NRNP 6540 FINAL EXAM /NRNP WEEK
12 FINAL EXAM 2025-2026 ACTUAL
EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY
GRADED A+
1. In the evaluation for peripheral vascular disorders, the clinician should begin with which of
the subsequent after the overall records and physical exam?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
Four. Order diagnostic trying out. - ANS-1. Answer: 1
Page: 215
Feedback
1.
The clinician must start with auscultation of the carotid arteries bilaterally due to the fact
cardiac murmurs will normally radiate into the carotid arteries.
2.
After auscultation of the carotid and subclavian arteries, the clinician need to continue to
palpation of the brachial, radial, and ulnar arteries.
Three.
After auscultation and palpation, cautious inspection ought to be performed of the distal
arms and the nail beds.
Four.
Diagnostic checking out is generally ordered when regions of challenge are observed.
1. Mrs. Borden is sixty seven years vintage and her primary care health practitioner wishes
her to be visible with the aid of a nurse practitioner who focuses on geriatric troubles. On
finishing the interview and examination, the nurse practitioner tells Mrs. Borden that she will
order a blood laboratory specimen for thyroid characteristic and pancreatic feature. Mrs.
Borden asks what the cause is. Which of the following is the nurse practitioner's nice
response?
1. Diabetes is more commonplace in older sufferers.
2. Thyroid troubles are less commonplace in older sufferers.
Three. These are common checks to be achieved on any new affected person.
4. These checks are essential to attain baseline facts. - ANS-1. Answer: 1
,Page: 361
Feedback
1.
The nurse practitioner acknowledges that regular getting older modifications of the endocrine
machine frequently are related to a lower in pancreatic characteristic (incapability to
sufficiently secrete insulin), ensuing in diabetes mellitus.
2.
The nurse practitioner needs to screen older adults periodically for diabetes mellitus and
thyroid sickness because the incidence of those conditions increases with age.
Three.
The nurse practitioner managing the care of older adults wishes to differentiate amongst four
scientific states. One of those is an endocrine feature this is altered relative to that of more
youthful sufferers, however is an predicted effect of regular aging.
Four.
Overall, the nurse practitioner dealing with the care of older adults desires to distinguish
among 4 medical states:
1. An endocrine feature that is altered relative to that of more youthful patients, however is
an expected consequence of ordinary growing older.
2. Altered endocrine characteristic secondary to coincident nonendocrine ailment, but isn't of
regarded pathological importance.
Three. Iatrogenic changes in endocrine feature that largely reflect the polypharmacy visible
inside the older adult population.
Four. Authentic endocrinopathy.
1. Mrs. James is seventy eight years old and is derived to the clinic for an annual checkup.
The nurse practitioner addresses the psychosocial needs of older adults and particularly the
want for which of the following?
1. Dependence.
2. Dignity, credibility, and recognize.
Three. Being alone.
4. Not being touched. - ANS-1. Answer: 2
Page: 428
Feedback
1.
The psychosocial evaluation of the older grownup entails an evaluation of the following
primary needs: autonomy and independence.
2.
The psychosocial assessment of the older person entails an evaluation of the subsequent
basic wishes: dignity, credibility, and appreciate.
3.
The psychosocial assessment of the older person involves an evaluation of the subsequent
simple wishes: verbal exchange and belonging.
4.
,The psychosocial evaluation of the older adult involves an evaluation of the following basic
needs: touch.
1. Mrs. M. W. Comes into the number one care workplace for her regular yearly checkup.
The nurse practitioner starts offevolved the assessment through asking if there are concerns
Mrs. M. W. Has that want to be addressed. The affected person says that she has been
experiencing periodic episodes of abdominal cramps and diarrhea that simply comes and
goes. The nurse practitioner maintains the evaluation with which of the subsequent?
1. Asking approximately the series of events and occasions that prompted every episode.
2. Conducting a complete neurological exam.
Three. Collecting a urine specimen.
4. Evaluating stomach pain. - ANS-1. Answer: 1
Page: 225
Feedback
1.
Determining the sequence of events that precipitated each symptom and inquiring about
precipitating factors along with a meal, position of the frame, use of caffeine, or alcohol and
smoking will cause a differential analysis.
2.
Information concerning episodes of anorexia, dyspepsia, dysphagia, heartburn, nausea,
regurgitation, vomiting, painful or tough defecation, diarrhea, tenesmus, or constipation may
be clustered to shape a differential diagnosis.
3.
The bodily exam is regularly unremarkable, and laboratory findings may not offer diagnostic
facts because the presentation of contamination in an older adult is generally subdued.
Four.
Ask approximately the severity of pain by having the patient fee her pain on a scale of one to
10. Realize, however, that during older adults, pain can be blunted despite the underlying
pathology.
1. Mrs. Williams is 76 years antique and is derived in to have a wound checked on her right
leg. She fell a month ago and the wound has not healed. She is worried that something is
inaccurate. The nurse practitioner examines the wound and sees that it has been wiped
clean nicely and has no signs of infection. The edges are approximated, but the pores and
skin around the wound is crimson and tender to touch. The high-quality response regarding
Mrs. Williams' problem is:
1. Wound recuperation for older human beings may also take up to four instances longer
than it does for younger human beings.
2. Let us speak about what you are consuming.
Three. Had you are available in advance, I might have ordered medicine that might have
healed that proper up.
4. I will order an antibiotic to save you contamination. - ANS-1. Answer: 1
Page: 96
Feedback
, 1.
Skin renewal turnover time will increase to about 87 days in older adults, in comparison with
20 days during young people.
2.
The perceived extended recuperation time is not associated with weight loss plan.
Three.
This is fake wish, as there may be no medicinal drug as a way to heal this wound fast.
4.
Prophylactic antibiotics are not suitable whilst there aren't any signs and symptoms or signs
and symptoms of contamination.
1. Polypharmacy is a primary predictor for any undesired or unwanted consequences which
could occur due to taking medications. Which is of the following is an appropriate time period
for those undesired or unwanted results?
1. Adverse drug response (ADR)
2. Prototype drug
three. Adverse drug event
4. Schedule II tablets - ANS-1. Answer: 1
Page: 470
Feedback
1.
ADR is a response attributed to the drug. It is any undesired or undesirable outcome that
takes place due to taking medicines.
2.
A prototype drug is the original drug version from which other medicines in a
pharmacological class were developed.
3.
An negative drug occasion is any occasion that happens all through treatment and isn't
always as a result of the drug itself. It is a aspect effect that changed into found out after
usage of the drug and is reported by the patient or the health practitioner who has non-public
enjoy with the occasion.
Four.
Schedule II tablets are drugs with abuse capability, and psychic and bodily dependence legal
responsibility.
1. The genitourinary and reproductive systems go through many age-related changes.
Which of the
following statements is authentic approximately those changes?
1. The older male patient undergoes more slow adjustments than does the older woman
patient.
2. The older lady patient undergoes greater gradual changes than does the older male
patient.
3. Older male and female sufferers undergo the same changes.
Four. The older male patient undergoes much less sluggish adjustments than those of the
older girl patient. - ANS-1. Answer: 1
Page: 281
12 FINAL EXAM 2025-2026 ACTUAL
EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY
GRADED A+
1. In the evaluation for peripheral vascular disorders, the clinician should begin with which of
the subsequent after the overall records and physical exam?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
Four. Order diagnostic trying out. - ANS-1. Answer: 1
Page: 215
Feedback
1.
The clinician must start with auscultation of the carotid arteries bilaterally due to the fact
cardiac murmurs will normally radiate into the carotid arteries.
2.
After auscultation of the carotid and subclavian arteries, the clinician need to continue to
palpation of the brachial, radial, and ulnar arteries.
Three.
After auscultation and palpation, cautious inspection ought to be performed of the distal
arms and the nail beds.
Four.
Diagnostic checking out is generally ordered when regions of challenge are observed.
1. Mrs. Borden is sixty seven years vintage and her primary care health practitioner wishes
her to be visible with the aid of a nurse practitioner who focuses on geriatric troubles. On
finishing the interview and examination, the nurse practitioner tells Mrs. Borden that she will
order a blood laboratory specimen for thyroid characteristic and pancreatic feature. Mrs.
Borden asks what the cause is. Which of the following is the nurse practitioner's nice
response?
1. Diabetes is more commonplace in older sufferers.
2. Thyroid troubles are less commonplace in older sufferers.
Three. These are common checks to be achieved on any new affected person.
4. These checks are essential to attain baseline facts. - ANS-1. Answer: 1
,Page: 361
Feedback
1.
The nurse practitioner acknowledges that regular getting older modifications of the endocrine
machine frequently are related to a lower in pancreatic characteristic (incapability to
sufficiently secrete insulin), ensuing in diabetes mellitus.
2.
The nurse practitioner needs to screen older adults periodically for diabetes mellitus and
thyroid sickness because the incidence of those conditions increases with age.
Three.
The nurse practitioner managing the care of older adults wishes to differentiate amongst four
scientific states. One of those is an endocrine feature this is altered relative to that of more
youthful sufferers, however is an predicted effect of regular aging.
Four.
Overall, the nurse practitioner dealing with the care of older adults desires to distinguish
among 4 medical states:
1. An endocrine feature that is altered relative to that of more youthful patients, however is
an expected consequence of ordinary growing older.
2. Altered endocrine characteristic secondary to coincident nonendocrine ailment, but isn't of
regarded pathological importance.
Three. Iatrogenic changes in endocrine feature that largely reflect the polypharmacy visible
inside the older adult population.
Four. Authentic endocrinopathy.
1. Mrs. James is seventy eight years old and is derived to the clinic for an annual checkup.
The nurse practitioner addresses the psychosocial needs of older adults and particularly the
want for which of the following?
1. Dependence.
2. Dignity, credibility, and recognize.
Three. Being alone.
4. Not being touched. - ANS-1. Answer: 2
Page: 428
Feedback
1.
The psychosocial evaluation of the older grownup entails an evaluation of the following
primary needs: autonomy and independence.
2.
The psychosocial assessment of the older person entails an evaluation of the subsequent
basic wishes: dignity, credibility, and appreciate.
3.
The psychosocial assessment of the older person involves an evaluation of the subsequent
simple wishes: verbal exchange and belonging.
4.
,The psychosocial evaluation of the older adult involves an evaluation of the following basic
needs: touch.
1. Mrs. M. W. Comes into the number one care workplace for her regular yearly checkup.
The nurse practitioner starts offevolved the assessment through asking if there are concerns
Mrs. M. W. Has that want to be addressed. The affected person says that she has been
experiencing periodic episodes of abdominal cramps and diarrhea that simply comes and
goes. The nurse practitioner maintains the evaluation with which of the subsequent?
1. Asking approximately the series of events and occasions that prompted every episode.
2. Conducting a complete neurological exam.
Three. Collecting a urine specimen.
4. Evaluating stomach pain. - ANS-1. Answer: 1
Page: 225
Feedback
1.
Determining the sequence of events that precipitated each symptom and inquiring about
precipitating factors along with a meal, position of the frame, use of caffeine, or alcohol and
smoking will cause a differential analysis.
2.
Information concerning episodes of anorexia, dyspepsia, dysphagia, heartburn, nausea,
regurgitation, vomiting, painful or tough defecation, diarrhea, tenesmus, or constipation may
be clustered to shape a differential diagnosis.
3.
The bodily exam is regularly unremarkable, and laboratory findings may not offer diagnostic
facts because the presentation of contamination in an older adult is generally subdued.
Four.
Ask approximately the severity of pain by having the patient fee her pain on a scale of one to
10. Realize, however, that during older adults, pain can be blunted despite the underlying
pathology.
1. Mrs. Williams is 76 years antique and is derived in to have a wound checked on her right
leg. She fell a month ago and the wound has not healed. She is worried that something is
inaccurate. The nurse practitioner examines the wound and sees that it has been wiped
clean nicely and has no signs of infection. The edges are approximated, but the pores and
skin around the wound is crimson and tender to touch. The high-quality response regarding
Mrs. Williams' problem is:
1. Wound recuperation for older human beings may also take up to four instances longer
than it does for younger human beings.
2. Let us speak about what you are consuming.
Three. Had you are available in advance, I might have ordered medicine that might have
healed that proper up.
4. I will order an antibiotic to save you contamination. - ANS-1. Answer: 1
Page: 96
Feedback
, 1.
Skin renewal turnover time will increase to about 87 days in older adults, in comparison with
20 days during young people.
2.
The perceived extended recuperation time is not associated with weight loss plan.
Three.
This is fake wish, as there may be no medicinal drug as a way to heal this wound fast.
4.
Prophylactic antibiotics are not suitable whilst there aren't any signs and symptoms or signs
and symptoms of contamination.
1. Polypharmacy is a primary predictor for any undesired or unwanted consequences which
could occur due to taking medications. Which is of the following is an appropriate time period
for those undesired or unwanted results?
1. Adverse drug response (ADR)
2. Prototype drug
three. Adverse drug event
4. Schedule II tablets - ANS-1. Answer: 1
Page: 470
Feedback
1.
ADR is a response attributed to the drug. It is any undesired or undesirable outcome that
takes place due to taking medicines.
2.
A prototype drug is the original drug version from which other medicines in a
pharmacological class were developed.
3.
An negative drug occasion is any occasion that happens all through treatment and isn't
always as a result of the drug itself. It is a aspect effect that changed into found out after
usage of the drug and is reported by the patient or the health practitioner who has non-public
enjoy with the occasion.
Four.
Schedule II tablets are drugs with abuse capability, and psychic and bodily dependence legal
responsibility.
1. The genitourinary and reproductive systems go through many age-related changes.
Which of the
following statements is authentic approximately those changes?
1. The older male patient undergoes more slow adjustments than does the older woman
patient.
2. The older lady patient undergoes greater gradual changes than does the older male
patient.
3. Older male and female sufferers undergo the same changes.
Four. The older male patient undergoes much less sluggish adjustments than those of the
older girl patient. - ANS-1. Answer: 1
Page: 281
