NR 601 Final
Study online at https://quizlet.com/_cjceb1
1. Healthcare providers should recommend that older a. 150 minutes of moder-
adults engage in which one of the following? ate intensity physical activ-
ity weekly
a. 150 minutes of moderate intensity physical activity
weekly
b. 20 minutes of moderate intensity physical activity 3
days per week
c. 10 minutes of vigorous physical activity most days of
the week
d. 30 minutes of vigorous physical activity 3 days per
week
2. A 69-year-old female presents to your office for routine c. There is moderate qual-
primary care. Her elder sister was recently diagnosed ity evidence to suggest
with Alzheimer disease, and she wonders what steps control of cardiovascular
she can take to reduce her own risk of developing and metabolic risk factors,
dementia. Which of the following statements about such as blood pressure,
the prevention of dementia is true? weight, and blood sugar,
may reduce risk of demen-
a. There is moderate quality evidence to support daily tia.
use of vitamin B12 and fish oil to prevent risk of cogni-
tive decline.
b. Risk of dementia is modulated by nonmodifiable risk
factors, such as genetics, family history, and educa-
tional attainment, and there are no behavioral inter-
ventions that can be taken to reduce risk of developing
dementia.
c. There is moderate quality evidence to suggest con-
trol of cardiovascular and metabolic risk factors, such
as blood pressure, weight, and blood sugar, may re-
duce risk of dementia.
d. There is moderate to low quality evidence support-
, NR 601 Final
Study online at https://quizlet.com/_cjceb1
ing cannabinoids maementia.y reduce rates of pro-
gression from mild cognitive impairment to dementia.
3. An 86-year-old female comes to your office for a well- c. Advise them to file an
ness visit. Her blood pressure is 125/70 mmHg, pulse advanced directive.
69 beats per min, and respiratory rate 18 breaths per
min. She is well appearing and reports she is up to
date on her routine vaccinations. She introduces her
partner of 35 years whom she would like to make
medical decisions for her in case she becomes unable
to make decisions for herself. She reports that she and
her partner are not married. She asks if she needs any
further documentation to ensure her goals of care are
followed.
Which one of the following would be the most appro-
priate recommendation for this patient and her part-
ner?
a. Advise them to complete a POLST.
b. Advise them that they have adequate documenta-
tion to be recognized legally.
c. Advise them to file an advanced directive.
d. Respond that although they lack documentation,
her partner will be recognized de facto.
4. A 78-year-old male was recently diagnosed with a. Thrombocytopenia
Alzheimer disease. He scored 23/30 on his Montreal
Cognitive Assessment (MoCA) and his clinical presen-
tation is consistent with mild disease. He returns to
clinic with his family to discuss possible initiation of
pharmacotherapy. You consider beginning donepezil
5 mg daily for 4 weeks, with a plan to increase to 10
mg daily if he tolerates the lower dose. Which of the
, NR 601 Final
Study online at https://quizlet.com/_cjceb1
following is not a common side effect of donepezil?
a. Thrombocytopenia
b. Bradycardia
c. Vivid dreams
d. Gastrointestinal distress
5. An 84-year-old male with history of stroke without d. Urine testing, blood
residual deficit, systolic heart failure, and type 2 dia- testing, anal swab, and
betes presents to clinic for follow-up. He is indepen- oropharyngeal swab
dently living in a retirement community and still works
part time on a golf course. He currently takes aspirin
81 mg, metoprolol tartrate 25 mg BID (twice a day),
furosemide 20 mg BID, and lisinopril 10 mg daily. He
reports his last colonoscopy was 8 years ago, with
no abnormality. He reports he is sexually active with
men and women, engaging in receptive oral, receptive
anal, and penetrative sex. He states he has had over
three sexual partners in the last year with intermittent
condom use.
What sexually transmitted infection testing should be
offered?
a. Urine testing
b. Urine testing, blood testing
c. Urine testing, blood testing, anal swab
d. Urine testing, blood testing, anal swab, and oropha-
ryngeal swab
6. 2. An 81-year-old transgender female with history of c. Counseling on smoking
depression and hyperlipidemia presents to your clinic cessation
for routine care. She endorses a history of smoking,
currently smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies illicit drug
, NR 601 Final
Study online at https://quizlet.com/_cjceb1
use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
Which of the following is the most important next step
in this patient's primary care?
a. Counseling on starting aspirin
b. Counseling on alcohol cessation
c. Counseling on smoking cessation
d. Counseling on mammogram
7. Which of the following is true about tolterodine? d. It has greater risk of
a. It should be avoided in men with prostatic hypertro- adverse effects with its
phy. twice-daily formulation.
b. It increases the risk of constipation compared with
oral oxybutynin.
c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse effects with its
twice-daily formulation.
8. An 82-year-old man, Mr. A, complains of worsening b. Stop amlodipine and in-
nocturia, occurring four times per night. His other crease lisinopril.
lower urinary tract symptoms are slow stream, oc-
casional urgency, and urgency-related leakage once
weekly. Medical problems include poorly controlled
hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications in-
clude lisinopril 20 mg daily, metoprolol succinate 75
mg daily, atorvastatin 10 mg daily, metformin 500 mg
twice daily, hydrocodone-acetaminophen as needed,
and aspirin 81 mg daily. Amlodipine 5 mg daily was
recently added by his cardiologist. On review of sys-
tems, Mr. A complains that nocturia is causing daytime
fatigue, and he is more constipated. Physical examina-
Study online at https://quizlet.com/_cjceb1
1. Healthcare providers should recommend that older a. 150 minutes of moder-
adults engage in which one of the following? ate intensity physical activ-
ity weekly
a. 150 minutes of moderate intensity physical activity
weekly
b. 20 minutes of moderate intensity physical activity 3
days per week
c. 10 minutes of vigorous physical activity most days of
the week
d. 30 minutes of vigorous physical activity 3 days per
week
2. A 69-year-old female presents to your office for routine c. There is moderate qual-
primary care. Her elder sister was recently diagnosed ity evidence to suggest
with Alzheimer disease, and she wonders what steps control of cardiovascular
she can take to reduce her own risk of developing and metabolic risk factors,
dementia. Which of the following statements about such as blood pressure,
the prevention of dementia is true? weight, and blood sugar,
may reduce risk of demen-
a. There is moderate quality evidence to support daily tia.
use of vitamin B12 and fish oil to prevent risk of cogni-
tive decline.
b. Risk of dementia is modulated by nonmodifiable risk
factors, such as genetics, family history, and educa-
tional attainment, and there are no behavioral inter-
ventions that can be taken to reduce risk of developing
dementia.
c. There is moderate quality evidence to suggest con-
trol of cardiovascular and metabolic risk factors, such
as blood pressure, weight, and blood sugar, may re-
duce risk of dementia.
d. There is moderate to low quality evidence support-
, NR 601 Final
Study online at https://quizlet.com/_cjceb1
ing cannabinoids maementia.y reduce rates of pro-
gression from mild cognitive impairment to dementia.
3. An 86-year-old female comes to your office for a well- c. Advise them to file an
ness visit. Her blood pressure is 125/70 mmHg, pulse advanced directive.
69 beats per min, and respiratory rate 18 breaths per
min. She is well appearing and reports she is up to
date on her routine vaccinations. She introduces her
partner of 35 years whom she would like to make
medical decisions for her in case she becomes unable
to make decisions for herself. She reports that she and
her partner are not married. She asks if she needs any
further documentation to ensure her goals of care are
followed.
Which one of the following would be the most appro-
priate recommendation for this patient and her part-
ner?
a. Advise them to complete a POLST.
b. Advise them that they have adequate documenta-
tion to be recognized legally.
c. Advise them to file an advanced directive.
d. Respond that although they lack documentation,
her partner will be recognized de facto.
4. A 78-year-old male was recently diagnosed with a. Thrombocytopenia
Alzheimer disease. He scored 23/30 on his Montreal
Cognitive Assessment (MoCA) and his clinical presen-
tation is consistent with mild disease. He returns to
clinic with his family to discuss possible initiation of
pharmacotherapy. You consider beginning donepezil
5 mg daily for 4 weeks, with a plan to increase to 10
mg daily if he tolerates the lower dose. Which of the
, NR 601 Final
Study online at https://quizlet.com/_cjceb1
following is not a common side effect of donepezil?
a. Thrombocytopenia
b. Bradycardia
c. Vivid dreams
d. Gastrointestinal distress
5. An 84-year-old male with history of stroke without d. Urine testing, blood
residual deficit, systolic heart failure, and type 2 dia- testing, anal swab, and
betes presents to clinic for follow-up. He is indepen- oropharyngeal swab
dently living in a retirement community and still works
part time on a golf course. He currently takes aspirin
81 mg, metoprolol tartrate 25 mg BID (twice a day),
furosemide 20 mg BID, and lisinopril 10 mg daily. He
reports his last colonoscopy was 8 years ago, with
no abnormality. He reports he is sexually active with
men and women, engaging in receptive oral, receptive
anal, and penetrative sex. He states he has had over
three sexual partners in the last year with intermittent
condom use.
What sexually transmitted infection testing should be
offered?
a. Urine testing
b. Urine testing, blood testing
c. Urine testing, blood testing, anal swab
d. Urine testing, blood testing, anal swab, and oropha-
ryngeal swab
6. 2. An 81-year-old transgender female with history of c. Counseling on smoking
depression and hyperlipidemia presents to your clinic cessation
for routine care. She endorses a history of smoking,
currently smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies illicit drug
, NR 601 Final
Study online at https://quizlet.com/_cjceb1
use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
Which of the following is the most important next step
in this patient's primary care?
a. Counseling on starting aspirin
b. Counseling on alcohol cessation
c. Counseling on smoking cessation
d. Counseling on mammogram
7. Which of the following is true about tolterodine? d. It has greater risk of
a. It should be avoided in men with prostatic hypertro- adverse effects with its
phy. twice-daily formulation.
b. It increases the risk of constipation compared with
oral oxybutynin.
c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse effects with its
twice-daily formulation.
8. An 82-year-old man, Mr. A, complains of worsening b. Stop amlodipine and in-
nocturia, occurring four times per night. His other crease lisinopril.
lower urinary tract symptoms are slow stream, oc-
casional urgency, and urgency-related leakage once
weekly. Medical problems include poorly controlled
hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications in-
clude lisinopril 20 mg daily, metoprolol succinate 75
mg daily, atorvastatin 10 mg daily, metformin 500 mg
twice daily, hydrocodone-acetaminophen as needed,
and aspirin 81 mg daily. Amlodipine 5 mg daily was
recently added by his cardiologist. On review of sys-
tems, Mr. A complains that nocturia is causing daytime
fatigue, and he is more constipated. Physical examina-
