NBME CBSE ACTUAL TEST QUESTIONS AND ANSWERS TEST BANK - COMPLETE SOLUTION RATED A

NBME CBSE ACTUAL TEST QUESTIONS AND ANSWERS TEST BANK - COMPLETE SOLUTION RATED A A 71 year old woman has just had her annual gynecological exam and is surprised to find out she had bacterial vaginosis. She is sexually active with her husband and says she has noticed a slight odor, but did not realized it was abnormal. She has recently finished an antibiotic for an upper respiratory infection. Because of her age, she is more susceptible to infection due to : A. her active sex life B. decreased estrogen C. increased pH D. vaginal epithelium atrophy - CORRECT ANSWER-INCREASED PH An 85 year old woman with advanced cancer asks the nurse,"What is wrong with me? My doctor won't tell me anything. The chemo is making me sick. If I knew it wasn't helping, I'd stop taking it." The nurse decides to tell the patient the truth. Which ethical principle is the nurse upholding? - CORRECT ANSWER-AUTONOMY A 73-year old woman has osteoarthritis in multiple joints. She has an especially difficult time with fine motor work and has recently been diagnosed with: A. Veritas erythema B. Bouthard nodules C. Heberden's nodes D. Hallus Valgus - CORRECT ANSWERHEBERDEN'S NODES A 75-year-old man is sightseeing in Arizona and finds that he is extremely thirsty in the hot climate. This is due to less ability to conserve fluid and concentrated urine. Therefore, one would expect: A. increase glomerular filtration rate B. decreased blood urea nitrogen and creatinine C. decreased glomerular filtration rate D. increased erythropoiten - CORRECT ANSWERDECREASED GLOMERULAR FILTRATION RATE Higher RN staffing levels in long-term care settings are known to be associated with which of the following factors? A. lower cost to the facility B. higher fall rates C. lower rate of decubitus ulcers D. more medication use - CORRECT ANSWERLOWER RATES OF DECUBITUS ULCERS Who of the following patients will develop hyperkalemia? A. 65 year old female with fractured humerus B. 78 year old male with decreased creatine clearance on Motrin. C. 85 year old male with no health problems eating banannas every day. D. 88 year old woman who takes amlodpine 5 mg daily for HTN. Hint: any renal failure is a risk for hyperkalemia - CORRECT ANSWER-78 YEAR OLD MALE WITH DECREASED CREATININE CLEARANCE. Which of the following best describes "substiuted judgement"? A. a guardian is appointed by the court system to make a decision that the patient would make if he/she were able to do so. B. the patient has chosen another person to make decisions if he/she is unable to do so and informs the person of the kind of care preferred. C. person makes a decision to benefit another without any knowledge of patient's stated preference. D. person designates in writing the kind of treatment that he/she does/does not want. Hint: a person making descision for another without benefit of knowing their preference will be required to substitute his/her judgement. - CORRECT ANSWER-A PERSON MAKES A DECISION TO BENEFIT ANOTHER WITHOUT ANY KNOWLEDGE OF THE PATIENT'S STATED PREFERENCES. The number of annual elder abuse cases is estimated to exceed? - CORRECT ANSWER-1,000,000