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NURS 5461/ NURS5461 Final Comprehensive Exam – Adult Gerontology Management Across the Continuum of Care Prep| UTA (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NURS 5461/ NURS5461 Final Comprehensive Exam – Adult Gerontology Management Across the Continuum of Care Prep| UTA (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION A patient with symptoms of hypothyroidism is likely to have: a. Low TSH b. High TSH c. High serum T3 d. High serum T4 Answer: B - High TSH QUESTION For initial routine screening of hyperfunction or hypofunction of the thyroid gland, the first diagnostic test is: a. T3 resin uptake b. TSH assay c. TPO Ab level d. Serum antibody Answer: B. TSH assay QUESTION The medication prescribed for treating hypothyroidism is: a. Levothyroxine b. Methimazole c. Propylthiouracil d. Radioiodine Answer: A. Levothyroxine QUESTION One modality of treatment for Grave's disease is ablation of a portion of the thyroid with radioactive iodine. This treatment is contraindicated in patients who: a. Are pregnant b. Are young c. Are elderly d. Had other treatment Answer: A. Are pregnant QUESTION Current evidence suggests that untreated or inadequately treated hypertension is a factor related to: 1. Early cognitive impairment 2. Vascular dementia 3. Encephalopathy 4. Cerebral vascular disease a. 1,2, 3 b. 1, 3, 4 c. 1, 2, 4 d. All of the above Answer: D. All of the above QUESTION The nurse practitioner is working in an urgent care clinic and sees a 37 y/o male who is complaining of feeling tired. The nurse practitioner reviews vital signs and finds the blood pressure is 182/102. After confirming the blood pressure is correct, the next course of action is: a. Begin an antihypertensive RX b. Coach on lifestyle modification c. Give 0.1 mg of Clonidine PO now and have the patient return in 1 week for follow up d. Ask the patient to return in 2 days for recheck Answer: D. Ask the patient to return in 2 days for recheck QUESTION What antihypertensive has been shown to be most effective in African Americans, as well as in decreased stroke risk? a. Beta blockers b. ACE inhibitors c. Calcium channel blockers d. ARBs Answer: C. Calcium channel blockers QUESTION What is the main goal for treatment for HTN? a. Maintain cerebral perfusion b. Prevent target organ damage c. Lower lipids d. Prevent obesity Answer: B. Prevent target organ damage QUESTION A 65 y/o male patient with a history of DM and is diagnosed with HTN. Which medication should the patient be started on first line? a. ACE inhibitor b. Calcium channel blocker c. Diuretic d. Beta blocker Answer: A. ACE inhibitor QUESTION JNC 8 guidelines for blood pressure control in those with no indicator condition includes all of the following drug categories EXCEPT: a. Calcium Channel Blockers b. Diuretics c. ACE Inhibitors d. Beta Blockers Answer: D. Beta blockers QUESTION Most patients with Stage II hypertension do best with the following: a. Start low with one drug to improve adherence b. Always include a diuretic c. Start two drugs to get to goal d. Avoid a Beta Blocker Answer: C. Start two drugs to get to goal QUESTION A large blood pressure cuff in a smaller armed individual will show a blood pressure reading: a. Higher than expected b. Lower than expected

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NURSl 5461/l NURS5461l Finall
Comprehensivel Examl –l Adultl
Gerontologyl Managementl Acrossl thel
Continuuml ofl Carel Prep|l UTAl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A

Q:l Al patientl withl symptomsl ofl hypothyroidisml isl likelyl tol have:
a.l Lowl TSH
b.l Highl TSH
c.l Highl seruml T3
d.l Highl seruml T4

Answer:
Bl -l Highl TSH



Q:l Forl initiall routinel screeningl ofl hyperfunctionl orl hypofunctionl ofl thel thyroidl gland,l
thel firstl diagnosticl testl is:

a.l T3l resinl uptake
b.l TSHl assay
c.l TPOl Abl level
d.l Seruml antibody

Answer:
B.l TSHl assay



Q:l Thel medicationl prescribedl forl treatingl hypothyroidisml is:

,a.l Levothyroxine
b.l Methimazole
c.l Propylthiouracil
d.l Radioiodine

Answer:
A.l Levothyroxine



Q:l Onel modalityl ofl treatmentl forl Grave'sl diseasel isl ablationl ofl al portionl ofl thel
thyroidl withl radioactivel iodine.l Thisl treatmentl isl contraindicatedl inl patientsl who:

a.l Arel pregnant
b.l Arel young
c.l Arel elderly
d.l Hadl otherl treatment

Answer:
A.l Arel pregnant



Q:l Currentl evidencel suggestsl thatl untreatedl orl inadequatelyl treatedl hypertensionl isl al
factorl relatedl to:
1.l Earlyl cognitivel impairment
2.l Vascularl dementia
3.l Encephalopathy
4.l Cerebrall vascularl disease
a.l 1,2,l 3
b.l 1,l 3,l 4
c.l 1,l 2,l 4
d.l Alll ofl thel above

Answer:
D.l Alll ofl thel above



Q:l Thel nursel practitionerl isl workingl inl anl urgentl carel clinicl andl seesl al 37l y/ol malel
whol isl complainingl ofl feelingl tired.l Thel nursel practitionerl reviewsl vitall signsl andl findsl

,thel bloodl pressurel isl 182/102.l Afterl confirmingl thel bloodl pressurel isl correct,l thel nextl
coursel ofl actionl is:
a.l Beginl anl antihypertensivel RX
b.l Coachl onl lifestylel modification
c.l Givel 0.1l mgl ofl Clonidinel POl nowl andl havel thel patientl returnl inl 1l weekl forl
followl up
d.l Askl thel patientl tol returnl inl 2l daysl forl recheck

Answer:
D.l Askl thel patientl tol returnl inl 2l daysl forl recheck



Q:l Whatl antihypertensivel hasl beenl shownl tol bel mostl effectivel inl Africanl Americans,l
asl welll asl inl decreasedl strokel risk?
a.l Betal blockers
b.l ACEl inhibitors
c.l Calciuml channell blockers
d.l ARBs

Answer:
C.l Calciuml channell blockers



Q:l Whatl isl thel mainl goall forl treatmentl forl HTN?
a.l Maintainl cerebrall perfusion
b.l Preventl targetl organl damage
c.l Lowerl lipids
d.l Preventl obesity

Answer:
B.l Preventl targetl organl damage



Q:l Al 65l y/ol malel patientl withl al historyl ofl DMl andl isl diagnosedl withl HTN.l Whichl
medicationl shouldl thel patientl bel startedl onl firstl line?
a.l ACEl inhibitor
b.l Calciuml channell blocker
c.l Diuretic
d.l Betal blocker

, Answer:
A.l ACEl inhibitor



Q:l JNCl 8l guidelinesl forl bloodl pressurel controll inl thosel withl nol indicatorl conditionl
includesl alll ofl thel followingl drugl categoriesl EXCEPT:
a.l Calciuml Channell Blockers
b.l Diuretics
c.l ACEl Inhibitors
d.l Betal Blockers

Answer:
D.l Betal blockers



Q:l Mostl patientsl withl Stagel IIl hypertensionl dol bestl withl thel following:
a.l Startl lowl withl onel drugl tol improvel adherence
b.l Alwaysl includel al diuretic
c.l Startl twol drugsl tol getl tol goal
d.l Avoidl al Betal Blocker

Answer:
C.l Startl twol drugsl tol getl tol goal



Q:l Al largel bloodl pressurel cuffl inl al smallerl armedl individuall willl showl al bloodl
pressurel reading:
a.l Higherl thanl expected
b.l Lowerl thanl expected
c.l Variablel results
d.l Doesl notl matterl becausel thel brachiall arteryl isl welll compressed

Answer:
Bl -l Lowerl thanl expected

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