1|Pag e
NURS 6540 EXAM|| NURS 6540 ADVANCED
PRACTICE CARE OF FRAIL ELDERS, ELDERS
EXAM ALL QUESTIONS AND 100% CORRECT
ANSWERS|| LATEST AND COMPLETE UPDATE
2024-2025 WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating,
and is dehydrated. Although she is afebrile, the nurse conducts a thorough physical
examination, including urinalysis andcomplete blood count (CBC). The total
assessment is necessary because:
1. All body systems interact, and symptoms could indicate a variety of
diagnoses.
2. The symptoms are vague and may be signs of aging.
3. There may be other signs or symptoms more indicative of the condition.
4. Mrs. Smith may not be reporting all significant information.
- 1. - - ANSWER: 1Page: 2
Feedba ck1.
The clinician must be aware that all the systems interact and, in doing so, can
increase the olderperson's vulnerability to illness/disease.
2.
The nurse must not attribute symptoms only to the aging process.3.
There may be comorbidities accompanying this condition.4.
Assumptions of not reporting properly may not be true.
,2|Pag e
2. A patient with renal disease has blood work drawn, and the results show an
increase in serum creatinine. The nurse practitioner needs to know which of the
following laboratory values beforeordering medications?
1. CBC
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels - 2. - - ANSWER: 3Page: 3
Feedba ck1.
A CBC will not evaluate kidney function for a patient with renal disease.
2.
A culture and sensitivity test reflects the presence of an infection and the antibiotic
to which theorganism is sensitive.
3.
The calculation of creatinine clearance provides an estimation of renal function.4.
Uric acid level is elevated in the presence of gout.
3. Which of the following statements is true regarding diagnostic testing?
1. A test is ordered for a specific purpose.
2. A test is the most invasive available.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient. - 3. -
ANSWER: 1 Page: 3
Feedba ck1.
The nurse practitioner should have a plan for the use of each test result value
obtained.
,3|Pag e
2.
When considering which laboratory tests to order, it is worth remembering the
doctrine primum nonnocere—first, do no harm.
3.
Once laboratory tests are available for review, tests results should be discussed
with the patient, with abnormal test results interpreted for the aging individual
NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders,and
addressed with the patient and caregivers.
4.
Any risks involved in laboratory testing must be considered concerning the
patient's clinical conditionand weighed against the test's expected benefits.
4. Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs.
Johnson because:
1. The body undergoes physiological changes with aging.
2. A healthy body does not experience significant changes as one gets older.
3. Older patients do not feel any systemic symptoms, such as malaise and
weight loss.
4. Even though the same joints are usually affected, age makes it feel different.
- 4. - - ANSWER: 1Page: 5
Feedba ck1.
Knowledge of the bimodality of age onset of certain disease conditions will aid the
advanced practicenurse in avoiding misdiagnosis or delay in diagnosis due to lack
of recognition.
2.
Symptoms of rheumatoid arthritis may be different depending on the age of the
patient.
, 4|Pag e
3.
Younger patients may not experience constitutional symptoms such as fever,
malaise, weight loss, anddepression.
4.
In late-onset rheumatoid arthritis, the joint involvement is more often in the larger
joints.
5. The nurse practitioner is examining an 85-year-old man with reports of
abdominal pain, weakness,and loss of appetite. Which is the most likely condition
to be tested for and ruled out?
1. Neoplasms and carcinomas
2. Partial seizure
3. Sarcopenia
4. Hirschsprung's disease - 5. - - ANSWER: 1Page: 4
Feedba ck1.
Certain diseases, such as neoplasms and carcinomas, are more common in the
elderly, and anunderstanding of the epidemiology is critical in the interpretation.
2.
Partial seizure is more common in early old age.
3.
Sarcopenia is more common in early old age.
4.
Hirschsprung's disease is most common in infancy.
NURS 6540 EXAM|| NURS 6540 ADVANCED
PRACTICE CARE OF FRAIL ELDERS, ELDERS
EXAM ALL QUESTIONS AND 100% CORRECT
ANSWERS|| LATEST AND COMPLETE UPDATE
2024-2025 WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating,
and is dehydrated. Although she is afebrile, the nurse conducts a thorough physical
examination, including urinalysis andcomplete blood count (CBC). The total
assessment is necessary because:
1. All body systems interact, and symptoms could indicate a variety of
diagnoses.
2. The symptoms are vague and may be signs of aging.
3. There may be other signs or symptoms more indicative of the condition.
4. Mrs. Smith may not be reporting all significant information.
- 1. - - ANSWER: 1Page: 2
Feedba ck1.
The clinician must be aware that all the systems interact and, in doing so, can
increase the olderperson's vulnerability to illness/disease.
2.
The nurse must not attribute symptoms only to the aging process.3.
There may be comorbidities accompanying this condition.4.
Assumptions of not reporting properly may not be true.
,2|Pag e
2. A patient with renal disease has blood work drawn, and the results show an
increase in serum creatinine. The nurse practitioner needs to know which of the
following laboratory values beforeordering medications?
1. CBC
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels - 2. - - ANSWER: 3Page: 3
Feedba ck1.
A CBC will not evaluate kidney function for a patient with renal disease.
2.
A culture and sensitivity test reflects the presence of an infection and the antibiotic
to which theorganism is sensitive.
3.
The calculation of creatinine clearance provides an estimation of renal function.4.
Uric acid level is elevated in the presence of gout.
3. Which of the following statements is true regarding diagnostic testing?
1. A test is ordered for a specific purpose.
2. A test is the most invasive available.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient. - 3. -
ANSWER: 1 Page: 3
Feedba ck1.
The nurse practitioner should have a plan for the use of each test result value
obtained.
,3|Pag e
2.
When considering which laboratory tests to order, it is worth remembering the
doctrine primum nonnocere—first, do no harm.
3.
Once laboratory tests are available for review, tests results should be discussed
with the patient, with abnormal test results interpreted for the aging individual
NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders,and
addressed with the patient and caregivers.
4.
Any risks involved in laboratory testing must be considered concerning the
patient's clinical conditionand weighed against the test's expected benefits.
4. Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs.
Johnson because:
1. The body undergoes physiological changes with aging.
2. A healthy body does not experience significant changes as one gets older.
3. Older patients do not feel any systemic symptoms, such as malaise and
weight loss.
4. Even though the same joints are usually affected, age makes it feel different.
- 4. - - ANSWER: 1Page: 5
Feedba ck1.
Knowledge of the bimodality of age onset of certain disease conditions will aid the
advanced practicenurse in avoiding misdiagnosis or delay in diagnosis due to lack
of recognition.
2.
Symptoms of rheumatoid arthritis may be different depending on the age of the
patient.
, 4|Pag e
3.
Younger patients may not experience constitutional symptoms such as fever,
malaise, weight loss, anddepression.
4.
In late-onset rheumatoid arthritis, the joint involvement is more often in the larger
joints.
5. The nurse practitioner is examining an 85-year-old man with reports of
abdominal pain, weakness,and loss of appetite. Which is the most likely condition
to be tested for and ruled out?
1. Neoplasms and carcinomas
2. Partial seizure
3. Sarcopenia
4. Hirschsprung's disease - 5. - - ANSWER: 1Page: 4
Feedba ck1.
Certain diseases, such as neoplasms and carcinomas, are more common in the
elderly, and anunderstanding of the epidemiology is critical in the interpretation.
2.
Partial seizure is more common in early old age.
3.
Sarcopenia is more common in early old age.
4.
Hirschsprung's disease is most common in infancy.
