CHAMBERLAIN COLLEGE OF NURSING NR 601 FINAL EXAM LAEST UPDATE. COMPLETE QUESTIONS AND ANSWERS RATED A+.

CHAMBERLAIN COLLEGE OF NURSING NR 601 FINAL EXAM LAEST UPDATE. COMPLETE QUESTIONS AND ANSWERS RATED A+. Which of the following statements is NOT true about palliative care teams? CORRECT ANSWER: Provide weekly home visits A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned about her kidneys. She has no report of dysuria, frequency or urgency at this time. Which of the following is the best action to follow? CORRECT ANSWER: Recheck UA dipstick today According to the sexuality presentation, atrophic vaginitis (AV) CORRECT ANSWER: Is a contributing factor for frequent UTIs Ms. L 55-year-old women with BMI of 28, has 20-yearhx of primary HTN and has been on hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210 mg/dl. What is the next appropriate test? CORRECT ANSWER: Prescribe Metformin 500 mg PO BID A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but complaints of some loose stools during the week. How should the NP respond? CORRECT ANSWER: Reassure the patient that this is an anticipated side effect A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL=165. The NP teaches the patient about his modifiable cardiac risk factors which include: CORRECT ANSWER: Diabetes, obesity, and hyperlipidemia Lifestyle approaches to postmenopausal symptom management include CORRECT ANSWER: avoiding sugar, coffee, chocolate and alcohol When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed? CORRECT ANSWER: Amitriptyline How does women’s anatomy make them more susceptible to UTIs? CORRECT ANSWER: the urethra is shorter Which of the following is a role of the advanced nurse in? CORRECT ANSWER: All of the above All of the following statements are true regarding anxiety EXCEPT: CORRECT ANSWER: is a normal part of aging A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes CORRECT ANSWER: Educate the patient of lifestyle changes to lower blood glucose Which of the following assessments are commonly noted in a client with Parkinson’s disease? CORRECT ANSWER: Micrographia and bradykinesia A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explore which of these causes of incontinence in men? CORRECT ANSWER: Urinary Tract Infection (UTI) Which of the following maneuvers is contraindicated in acute prostatis? CORRECT ANSWER: Massaging the infected prostate Mrs. N a 65-year-old women with BMI of 29 on Medicare, has a 20-yearhx of primary HTN and has been on HCTZ 25 mg daily for years , reports that for the past 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon charting NP notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. What actions should the NP perform next? CORRECT ANSWER: order a fasting blood glucose??? PRESCRIBE METFORMIN XR 500MG PO According to the WHO analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient who presents with moderate pain? CORRECT ANSWER: Indomethacin/ hydrocodone The cornerstone of pharmacotherapy in treating Alzheimer’s disease is: CORRECT ANSWER: Cholinesterase inhibitors The highest level of evidence to support interventions at the end of life is with: CORRECT ANSWER: opioids for dyspnea The comorbid psychiatric problem with the highest frequency in dementia is: CORRECT ANSWER: Anxiety All of the following are true statements regarding elder abuse EXCEPT: CORRECT ANSWER: common signs of abuse include decreased anxiety and depression Which of the following is a role of the advanced nurse in ? CORRECT ANSWER: All of the above The proposed mechanism by which diphenhydramine causes delirium is: CORRECT ANSWER: Anticholinergic effect A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is : CORRECT ANSWER: Morphine According to the Palliative Care presentation, hospice care may be provided to: CORRECT ANSWER: those with a life expectancy 6 months A 68-year-old women is being worked up for stress incontinence. UA reveals positive leukocyte esterase, positive nitrites, 15 WBCs, no RBS, no protein, no casts. She denies frequency, urgency, suprapubic pressure or urgency. What is the first treatment for her US results? CORRECT ANSWER: no treatment is necessary The elderly are at higher risk for delirium because of: CORRECT ANSWER: All of the above A 63-year-old man is seen in the clinic with a c/o nocturia. Which of the following should be included in the differential diagnosis? CORRECT ANSWER: Benign prostatic hypertrophy (BPH) A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which of the following statements is true regarding the management of pain with opioids in the elderly? CORRECT ANSWER: none of the above The highest level of evidence with the use of adjuvant analgesics is with: CORRECT ANSWER: neuropathic pain patients are candidates for adjuvant analgesia The 56-year-old man with chronic prostatis should initially be treated with antibiotics for how long? CORRECT ANSWER: 14 days A 50-year-old female patient screened for diabetes has a fasting plasma glucose level of 124 mg/dl. The NP plan includes: CORRECT ANSWER: repeat fasting plasma glucose in one year When assessing a patient who complains of a tremor, the NP must differentiate essential tremor from the tremor of Parkinson’s disease. Which of the following findings are consistent with essential tremor? CORRECT ANSWER: The tremor occurs with purposeful movement Which characteristic of delirium helps to distinguish it from dementia? CORRECT ANSWER: abrupt or Acute onset According to the sexuality presentation, the biggest barrier to appropriate sexual evaluation in the older patient: CORRECT ANSWER: Ageist attitudes Mrs. Smith a 65-year-old women presents to the clinic for the first time and c/o UI and dyspareunia, she went through menopause 10 years ago without any hormone replacement therapy and had a hysterectomy for fibroid. Her mother had a hip fracture at 82, pt had mammogram 5 years ago and no known fam hx of breast cancer……you decide to begin topical hormone replacement therapy. Which of the following evaluations would be necessary prior initiating hormone replacement therapy? CORRECT ANSWER: Mammogram Mr. A experienced a brief onset of right-sided weakness, slurred speech and confusion yesterday. The symptom has resolved. What should the NP do? CORRECT ANSWER: identify modifiable cardiovascular risk factors Any women with a complicated cystitis or symptoms of upper tract disease needs a urine culture and CORRECT ANSWER: sensitivity test All of the following patients have a risk of adverse reaction from Metformin except: CORRECT ANSWER: patients with BMI 30 A middle-aged patient has been diagnosed with Parkinson’s disease. What influences the NP’s decision to begin pharmacological treatment for this patient? CORRECT ANSWER: symptom interfering with functional ability