofthefollowingexcept: a. Crystaldeposition 46.IndifferentiatingOAfromchronicgout,pseudogout,orsepticarthritis,themost valuable diagnostic study would be: a. Synovialfluidanalysis 47.Pt'sw/OAofhipandkneeoftenhavedistinguishablegaitdescribedas: a. Antalgic 48.Whichofthefollowingbestdescribespainassociatedw/OA? a. Beginsuponarisingandafterprolongedwtbearingand/oruseofthejoint 49.JointeffusionstypicallyoccurlaterinthecourseofOA,especiallyinthe: a. Knee 50.YouorderedCBCforyourptyoususpecthaspolymyalgiarheumatica(PMR).Which2 clinical findings are common in pt's w/PMR? a. Normochromic,normocyticanemiaandthrombocytosis 7NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 51.You suspect your pt has PMR and now are concerned that they may have Giant Cell Arteritis(GCA)too.Whichofthefollowing2symptomsaremostindicativeofGCAand PMR? a. Scalptendernessandachinginshoulderandpelvicgirdle 52.63yo Caucasian pt w/PMR will begin Tx w/corticosteroids until the condition has resolved.Youlookoverherrecordsandithasbeen2yrssinceherlastphysicalexam and any labs or diagnostic tests as she relocated and had not yet ID'd a provider. In prioritizing your management plan, your first orders should include: a. Duel-energyx-ray(DEXA)scanandupdatingimmunizations 53.WhichofthefollowingDDforpt'spresentingw/PMRcanberuledoutw/amuscle biopsy? a. Polymyositis 54.Inreviewinglabresultsforpt'sw/suspectedPMR,yourealizethereisnodefinitivetest to dx PMR, rather clinical response to Tx. Results you would expect to see include: a. Elevatederythrocytesedrate(ESR)>50 55.Whichofthefollowingisthemostappropriatelabtestformonitoringgouttherapyover the long-term? a. Serumuratelevel 56.Inprovidinghealthteachingrelatedtodietaryrestrictions,youshouldadviseapt w/gout to avoid which of the following dietary items: a. Beer, sausage,friedseafood 57.Thebestmethodofverifyinggoutdxinajointiswhichofthefollowing: a. Jointaspirationandpolarized-lightmicroscopy 58.Themostappropriatefirst-lineTxforacutegoutflareis(assumingnokidneydzor elevated bleeding risk): a. Indomethacin50mgTIDx2days,then25mgTIDx3days 59.You order bilat wrist XR on 69yo man c/o pain both wrists x6 wks no related to any knowntrauma.YoususpectearlyonsetRA.TheinitialXRfindinginaptw/elderlyonset RA would be: a. Softtissueswelling 10NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 80.Whatinsectprecautionsarenotnecessarytopreventinsect-bornedz'sinthetropics? a. Using100%DEETonskintopreventbites 81.Anexampleofsecondarypreventionyoucouldrecommend/orderforolderadults would be to: a. Checkforfecaloccultblood 82.Aliisa72yomanwhorecentlycametoUSfromNigeria.HereportshavingBCG(bacille Calmette-Guerin) vax as a child. Which of the following is correct regarding a TB skin test? a. Vaxhxisirrelevant;readasusual 83.Leoisa62yoAfricanAmericanmalewhocomesinforaninitialvisit.Personalhealthhx includes smoking 1 PPD since 11yo, consuming a case of beer (24 bottles) every weekend, and working as an assembler (sedentary job) for the past 10yrs. Fam Hx in first-degree relatives includes HTN, high cholesterol, MI, T2DM. Leo's BMI is 32. BP is 130/86. You order fasting glucose, lipid profile, and return visit for BP check. This is an example of: a. Secondaryprevention 84.AlocalchapterofNPorganizationhasbegunplanningacommunity-basedscreeningfor HTN at a local congregate living facility. This population was selected on the basis of: a. Arecognizedelementofhighriskwithinthisgroup. 85.PerformingROMexercisesonaptwhohashadaCVAisanexampleofwhichlevelof prevention? a. Tertiary 86.Youdemonstrateanunderstandingofprimarypreventionoffallingamongtheelderly through which management plan? a. Provideinfoaboutmeds,SE,interactions 87.Anexampleofanactivestrategyofhealthpromotionforanindividualtoaccomplish would be: a. Beginningstressmanagementprogram 88.The4maindomainsofclinicalpreventiveservicesthatyouwillprovideare: a. Counselinginterventions,screeningtests,immunizations,chemoprophylaxis 11NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 89.WhatistheappropriatemethodforTBscreeningofanolderadultenteringanursing home? a. 5TBUintradermalPPDinjectionandifnegative,repeatw/samedoseoneweek later 90.Medsknowntocontributetoconstipationincludeallofthefollowingexcept: a. Broad-spectrumabx 91.Allofthefollowingareconsideredcontributorstodysphagiaexcept: a. Smoothmusclerelaxants 92.Theterm"geriatricsyndrome"isbestdescribedas: a. Conditionthathasmultipleunderlyingfactorsandinvolvesmultiplesystems 93.Theanalwinkreflexisusedtotest: a. Sensationandpudentalnervefunction 94.Atypicalpresentationofacutecoronarysyndromeis: a. Morecommoninfemales 95.Whatdzcanmimicandoftenco-existsw/MIinelderlyw/CAD? a. Esophagealdz 96.Thoracicaorticdissectionpresentstypicallyas: a. SevereretrosternalCPthatradiatestothebackandbotharms 97.Bordetellapertussisisbestcharacterizedby: a. Sub-acutecoughlasting>2wks 98.RoutinetestingofTBshouldoccurinallofthefollowingvulnerablepopulationsexcept: a. Hospitalizedelderly 99.Whichofthefollowingstatementsaboutfluidbalanceinelderlyisfalse? a. Assessmentofskinturgoratthesternumisareliableindicatorofdehy dration in elderly. 12NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 100. Distinguishingdeliriumfromdementiacanbeproblematicsincetheymayco-exist. The primary consideration in the DD is: a. Rapidchangeandfluctuatingcourseofcognitivefunction 101. Presbystasisisbestdescribedas: a. Age- relateddisequilibriumofunknownpathologycharacterizedbygradualonset of difficulty walking 102. Ifdizzinesshasapredictablepatternassociatedw/it,youshouldfirstconsider: a. Hypoglycemia 103. Evidenceshowsthatthemostimportantpredictorofafallis: a. Priorh/oafall 104. Themostcost-effectiveinterventionsusedtopreventfallsare: a. HomemodificationsandvitDsupplements 105. Chronicfatiguesyndromeisbestdescribedas: a. Fatiguelastinglongerthan6moandnotrelievedbyrest 106. WhichformofHAisbilat? a. Tension 107. Microscopichematuriaisdefinedas: a. 3ormoreRBCson3ormorsamplesof urine 108. Riskfactorsassociatedwiththefindingofamalignancyinaptw/hemoptysis include all of the following except: a. Childhoodasthma 109. Recentwtlossisdefined as: a. Lossof>10lbsoverthepast3-6mo 110. Themostcommoncauseofdisabilityinelderlyisdueto: a. Arthritis 15NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 131. 72yowomanandherhusbandaredrivingcross-country.Afteralongdayofdriving, they stop to eat. Midway through the meal, the woman becomes very SOB w/CP and a sense of panic. Which problem is most likely? a. Pulmonaryembolism 132. Exerciserecommendedforelderlyshouldincludeactivitiesthat: a. Strengthenmuscles 133. Preferredamountofexerciseforelderlyis: a. 30minofaerobicactivityaday5daysaweek 134. Whichofthefollowingmedicalconditionsisnotconsideredrestrictiveforengaging in physical activity? a. Depression 135. Thebestrecommendationforaptwhosaystheyhavenoequipmenttoexerciseis: a. Improvisew/recommendedobjectsathomethatcanbeused 136. Whenyourecommendexerciseforelderly,whichofthefollowingpiecesofadvice should be considered for all types of exercise? a. Startlowandgo slow 137. Allofthefollowingstatementsaretrueaboutlabvaluesintheelderlyexcept: a. Abnormalfindingsareoftenduetophysiologicalaging 138. Biochemicalindividualityisbestdescribedas: a. Eachindividual'svariationisoftenmuchsmallerthanthatofalargergroup 139. Allthefollowingstatementsaboutdrugabsorptionarefalseexcept: a. Underlyingchronicdzhaslittleimpactondrugabsorption 140. Thecytochromepsysteminvolvesenzymesthataregenerally: a. Inhibitedorinducedbydrugs 141. Astatementnotshowntobetrueaboutpharmacodynamicchangeswithagingis: a. Decreasedsensitivitytooralanticoagulants 16NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 142. Themajorimpactofthephysiologicalchangesthatoccurw/agingis: a. Reduced physiological reserveReducedhomeostaticmech anismsImpairedimmunolgoicalres ponse 143. Thestrongestevidenceregardingnormalphysiologicalagingisavailablethrough: a. Longitudinalstudies 144. Pharmacokineticchangesw/agingisreflectiveof: a. Whatthebodydoestothedrug 145. Allofthefollowingstatementsaretrueaboutdrugdistributionintheelderlyexcept: a. Drugsdistributedinwaterhavelowerconcentration 146. Menhavefasterandmoreefficientbiotransformationofdrugsandthisisthoughtto be due to: a. Testosterone 147. Atypicalpresentationofdzinelderlyisreflectedbyallthefollowingexcept: a. MIw/CPanddiaphoresis 148. Polypharmacyisbestdescribedastaking: a. Evenasinglemedifthereisnotaclearindicationforitsuse WhatarePFTs? Groupofteststhatprovidequantifiablemeasurementoflungfunction,usedtodxresp abnormalities or assess progression/resolution of lung dz. WhatisFEV1? ForcedExpiratoryVolumein1second(80-120%) WhatisFVC? ForcedVitalCapacity(80-120%) WhatisnormalFEV1/FVCratio? <0.7(70%) WhatisGOLD1criteria? Mild FEV1>/=80%predicted What isGOLD2criteria? Moderate FEV150-79% predicted WhatisGOLD3criteria? Severe FEV130-49% predicted WhatisGOLD4criteria? Very severe FEV1<30%predicted WhatarethesignalsymptomsofCOPD? 17NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 Whatisthemajordifferencebetweenvaricoseveinsandatherosclerosis? Vessels that are affected PthashadpoorlycontrolledHTN>10yrs.Indicatethemostlikelypositionofhis PMI. c. 5thICSleftof MCL 43yohispanicmalehasaudiblediastolicmurmurbestheardatthemitralpoint.Noaudible click. He has been monitored for 2yrs. What is the most likely murmur? d. Mitralstenosis 20NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 Cough DyspneaWt loss Anorexia Hemoptysis WhatislungCA? Malignantneoplasmoriginatinginparenchymaoflung/airways WhataresignalsymptomsofMI? ProlongedCP(>20minduration) SOB Confusion Weakness WorseningHF WhatisanMI? NecrosisofhearttissuecausedbylackofbloodandO2supplytotheheart Whataresignalsymptomsofpneumonia? Fever Chills Hypothermia Newcoughw/orw/outsputum Chest discomfort or dyspnea Fatigue HA Someolderadultswillbeasymptomaticbutmayexperiencefalls/confusion Whatiscommunityacquiredpneumonia? Acutelowerresptractinfectionoflungparenchyma. Can be bacterial or viral. Bacterialismostcommoninolderadults. WhataresignalsymptomsofaPE? Dyspnea CPoninspiration Anxiety Presentationisvariable Symptoms nonspecific Some asymptomatic WhatisPEdescription? Occlusionofoneormorepulmonaryvesselsbytravelingthrombusoriginatingfromdistant site. 21NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 Whataresignalsymptomsoftuberculosis? Initially asymptomatic Later:productive,prolongedcough Fatigue Low-gradefever Night sweats Poor appetite Hemoptysis Wtloss Fever/sweatsarelesscommoninelderly Symptomsinelderlyareoftenattributedtoothercomorbidities What is tuberculosis? Chronic,necrotizinginfectioncausedbyslow-growingacid-fastbacillus(Mycobacterium tuberculosis). Mostcommoncauseofdeathrelatedtoinfectiousdzworldwide. What are signal symptoms of valvular heart dz? Asymptomaticinearlystages Fatigue Exertionaldyspnea Whatisvalvularheartdz? Damagetovalve(s)oftheheart,causingcardiacdysfunction. Mostprevalenttypesinelderly:calcificanddegenerativeaorticvalvedz What is aortic stenosis? Abnormalnarrowingofaorticvalveorifice Whatisaorticregurgitation? RetrogradebloodflowthroughincompetentaorticvalveintoLventricleduringventricular diastole Whatismitralstenosis? Abnormalnarrowingofmitralvalveorifice Whatismitralregurgitation? RetrogradebloodflowduringsystolefromLventricleintoLatriumthroughincompetent mitral valve Whatismitralvalveprolapse? 22NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 MitralregurgitationassociatedwithbulgingofoneorbothmitralvalveleafletsintoL atrium during ventricular systole WhataremostcommoncausesofVHDinelderly? Age-related degenerative calcifications Myxomatous degeneration Papillarymuscledysfunction Infective endocarditis Rheumatic dz Whathappensinvalvularregurgitation? Portionoftheejectedbloodleaksbackintotheupstreamcardiacchamber Whathappensinvalvularstenosis? Usuallyresultsinelevatedpressuresinthechamberupstreamfromthestenosis What are signal symptoms of URI? Nasal congestion Rhinorrhea/mucopurulentdischarge Sore throat Cough HA Malaise Whatisa URI? Mostfrequentlycalledthecommoncold Usually caused by virus Resultsinnasalpassageinflammation Mostareself-limiting,accompaniedbyminorcomplaints IncludedinURIdx:acutelaryngitis,acuterhinosinusitis,acutepharyngitis Whataresignalsymptomsofrestrictivelungdz? Rapid, shallow respirations Dyspnea Decreasedactivitytolerance Easily fatigued Nonproductive,irritatingcoughprovokedbydeepbreathing/exertion Whatisrestrictivelungdz? Heterogenousgroupofdisordersthatsharecommonabnormalventilatoryfunction. Characterized by small tidal volume, rapid rate. Hallmarkrestrictivepatternisdecreasedlungvolm,esp.totallungcapacityandvital capacity. Whatisthepurposeoffunctionalassessmentoftheelderly? WhatisthenormalBNPlevel? <100pg/mL(indicatesHFisunlikely) Whatisnormal BP? <120/80 Whatis"elevated"BP? 120-129/<80 WhatisStage1HTN? 130-139 OR 80-89 WhatisStage2HTN? >/=140or>/=90 WhatisrecommendedBPforDM? <130/80 WhatisrecommendedBPforCKD? <130/80 HowshouldHTNbemanaged? Stage2andupshouldbegivenconsiderationforpharmtreatment. Others can wait for lifestyle modification. Whatisfirst-linemedsfornon-blackHTNpopulation(includingthosew/DM)? Thiazide, CCB, ACEi, or ARB, either alone or in combo WhatisthemedguidelineforASCVDforthose</=75yo? High-intensitystatin(atorvastatin/Lipitor40-80mg,rosuvastatin/Crestor20mg) WhatisthemedguidelineforASCVDforthose>75yo? Moderatestatin(atorvastatin10mg,rosuvastatin5mg,simvastatin/Zocor20-40mg, pravastatin/Pravachol 40mg, lovastatin/Mevacor 40mg, fluvastatin 40mg BID) WhatistheguidelineformedsforLDL>/=190? Highintensitystatin(atorvastatin/Lipitor40-80mg,rosuvastatin/Crestor20mg) WhatisthemedguidelineforASCVDfor40-75yow/DM? 25NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 Chronicinotropes TemporaryorpermanentMCS Experimental surgery/drugs Palliative care, hospice ICDdeactivation 26NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 Their10yrriskis>7.5%,sohighintensitystatin(atorvastatin/Lipitor40-80mg, rosuvastatin/Crestor 20mg) WhatisthemedguidelineforLDL70-189? Their 10yr risk is <7.5%, so moderate intensity statin (atorvastatin/Lipitor 10mg, rosuvastatin/Crestor 5mg, simvastatin/Zocor 20-40mg, pravastatin/Pravachol 40mg, lovastatin/Mevacor 40mg, fluvastatin 40mgBID) WhatistheASCVDmedguidelinefor40-75yow/outASCVDorDM? Their 10yr risk is >7.5%, so moderate to high intensity statin ThemedslistedinBeersCriteriaarenotabsolutelycontraindicatedinelderly. True TheBCrecommendationsaregradedashigh,medium,lowtoassistw/decisionmaking.True TheBClistincludesdosageadjustmentsforkidneyimpairment. True TheBClistincludesdrugtodruginteractionstoavoid.Tru e ResponsibleprescribingisanimportantroleofNPandBCcanassistindeterminingthesafest meds for geri pts. True Whatvaccinationisrecommendedforpeopletravelingtocountrieswheredziscommon? Hep A HowisHepAvaxgiven? Twodoses:initialatleast4wksbeforedeparture,seconddose6-12molater. WhenisHepBvaxrecommended? High-riskpeople(IVdrugusers,personsw/multiplepartners) HowisHepBvaxgiven? Initial dose 1molater:2nddose 4-6moafter2nd:3rddose When is Zostavax recommended? Anyoneover60yo,givenassingledose Canpeoplewhohavehadpriorepisodeofzosterbe vaccinated? 27NR601MIDTERMEXAMQUESTIONWITHANSWERS (LATEST,GRADEDA) (CHAMBERLAINCOLLEGEOF NURSING) 2024 Yes Whenisfluvaxrecommended? Annually for all adults >50yo WhenshouldDTaPbegiven? Onceinalifetimeforalladults,thenTdboosterevery10yrs. Whenispneumococcalvaxrecommended? Once for 65yo and older Younger adultsw/severechronichealth conditions Whatisprimaryprevention? Activitiestopreventoccurrenceofdzoradversehealthcondition,includingmentalhealth. Whatisosteoporosis? Skeletaldisordercharacterizedbyimpairedbonestrengththatpredisposestoincreased risk of fracture. Canoccurfromnotonlybonelossbutalsofromfailureearlierinlifetomakesufficient bone. Primary:duetoaging(increasedboneresorption/reducednewboneformation) Secondary: consequence of underlying medical condition/drug Whatares/sofosteoporosis? Sometimesnotseenuntilfracturesustainedspontaneouslyorafterminimaltrauma, usually in thoracic/lumbar vertebrae, hip, wrist, humerus, pelvis. Witheachfracture,riskofanotherincreasesexponentially. Loss of height, kyphosis development. XR: bones appear osteopenic (at least 30% loss in bone mass); spine shows loss of horizontalvertebraltrabeculae,accentuatingendplates,producingbiconcave"codfish" vertebrae; maybe compression fracture. Whatarediagnostictestsforosteoporosis? XR DEXA(screenallwomen>65yo,hip/spine;testearlierifmajorriskfactorspresent;repeat every 3- 5yrs depending on degree) WhatisT-scoreof-2.5orlowerindicativeof? Osteoporosis