Answers | 2026 Prep
1. 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 - Correct Answer✔✔-a.
repeat fasting plasma glucose in three years
2. According to the Sexually presentation, atrophic vaginitis
a. the symptoms 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 - Correct Answer✔✔-c. is a
contributing factor for frequent urinary tract infections
3. 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 ophthalmologist - Correct Answer✔✔-d. eye
exam with an ophthalmologist
4. 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 - Correct Answer✔✔-d. at home
5. Which of the following is a role of the advanced practice
nurse in palliative cancer care?
a. detecting cancer in asymptomatic patients or those with specific
symptoms
b. arranging for follow up including patients
c. identifying and managing complications of care
,d. all of the above - Correct Answer✔✔-d. all of the above
6. A 58-year-old Caucasian mane with type 2 diabetes mellitus
presents to the clinic as a new patient. He takes metformin
500mg twice a day. His last Hob A1c was 7%. He is up to date
on eye and foot examinations. His BP is 142/96. According to
ACC 2017 guidelines for high blood pressure in adults, what
is the most appropriate first line medication?
a. Lisinopril
b. furosemide
c. amlodipine
d. clonidine - Correct Answer✔✔-a. Lisinopril
7. A 68-year-old woman presents with a complaint of urine
leakage whenever she sneezes, laughs or strains for the past 4
months. She denies dysuria, frequency and nocturnal. US
dipstick is negative for RBC's leukocyte esterase, nitrates,
ketones and urobilinogen. What is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence - Correct Answer✔✔-a. stress
incontinence
8. A 52 year old female patient screened for diabetes has a
fasting plasma glucose level of 123 mg/dl. The nurse
practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years - Correct Answer✔✔-c.
repeat fasting plasma glucose in one year
9. According to the palliative care presentation, most elderly
patients die:
a. alone
b. at home
c. in institutions
d. in pain - Correct Answer✔✔-c. in institutions
10.Male patient presents with a BMI of 30 presents to the office
for an annual exam. You are reviewing the lab results. You
, ordered a CMP as part of routine labs. The fasting glucose was
130. Your next action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
d. call the patient and report lab results as normal - Correct
Answer✔✔-a. repeat the fasting glucose
11.The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships - Correct Answer✔✔-a. begin to
disengage
12.All of the following are true statements regarding elder abuse
except:
a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are
common
d. common signs of abuse include decreased anxiety and depression -
Correct Answer✔✔-d. common signs of abuse include decreased
anxiety and depression
13.Hospice care differs from palliative care in that:
a. it cannot be provided in the nursing home
b. the majority of those admitted to hospice die within 7 days
c. it is not covered by insurance
d. it is designed for the last six months of life - Correct Answer✔✔-
d. it is designed for the last six months of life
14.How does woman's anatomy make them more susceptible to
UTI's
a. the female urethra is shorter
b. asymptomatic UTI's do not resolve themselves without treatment
c. women tend to get UTI's when they are pregnant
d. there is a longer distance between the urethra and anus - Correct
Answer✔✔-a. the female urethra is shorter
15.Mrs. Smith, a 64 year old woman presents to the clinic for the
first time and complains of urinary incontinence and