NR 601 MIDTERM EXAM NR601 MIDTERM EXAM: ACTUAL

NR 601 MIDTERM EXAM / NR601 MIDTERM EXAM: ACTUAL

EXAM WITH CORRECT DETAILED ANSWERS/A+ GRADE

|CHAMBERLAIN

NR601 FINAL EXAM

• Which of the following statements is NOT true about palliative care teams?

• A: Provide weekly home visits

• A 55-year-old woman 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

• According to the sexuality presentation, atrophic vaginitis (AV)

• A: Is a contributing factor for frequent UTIs

• 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

• 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

• A patient has been prescribed Metformin (Glucophage). One week

later he returns with lowered blood sugars but complaints of some 1 / 3

loose stools during the week. How should the NP respond?

• A: Reassure the patient that this is an anticipated side effect

• A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL

= 32, LDL=

• The NP teaches the patient about his modifiable cardiac risk factors which

include:

• A: Diabetes, obesity, and hyperlipidemia

• Lifestyle approaches to postmenopausal symptom management include

• A: avoiding sugar, coffee, chocolate and alcohol

• When treating depression associated with dementia, which of the

following would be a poor choice and should not be prescribed?

• A: Amitriptyline

• How does women’s anatomy make them more susceptible to UTIs?

• A: the urethra is shorter

• Which of the following is a role of the advanced nurse in ?????

• A: All of the above

11. All of the following statements are true regarding anxiety EXCEPT:

• A: is a normal part of aging

• A 48-year-old male patient screened for diabetes has a fasting plasma glucose

level of 120 mg/dl.

The NP plan includes

• A: Educate the patient of lifestyle changes to lower blood glucose

• / 3

• Which of the following assessments are commonly noted in a client with

Parkinson’s disease?

• A: Micrographia and bradykinesia

• A 76-year-old man is seen in the office for c/o urinary incontinence.

The clinician should explore which of these causes of incontinence in men?

• A: Urinary Tract Infection (UTI)

• Which of the following maneuvers is contraindicated in acute prostatis?

• A: Massaging the infected prostate

• 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

• 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

• The highest level of evidence to support interventions at the end of life is with:

• A: opioids for dyspnea

• / 3