NRNP 6540 FINAL EXAM NEWEST ACTUAL
EXAM COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS LATEST UPDATED
1. Mr. Jones is 70 years old and sees the nurse practitioner for
| | | | | | | | | | |
|a yearly checkup. He states that he needs to urinate a lot and
| | | | | | | | | | | |
seems to always be thirsty. He also finds himself gaining
| | | | | | | | | |
|some weight. In the process of the examination, the nurse
| | | | | | | | |
|practitioner detects that he is vague in his answers. Which of
| | | | | | | | | |
|the following may be the reason?
| | | | |
1. Mr. Jones is cold and bundled in a sweater.
| | | | | | | |
2. There is no family history of diabetes.
| | | | | |
3. The symptoms seem to have appeared slowly.
| | | | | |
4. He does not want to admit to eating too much. - ✔✔✔ Correct
| | | | | | | | | | | |
,Answer > 2. Answer: 3 | | | |
Page: 361 |
Feedback
1.
|
Explore with the patient any difficulty with temperature
| | | | | | |
regulation, changes in skin texture, or distribution of body hair.
| | | | | | | | | |
2.
Reevaluate the patient's family history for endocrine and | | | | | | |
metabolic disease.
| |
3.
Because changes in the endocrine system may appear subtle to
| | | | | | | | |
the older person or atypical as compared to younger patients, it
| | | | | | | | | | |
may be difficult to pinpoint the onset of the presentation.
| | | | | | | | | |
4.
Review with the patient any episodes of unexplained weight loss
| | | | | | | | |
|or gain, new or increased fatigue, weakness, malaise, and recent
| | | | | | | | |
infections.
|
1. Mrs. Borden is 67 years old and her primary care
| | | | | | | | |
| physician wants her to be seen by a nurse practitioner who
| | | | | | | | | |
| specializes in geriatric issues. On completing the interview | | | | | | |
| and examination, the nurse practitioner tells Mrs. Borden
| | | | | | |
| that she will order a blood laboratory specimen for thyroid
| | | | | | | | |
| function and pancreatic function. Mrs. Borden asks what the
| | | | | | | |
| reason is. Which of the following is the nurse practitioner's
| | | | | | | | |
| best response? |
,1. Diabetes is more common in older patients. | | | | | |
2. Thyroid issues are less common in older patients.
| | | | | | |
3. These are common tests to be done on any new patient.
| | | | | | | | | |
4. These tests are necessary to obtain baseline information. -
| | | | | | | |
✔✔✔ Correct Answer > 1. Answer: 1
| | | | | |
| Page: 361 |
Feedback
1.
|
The nurse practitioner recognizes that normal aging changes of
| | | | | | | |
the endocrine system primarily are related to a decrease in
| | | | | | | | | |
pancreatic function (inability to sufficiently secrete insulin),
| | | | | | |
resulting in diabetes mellitus.
| | | |
2.
The nurse practitioner needs to screen older adults periodically
| | | | | | | |
for diabetes mellitus and thyroid disease because the incidence
| | | | | | | | |
of these conditions increases with age.
| | | | | |
3.
The nurse practitioner managing the care of older adults needs
| | | | | | | | |
to differentiate among four clinical states. One of those is an
| | | | | | | | | | |
endocrine function that is altered relative to that of younger
| | | | | | | | | |
patients, but is an expected consequence of normal aging.
| | | | | | | | |
4.
, Overall, the nurse practitioner managing the care of older adults
| | | | | | | | |
needs to differentiate among four clinical states:
| | | | | | |
1. An endocrine function that is altered relative to that of
| | | | | | | | |
younger patients, but is an expected consequence of
| | | | | | | |
normal aging.
| |
2. Altered endocrine function secondary to coincident
| | | | |
nonendocrine disease, but is not of known
| | | | | | |
pathological significance.
| |
3. Iatrogenic changes in endocrine function that largely | | | | | |
reflect the polypharmacy seen in the older adult
| | | | | | | |
population.
|
4. Authentic endocrinopathy. |
3. Ms. Allen, 72 years old, is being evaluated by the nurse
| | | | | | | | | | |
practitioner for type 2 diabetes. Because symptoms of endocrine
| | | | | | | | |
disorders in older adults are vague, which of the following
| | | | | | | | | |
questions is best to ask?
| | | | |
1. Do you have any trouble carrying out your daily activities?
| | | | | | | | |
2. Can you tell me what you ate yesterday?
| | | | | | |
3. Have you seen a dentist in the last year?
| | | | | | | |
4. Have you noticed that you have less hair? - ✔✔✔
| | | | | | | | |
Correct Answer > 3. Answer: 1
| | | | | |
Page: 361 |
EXAM COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS LATEST UPDATED
1. Mr. Jones is 70 years old and sees the nurse practitioner for
| | | | | | | | | | |
|a yearly checkup. He states that he needs to urinate a lot and
| | | | | | | | | | | |
seems to always be thirsty. He also finds himself gaining
| | | | | | | | | |
|some weight. In the process of the examination, the nurse
| | | | | | | | |
|practitioner detects that he is vague in his answers. Which of
| | | | | | | | | |
|the following may be the reason?
| | | | |
1. Mr. Jones is cold and bundled in a sweater.
| | | | | | | |
2. There is no family history of diabetes.
| | | | | |
3. The symptoms seem to have appeared slowly.
| | | | | |
4. He does not want to admit to eating too much. - ✔✔✔ Correct
| | | | | | | | | | | |
,Answer > 2. Answer: 3 | | | |
Page: 361 |
Feedback
1.
|
Explore with the patient any difficulty with temperature
| | | | | | |
regulation, changes in skin texture, or distribution of body hair.
| | | | | | | | | |
2.
Reevaluate the patient's family history for endocrine and | | | | | | |
metabolic disease.
| |
3.
Because changes in the endocrine system may appear subtle to
| | | | | | | | |
the older person or atypical as compared to younger patients, it
| | | | | | | | | | |
may be difficult to pinpoint the onset of the presentation.
| | | | | | | | | |
4.
Review with the patient any episodes of unexplained weight loss
| | | | | | | | |
|or gain, new or increased fatigue, weakness, malaise, and recent
| | | | | | | | |
infections.
|
1. Mrs. Borden is 67 years old and her primary care
| | | | | | | | |
| physician wants her to be seen by a nurse practitioner who
| | | | | | | | | |
| specializes in geriatric issues. On completing the interview | | | | | | |
| and examination, the nurse practitioner tells Mrs. Borden
| | | | | | |
| that she will order a blood laboratory specimen for thyroid
| | | | | | | | |
| function and pancreatic function. Mrs. Borden asks what the
| | | | | | | |
| reason is. Which of the following is the nurse practitioner's
| | | | | | | | |
| best response? |
,1. Diabetes is more common in older patients. | | | | | |
2. Thyroid issues are less common in older patients.
| | | | | | |
3. These are common tests to be done on any new patient.
| | | | | | | | | |
4. These tests are necessary to obtain baseline information. -
| | | | | | | |
✔✔✔ Correct Answer > 1. Answer: 1
| | | | | |
| Page: 361 |
Feedback
1.
|
The nurse practitioner recognizes that normal aging changes of
| | | | | | | |
the endocrine system primarily are related to a decrease in
| | | | | | | | | |
pancreatic function (inability to sufficiently secrete insulin),
| | | | | | |
resulting in diabetes mellitus.
| | | |
2.
The nurse practitioner needs to screen older adults periodically
| | | | | | | |
for diabetes mellitus and thyroid disease because the incidence
| | | | | | | | |
of these conditions increases with age.
| | | | | |
3.
The nurse practitioner managing the care of older adults needs
| | | | | | | | |
to differentiate among four clinical states. One of those is an
| | | | | | | | | | |
endocrine function that is altered relative to that of younger
| | | | | | | | | |
patients, but is an expected consequence of normal aging.
| | | | | | | | |
4.
, Overall, the nurse practitioner managing the care of older adults
| | | | | | | | |
needs to differentiate among four clinical states:
| | | | | | |
1. An endocrine function that is altered relative to that of
| | | | | | | | |
younger patients, but is an expected consequence of
| | | | | | | |
normal aging.
| |
2. Altered endocrine function secondary to coincident
| | | | |
nonendocrine disease, but is not of known
| | | | | | |
pathological significance.
| |
3. Iatrogenic changes in endocrine function that largely | | | | | |
reflect the polypharmacy seen in the older adult
| | | | | | | |
population.
|
4. Authentic endocrinopathy. |
3. Ms. Allen, 72 years old, is being evaluated by the nurse
| | | | | | | | | | |
practitioner for type 2 diabetes. Because symptoms of endocrine
| | | | | | | | |
disorders in older adults are vague, which of the following
| | | | | | | | | |
questions is best to ask?
| | | | |
1. Do you have any trouble carrying out your daily activities?
| | | | | | | | |
2. Can you tell me what you ate yesterday?
| | | | | | |
3. Have you seen a dentist in the last year?
| | | | | | | |
4. Have you noticed that you have less hair? - ✔✔✔
| | | | | | | | |
Correct Answer > 3. Answer: 1
| | | | | |
Page: 361 |
