NR 601 Final exam Questions And Answers

NR 601 Final exam Questions And Answers A middle aged patient has been diagnosed with Parkinson's disease. What influences the nurse practitioners descision to begin pharmacological treatment for this patient? a. medications initiated at first sign of unilateral involvement b. gait instability requiring the use of a cane c. intentional tremors d. symptoms interfering with functional ability - ANSWER -d. symptoms interfering with functional ability Which 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 symptoms b. arranging for follow up including patiennts c. identifying and managing complications of care d. all of the above - ANSWER -d. all of the above A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as a new patient. He takes metformin 500mg twice a day. His last Hgb A1c was 7%. He is up to date on eye and foot examinations. His BP is 142/96. According to ACC 2017 guidelines for high blood pressure in adults, what is the most appropriate first line medication? a. lisinopril b. furosemide c. amlodipine d. clonidine - ANSWER -a. lisinopril An older male patient is experiencing acute onset of right sided weakness, slurred speech and confusion. What should the nurse practitioner do promptly? a. order an EKG and administer O2 by cannula immediately b. Do a through medication review and stat blood sugar c. evaluate for a stroke and arrange transport to the hospital right away d. administer an aspirin by mouth - ANSWER -c. evaluate for a stroke and arrange transport to the hospital right away The NP knows that medications can trigger or worsen heart failure. With this knowledge in mind, the NP will avoiding prescribing the following classes of medications a. benzodiazepines b. macrolides c. muscle relaxants d. NSAIDS - ANSWER -d. NSAIDS MG, 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 for arrhythmia evaluation includes: a. electrocardiogram b. physical examination c. all options are appropriate d. history - ANSWER -c. all options are appropriate The elderly are at high risk for delerium because of: a. multiple medical problems b. multisensory deficits c. polypharmacy d. all of the above - ANSWER -d. all of the above A 68 year old woman presents with a complaint of urine leakage whenever she sneezes, laughs or strains for the past 4 months. She denies dysuria, frequency and nocturia. US dipstick is negative for RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What is the diagnosis? a. stress incontinence b. urinary incontinence c. urge incontinence d. overflow incontninence - ANSWER -a. stress incontinence Which of the following signs or symptoms are not characteristics of delirium a. patient is coherent b. short duration c. sudden onset d. symptoms are worse in the evenings - ANSWER -a. patient is coherent A 52 year old female patient screened for diabetes has a fasting plasma glucose level of 123 mg/dl. The nurse practitioners plan includes: a. repeat fasting glucose in 1 month b. prescribe memformin 500mg BID po c. repeat fasting plasma glucose in one year d. repeat fasting glucose in three years - ANSWER -c. repeat fasting plasma glucose in one year According to the palliative care presentation, most elderly patients die: a. alone b. at home c. in institutions d. in pain - ANSWER -c. in institutions Older adults with dementia sometimes suffer from agnosia, which is defined as the inability to a. remember events and places b. understand language c. use language d. recognize objects - ANSWER -d. recognize objects When treating depression associated with dementia, which of the following would be a poor choice and not be prescribed a. desimpramine b. amitryptyline c. fluoxitine d. mirtazapine - ANSWER -b. amitryptyline Male patient presents with a BMI of 30 presents to the office for an annual exam. You are reviewing the lab results. You ordered a CMP as part of routine labs. The fasting glucose was 130. Your next action is: