NUR 601 WEEK-2 ACTUAL STUDY GUIDE 160

NUR 601 WEEK-2 ACTUAL STUDY GUIDE 160

ACCURATE QUESTIONS AND ANSWERS -

The major impact of the physiological changes that occur with aging is:

• impaired immunological response
• reduced physiological reserve
• reduced homeostatic mechanisms
• all options are correct - CORRECT ANSWER-d. all options are correct

A 65-year old caucasian female presented to your clinic with the following history and symptoms: mitral valve stenosis, physical exam unremarkable. The NP knows this patients stage of heart failure

is:

• Stage D
• Stage C
• Stage B
• Stage A - CORRECT ANSWER-c. Stage B

According to the 2017 American College of Cardiology (ACC) hypertension guidelines, a normal blood

pressure is:

• <120/80
• <130/90
• <140/80
• <140/90 - CORRECT ANSWER-a. <120/80

The aging process causes what normal physiological changes in the heart?

• hypertrophy of the right ventricle
• dilatation of the right ventricle occurs with sclerosis of pulmonic and tricuspid valves
• cardiology occurs along with prolapse of the mitral valve and regurgitation. 1 / 3

• the heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis - CORRECT

ANSWER-d. the heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis

All of the following statements are true about laboratory values in older adults except:

• reference values are not necessarily acceptable values
• abnormal findings are often due to physiological aging
• Reference rages are preferable - CORRECT ANSWER-b. abnormal findings are often due to

physiological aging

The best recommendation for a patient who states they have no equipment to exercise would be:

• improvise with recommended objects at home
• have a personal trainer come to the home three times a week
• borrow free weights from friends or family
• sign a contract for a years membership to a local gym - CORRECT ANSWER-a. improvise with

recommended objects at home

The organism most commonly responsible for community aquired pneumonia in older adults is:

• streptococcus pneumonia
• staphylococcus aureus
• pseudomonas aeruginoa
• proteus mirabilis - CORRECT ANSWER-a. streptococcus pneumonia

JM presents to the office today with CP. He is asymptomatic, his ekg is normal, and his exam is normal. According to the ACC/AHA guidelines, the provider should classify JM's HF as:

• stage B
• stage D
• Stage C
• Stage A - CORRECT ANSWER-d. Stage A

According to the 2017 American College of Cardiology (ACC) hypertension guidelines the recommended blood pressure goal for a 65-year old African American woman with a history of HTN

and Diabetes and no history of chronic kidney disease is:

• <120/80 2 / 3

• <140/80
• 140/90
• <130/80 - CORRECT ANSWER-d. <130/80

What is the most common valvular heart disease in the older adult

• aortic stenosis
• mitral stenosis
• mitral regurgitation
• aortic regurgitation - CORRECT ANSWER-a. aortic stenosis

A 60-year old woman with a 30-pack year history, presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, I have the same thing, year after year. which of the following choices would you consider strongly in your critical thinking process

• seasonal allergies
• acute bronchitis
• bronchial asthma
• cant see the answer - CORRECT ANSWER-d. cant see the answer

MJ presents to the clinic with the following history and presentation: history of structural damage with current signs and symptoms of heart failure. Treatment will be based on MJ's stage of heart

failure which is:

• Stage A
• Stage D
• Stage B
• Stage C - CORRECT ANSWER-d. Stage C

The total volume of air a patient is able to exhale in the first second during maximal effort is:

• FVC
• TLC (total lung capacity)
• FEV1
• FEV1/FVC ratio - CORRECT ANSWER-c. FEV1
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