NUR 612 - FINAL EXAM COMPLETE
QUESTIONS AND CORRECT ANSWERS
Question 1
The nurse practitioner has conducted a thorough health assessment for Mr. York, who
is 83 years old. As the nurse practitioner synthesizes the information and creates the
discharge instructions, consideration must be given to which of the following? Select
all that apply.
1. His level of understanding of his health condition.
2. His ability to provide self-care.
3. His willingness to obtain preventive services.
4. His number of medication errors
5. His basic reading level.
Correct Answer
1. His level of understanding of his health condition.
2. His ability to provide self-care.
4. His number of medication errors
5. His basic reading level.
Question 2
The nurse practitioner is conducting an admitting assessment of a 69-year-old man.
He has diminished ability to ambulate and has difficulty with activities of daily living
(ADLs). In the interview, the nurse practitioner asks him if he drinks alcohol. He says,
"Yes." The practitioner follows up with a psycho-social evaluation because:
1. Physiological dynamics need to be ruled out as a possible contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol or a new occurrence
Correct Answer
4. His condition could be related to a long-term usage of alcohol or a new
occurrence
Page 1 of 130
,Question 3
Mark, 82 years old, is in a rehabilitation center for therapy post-knee replacement.
The nurse practitioner is visiting Mark and finds him confused, disoriented, and with
speech difficulty. The staff nurse says that his condition changed quickly over the last
few hours. The nurse practitioner orders which of the following? Select all that apply.
1. Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan
5. Radiology
Correct Answer
1. Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan
Question 4
The son of a 72-year-old man brings his father into the practitioner to plan for
treatment of the patient's alcoholism. The nurse practitioner has several options
available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors.
4. Buspirone and gabapentin are used as first-line choices.
Correct Answer
1. Treat for anxiety.
Page 2 of 130
,Question 5
Larry is 69 years old and beginning to experience a cognitive decline. His son brings
him to the practitioner asking for an evaluation. The nurse practitioner assesses for
which of the following signs or symptoms? Select all that apply.
1. Cognitive decline in complex attention, executive function, learning, and memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
5. Improvement in symptoms in time
Correct Answer
1. Cognitive decline in complex attention, executive function, learning, and memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
Question 6
A patient is started on a low dose of a drug for safety but is never advanced to a
therapeutic dose while another drug is added. Which of the following does this
describe?
1. Preferences of care.
2. Risk-benefit ratio of drug.
3. Narrow therapeutic index of drug.
4. Clinical inertia.
Correct Answer
4. Clinical inertia.
Question 7
Which of the following is related to the incidence of gastric acidity declining with age
because of decreased intestinal blood flow?
1. Drug metabolism
2. Drug distribution
3. Drug absorption
4. Drug elimination
Correct Answer
3. Drug absorption
Page 3 of 130
, Question 8
Mrs. Koslowski, 95 years old, comes to the nurse practitioner with her daughter to
discuss her medical regime. She complains that she thinks some of the therapies are
doing more harm than good. Mrs. Koslowski wants to discontinue some of the
medical orders. The nurse practitioner reviews her medical plan and discusses a new
model of care called minimally disruptive medicine (MDM). Select all that apply.
1. Recognizes the difference between patient-centered and disease-centered
treatment.
2. May suggest limitations on some traditional therapies for the frail patient with
MCCs.
3. Revises clinical practice guidelines to consider minimally disruptive medicine.
4. Recognizes that older adults have improved results when treated with disease-
specific orders.
5. Has clinicians use approaches that include patient values so that
Correct Answer
1. Recognizes the difference between patient-centered and disease-centered
treatment.
2. May suggest limitations on some traditional therapies for the frail patient with
MCCs.
3. Revises clinical practice guidelines to consider minimally disruptive medicine.
5. Has clinicians use approaches that include patient values so that
Question 9
The nurse practitioner is conducting a health of older adults in-service with a group of
older adults at a community center. The first concept she presents is a definition of
chronic illness. Which of the following is the best definition?
1. A situation that considers the meaning of the more than one long-term illness on
the patient, family, and provider
2. A condition that requires medical attention for at least 6 months.
3. Any condition that requires time-limited adjustments.
4. There is only one definition of chronic illness.
Correct Answer
1. A situation that considers the meaning of the more than one long-term illness on
the patient, family, and provider
Page 4 of 130
QUESTIONS AND CORRECT ANSWERS
Question 1
The nurse practitioner has conducted a thorough health assessment for Mr. York, who
is 83 years old. As the nurse practitioner synthesizes the information and creates the
discharge instructions, consideration must be given to which of the following? Select
all that apply.
1. His level of understanding of his health condition.
2. His ability to provide self-care.
3. His willingness to obtain preventive services.
4. His number of medication errors
5. His basic reading level.
Correct Answer
1. His level of understanding of his health condition.
2. His ability to provide self-care.
4. His number of medication errors
5. His basic reading level.
Question 2
The nurse practitioner is conducting an admitting assessment of a 69-year-old man.
He has diminished ability to ambulate and has difficulty with activities of daily living
(ADLs). In the interview, the nurse practitioner asks him if he drinks alcohol. He says,
"Yes." The practitioner follows up with a psycho-social evaluation because:
1. Physiological dynamics need to be ruled out as a possible contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol or a new occurrence
Correct Answer
4. His condition could be related to a long-term usage of alcohol or a new
occurrence
Page 1 of 130
,Question 3
Mark, 82 years old, is in a rehabilitation center for therapy post-knee replacement.
The nurse practitioner is visiting Mark and finds him confused, disoriented, and with
speech difficulty. The staff nurse says that his condition changed quickly over the last
few hours. The nurse practitioner orders which of the following? Select all that apply.
1. Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan
5. Radiology
Correct Answer
1. Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan
Question 4
The son of a 72-year-old man brings his father into the practitioner to plan for
treatment of the patient's alcoholism. The nurse practitioner has several options
available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors.
4. Buspirone and gabapentin are used as first-line choices.
Correct Answer
1. Treat for anxiety.
Page 2 of 130
,Question 5
Larry is 69 years old and beginning to experience a cognitive decline. His son brings
him to the practitioner asking for an evaluation. The nurse practitioner assesses for
which of the following signs or symptoms? Select all that apply.
1. Cognitive decline in complex attention, executive function, learning, and memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
5. Improvement in symptoms in time
Correct Answer
1. Cognitive decline in complex attention, executive function, learning, and memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
Question 6
A patient is started on a low dose of a drug for safety but is never advanced to a
therapeutic dose while another drug is added. Which of the following does this
describe?
1. Preferences of care.
2. Risk-benefit ratio of drug.
3. Narrow therapeutic index of drug.
4. Clinical inertia.
Correct Answer
4. Clinical inertia.
Question 7
Which of the following is related to the incidence of gastric acidity declining with age
because of decreased intestinal blood flow?
1. Drug metabolism
2. Drug distribution
3. Drug absorption
4. Drug elimination
Correct Answer
3. Drug absorption
Page 3 of 130
, Question 8
Mrs. Koslowski, 95 years old, comes to the nurse practitioner with her daughter to
discuss her medical regime. She complains that she thinks some of the therapies are
doing more harm than good. Mrs. Koslowski wants to discontinue some of the
medical orders. The nurse practitioner reviews her medical plan and discusses a new
model of care called minimally disruptive medicine (MDM). Select all that apply.
1. Recognizes the difference between patient-centered and disease-centered
treatment.
2. May suggest limitations on some traditional therapies for the frail patient with
MCCs.
3. Revises clinical practice guidelines to consider minimally disruptive medicine.
4. Recognizes that older adults have improved results when treated with disease-
specific orders.
5. Has clinicians use approaches that include patient values so that
Correct Answer
1. Recognizes the difference between patient-centered and disease-centered
treatment.
2. May suggest limitations on some traditional therapies for the frail patient with
MCCs.
3. Revises clinical practice guidelines to consider minimally disruptive medicine.
5. Has clinicians use approaches that include patient values so that
Question 9
The nurse practitioner is conducting a health of older adults in-service with a group of
older adults at a community center. The first concept she presents is a definition of
chronic illness. Which of the following is the best definition?
1. A situation that considers the meaning of the more than one long-term illness on
the patient, family, and provider
2. A condition that requires medical attention for at least 6 months.
3. Any condition that requires time-limited adjustments.
4. There is only one definition of chronic illness.
Correct Answer
1. A situation that considers the meaning of the more than one long-term illness on
the patient, family, and provider
Page 4 of 130
