NR 601 Final questions with verified answers
1. An older adult client is brought to the emergency department after ingesting an
unknown substance. The
appears to have dementia, has tremors, ataxia of the upper and lower
extremities, depression, and confusion.
suspects ingestion of which of the following? Ans✓✓✓ Lead- This can lead to
these symptoms which includes tremors, dementia and ataxia.
4. As part of a follow-up home visit to an 80-year-old client who has had surgery,
the nurse discusses the
delirium with his family members. Which of the following would the nurse include
as placing the clie
risk? Select all that apply Ans✓✓✓
72-year-old Luciana presents with concerns about her memory. She reports
having trouble remembering what day it is and has missed weekly bunco with her
friends six times in 2 months. A Mini-Cog™ assessment is performed.
Which of the following is the most appropriate supplemental assessment for
Luciana? Ans✓✓✓ Ask the client to name as many types of mammals as possible
in 1 minute.
Reason
Naming items within a particular category is an executive function test in
alignment with Luciana's current concerns.
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? Ans✓✓✓ none of the above
,A 50-year-old female patient screened for diabetes has a fasting plasma glucose
level of 124 mg/dl. The NP plan includes Ans✓✓✓ repeat fasting plasma glucose
in one year
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? Ans✓✓✓ A:
Recheck UA dipstick today
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? Ans✓✓✓
Benign prostatic hypertrophy
(BPH)
When a 63-year-old man complains of having to wake up at night to urinate, one
possible cause could be an enlarged prostate, which is like a traffic jam in the
urinary system
A 66-year-old man complains of nocturia (three to four times a night), hesitancy,
and incomplete emptying of the bladder. Physical examination reveals an
enlarged, nontender prostate, about 40 g in size without discrete nodules.
Urinalysis reveals hematuria without leukocyte esterase. Upon further evaluation,
the hematuria is attributed to his BPH. The patient declines surgical options at this
time. Which of the following medications would be most appropriate? Ans✓✓✓
Finasteride
,A 67-year-old female with a history of congestive heart failure and myocardial
infarction is admitted to the hospital because of increasing altered mental status
and decreased arousal over the last week. Physical examination reveals a
confused woman with right lower lobe crackles and a pulse oximetry of 86% on
room air. While you are interviewing the patient, she is irritable, paranoid, and
inattentive, which her family tells you is out of character. You notice waxing and
waning in her alertness and impaired short-term memory during your
examination. Which one of the following features present in this patient best
distinguishes delirium from depression or dementia Ans✓✓✓ . Inattentiveness
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? Ans✓✓✓ no treatment
is necessary
A 68-year-old women presents with a c/o urine leakage
whenever she sneezes, laughs, or strains for the past 4 months.
She denies dysuria, frequency and nocturia. US dipsticks is
negative for RBCs, leukocytes esterase, nitrites, ketones and
urobilinogen. What is the diagnosis? Ans✓✓✓ Stress Incontinence
Stress incontinence is like a leaky faucet - when the woman sneezes, laughs, or
strains, it's like turning on the faucet and urine leaks out, but there are no other
symptoms or signs of infection
A 69-year-old female presents to your office for routine primary care. Her elder
sister was recently diagnosed with Alzheimer disease, and she wonders what
steps she can take to reduce her own risk of developing dementia. Which of the
, following statements about the prevention of dementia is true? Ans✓✓✓ There
is moderate quality evidence to suggest control of cardiovascular and metabolic
risk factors, such as blood pressure, weight, and blood sugar, may reduce risk of
dementia.
A 70-year-old man has bothersome lower urinary tract syndrome (LUTS)
associated with benign prostatic hyperplasia (BPH). His symptoms are no longer
well managed with lifestyle modifications. He is interested in medication to
reduce his urinary symptoms but is concerned about possible side effects. He
notes that he is recently married and sexual activity is very important to him.
Which of the following medications would be most appropriate for this patient?
Ans✓✓✓ Alfusozin
A 70-year-old woman reports sexual pain with deep penetration only. What is the
most likely cause of her problem? Ans✓✓✓ High-tone pelvic floor dysfunction
Reason
Happens due to a sudden and involuntary contractions of the pelvic floor muscle
which holds the bladder, uterus, vagina and rectum in place like a hammock.
A 72-year-old man with colonic diverticulosis was admitted to the hospital with
gastrointestinal bleeding and abdominal pain. He underwent colonoscopy under
conscious sedation using fentanyl and midazolam. The following day, the patient
was positive on the Confusion Assessment Method performed by the geriatric
consultation services. Presence of delirium in this patient predisposes him to all of
the following except: Ans✓✓✓ Shorter length of stay in the hospital
A 72-year-old woman reports vaginal dryness that interferes with coitus. Her
medical history includes type 2 diabetes, hypertension, and osteoarthritis.
1. An older adult client is brought to the emergency department after ingesting an
unknown substance. The
appears to have dementia, has tremors, ataxia of the upper and lower
extremities, depression, and confusion.
suspects ingestion of which of the following? Ans✓✓✓ Lead- This can lead to
these symptoms which includes tremors, dementia and ataxia.
4. As part of a follow-up home visit to an 80-year-old client who has had surgery,
the nurse discusses the
delirium with his family members. Which of the following would the nurse include
as placing the clie
risk? Select all that apply Ans✓✓✓
72-year-old Luciana presents with concerns about her memory. She reports
having trouble remembering what day it is and has missed weekly bunco with her
friends six times in 2 months. A Mini-Cog™ assessment is performed.
Which of the following is the most appropriate supplemental assessment for
Luciana? Ans✓✓✓ Ask the client to name as many types of mammals as possible
in 1 minute.
Reason
Naming items within a particular category is an executive function test in
alignment with Luciana's current concerns.
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? Ans✓✓✓ none of the above
,A 50-year-old female patient screened for diabetes has a fasting plasma glucose
level of 124 mg/dl. The NP plan includes Ans✓✓✓ repeat fasting plasma glucose
in one year
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? Ans✓✓✓ A:
Recheck UA dipstick today
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? Ans✓✓✓
Benign prostatic hypertrophy
(BPH)
When a 63-year-old man complains of having to wake up at night to urinate, one
possible cause could be an enlarged prostate, which is like a traffic jam in the
urinary system
A 66-year-old man complains of nocturia (three to four times a night), hesitancy,
and incomplete emptying of the bladder. Physical examination reveals an
enlarged, nontender prostate, about 40 g in size without discrete nodules.
Urinalysis reveals hematuria without leukocyte esterase. Upon further evaluation,
the hematuria is attributed to his BPH. The patient declines surgical options at this
time. Which of the following medications would be most appropriate? Ans✓✓✓
Finasteride
,A 67-year-old female with a history of congestive heart failure and myocardial
infarction is admitted to the hospital because of increasing altered mental status
and decreased arousal over the last week. Physical examination reveals a
confused woman with right lower lobe crackles and a pulse oximetry of 86% on
room air. While you are interviewing the patient, she is irritable, paranoid, and
inattentive, which her family tells you is out of character. You notice waxing and
waning in her alertness and impaired short-term memory during your
examination. Which one of the following features present in this patient best
distinguishes delirium from depression or dementia Ans✓✓✓ . Inattentiveness
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? Ans✓✓✓ no treatment
is necessary
A 68-year-old women presents with a c/o urine leakage
whenever she sneezes, laughs, or strains for the past 4 months.
She denies dysuria, frequency and nocturia. US dipsticks is
negative for RBCs, leukocytes esterase, nitrites, ketones and
urobilinogen. What is the diagnosis? Ans✓✓✓ Stress Incontinence
Stress incontinence is like a leaky faucet - when the woman sneezes, laughs, or
strains, it's like turning on the faucet and urine leaks out, but there are no other
symptoms or signs of infection
A 69-year-old female presents to your office for routine primary care. Her elder
sister was recently diagnosed with Alzheimer disease, and she wonders what
steps she can take to reduce her own risk of developing dementia. Which of the
, following statements about the prevention of dementia is true? Ans✓✓✓ There
is moderate quality evidence to suggest control of cardiovascular and metabolic
risk factors, such as blood pressure, weight, and blood sugar, may reduce risk of
dementia.
A 70-year-old man has bothersome lower urinary tract syndrome (LUTS)
associated with benign prostatic hyperplasia (BPH). His symptoms are no longer
well managed with lifestyle modifications. He is interested in medication to
reduce his urinary symptoms but is concerned about possible side effects. He
notes that he is recently married and sexual activity is very important to him.
Which of the following medications would be most appropriate for this patient?
Ans✓✓✓ Alfusozin
A 70-year-old woman reports sexual pain with deep penetration only. What is the
most likely cause of her problem? Ans✓✓✓ High-tone pelvic floor dysfunction
Reason
Happens due to a sudden and involuntary contractions of the pelvic floor muscle
which holds the bladder, uterus, vagina and rectum in place like a hammock.
A 72-year-old man with colonic diverticulosis was admitted to the hospital with
gastrointestinal bleeding and abdominal pain. He underwent colonoscopy under
conscious sedation using fentanyl and midazolam. The following day, the patient
was positive on the Confusion Assessment Method performed by the geriatric
consultation services. Presence of delirium in this patient predisposes him to all of
the following except: Ans✓✓✓ Shorter length of stay in the hospital
A 72-year-old woman reports vaginal dryness that interferes with coitus. Her
medical history includes type 2 diabetes, hypertension, and osteoarthritis.
