BOARD Practice Questions - TEST 3 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
1. The nurse practitioner notices a
Solution: A
gray ring on the edge of both irises
Arcus senilis.
of an 80-year-old woman. The patient
denies visual changes or pain. She Arcus senilis ( arcus senilis
reports that she has had the "ring" corneae ) is a white, gray, or blue
for many years. opaque ring in the corneal margin
(peripheral corneal
Which of the following causes is most likely? opacity) or white ring in front
of the pe-
riphery of the iris. It is present at
birth,
A. Arcus senilis B.The patient should
B. Pinguecula be evaluated for
C. Peripheral cataracts hyper- lipidemia
D. Macular degeneration C. The patient
should be
evaluated by an
ophthalmologist
2. The nurse practitioner notices a
gray ring on the edge of both irises
of an 80-year-old woman. The patient
denies visual changes or pain. She
reports that she has had the "ring"
for many years.
What is the clinical significance of this
find- ing in a 35-year-old patient?
A. The patient has a higher risk of
blindness
, BOARD Practice Questions - TEST 3 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
but it then fades; however, it is commonly present in older adults.
It can also ap- pear earlier in life as a result of hyperc-
holesterolemia. It does not attect vision. Unilateral arcus is a sign
of decreased blood fl ow to the unattected eye due
to carotid artery disease or ocular hy- potony.
Solution: B
The patient should be evaluated for hy- perlipidemia.
Arcus senilis is caused by lipid deposits deep in the edge of
the cornea and is quite commonly present in the elderly.
However, it can also appear earlier in life as a result of
hypercholesterolemia.
, BOARD Practice Questions - TEST 3 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
D.The patient should be evaluated for
acute glaucoma
3. A 44-year-old man with Down Solution: C
syndrome
starts to develop impaired memory and diffi- Alzheimer's disease.
culty with his usual daily routines. He is hav-
ing problems functioning at the job Delirium is an acute decline in men-
where
he has been employed for the past 10 years. tal status and is temporary.
Common
The physical exam and routine labs causes are fever, shock, drugs,
are all negative. The vital signs are alcohol, and dehydration.
normal. His ap- petite is normal. The Alzheimer's disease in- volves a
most likely diagnosis is: permanent change to the brain
that causes short-term memory
A. Tic douloureux loss, ag- nosia, apraxia, and aphasia.
B. Stroke In this case, the patient's physical
C. Alzheimer's disease exam is normal; however, he is
D. Delirium having memory loss and diflculty
working and carrying out his
4. When starting an elderly patient on normal tasks.
a new prescription of levothyroxine
(Synthroid), the nurse practitioner Solution: B
should keep in mind Cardiac ettects.
that the rationale for beginning with a lower Levothyroxine (Synthroid)
should be
dose in such patients relates to the D. Hepatic effects
drug's:
5. A female adult
A. Central nervous system effects patient presents
B. Cardiac effects with com- plaints of
C. Renal effects "bad burns" that
, BOARD Practice Questions - TEST 3 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
are very painful. A large pot of boiling started on the lowest dose in
water tipped over and spilled on her elderly patients because of the
arms and her anterior chest severe side ef- fects that can
occur. These include pal- pitations,
tachycardia, anxiety, irritability,
elevated blood pressure, flushing,
and insomnia.
Solution: C
The patient has a TBSA of 27%
with par- tial-thickness burns on the
left arm and left hand, and
superficial burns on the
Verified Answers |Actual Complete Exam| Already Graded A+
1. The nurse practitioner notices a
Solution: A
gray ring on the edge of both irises
Arcus senilis.
of an 80-year-old woman. The patient
denies visual changes or pain. She Arcus senilis ( arcus senilis
reports that she has had the "ring" corneae ) is a white, gray, or blue
for many years. opaque ring in the corneal margin
(peripheral corneal
Which of the following causes is most likely? opacity) or white ring in front
of the pe-
riphery of the iris. It is present at
birth,
A. Arcus senilis B.The patient should
B. Pinguecula be evaluated for
C. Peripheral cataracts hyper- lipidemia
D. Macular degeneration C. The patient
should be
evaluated by an
ophthalmologist
2. The nurse practitioner notices a
gray ring on the edge of both irises
of an 80-year-old woman. The patient
denies visual changes or pain. She
reports that she has had the "ring"
for many years.
What is the clinical significance of this
find- ing in a 35-year-old patient?
A. The patient has a higher risk of
blindness
, BOARD Practice Questions - TEST 3 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
but it then fades; however, it is commonly present in older adults.
It can also ap- pear earlier in life as a result of hyperc-
holesterolemia. It does not attect vision. Unilateral arcus is a sign
of decreased blood fl ow to the unattected eye due
to carotid artery disease or ocular hy- potony.
Solution: B
The patient should be evaluated for hy- perlipidemia.
Arcus senilis is caused by lipid deposits deep in the edge of
the cornea and is quite commonly present in the elderly.
However, it can also appear earlier in life as a result of
hypercholesterolemia.
, BOARD Practice Questions - TEST 3 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
D.The patient should be evaluated for
acute glaucoma
3. A 44-year-old man with Down Solution: C
syndrome
starts to develop impaired memory and diffi- Alzheimer's disease.
culty with his usual daily routines. He is hav-
ing problems functioning at the job Delirium is an acute decline in men-
where
he has been employed for the past 10 years. tal status and is temporary.
Common
The physical exam and routine labs causes are fever, shock, drugs,
are all negative. The vital signs are alcohol, and dehydration.
normal. His ap- petite is normal. The Alzheimer's disease in- volves a
most likely diagnosis is: permanent change to the brain
that causes short-term memory
A. Tic douloureux loss, ag- nosia, apraxia, and aphasia.
B. Stroke In this case, the patient's physical
C. Alzheimer's disease exam is normal; however, he is
D. Delirium having memory loss and diflculty
working and carrying out his
4. When starting an elderly patient on normal tasks.
a new prescription of levothyroxine
(Synthroid), the nurse practitioner Solution: B
should keep in mind Cardiac ettects.
that the rationale for beginning with a lower Levothyroxine (Synthroid)
should be
dose in such patients relates to the D. Hepatic effects
drug's:
5. A female adult
A. Central nervous system effects patient presents
B. Cardiac effects with com- plaints of
C. Renal effects "bad burns" that
, BOARD Practice Questions - TEST 3 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
are very painful. A large pot of boiling started on the lowest dose in
water tipped over and spilled on her elderly patients because of the
arms and her anterior chest severe side ef- fects that can
occur. These include pal- pitations,
tachycardia, anxiety, irritability,
elevated blood pressure, flushing,
and insomnia.
Solution: C
The patient has a TBSA of 27%
with par- tial-thickness burns on the
left arm and left hand, and
superficial burns on the
