NR601 MIDTERM PRACTICE
b b
QUESTIONS AND ANSWERS
b b b
1. bA b60-year-old bwoman bpresents bwith ba bchief bcomplaint bof buncomfortable
bbreathing bon bexertion. bShe bhas bhad ba bminimally bproductive bcough bfor bseveral
byears bthat bdoes bnot bbother bher. bOn bfurther bquestioning, bshe bstates bthat bher
bbreathing bgets bmuch bworse bwhen bshe blies bdown. bThe bmost blikely bcause bof bher
bdyspnea bis: b- bAnswersCardiac
2. bA b68-year-old bmale bpresents bwith ba bchief bcomplaint bof bepisodes bof
blightheadedness bor bdizziness. bHe bstates bthat bsweating, btachycardia, band bsome
bhand btrembling bare boften bassociated bwith bthese bepisodes. bWhich bone bof bthe
bfollowing bquestions bshould byou bask bto bhelp bconfirm bthe bdiagnosis? b- bAnswersAre
bthese bsymptoms brelated bto beating?
3. bA b68-year-old bmale bpresents bwith ba bchief bcomplaint bof bepisodic bdizziness.
bAlthough bnot bdizzy bat bpresent, bhe bstates bthat bhe bhas bnoted bonset bof bdizzy
bepisodes bwhen bhe brolls bover bin bbed band boccasionally bwhen bhe bturns bhis bhead
brapidly. bEpisodes blast babout b3 bminutes. bThe bmost blikely bdiagnosis bis: b-
bAnswersBenign bpositional bvertigo
4. bA b75-year bold bresident bin bthe bnursing bhome bhas bend bstage bdementia band
bexperiences ba b10-pound bweight bloss bover bthe bcourse bof b2 bmonths. bThe bresident
bhas bbecome bincreasingly bdifficult bto bfeed band boften bspits bout bfood, bpockets bfood,
band bfrequently bdrools. bThe bfamily bis bconcerned babout bthe bresident's bnutritional
bstatus. bWhat bis bthe binitial baction bof bthe bnurse bpractitioner? b- bAnswersorder ba
bswallow bevaluation
5. bA b77-year-old bclient bbeing btreated bfor bglaucoma basks bthe bnurse bpractitioner
bwhat bcauses bglaucoma. bThe bnurse bbases bthe bresponse bon bthe bknowledge bthat
bthe bincrease bin bintraocular bpressure bis ba bresult bof b- bAnswersa bbreakdown bin bthe
babsorption bprocess
6. bA b78-year-old bman bis bbeing bevaluated bin bthe bgeriatric bclinic. bHis bdaughter
breports bthat bhe bhas bbeen bvery bforgetful blately, band bshe bis bconcerned bthat bhe
bmight bbe b"senile." bThe badvanced bpractice bnurse badministers bthe bclock bdrawing
btest band bthe bpatient bdraws ba bdistorted bcircular bshape band bplaces bthe bnumbers
ball bon bone bside bof bthe bshape. bBased bon bhis bperformance, bthe bnurse bconcludes
bthat bthe bpatient b- bAnswersneeds bfurther bevaluation
7. bThe babrupt bonset bof bsymptoms bof bstress bor burge bincontinence bis bmost boften
bdue bto ba burinary btract binfection b- bAnswersTrue
b b
QUESTIONS AND ANSWERS
b b b
1. bA b60-year-old bwoman bpresents bwith ba bchief bcomplaint bof buncomfortable
bbreathing bon bexertion. bShe bhas bhad ba bminimally bproductive bcough bfor bseveral
byears bthat bdoes bnot bbother bher. bOn bfurther bquestioning, bshe bstates bthat bher
bbreathing bgets bmuch bworse bwhen bshe blies bdown. bThe bmost blikely bcause bof bher
bdyspnea bis: b- bAnswersCardiac
2. bA b68-year-old bmale bpresents bwith ba bchief bcomplaint bof bepisodes bof
blightheadedness bor bdizziness. bHe bstates bthat bsweating, btachycardia, band bsome
bhand btrembling bare boften bassociated bwith bthese bepisodes. bWhich bone bof bthe
bfollowing bquestions bshould byou bask bto bhelp bconfirm bthe bdiagnosis? b- bAnswersAre
bthese bsymptoms brelated bto beating?
3. bA b68-year-old bmale bpresents bwith ba bchief bcomplaint bof bepisodic bdizziness.
bAlthough bnot bdizzy bat bpresent, bhe bstates bthat bhe bhas bnoted bonset bof bdizzy
bepisodes bwhen bhe brolls bover bin bbed band boccasionally bwhen bhe bturns bhis bhead
brapidly. bEpisodes blast babout b3 bminutes. bThe bmost blikely bdiagnosis bis: b-
bAnswersBenign bpositional bvertigo
4. bA b75-year bold bresident bin bthe bnursing bhome bhas bend bstage bdementia band
bexperiences ba b10-pound bweight bloss bover bthe bcourse bof b2 bmonths. bThe bresident
bhas bbecome bincreasingly bdifficult bto bfeed band boften bspits bout bfood, bpockets bfood,
band bfrequently bdrools. bThe bfamily bis bconcerned babout bthe bresident's bnutritional
bstatus. bWhat bis bthe binitial baction bof bthe bnurse bpractitioner? b- bAnswersorder ba
bswallow bevaluation
5. bA b77-year-old bclient bbeing btreated bfor bglaucoma basks bthe bnurse bpractitioner
bwhat bcauses bglaucoma. bThe bnurse bbases bthe bresponse bon bthe bknowledge bthat
bthe bincrease bin bintraocular bpressure bis ba bresult bof b- bAnswersa bbreakdown bin bthe
babsorption bprocess
6. bA b78-year-old bman bis bbeing bevaluated bin bthe bgeriatric bclinic. bHis bdaughter
breports bthat bhe bhas bbeen bvery bforgetful blately, band bshe bis bconcerned bthat bhe
bmight bbe b"senile." bThe badvanced bpractice bnurse badministers bthe bclock bdrawing
btest band bthe bpatient bdraws ba bdistorted bcircular bshape band bplaces bthe bnumbers
ball bon bone bside bof bthe bshape. bBased bon bhis bperformance, bthe bnurse bconcludes
bthat bthe bpatient b- bAnswersneeds bfurther bevaluation
7. bThe babrupt bonset bof bsymptoms bof bstress bor burge bincontinence bis bmost boften
bdue bto ba burinary btract binfection b- bAnswersTrue
