NRNP 6540 FINAL EXAM
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
LATEST UPDATED
1. Mr. Jones is 70 years old and sees the nurse
practitioner for a yearly checkup. He states that he
needs to urinate a lot and seems to always be thirsty.
He also finds himself gaining some weight. In the
process of the examination, the nurse practitioner
detects that he is vague in his answers. Which of the
following may be the reason?
1. Mr. Jones is cold and bundled in a sweater.
2. There is no family history of diabetes.
3. The symptoms seem to have appeared slowly.
4. He does not want to admit to eating too much. - ✔✔✔
Correct
,Answer > 2. Answer: 3
Page: 361
Feedbac
k 1.
Explore with the patient any difficulty with temperature
regulation, changes in skin texture, or distribution of
body hair.
2.
Reevaluate the patient's family history for endocrine and
metabolic disease.
3.
Because changes in the endocrine system may appear
subtle to the older person or atypical as compared to
younger patients, it may be difficult to pinpoint the
onset of the presentation.
4.
Review with the patient any episodes of unexplained
weight loss or gain, new or increased fatigue, weakness,
malaise, and recent infections.
1. Mrs. Borden is 67 years old and her primary
care physician wants her to be seen by a nurse
practitioner who specializes in geriatric issues. On
completing the interview and examination, the nurse
practitioner tells Mrs. Borden that she will order a
blood laboratory specimen for thyroid function and
pancreatic function. Mrs. Borden asks what the reason
is. Which of the following is the nurse practitioner's
,best response?
, 1. Diabetes is more common in older patients.
2. Thyroid issues are less common in older patients.
3. These are common tests to be done on any new
patient.
4. These tests are necessary to obtain baseline
information. -
✔✔✔ Correct Answer > 1.
Answer: 1 Page: 361
Feedbac
k 1.
The nurse practitioner recognizes that normal aging
changes of the endocrine system primarily are related
to a decrease in pancreatic function (inability to
sufficiently secrete insulin), resulting in diabetes
mellitus.
2.
The nurse practitioner needs to screen older adults
periodically for diabetes mellitus and thyroid disease
because the incidence of these conditions increases
with age.
3.
The nurse practitioner managing the care of older
adults needs to differentiate among four clinical states.
One of those is an endocrine function that is altered
relative to that of younger patients, but is an expected
consequence of normal aging.
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
LATEST UPDATED
1. Mr. Jones is 70 years old and sees the nurse
practitioner for a yearly checkup. He states that he
needs to urinate a lot and seems to always be thirsty.
He also finds himself gaining some weight. In the
process of the examination, the nurse practitioner
detects that he is vague in his answers. Which of the
following may be the reason?
1. Mr. Jones is cold and bundled in a sweater.
2. There is no family history of diabetes.
3. The symptoms seem to have appeared slowly.
4. He does not want to admit to eating too much. - ✔✔✔
Correct
,Answer > 2. Answer: 3
Page: 361
Feedbac
k 1.
Explore with the patient any difficulty with temperature
regulation, changes in skin texture, or distribution of
body hair.
2.
Reevaluate the patient's family history for endocrine and
metabolic disease.
3.
Because changes in the endocrine system may appear
subtle to the older person or atypical as compared to
younger patients, it may be difficult to pinpoint the
onset of the presentation.
4.
Review with the patient any episodes of unexplained
weight loss or gain, new or increased fatigue, weakness,
malaise, and recent infections.
1. Mrs. Borden is 67 years old and her primary
care physician wants her to be seen by a nurse
practitioner who specializes in geriatric issues. On
completing the interview and examination, the nurse
practitioner tells Mrs. Borden that she will order a
blood laboratory specimen for thyroid function and
pancreatic function. Mrs. Borden asks what the reason
is. Which of the following is the nurse practitioner's
,best response?
, 1. Diabetes is more common in older patients.
2. Thyroid issues are less common in older patients.
3. These are common tests to be done on any new
patient.
4. These tests are necessary to obtain baseline
information. -
✔✔✔ Correct Answer > 1.
Answer: 1 Page: 361
Feedbac
k 1.
The nurse practitioner recognizes that normal aging
changes of the endocrine system primarily are related
to a decrease in pancreatic function (inability to
sufficiently secrete insulin), resulting in diabetes
mellitus.
2.
The nurse practitioner needs to screen older adults
periodically for diabetes mellitus and thyroid disease
because the incidence of these conditions increases
with age.
3.
The nurse practitioner managing the care of older
adults needs to differentiate among four clinical states.
One of those is an endocrine function that is altered
relative to that of younger patients, but is an expected
consequence of normal aging.
