NR 601 – Primary Care of the Aging Family Final
Exam Comprehensive Study Guide and Practice
Questions
Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion
yesterday. The symptoms have resolved and the CT is normal. What is the next step of
the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask - Answer--b. identify modifiable
cardiovascular risk factors
A 56-year old male patient screened for diabetes has a fasting plasma glucose level of
96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - Answer--a. repeat fasting plasma glucose in
three years
RW, a 57 year old native American female, presents to the office. RW states she feels
irritable and has difficulty concentrating as well as fallingn asleep and staying aleep.
She states she is worried about her finances, her husband has just lost his job. The NP
diagnoses anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
,c. Ariprprazole
d. Paroxetine - Answer--d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - Answer--c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - Answer--c. is a contributing factor for frequent
urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - Answer--d. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain
and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - Answer--d. Morphine
Which of the following would you recommend annually for the elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist - Answer--d. eye exam with an opthlamologist
, Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention - Answer--c. acute onset
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - Answer--d. at home
Which obstructive lung disease is classified as reversible?
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. COPD - Answer--a. Asthma
The 2017 HTN guidelines recommend the following treatment for a healthy 54 year old
African American woman with a BI of 23 and consistent BP readings of 116-120/78
a. none, this is a normal BP
b. hypertension, stage 1 requiring treatment
c. elevated BP requiring treatment with a thiazide
d. hypertension, stage 1 requiring treatment with a calcium channel blocker - Answer--a.
none, this is a normal BP
According to the genitourinary presentation, the number 1 risk factor for urinary
incontinence is:
a. smoking and caffeine levles
b. uncontrolled diabetes
c. aging
d. obesity - Answer--c. aging
Exam Comprehensive Study Guide and Practice
Questions
Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion
yesterday. The symptoms have resolved and the CT is normal. What is the next step of
the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask - Answer--b. identify modifiable
cardiovascular risk factors
A 56-year old male patient screened for diabetes has a fasting plasma glucose level of
96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - Answer--a. repeat fasting plasma glucose in
three years
RW, a 57 year old native American female, presents to the office. RW states she feels
irritable and has difficulty concentrating as well as fallingn asleep and staying aleep.
She states she is worried about her finances, her husband has just lost his job. The NP
diagnoses anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
,c. Ariprprazole
d. Paroxetine - Answer--d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - Answer--c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - Answer--c. is a contributing factor for frequent
urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - Answer--d. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain
and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - Answer--d. Morphine
Which of the following would you recommend annually for the elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist - Answer--d. eye exam with an opthlamologist
, Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention - Answer--c. acute onset
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - Answer--d. at home
Which obstructive lung disease is classified as reversible?
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. COPD - Answer--a. Asthma
The 2017 HTN guidelines recommend the following treatment for a healthy 54 year old
African American woman with a BI of 23 and consistent BP readings of 116-120/78
a. none, this is a normal BP
b. hypertension, stage 1 requiring treatment
c. elevated BP requiring treatment with a thiazide
d. hypertension, stage 1 requiring treatment with a calcium channel blocker - Answer--a.
none, this is a normal BP
According to the genitourinary presentation, the number 1 risk factor for urinary
incontinence is:
a. smoking and caffeine levles
b. uncontrolled diabetes
c. aging
d. obesity - Answer--c. aging
