NR 667 Practice Exam Week 2 Actual

NR 667 Practice Exam Week 2 Actual Exam Latest Update Questions and Correct Answers Rated A+

An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's request to discuss medication management. Current medications include metformin (Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily, and insulin detemir (Levemir), 60 U

daily. Lab values are: A1c = 10.4% [normal = less than 7.0%], fasting

blood glucose = 180-190 mg/dL range [normal = less than 99 mg/dL].Which of the following regimens should the nurse practitioner recommend?

Basal insulin only, continuing oral medications Switching to glargine (Lantus) Basal and rapid-acting insulin Rapid-acting insulin only, continuing oral medications -ANSWER- Basal and rapid-acting insulin

Patients on levothyroxine should be monitored for signs of which one

of the following:

Angina pectoris and dysrhythmias Increased constipation and cramping Focal deficits and hyperreflexia Pedal edema and discomfort -ANSWER-Angina pectoris and dysrhythmias

A patient is having increased thirst and urination. You have ruled out diabetes mellitus. After a compete history and physical you suspect diabetes insipidus. Your initial lab tests should include?

Renal US and 24-hour urine for volume Plasma sodium, 24-hour urine osmolality and volume Plasma sodium and renal US Recording Intake and output -ANSWER-Plasma sodium, 24-hour urine osmolality and volume

An adult patient presents with tachycardia and nervousness. The patient is currently taking levothyroxine (Synthroid), 75 mcg daily. The nurse practitioner orders a thyroid-stimulating hormone (TSH) and

anticipates having to:

add atenolol, 50 mg daily.raise the dose to 100 mcg daily.continue the same daily dose.lower the dose to 50 mcg daily. -ANSWER-lower the dose to 50 mcg daily.

All the following are symptoms of hypocalcemia except:

Abdominal pain Visual field deficits Tetany Paresthesia in fingers and toes -ANSWER-Visual field deficits

An adult male is seen for an initial visit. He denies tobacco, drug, or alcohol use. He has a sedentary lifestyle and no family history of diabetes. BP = 120/80, P = 76, and BMI = 31. Which of the following diabetes screening tests should the nurse practitioner order?No screening is indicated until age 45 Urine for glycosuria Basic metabolic panel Fasting plasma glucose -ANSWER-Fasting plasma glucose

A 33-year-old woman presents with intermittent palpitations, anxiety, and heat intolerance. Her thyroid function tests reveal low TSH and high free T4. What is the most likely diagnosis?Hypothyroidism Hyperthyroidism Thyroiditis Graves' disease -ANSWER-Hyperthyroidism

A 40-year-old female presents with abnormal thyroid labs. Her labs

show: TSH 0.25 (0.4-5.69), Free T4 1.5 (0.5-1.1), TSI antibody

positive. You counsel her that:

She likely has autoimmune hypothyroidism and will need thyroid hormone replacement She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be helpful She likely has a multinodular toxic goiter Plan to monitor her for S&S and repeat labs in 6-8 weeks -ANSWER- She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be helpful

A 39-year-old male with type 1 DM is seen in the urgent care after a recent hospitalization for DKA. Treated with IV fluids, IV insulin, and potassium correction, His BS decreases to 120 mg/dL and is transitioned from IV insulin to Sub Q. After 6 hours he begins vomiting

and ABG is done: pH 7.19, CO2 13, K+ 5.5, glucose 180. Which of the

following is the most likely reason for persistent acidosis?

Failure to give bicarbonate Premature discontinuation of insulin drip Failure to correct hyperkalemia Lack of absorption of Sub Q insulin -ANSWER-Premature discontinuation of insulin drip

The management of COPD in the elderly is best guided by:

symptomatology.radiologic imaging.spirometry.arterial blood gases. -ANSWER-symptomatology.

A 92-year-old presents with a decline in personal care and increasing forgetfulness. They had a CVA a three years ago with mild cognitive changes then which has slowly progressed. The more likely diagnosis in this case is?Alzheimer's dementia Lewy-body dementia Progressive vascular dementia Mini-strokes -ANSWER-Progressive vascular dementia

A frail elderly patient presents with constipation. Which of the following normal physiologic changes seen with aging is the most likely cause?

Increased bile secretion Decreased bowel muscle tone Decreased pancreatic secretions Increased absorption of calcium -ANSWER-Decreased bowel muscle tone

Which is best performed to assess the risk for fall in an 88-year old adult?

Global screening assessment Get up and go test PHQ-2 questionnaire Clock-drawing test -ANSWER-Get up and go test