NR 601 FINAL 190 EXAM QUESTIONS AND ANSWERS UPDATED
2026 VERIFIED ANSWERS ACTUAL UPDATED PRACTICE
QUESTIONS HIGH YIELD STUDY GUIDE FINAL EXAM PREPARATION
GRADUATE NURSING COURSE GRADED A+
190 exam questions and answers
1. An older adult client is brought to the emergency department after ingesting
an unknown substance. The
appears to have dementia, has tremors, ataxia of the upper and lower
extremities, depression, and confusion.
suspects ingestion of which of the following? - CORRECT ANSWER -Lead-
This can lead to these symptoms which includes tremors, dementia and ataxia.
The nurse is assessing a client who has received a tentative diagnosis of
delirium. The nurse is explaining
about the major cause of the client's condition. Which statement by the nurse
would be most appropriate - CORRECT ANSWER -His diagnosis is primarily
based on the rapid onset of his change in consciousness
4. As part of a follow-up home visit to an 80-year-old client who has had
surgery, the nurse discusses the
delirium with his family members. Which of the following would the nurse
include as placing the clie
risk? Select all that apply - CORRECT ANSWER -
Which of the following statements is NOT true about palliative care
teams? - CORRECT ANSWER -A:
Provide weekly home visits
A 55-year-old women 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? - CORRECT ANSWER -A:
Recheck UA dipstick today
According to the sexuality presentation, atrophic vaginitis (AV) - CORRECT
ANSWER -A:
Is a contributing factor for frequent UTI
A 68-year-old women is being worked up for stress incontinence.
UA reveals positive leukocyte esterase, positive nitrites, 15 WBCs,
no RBS, no protein, no casts. She denies frequency, urgency suprapubic
pressure or urgency. What is the first treatment for her US results? -
CORRECT ANSWER -no treatment is necessary
The elderly are at higher risk for delirium because of: - CORRECT ANSWER
-All of the above
A 63-year-old man is seen in the clinic with a c/o nocturia.
Which of the following should be included in the differential diagnosis? -
CORRECT ANSWER -Benign prostatic hypertrophy
(BPH)
When a 63-year-old man complains of having to wake up at night to urinate,
one possible cause could be an enlarged prostate, which is like a traffic jam in
the urinary system
75-year-old man is being treated as an outpatient for metastatic prostate cancer.
Which of the following statements is true regarding the management of pain
with opioids in the elderly? - CORRECT ANSWER -none of the above
,The highest level of evidence with the use of adjuvant analgesics is with: -
CORRECT ANSWER -neuropathic pain patients are candidates for adjuvant
analgesia
A 50-year-old female patient screened for diabetes has a fasting plasma glucose
level of 124 mg/dl. The NP plan includes - CORRECT ANSWER -repeat
fasting plasma glucose in one year
When assessing a patient who complains of a tremor, the NP must differentiate
essential tremor from the tremor of Parkinson's disease. Which of the following
findings are consistent with essential tremor? - CORRECT ANSWER -The
tremor occurs with purposeful movement
Which characteristic of delirium helps to distinguish it from dementia? -
CORRECT ANSWER -abrupt or Acute onset
According to the sexuality presentation, the biggest barrier to appropriate sexual
evaluation in the older patient - CORRECT ANSWER -Ageist attitudes
reason
Ageist attitudes are the biggest barrier to appropriately evaluating the sexual
health of older patients, meaning that negative stereotypes and biases about age
can prevent healthcare professionals from addressing this important aspect of
their well-being
Mrs. Smith a 65-year-old women presents to the clinic for the first
time and c/o UI and dyspareunia, she went through menopause 10
years ago without any hormone replacement therapy and had a
hysterectomy for fibroid. Her mother had a hip fracture at 82, pt
had mammogram 5 years ago and no known fam hx of breast
cancer......you decide to begin topical hormone replacement
, therapy. Which of the following evaluations would be necessary
prior initiating hormone replacement therapy? - CORRECT ANSWER -
Mammogram
Mr. A experienced a brief onset of right-sided weakness, slurred speech and
confusion yesterday.
The symptom has resolved. What should the NP do? - CORRECT ANSWER -
identify modifiable cardiovascular risk factors
Any women with a complicated cystitis or symptoms of upper tract disease
needs a urine culture and - CORRECT ANSWER -sensitivity test
If a woman has a complicated cystitis or symptoms of upper tract disease, it's
like having a puzzle in her urinary system, so she needs a urine culture and
sensitivity test to figure out which antibiotic will solve the puzzle.
A middle-aged patient has been diagnosed with Parkinson's disease. What
influences the NP's decision to begin pharmacological treatment for this patient?
- CORRECT ANSWER -symptom interfering with functional ability
The Mini-cog is a short screening tool used to assess cognition. Which of the
following statements pertaining to the test is a true statement - CORRECT
ANSWER -A score of 0-2 is a positive screen for dementia
Age related changes in bladder, urethra and ureters include all of the following
in older women except - CORRECT ANSWER -increased estrogen
production's influence on the bladder and ureter
The majority of patients enrolled in hospice care die: - CORRECT ANSWER
-AT HOME
2026 VERIFIED ANSWERS ACTUAL UPDATED PRACTICE
QUESTIONS HIGH YIELD STUDY GUIDE FINAL EXAM PREPARATION
GRADUATE NURSING COURSE GRADED A+
190 exam questions and answers
1. An older adult client is brought to the emergency department after ingesting
an unknown substance. The
appears to have dementia, has tremors, ataxia of the upper and lower
extremities, depression, and confusion.
suspects ingestion of which of the following? - CORRECT ANSWER -Lead-
This can lead to these symptoms which includes tremors, dementia and ataxia.
The nurse is assessing a client who has received a tentative diagnosis of
delirium. The nurse is explaining
about the major cause of the client's condition. Which statement by the nurse
would be most appropriate - CORRECT ANSWER -His diagnosis is primarily
based on the rapid onset of his change in consciousness
4. As part of a follow-up home visit to an 80-year-old client who has had
surgery, the nurse discusses the
delirium with his family members. Which of the following would the nurse
include as placing the clie
risk? Select all that apply - CORRECT ANSWER -
Which of the following statements is NOT true about palliative care
teams? - CORRECT ANSWER -A:
Provide weekly home visits
A 55-year-old women 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? - CORRECT ANSWER -A:
Recheck UA dipstick today
According to the sexuality presentation, atrophic vaginitis (AV) - CORRECT
ANSWER -A:
Is a contributing factor for frequent UTI
A 68-year-old women is being worked up for stress incontinence.
UA reveals positive leukocyte esterase, positive nitrites, 15 WBCs,
no RBS, no protein, no casts. She denies frequency, urgency suprapubic
pressure or urgency. What is the first treatment for her US results? -
CORRECT ANSWER -no treatment is necessary
The elderly are at higher risk for delirium because of: - CORRECT ANSWER
-All of the above
A 63-year-old man is seen in the clinic with a c/o nocturia.
Which of the following should be included in the differential diagnosis? -
CORRECT ANSWER -Benign prostatic hypertrophy
(BPH)
When a 63-year-old man complains of having to wake up at night to urinate,
one possible cause could be an enlarged prostate, which is like a traffic jam in
the urinary system
75-year-old man is being treated as an outpatient for metastatic prostate cancer.
Which of the following statements is true regarding the management of pain
with opioids in the elderly? - CORRECT ANSWER -none of the above
,The highest level of evidence with the use of adjuvant analgesics is with: -
CORRECT ANSWER -neuropathic pain patients are candidates for adjuvant
analgesia
A 50-year-old female patient screened for diabetes has a fasting plasma glucose
level of 124 mg/dl. The NP plan includes - CORRECT ANSWER -repeat
fasting plasma glucose in one year
When assessing a patient who complains of a tremor, the NP must differentiate
essential tremor from the tremor of Parkinson's disease. Which of the following
findings are consistent with essential tremor? - CORRECT ANSWER -The
tremor occurs with purposeful movement
Which characteristic of delirium helps to distinguish it from dementia? -
CORRECT ANSWER -abrupt or Acute onset
According to the sexuality presentation, the biggest barrier to appropriate sexual
evaluation in the older patient - CORRECT ANSWER -Ageist attitudes
reason
Ageist attitudes are the biggest barrier to appropriately evaluating the sexual
health of older patients, meaning that negative stereotypes and biases about age
can prevent healthcare professionals from addressing this important aspect of
their well-being
Mrs. Smith a 65-year-old women presents to the clinic for the first
time and c/o UI and dyspareunia, she went through menopause 10
years ago without any hormone replacement therapy and had a
hysterectomy for fibroid. Her mother had a hip fracture at 82, pt
had mammogram 5 years ago and no known fam hx of breast
cancer......you decide to begin topical hormone replacement
, therapy. Which of the following evaluations would be necessary
prior initiating hormone replacement therapy? - CORRECT ANSWER -
Mammogram
Mr. A experienced a brief onset of right-sided weakness, slurred speech and
confusion yesterday.
The symptom has resolved. What should the NP do? - CORRECT ANSWER -
identify modifiable cardiovascular risk factors
Any women with a complicated cystitis or symptoms of upper tract disease
needs a urine culture and - CORRECT ANSWER -sensitivity test
If a woman has a complicated cystitis or symptoms of upper tract disease, it's
like having a puzzle in her urinary system, so she needs a urine culture and
sensitivity test to figure out which antibiotic will solve the puzzle.
A middle-aged patient has been diagnosed with Parkinson's disease. What
influences the NP's decision to begin pharmacological treatment for this patient?
- CORRECT ANSWER -symptom interfering with functional ability
The Mini-cog is a short screening tool used to assess cognition. Which of the
following statements pertaining to the test is a true statement - CORRECT
ANSWER -A score of 0-2 is a positive screen for dementia
Age related changes in bladder, urethra and ureters include all of the following
in older women except - CORRECT ANSWER -increased estrogen
production's influence on the bladder and ureter
The majority of patients enrolled in hospice care die: - CORRECT ANSWER
-AT HOME
