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NUR 660 Primary Care of the Adult and Older Adult Exam Complete Questions and Answers

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This document contains a comprehensive collection of NUR 660 Primary Care of the Adult and Older Adult final examination questions with verified answers for the 2025–2026 academic year. It covers evidence-based assessment, diagnosis, prevention, and management of common conditions encountered in primary care, including cardiovascular, respiratory, endocrine, renal, gastrointestinal, musculoskeletal, neurologic, infectious, dermatologic, hematologic, and women's and men's health disorders. It is an excellent review resource for nurse practitioner students preparing for comprehensive final examinations, emphasizing clinical reasoning, pharmacologic management, health promotion, screening, and current primary care guidelines.

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Institution
NUR 660
Course
NUR 660

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NUR 660 FINAL EXAM | QUESTIONS & 100% CORRECT
ANSWERS(VERIFIED) | LATESTUPDATE|GRADE A+


The effects of GLP-1 Agonist medications include all of the following
EX- CEPT:
Select one:
a. glucagon induced gluconeogenesis
b. increased satiety
c. improved glycemic control
d. glucose dependent insulin secretion: glucagon induced
gluconeogenesis

A common adverse effect with SGLT-2 Inhibitors is: Select one:
a. edema
b. mycotic infection
c. hypertension
d. weight gain: Mycotic Infection

Due to the increased risk for hypoglycemia, the following two
medication classes should not be used in combination:
Select one:
a. insulin and metformin
b. insulin and sulfonylurea
c. insulin and thiazolidinedione
d. insulin and acarbose: Insulin and Sulfonylurea

A patient is 66 inches in height, weighing 200 lbs, and newly
diagnosed with type 2 diabetes mellitus (DM). The A1c is 7.1%. What is
the best initial treatment?
Select one:
a. Diet, exercise, and metformin

,b. No treatment at this time
c. Diet and exercise
d. Diet, exercise, and exogenous insulin: Diet and exercise, Diet,
exercise, and metformin

Which medication is an insulin secretagogue (mechanism of action is
to secrete insulin)?
Select one:
a. acarbose (alpha-glucosidase inhibitor)
b. empagliflozin (SGLT2 Inhibitor)
c. rosiglitazone (thiazolidinedione)
d. glipizide (sulfonylurea): glipizide (sulfonylurea)

The "ominous octet" includes all of the following EXCEPT: Select one:
a. insulin resistance
b. decreased insulin production
c. decreased incretin hormones
d. increased incretin hormones: increased incretin hormones

In which patient would the clinician NOT initiate metformin? Select
one:
a. 60 year old with a history of medullary thyroid cancer
b. 54 year old with an allergy to penicillin
c. 71 year old with an eGFR of 60
d. 62 year old with an eGFR of 40: 62 year old with an eGFR of 40

Which medication can cause hyperglycemia? Select one:
a. Cephalexin (Keflex)
b. Levothyroxine (Synthroid)
c. Metformin (Glucophage)
d. Prednisolone (Omnipred): Prednisolone (Omnipred)

,Insulin should be initiated for the patient with Type 2 DM when the
HgbA1C is
Select one:
a. 7
b. 8
c. 10
d. 7.5: 10

How often should the clinician examine the feet of a person with
diabetes? Select one:
a. Every year
b. Every 3 months
c. Every visit
d. Every 6 months: Every visit

Claire is a patient complaining that her left leg is cool, pale, smaller
than her right, and has thick toenails. Which condition may she be
experiencing? Select one:
a. Peripheral artery disease
b. Deep vein thrombosis
c. Anemia
d. Pulmonary embolism: Peripheral Artery Disease

What of the following patients is a candidate for a high intensity
statin? Select one:
a. Manny is a 75-year-old male with a 10-year cardiovascular risk of
6.5%.
b. Christa is a 65-year-old female with a history of myocardial
infarction (MI).
c. Jerry is a 55-year-old male with a history of syncope.

, d. April is an 85-year-old female with a low-density lipoprotein (LDL)
level of 180.: Christa is a 65-year-old female with a history of myocardial
infarction (MI).

Which of the following may help a clinician to determine whether
palpita- tions are caused by a potentially lethal cardiac rhythm?
Select one:
a. Thyroid panel
b. Holter monitoring
c. Complete blood count (CBC)
d. Computed axial tomography (CAT) scan: Holter Monitoring

Nitroglycerine (NTG) is given for a patient having ischemic chest pain.
One tablet or one spray should be used under the tongue every 5
minutes for three doses. What should be done if the pain has not been
relieved after three doses?
Select one:
a. A portable defibrillator should be located to ascertain the cardiac
rhythm.
b. One more dose of NTG may be tried.
c. The person should be given two aspirin to chew.
d. 911 should be called, and the patient should be transported
immediately to the emergency department.: 911 should be called, and
the patient should be transported immediately to the emergency
department.

Which of these patients is at a higher risk for developing deep vein
throm- bosis?
Select one:
a. Diane, a 15-year-old female with type 1 diabetes
b. Ben, a 23-year-old male with a history of a pneumothorax
c. Jerry, a 64-year-old man with a history of epilepsy

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Institution
NUR 660
Course
NUR 660

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Uploaded on
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Written in
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