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NR-601 Final.questions lashanna

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........................................CONTINUED.......................................... Ms. L 55-year-old women with BMI of 28, has 20-year hx of primary HTN and has been on hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs. L reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210 mg/dl. What is the next appropriate test? A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but complaints of some loose stools during the week. How should the NP respond? A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL= 165. The NP teaches the patient about his modifiable cardiac risk factors which include Lifestyle approaches to postmenopausal symptom management include When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed How does women’s anatomy make them more susceptible to UTIs? ..................................CONTINUED......................................

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Uploaded on
October 19, 2021
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Written in
2021/2022
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Exam (elaborations)
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Questions & answers

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1


1. Which of the following statements is NOT true about palliative care teams?
• A: Provide weekly home visits

2. 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?
• A: Recheck UA dipstick today

3. According to the sexuality presentation, atrophic vaginitis (AV)
• A: Is a contributing factor for frequent UTIs

4. Ms. L 55-year-old women with BMI of 28, has 20-year hx of primary HTN and
has been on hydrochlorothiazide 25 mg daily for years with excellent response.
During follow up visit Mrs. L reports that for the last 6 months she has felt
thirsty all of the time even though she drinks at least 10 glasses of water a day.
Upon chart review the N notes that the last two fasting blood glucose levels have
been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which
is 210 mg/dl. What is the next appropriate test?
• A: Prescribe Metformin 500 mg PO BID

5. A patient has been prescribed Metformin (Glucophage). One week later he
returns with lowered blood sugars but complaints of some loose stools during
the week. How should the NP respond?
• A: Reassure the patient that this is an anticipated side effect

6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL
= 32, LDL=
165. The NP teaches the patient about his modifiable cardiac risk factors which
include:
• A: Diabetes, obesity, and hyperlipidemia

7. Lifestyle approaches to postmenopausal symptom management include
• A: avoiding sugar, coffee, chocolate and alcohol

8. When treating depression associated with dementia, which of the following
would be a poor choice and should not be prescribed?
• A: Amitriptyline

9. How does women’s anatomy make them more susceptible to UTIs?
• A: the urethra is shorter

10. Don’t have

11. don’t have

12. A 48-year-old male patient screened for diabetes has a fasting plasma glucose
level of 120 mg/dl. The NP plan includes
• A: Educate the patient of lifestyle changes to lower blood glucose

13. Which of the following assessments are commonly noted in a client with

, 2
Parkinson’s disease?
• A: Micrographia and bradykinesia

14. A 76-year-old man is seen in the office for c/o urinary incontinence. The
clinician should explore which of these causes of incontinence in men?
• A: Urinary Tract Infection (UTI)

15. Which of the following maneuvers is contraindicated in acute prostatis?
• A: Massaging the infected prostate
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