NR 547 FINAL EXAM - PRACTICE EXAM
STUDY QUESTIONSS
VSVQUESTIONSSANDSANSWERS
NR 547 Final Exam - Practice exam
jl jl jl jl jl jl jl
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oldjlpresentsjlwithjlsymptomsjlofjlDementia.jlWhichjldiagnosticjltestjlshouldjlbejlperforme
djlinitiallyjltojlrulejloutjltreatablejlcausesjlofjlsymptoms?jlA-jlArterialjlBloodjlGas,jlB-
jl MagneticjlResonancejlImaging,jlC-Electrocardiogram.jlD-Cobalaminjllevel
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ction.
FromjlKaplanjlpgjl237
messages.pdf_cover_qr_code_label
messages.downloaded_by
STUDY QUESTIONSS
VSVQUESTIONSSANDSANSWERS
NR 547 Final Exam - Practice exam
jl jl jl jl jl jl jl
DifferntialjlDiagnosisjl(ChamberlainjlUniversity)
,1. AjlclientjlwasjldiagnosedjlwithjlmajorjlneurocognitivejldisorderjlduejltojlAlzheimer’sjldisease.jlWhatjlphar
macologicjltherapyjlwouldjlbejlanticipated?jlA.jlCarbidopa-
LevodopajlB.j l AmitriptylinejlC.jlMemantinejlD.jlQuetiapine
2. Anjl89-year-
oldjlpresentsjlwithjlsymptomsjlofjlDementia.jlWhichjldiagnosticjltestjlshouldjlbejlperforme
djlinitiallyjltojlrulejloutjltreatablejlcausesjlofjlsymptoms?jlA-jlArterialjlBloodjlGas,jlB-
jl MagneticjlResonancejlImaging,jlC-Electrocardiogram.jlD-Cobalaminjllevel
Injlthejlcasejlofjlanjl89-year-
oldjlpatientjlpresentingjlwithjlsymptomsjlofjldementia,jlthejlinitialjldiagnosticjltestjltojl
rulejloutjltreatablejlcausesjlofjlsymptomsjlshouldjlbejl**Djl-jlCobalaminjllevel**.
Cobalaminjl(VitaminjlB12)jldeficiencyjlcanjlleadjltojlcognitivejlimpairmentsjlandjldementi
a-
likejlsymptoms,jlmakingjlitjlajltreatablejlcausejlofjlsuchjlsymptoms.jlOtherjltests,jlsuchjlasjlM
RI,jlcanjlprovidejlmorejlinformationjlonjlbrainjlstructurejlandjlanjlelectrocardiogramjlmightjl
helpjlidentifyjlcardiovascularjlissues,jlbutjlcheckingjlcobalaminjllevelsjlisjlmorejldirectlyjlrel
atedjltojlreversiblejlcausesjlofjldementia.
Thejlmostjlappropriatejlinitialjldiagnosticjltestjltojlrulejloutjltreatablejlcausesjlofjldementiajlsympt
omsjlis:
D.jlCobalaminjllevel
Ajlcobalaminjl(vitaminjlB12)jldeficiencyjlcanjlcausejlreversiblejlcognitivejlimpairmentjlandjlsy
mptomsjlthatjlmimicjldementia,jlespeciallyjlinjlolderjladults.jlIt'sjlimportantjltojlcheckjlforjlthisj
deficiencyjlearlyjlinjlthejldiagnosticjlprocess,jlasjltreatmentjlcanjlimprovejlorjlreversejlsympt
l
omsjlifjlidentified.
• ArterialjlBloodjlGasjl(A)jlisjlusedjltojlassessjloxygenjlandjlcarbonjldioxidejllevelsjlinjlthejl
blood,jlwhichjlisjlnotjltypicallyjlrelevantjlforjldiagnosingjldementia.
messages.downloaded_by
,• MagneticjlResonancejlImagingjl(MRI)jl(B)jlcanjlbejlhelpfuljltojlassessjlstructuraljlbrain
changes,jlbutjlit'sjlnotjlusuallyjlthejlfirstjlstepjlwhenjlrulingjloutjlrmeevsesargseisb.pldef_ccoaveur_sqer_scoodfe_label
messages.downloaded_by
, dementia.
• Electrocardiogramjl(C)jlassessesjlheartjlrhythmjlandjlfunctionjlbutjlisjlnotjldirectlyjl
relevantjltojldiagnosingjlcognitivejlimpairment.
Startingjlwithjlajlcobalaminjlleveljlhelpsjlidentifyjlajlcommonjlandjleasilyjltreatablejlcausejlo
fjlcognitivejldecline.
3. WhatjlinformationjlcanjlassistjlthejlclinicianjlinjldifferentiatingjlDementiajlfromjlDepression?jl
Ajlpatientjlwithjldementiajlhasjlsymptomsjlforjlajllongjltimejlbeforejlseekingjlmedicaljlhel
p.jlB-
clientsjlwithjlthejldiagnosisjltypicallyjlhavejlajlslowjlprogressionjlofjlsymptomsjlafterjlonset.jlC
jl
-jlAjlclientjlwithjldepressionjltypicallyjlpresentsjlwithjlanjlinsidiousjlonsetjlofjlsymptoms.jlD-
jl clientjlwithjldementiajltypicallyjlprovidejldetailedjlcomplaintsjlofjlspecificjlcognitivejldysfun
ction.
FromjlKaplanjlpgjl237
messages.pdf_cover_qr_code_label
messages.downloaded_by