NR601 Nursing Final Exam With Answers (103 Solved Questions)

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NR 601 Final Exam Questions WithComplete Solutions 100% CorrectMr. A, experienced a brief onset of right sided weakness, slurred speech and confusionyesterday. The symptoms have resolved and the CT is normal. What is the next step ofthe plan for Mr.A?a. assure the patient that he will not experience the symptoms againb. identify modifiable cardiovascular risk factorsc. order ASA 81mg statd. order a stat EEG and administer O2 by mask-Correct Answer-b. identify modifiablecardiovascular risk factorsA 56-year old male patient screened for diabetes has a fasting plasma glucose level of96mg/dl. The nurse practitioner management plan includes:a. repeat fasting plasma glucose in three yearsb. prescribe Metformin 500mg po BIDc. repeat fasting plasma glucose in one yeard. refer to ophthalmology for eye exam-Correct Answer-a. repeat fasting plasmaglucose in three yearsRW, a 57 year old native American female, presents to the office. RW states she feelsirritable and has difficulty concentrating as well as fallingn asleep and staying aleep.She states she is worried about her finances, her husband has just lost his job. The NPdiagnoses anxiety. The NP prescribes a first line treatment which isa. Diazepamb. Clonazepamc. Ariprprazoled. Paroxetine-Correct Answer-d. ParoxetineThe most common sustained rhythmic disorder, which consists of fibrillatory p waves is:a. AV blockb. atrial tachycardiac. atrial fibrillationd. atrial flutter-Correct Answer-c. atrial fibrillationAccordingto the Sexually presentation, atrophic vaginitisa. the symptomsm are the same for each womanb. creates a more acidic vaginal environment

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c. is a contributing factor for frequent urinary tract infectionsd. is not treated with vaginal lubricants-Correct Answer-c. is a contributing factor forfrequent urinary tract infectionsWhich of the following is the most appropriate screening tool for delirium?a. St Louis University Mental Status Exam (SLUMS)b. Montreal Cognitive Assessmentc. Lawton Scale of instrumental Activities of Daily Livingd. Confusion Assessment Model-Correct Answer-d. Confusion Assessment ModelA drug that can be used to treat two very common symptoms in a dying patient (painand dyspnea_ is:a. lorazepamb. Gabapentinc. Methadoned. Morphine-Correct Answer-d. MorphineWhich of the following would you recommend annually for the elderly type 2 diabetic?a. periodic visits to a gastroenterologistb. colonoscopyc. follow up with a urologistd. eye exam with an opthlamologist-Correct Answer-d. eye exam with anopthlamologistWhich characteristic of delerium helps to distinguish it from dementia?a, short term memory impairmentb. personality changesc. acute onsetd. impaired attention-Correct Answer-c. acute onsetThe majority of patients enrolled in hospice care die:a. in the hospitalb. in an inpatient hospice facilityc. in a nursing homed. at home-Correct Answer-d. at homeA middle aged patient has been diagnosed with Parkinson's disease. What influencesthe nurse practitioners descision to begin pharmacological treatment for this patient?a. medications initiated at first sign of unilateral involvementb. gait instability requiring the use of a cane

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c. intentional tremorsd. symptoms interfering with functionalability-Correct Answer-d. symptoms interferingwith functional abilityWhich of the following is a role of the advanced practice nurse in palliative cancer care?a. detecting cancer in asymptomatic paitents or those with specific symptomsb. arrangingfor follow up including patienntsc. identifying and managing complications of cared. all of the above-Correct Answer-d. all of the aboveA 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as anew patient. He takes metformin 500mg twice a day. His last Hgb A1c was 7%. He is upto date on eye and foot examinations. His BP is 142/96. According to ACC 2017guidelines for high blood pressure in adults, what is the most appropriate first linemedication?a. lisinoprilb. furosemidec. amlodipined. clonidine-Correct Answer-a. lisinoprilAn older male patient is experiencing acute onset of right sided weakness, slurredspeech and confusion. What should the nurse practitioner do promptly?a. order an EKG and administer O2 bycannula immediatelyb. Do a through medication review and stat blood sugarc. evaluate for a stroke and arrange transport to the hospital right awayd. administer an aspirin by mouth-Correct Answer-c. evaluate for a stroke and arrangetransport to the hospital right awayThe NP knows that medications can trigger or worsen heart failure. With this knowledgein mind, the NP will avoiding prescribing the following classes of medicationsa. benzodiazepinesb. macrolidesc. muscle relaxantsd. NSAIDS-Correct Answer-d. NSAIDSMG, a 60 year old female presents with complaints of her "heart flipping in her chest"The NP wants to evaluate for arrhythmia. The nP knows that the cornerstone forarrhythmia evaluation includes:a. electrocardiogramb. physicalexaminationc. all options are appropriate

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d. history-Correct Answer-c. all options are appropriateThe elderly are at high risk for delerium because of:a. multiple medical problemsb. multisensory deficitsc. polypharmacyd. all of the above-Correct Answer-d. all of the aboveA 68 year old woman presents with a complaint of urine leakage whenever shesneezes, laughs or strains for the past 4 months. She denies dysuria, frequency andnocturia. US dipstick is negative for RBC's leukocyte esterase, nitrates, ketones andurobilinogen. What is the diagnosis?a. stress incontinenceb. urinary incontinencec. urge incontinenced. overflow incontninence-Correct Answer-a. stress incontinenceWhich of the following signs or symptoms are not characteristics of deliriuma. patient is coherentb. short durationc. sudden onsetd. symptoms are worse in the evenings-Correct Answer-a. patient is coherentA 52 year old female patient screened for diabetes has a fasting plasma glucose level of123 mg/dl. Thenurse practitioners plan includes:a. repeat fasting glucose in 1 monthb. prescribe memformin 500mg BID poc. repeat fasting plasma glucose in one yeard. repeat fasting glucose in three years-Correct Answer-c. repeat fasting plasmaglucose in one yearAccording to the palliative care presentation, most elderly patients die:a. aloneb. at homec. in institutionsd. in pain-Correct Answer-c. in institutionsOlder adults with dementia sometimes suffer from agnosia, which is defined as theinabilitytoa. remember events and places

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b. understand languagec. use languaged. recognize objects-Correct Answer-d. recognize objectsWhen treating depression associated with dementia, which of the following would be apoor choice and not be prescribeda.desimpramineb. amitryptylinec. fluoxitined. mirtazapine-Correct Answer-b. amitryptylineMale patient presents with a BMI of 30 presents to the office for an annual exam. Youare reviewing the lab results. You ordered a CMP as part of routine labs. The fastingglucose was 130. Your next action is:a. repeat the fasting glucoseb. start metformin 500mg BIDc. repeat fasting glucose in 1 yeard. call the patient and report lab results as normal-Correct Answer-a. repeat the fastingglucoseThe taskof grieving include all of the following excepta. begin to disengageb. acknowledge the reality of deathc. work through the pain of griefd. restructure relationships-Correct Answer-a. begin to disengageAll of the following are true statements regarding elder abuse except:a. a new STI in an elderly patient can be a sign of abuseb. persons over 80 years of age are at highest risk for abusec. missing scheduled appointments and delays in medical care are commond. common signs of abuse include decreased anxiety and depression-Correct Answer-d. common signs of abuse include decreased anxiety and depressionHospice care differs from palliative care in that:a. it cannot be provided in the nursing homeb. the majority of those admitted to hospice die within 7 daysc. it is not covered by insuranced. it is designed for the last six months of life-Correct Answer-d. it is designed for thelast six months of life

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When assessing an elderly client who reports a tremor, which assessment findingswouldbe most reliable in identifying Parkinsons disease?a. congwheel rigidity, bradykinesia, and macrorgraphiab. any presence of feverc. symptoms of slowed movement, unstable angina and tremord. resting tremor, slow unsteady gait and cogwheel rigidity-Correct Answer-d. restingtremor, slow unsteady gait and cogwheel rigidityHow dies womans anatomy make them more susceptible to UTI'sa. the female urethra is shorterb. aymptomatic UTI's do not resolve themselves without treatmentc. women tend to getUTI's when they are pregnantd. there is a longer distance between the urethra and anus-Correct Answer-a. thefemale urethra is shorterMrs. Smith, a 64 year old woman presents to the clinic for the first time and complainsof uruinary incontinece and dyspareunia. She went through menipause 10 years agowithout any hormone replacement therapy and had a hysterectomy for a fibroid. Hermother had a hip fracture at 87 years of age. The patiennt's most recent mammogramwas 7 years ago and no known family history of breast cancer. She is not taking anymedications. Her physical exam is unremarkable except for findings consistant withatrophic vaginitis. You prescribed topical hormone replacement therapy today. Which ofthe following evaluations should also beordered todaya. bone mineral density measurementb. mammogram-Correct Answer-b. mammogramAll of the following patients should be screened for diabetes except:a. a 44 year old caucasian male with hypertensionb. a 42 year old femal on disability from back injury from back injury who is unable toexercisec. an overweight middle aged african american woman with a family history of type 2diabetes mellitusd. an obese hispanic man-Correct Answer-a. a 44 year old caucasian male withhypertensionA 60year old obese male client has type 2 diabetes mellitus and a lipid panel ofTC=250 HDL=32 LDL=165. The nurse practitioner teaches the patient about hismodifiable cardiac risk factors, which include:a. diabetes, obesity and hyperlipidemiab. advancingage, diabetes, hyperlipidemia, and male genderc. hyperlipidemia, smoking and family history of heart disease

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