Final Exam: NR601/ NR 601 Primary Care
of the Maturing & Aged Family Practicum
Final Exam| Graded A Questions and
Verified Answers| 2023/ 2024 New
QUESTION
When assessing an elderly client who reports a tremor, which assessment findings would be
most reliable in identifying Parkinson’s disease?
a. cogwheel rigidity, bradykinesia, and macrographic
b. any presence of fever
c. symptoms of slowed movement, unstable angina and tremor
d. resting tremor, slow unsteady gait and cogwheel rigidity
Answer: d. resting tremor, slow unsteady gait and cogwheel rigidity
QUESTION
How does woman’s anatomy make them more susceptible to UTI’s
a. the female urethra is shorter
b. asymptomatic 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
Answer: a. the female urethra is shorter
QUESTION
Mrs. Smith, a 64 year old woman presents to the clinic for the first time and complains of
urinary incontinence and dyspareunia. She went through menopause 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 patient’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 consistent 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
Answer: b. mammogram
QUESTION
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 female 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
Answer: a. a 44 year old caucasian male with hypertension
QUESTION
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
Answer: a. diabetes, obesity and hyperlipidemia
QUESTION
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. NSAIDS
b. Opioids
c. Corticosteroids
Answer: b. Opioids
QUESTION
According to the New York Heart Association (NYHA) functional classification, patients who
have symptoms only with marked exertion are classified as:
a. Class II
b. Stage 1
c. Class I
d. Class IV
Answer: a. Class II
QUESTION
Which of the following assessments are commonly noted in a client with Parkinson’s disease:
a. exaggeration of rapid successive movements
b. increased arm swing
c. macrographia and bradycardia
d. micrographia and bradykinesia
Answer: d. micrographia and bradykinesia
QUESTION
The most common neurological cause of seizures in an older adult is:
a. multiple sclerosis
b. stroke
c. alzheimemrs disease
d. peripheral neuropathy
Answer: b. stroke
QUESTION
Patients with osteoarthritis of the hip and knee have a distinguishable gait described as:
a. antalgic
b. festinating
c. steppage
d. ataxic
Answer: a. antalgic
QUESTION
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. <140/80
b. <120/80
c. <130/80
d. <150/90
Answer: c. <130/80
QUESTION
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
Answer: d. symptoms of hypomania or mania