1|Page
NRNP 6540 FINAL EXAM LATEST
2025/NRNP6540 FINAL EXAM QUESTIONS AND
ANSWERS (VERIFIED ANSWERS)|WALDEN
UNIVERSITY
1. In the assessment for peripheral vascular disorders, the
clinician should begin with which of
the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing. - . . ANSWER ✓✓ 1. Answer: 1
Page: 215
Feedback
1.
The clinician should begin with auscultation of the carotid
arteries bilaterally because cardiac murmurs will usually radiate
into the carotid arteries.
2.
,2|Page
After auscultation of the carotid and subclavian arteries, the
clinician should proceed to palpation of the brachial, radial, and
ulnar arteries.
3.
After auscultation and palpation, careful inspection should be
performed of the distal fingers and the nail beds.
4.
Diagnostic testing is usually ordered when areas of concern are
found.
1. Mrs. Borden is 67 years old and her primary care physician
wants her to be seen by a nurse practitioner who specializes in
geriatric issues. On completing the interview and examination,
the nurse practitioner tells Mrs. Borden that she will order a
blood laboratory specimen for thyroid function and pancreatic
function. Mrs. Borden asks what the reason is. Which of the
following is the nurse practitioner's best response?
1. Diabetes is more common in older patients.
2. Thyroid issues are less common in older patients.
3. These are common tests to be done on any new patient.
4. These tests are necessary to obtain baseline information. - . .
ANSWER ✓✓ 1. Answer: 1
Page: 361
,3|Page
Feedback
1.
The nurse practitioner recognizes that normal aging changes of
the endocrine system primarily are related to a decrease in
pancreatic function (inability to sufficiently secrete insulin),
resulting in diabetes mellitus.
2.
The nurse practitioner needs to screen older adults periodically
for diabetes mellitus and thyroid disease because the incidence
of these conditions increases with age.
3.
The nurse practitioner managing the care of older adults needs
to differentiate among four clinical states. One of those is an
endocrine function that is altered relative to that of younger
patients, but is an expected consequence of normal aging.
4.
Overall, the nurse practitioner managing the care of older adults
needs to differentiate among four clinical states:
1. An endocrine function that is altered relative to that of younger
patients, but is an expected consequence of normal aging.
2. Altered endocrine function secondary to coincident
nonendocrine disease, but is not of known pathological
significance.
3. Iatrogenic changes in endocrine function that largely reflect
the polypharmacy seen in the older adult population.
, 4|Page
4. Authentic endocrinopathy.
1. Mrs. James is 78 years old and comes to the clinic for an
annual checkup. The nurse practitioner addresses the
psychosocial needs of older adults and specifically the need for
which of the following?
1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched. - . . ANSWER ✓✓ 1. Answer: 2
Page: 428
Feedback
1.
The psychosocial assessment of the older adult entails an
evaluation of the following basic needs: autonomy and
independence.
2.
The psychosocial assessment of the older adult entails an
evaluation of the following basic needs: dignity, credibility, and
respect.
3.
NRNP 6540 FINAL EXAM LATEST
2025/NRNP6540 FINAL EXAM QUESTIONS AND
ANSWERS (VERIFIED ANSWERS)|WALDEN
UNIVERSITY
1. In the assessment for peripheral vascular disorders, the
clinician should begin with which of
the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing. - . . ANSWER ✓✓ 1. Answer: 1
Page: 215
Feedback
1.
The clinician should begin with auscultation of the carotid
arteries bilaterally because cardiac murmurs will usually radiate
into the carotid arteries.
2.
,2|Page
After auscultation of the carotid and subclavian arteries, the
clinician should proceed to palpation of the brachial, radial, and
ulnar arteries.
3.
After auscultation and palpation, careful inspection should be
performed of the distal fingers and the nail beds.
4.
Diagnostic testing is usually ordered when areas of concern are
found.
1. Mrs. Borden is 67 years old and her primary care physician
wants her to be seen by a nurse practitioner who specializes in
geriatric issues. On completing the interview and examination,
the nurse practitioner tells Mrs. Borden that she will order a
blood laboratory specimen for thyroid function and pancreatic
function. Mrs. Borden asks what the reason is. Which of the
following is the nurse practitioner's best response?
1. Diabetes is more common in older patients.
2. Thyroid issues are less common in older patients.
3. These are common tests to be done on any new patient.
4. These tests are necessary to obtain baseline information. - . .
ANSWER ✓✓ 1. Answer: 1
Page: 361
,3|Page
Feedback
1.
The nurse practitioner recognizes that normal aging changes of
the endocrine system primarily are related to a decrease in
pancreatic function (inability to sufficiently secrete insulin),
resulting in diabetes mellitus.
2.
The nurse practitioner needs to screen older adults periodically
for diabetes mellitus and thyroid disease because the incidence
of these conditions increases with age.
3.
The nurse practitioner managing the care of older adults needs
to differentiate among four clinical states. One of those is an
endocrine function that is altered relative to that of younger
patients, but is an expected consequence of normal aging.
4.
Overall, the nurse practitioner managing the care of older adults
needs to differentiate among four clinical states:
1. An endocrine function that is altered relative to that of younger
patients, but is an expected consequence of normal aging.
2. Altered endocrine function secondary to coincident
nonendocrine disease, but is not of known pathological
significance.
3. Iatrogenic changes in endocrine function that largely reflect
the polypharmacy seen in the older adult population.
, 4|Page
4. Authentic endocrinopathy.
1. Mrs. James is 78 years old and comes to the clinic for an
annual checkup. The nurse practitioner addresses the
psychosocial needs of older adults and specifically the need for
which of the following?
1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched. - . . ANSWER ✓✓ 1. Answer: 2
Page: 428
Feedback
1.
The psychosocial assessment of the older adult entails an
evaluation of the following basic needs: autonomy and
independence.
2.
The psychosocial assessment of the older adult entails an
evaluation of the following basic needs: dignity, credibility, and
respect.
3.
