NR 601 – Primary Care of the Aging Family Final Exam
Comprehensive Study Guide and Practice Questions
The percentage of the FVC expired in one second is - Answer--FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart -
Answer--The heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his
med is causing a cough and sometimes he has difficulty breathing. Which med
was most likely prescribed? - Answer--Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will be
based on his stage of HF which is - Answer--Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is
unremarkable. you know her stage of HF is - Answer--Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is -
Answer--Echocardiogram
Chronic pain can have major impact on patients ability to function and have
profound impact on overall QOL. Ongoing pain may be linked to -
Answer--Depression, sleep disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds in
patients - Answer-->65 y/o
All of the following statements are true about lab values in older adults except -
Answer--Abnormal findings are often due to physiological aging
, According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o
African American woman with a h/o HTN and DM and no h/o CKD is -
Answer--<140/80
THe pathophysiology of HF is due to - Answer--Inadequate cardiac output to meet
the metabolic and O2 demands of the body
The volume of air a patient to exhale for total duration of the test during maximal
effort is - Answer--FVC
According it the 2017 ACC HTN guidelines, normal BP is - Answer--<120/80
Functional abilities are best assessed by - Answer--Observed assessment of
function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include
prevention of target organ damage. During your eval you will assess for evidence
of - Answer--Left ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with -
Answer--ACEi
The volume of air in the lungs at max inflation is - Answer--TLC (total lung
capacity)
Preferred amount of exercise for older adults is - Answer--30min/day of aerobic
exercise 5 days a week
You know the following statements regarding th pain of acute coronary syndrome
are true except - Answer--Present atypically more often in men than women
Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals
Afib with rate >100. Patient also has a new tremor in both hands. Which of the
following would you suspect - Answer--Hyperthyroidism
Which patient is more likely to have osteoporosis - Answer--80 y/o. Underweight
male who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily po.
What action info statement would indicate she understood your instructions
Comprehensive Study Guide and Practice Questions
The percentage of the FVC expired in one second is - Answer--FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart -
Answer--The heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his
med is causing a cough and sometimes he has difficulty breathing. Which med
was most likely prescribed? - Answer--Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will be
based on his stage of HF which is - Answer--Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is
unremarkable. you know her stage of HF is - Answer--Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is -
Answer--Echocardiogram
Chronic pain can have major impact on patients ability to function and have
profound impact on overall QOL. Ongoing pain may be linked to -
Answer--Depression, sleep disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds in
patients - Answer-->65 y/o
All of the following statements are true about lab values in older adults except -
Answer--Abnormal findings are often due to physiological aging
, According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o
African American woman with a h/o HTN and DM and no h/o CKD is -
Answer--<140/80
THe pathophysiology of HF is due to - Answer--Inadequate cardiac output to meet
the metabolic and O2 demands of the body
The volume of air a patient to exhale for total duration of the test during maximal
effort is - Answer--FVC
According it the 2017 ACC HTN guidelines, normal BP is - Answer--<120/80
Functional abilities are best assessed by - Answer--Observed assessment of
function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include
prevention of target organ damage. During your eval you will assess for evidence
of - Answer--Left ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with -
Answer--ACEi
The volume of air in the lungs at max inflation is - Answer--TLC (total lung
capacity)
Preferred amount of exercise for older adults is - Answer--30min/day of aerobic
exercise 5 days a week
You know the following statements regarding th pain of acute coronary syndrome
are true except - Answer--Present atypically more often in men than women
Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals
Afib with rate >100. Patient also has a new tremor in both hands. Which of the
following would you suspect - Answer--Hyperthyroidism
Which patient is more likely to have osteoporosis - Answer--80 y/o. Underweight
male who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily po.
What action info statement would indicate she understood your instructions
