NURS 6540 ADVANCED FINAL EXAM 2026
TEST BANK REVIEW QUESTIONS AND
STUDY RATIONALES
⩥ The nurse practitioner is considering ordering medications to help
control an older patient's agitation. She chooses which of the following?
1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants? Answer: 1. Psychotropic medications
⩥ The nurse practitioner is conducting an admitting assessment of a 69-
year-old man. He has diminished ability to ambulate and has difficulty
with activities of daily living (ADLs). In the interview, the nurse
practitioner asks him if he drinks alcohol. He says, "Yes." The
practitioner follows up with a psycho-social evaluation because:
1. Physiological dynamics need to be ruled out as a possible
contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
,4. His condition could be related to a long-term usage of alcohol or a
new occurrence Answer: 4. His condition could be related to a long-term
usage of alcohol or a new occurrence
⩥ The daughter of a 70-year-old woman asks the nurse practitioner why
her mother has had a change in functional ability recently. The mother
has regularly been drinking for 40 years, however, her behavior is
changing. The nurse practitioner replies that:
1. The concentration of alcohol in her body remains the same as she
ages.
2. Her change in behavior has nothing to do with any drugs she is taking.
3. There are different types of alcoholism in older adults, and the change
in behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism of alcohol
differently. Answer: 4. Physical changes due to aging affect the body's
metabolism of alcohol differently.
⩥ The son of a 72-year-old man brings his father into the practitioner to
plan for treatment of the patient's alcoholism. The nurse practitioner has
several options available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors
, 4.Buspirone and gabapentin are used as first-line choices. Answer: 1.
Treat for anxiety.
⩥ Elisabeth, 67 years old, comes to the practitioner with her daughter,
who is her caregiver. The nurse practitioner notices that Elizabeth is very
busy and always moving and placing things in order within the waiting
room. Along with this increase in energy, which of the following suggest
bipolar with mania or hypomania? Select all that apply.
1. Ability to focus on a task
2. Flight of ideas
3. Rapid speech
4. Impulsivity
5. Thoughtfulness Answer: 2. Flight of ideas
3. Rapid speech
4. Impulsivity
⩥ The nurse practitioner is assessing a 69-year-old man for possible
bipolar disorder. Which of the following will contribute to diagnosing
this patient? Select all that apply.
1. Complete blood count (CBC) and comprehensive metabolic panel,
toxicology screen, urinalysis, thyroid function tests.
TEST BANK REVIEW QUESTIONS AND
STUDY RATIONALES
⩥ The nurse practitioner is considering ordering medications to help
control an older patient's agitation. She chooses which of the following?
1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants? Answer: 1. Psychotropic medications
⩥ The nurse practitioner is conducting an admitting assessment of a 69-
year-old man. He has diminished ability to ambulate and has difficulty
with activities of daily living (ADLs). In the interview, the nurse
practitioner asks him if he drinks alcohol. He says, "Yes." The
practitioner follows up with a psycho-social evaluation because:
1. Physiological dynamics need to be ruled out as a possible
contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
,4. His condition could be related to a long-term usage of alcohol or a
new occurrence Answer: 4. His condition could be related to a long-term
usage of alcohol or a new occurrence
⩥ The daughter of a 70-year-old woman asks the nurse practitioner why
her mother has had a change in functional ability recently. The mother
has regularly been drinking for 40 years, however, her behavior is
changing. The nurse practitioner replies that:
1. The concentration of alcohol in her body remains the same as she
ages.
2. Her change in behavior has nothing to do with any drugs she is taking.
3. There are different types of alcoholism in older adults, and the change
in behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism of alcohol
differently. Answer: 4. Physical changes due to aging affect the body's
metabolism of alcohol differently.
⩥ The son of a 72-year-old man brings his father into the practitioner to
plan for treatment of the patient's alcoholism. The nurse practitioner has
several options available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors
, 4.Buspirone and gabapentin are used as first-line choices. Answer: 1.
Treat for anxiety.
⩥ Elisabeth, 67 years old, comes to the practitioner with her daughter,
who is her caregiver. The nurse practitioner notices that Elizabeth is very
busy and always moving and placing things in order within the waiting
room. Along with this increase in energy, which of the following suggest
bipolar with mania or hypomania? Select all that apply.
1. Ability to focus on a task
2. Flight of ideas
3. Rapid speech
4. Impulsivity
5. Thoughtfulness Answer: 2. Flight of ideas
3. Rapid speech
4. Impulsivity
⩥ The nurse practitioner is assessing a 69-year-old man for possible
bipolar disorder. Which of the following will contribute to diagnosing
this patient? Select all that apply.
1. Complete blood count (CBC) and comprehensive metabolic panel,
toxicology screen, urinalysis, thyroid function tests.
