NR 601 FINAL EXAM CHAMBERLAIN NEWEST

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NR 601 FINAL EXAM (CHAMBERLAIN) NEWEST

ACTUAL EXAM| PRIMARY CARE OF THE MATURING

AND AGED FAMILY EXAM WITH 100 REAL EXAM

QUESTIONS AND CORRECT ANSWERS (VERIFIED

ANSWERS) ALREADY GRADED A+|| BRAND NEW!!

Which of the following would you recommend annually for the elderly type 2 diabetic?

• periodic visits to a gastroenterologist
• colonoscopy
• follow up with a urologist
• eye exam with an opthlamologist - Correct Answer - d. eye exam with

an opthlamologist

Which characteristic of delerium helps to distinguish it from dementia?a, short term memory impairment

• personality changes
• acute onset
• impaired attention - Correct Answer - c. acute onset

The majority of patients enrolled in hospice care die:

• in the hospital
• in an inpatient hospice facility 1 / 4

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• in a nursing home
• at home - Correct Answer - d. at home

A middle aged patient has been diagnosed with Parkinson's disease.What influences the nurse practitioners decision to begin pharmacological treatment for this patient?

• medications initiated at first sign of unilateral involvement
• gait instability requiring the use of a cane
• intentional tremors
• symptoms interfering with functional ability - Correct Answer - d.

symptoms interfering with functional ability

Which of the following is a role of the advanced practice nurse in palliative cancer care?

• detecting cancer in asymptomatic paitents or those with specific

symptoms

• arranging for follow up including patiennts
• identifying and managing complications of care
• all of the above - Correct Answer - d. all of the above

A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as a new patient. He takes metformin 500mg 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 ACC 2017 guidelines for high blood pressure in adults, what is the most appropriate first line medication?

• lisinopril 2 / 4

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• furosemide
• amlodipine
• clonidine - Correct Answer - a. lisinopril

An older male patient is experiencing acute onset of right sided weakness, slurred speech and confusion. What should the nurse practitioner do promptly?

• order an EKG and administer O2 by cannula immediately
• Do a through medication review and stat blood sugar
• evaluate for a stroke and arrange transport to the hospital right away
• administer an aspirin by mouth - Correct Answer - c. evaluate for a

stroke and arrange transport to the hospital right away

When treating depression associated with dementia, which of the following would be a poor choice and not be prescribed

• desimpramine
• amitryptyline
• fluoxitine
• mirtazapine - Correct Answer - b. amitryptyline

Male patient presents with a BMI of 30 presents to the office for an annual exam. You are reviewing the lab results. You ordered a CMP as

part of routine labs. The fasting glucose was 130. Your next action is:

• repeat the fasting glucose
• start metformin 500mg BID 3 / 4

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• repeat fasting glucose in 1 year
• call the patient and report lab results as normal - Correct Answer - a.

repeat the fasting glucose

The NP knows that medications can trigger or worsen heart failure. With this knowledge in mind, the NP will avoiding prescribing the following classes of medications

• benzodiazepines
• macrolides
• muscle relaxants
• NSAIDS - Correct Answer - d. NSAIDS

The elderly are at high risk for delerium because of:

• multiple medical problems
• multisensory deficits
• polypharmacy
• all of the above - Correct Answer - d. all of the above

A 68 year old woman presents with a complaint of urine leakage whenever she sneezes, laughs or strains for the past 4 months. She denies dysuria, frequency and nocturia. US dipstick is negative for RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What is the diagnosis?

• stress incontinence
• urinary incontinence
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