An older adult patient complains of recent lapses in memory and decreased alertness. The patient's
laboratory test results indicate a mild, macrocytic anemia. Which additional test does the adult-
gerontology acute care nurse practitioner order to confirm a diagnosis?
A reticulocyte count
A serum folate level
An erythrocyte sedimentation rate
Iron studies - AnswerA serum folate level
To get more questions with correct answers email - Answer
An 80-year-old male patient with dementia requires long-term care placement. To which funding
agency does the patient apply, after "spending down" to qualify?
Medicaid
Medicare
The American Association of Retired Persons
The United States Social Security Administration - AnswerMedicaid
A 70-year-old patient with acute systolic heart failure denies any functional limitations, is able to
walk five blocks before tiring, and is euvolemic. Which medication is the first-line therapy for this
patient?
Amlodipine (Norvasc)
Digoxin (Lanoxin)
Furosemide (Lasix)
Lisinopril (Zestril) - AnswerLisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse
practitioner assesses for ankle clonus by:
, C) applying a low-pitched tuning fork firmly to the lateral malleolus.
B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee.
striking the Achilles tendon with the percussion hammer C) after flexing the leg at the knee and
rotating it externally.
D) stroking the lateral aspect of the sole with the sharp end of the percussion hammer from the heel
to the ball of the foot. - AnswerB) sharply dorsiflexing and maintaining the foot in this position, while
supporting the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the
morning. An adult-gerontology acute care nurse practitioner determines that the patient's
hyperglycemia is due to the dawn phenomenon and:
A) increases the insulin dosage at bed time.
B) reduces the insulin dosage at bed time.
C) tests the blood glucose level at 3:00 AM every morning.
D) tests the blood glucose level in the evening. - AnswerA) increases the insulin dosage at bed time.
A patient with profound hypotension is transferred from the medical-surgical unit to the intensive
care unit. The patient is started on fluids and norepinephrine (Levophed) IV. The blood cultures that
were drawn 48 hours ago from the tunneled catheter, show preliminary results of gram-negative
bacilli. The patient's most recent echocardiogram report reveals an ejection fraction of 40%. The
adult-gerontology acute care nurse practitioner determines that:
A) a pulmonary artery catheter insertion is indicated, to manage septic shock.
B) fluid resuscitation will be limited to no more than 4 L
C) indwelling vancomycin (Vancocin) should be placed in the ports of the tunneled catheter.
D) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection. - AnswerD) piperacillin-
tazobactam (Zosyn) is indicated for the line-related infection.
Which research design has the greatest strength in determining if an intervention is effective?
Case control
Clinical trial
Cohort
laboratory test results indicate a mild, macrocytic anemia. Which additional test does the adult-
gerontology acute care nurse practitioner order to confirm a diagnosis?
A reticulocyte count
A serum folate level
An erythrocyte sedimentation rate
Iron studies - AnswerA serum folate level
To get more questions with correct answers email - Answer
An 80-year-old male patient with dementia requires long-term care placement. To which funding
agency does the patient apply, after "spending down" to qualify?
Medicaid
Medicare
The American Association of Retired Persons
The United States Social Security Administration - AnswerMedicaid
A 70-year-old patient with acute systolic heart failure denies any functional limitations, is able to
walk five blocks before tiring, and is euvolemic. Which medication is the first-line therapy for this
patient?
Amlodipine (Norvasc)
Digoxin (Lanoxin)
Furosemide (Lasix)
Lisinopril (Zestril) - AnswerLisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse
practitioner assesses for ankle clonus by:
, C) applying a low-pitched tuning fork firmly to the lateral malleolus.
B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee.
striking the Achilles tendon with the percussion hammer C) after flexing the leg at the knee and
rotating it externally.
D) stroking the lateral aspect of the sole with the sharp end of the percussion hammer from the heel
to the ball of the foot. - AnswerB) sharply dorsiflexing and maintaining the foot in this position, while
supporting the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the
morning. An adult-gerontology acute care nurse practitioner determines that the patient's
hyperglycemia is due to the dawn phenomenon and:
A) increases the insulin dosage at bed time.
B) reduces the insulin dosage at bed time.
C) tests the blood glucose level at 3:00 AM every morning.
D) tests the blood glucose level in the evening. - AnswerA) increases the insulin dosage at bed time.
A patient with profound hypotension is transferred from the medical-surgical unit to the intensive
care unit. The patient is started on fluids and norepinephrine (Levophed) IV. The blood cultures that
were drawn 48 hours ago from the tunneled catheter, show preliminary results of gram-negative
bacilli. The patient's most recent echocardiogram report reveals an ejection fraction of 40%. The
adult-gerontology acute care nurse practitioner determines that:
A) a pulmonary artery catheter insertion is indicated, to manage septic shock.
B) fluid resuscitation will be limited to no more than 4 L
C) indwelling vancomycin (Vancocin) should be placed in the ports of the tunneled catheter.
D) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection. - AnswerD) piperacillin-
tazobactam (Zosyn) is indicated for the line-related infection.
Which research design has the greatest strength in determining if an intervention is effective?
Case control
Clinical trial
Cohort
