NUR 612 - Exam 3
1. Mrs. Borden is 67 years old and her primary care 4. These tests are necessary
physician wants her to be seen by a nurse practition- to obtain baseline informa-
er who specializes in geriatric issues. On completing tion.
the interview and examination, the nurse practitioner
tells Mrs. Borden that she will order a blood labo-
ratory specimen for thyroid function and pancreatic
function. Mrs. Borden asks what the reason is. Which
of the following is the nurse practitioner's best re-
sponse?
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 infor-
mation.
2. Mr. Jones is 70 years old and sees the nurse practi- 3. The symptoms seem to
tioner for a yearly checkup. He states that he needs to have appeared slowly.
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
3. Ms. Allen, 72 years old, is being evaluated by the nurse 1. Do you have any trouble
practitioner for type 2 diabetes. Because symptoms of carrying out your daily ac-
endocrine disorders in older adults are vague, which tivities?
of the following questions is best to ask?
, NUR 612 - Exam 3
1. Do you have any trouble carrying out your daily
activities?
2. Can you tell me what you ate yesterday?
3. Have you seen a dentist in the last year?
4. Have you noticed that you have less hair?
4. Mrs. Smith, 80 years old, has been vomiting and hav- 2. There could be
ing bouts of loose stools for several days. She is taking drug-drug interactions
several medications that are prescribed. The nurse leading to her symptoms.
practitioner conducts a medication review because:
1. An accounting of all prescribed and
over-the-counter (OTC) medications may uncover rea-
sons for her symptoms.
2. There could be drug-drug interactions leading to
her symptoms.
3. Side effects of the gastrointestinal tract are not seen
in many medications.
4. The administration of some of her medications may
be appropriate.
5. Mr. Jameson, 75 years old, comes to the clinic with 3. Acute pancreatitis
complaints of severe sharp epigastric pain that radi-
ates to his back. He has been nauseous and has vomit-
ed three times today. The nurse practitioner suspects
which of the following?
1. Appendicitis
2. Gastrointestinal influenza
3. Acute pancreatitis
4. Insulin shock
6. The nurse practitioner is working in the emergency 3. APACHE II
department and is called to assist with the diagnosis
, NUR 612 - Exam 3
of a patient who just came in. Mr. Barn is 76 years
old and complains of abdominal pain, and his serum
amylase and lipase are three times the normal limit.
The nurse practitioner confirms pancreatitis, as this
meets which criteria?
1. CT severity index
2. Atlanta classification
3. APACHE II
4. Ranson criteria
7. Ms. Jenny is 72 years old and has managed her type 1. Financial challenges.
2 diabetes for 30 years. This condition is costly to
her in more than one way. Which complications are
common?
1. Financial challenges.
2. Good visual acuity.
3. Good renal functioning.
4. Increased circulation to lower extremities
8. The APRN is ordering tests to confirm her suspicion 1. Trypsinogen activation
of pancreatic cancer. Which of the following findings peptide (TAP).
would confirm her suspicions? Select all that apply. 2. Blood urea nitrogen
1. Trypsinogen activation peptide (TAP). (BUN), creatinine, glucose.
2. Blood urea nitrogen (BUN), creatinine, glucose. 3. An abdominal x-ray.
3. An abdominal x-ray. 4. Amylase and lipase
4. Amylase and lipase amount three times the nor- amount three times the
mal. normal.
5. Stool culture. 5. Stool culture.
9. John Brown, 60 years old, asks the nurse practitioner 1. More recently, other hor-
if a lack of functioning insulin is the only cause of mones have been found to
diabetes. Which of the following is the nurse practi- be part of diabetes.
1. Mrs. Borden is 67 years old and her primary care 4. These tests are necessary
physician wants her to be seen by a nurse practition- to obtain baseline informa-
er who specializes in geriatric issues. On completing tion.
the interview and examination, the nurse practitioner
tells Mrs. Borden that she will order a blood labo-
ratory specimen for thyroid function and pancreatic
function. Mrs. Borden asks what the reason is. Which
of the following is the nurse practitioner's best re-
sponse?
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 infor-
mation.
2. Mr. Jones is 70 years old and sees the nurse practi- 3. The symptoms seem to
tioner for a yearly checkup. He states that he needs to have appeared slowly.
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
3. Ms. Allen, 72 years old, is being evaluated by the nurse 1. Do you have any trouble
practitioner for type 2 diabetes. Because symptoms of carrying out your daily ac-
endocrine disorders in older adults are vague, which tivities?
of the following questions is best to ask?
, NUR 612 - Exam 3
1. Do you have any trouble carrying out your daily
activities?
2. Can you tell me what you ate yesterday?
3. Have you seen a dentist in the last year?
4. Have you noticed that you have less hair?
4. Mrs. Smith, 80 years old, has been vomiting and hav- 2. There could be
ing bouts of loose stools for several days. She is taking drug-drug interactions
several medications that are prescribed. The nurse leading to her symptoms.
practitioner conducts a medication review because:
1. An accounting of all prescribed and
over-the-counter (OTC) medications may uncover rea-
sons for her symptoms.
2. There could be drug-drug interactions leading to
her symptoms.
3. Side effects of the gastrointestinal tract are not seen
in many medications.
4. The administration of some of her medications may
be appropriate.
5. Mr. Jameson, 75 years old, comes to the clinic with 3. Acute pancreatitis
complaints of severe sharp epigastric pain that radi-
ates to his back. He has been nauseous and has vomit-
ed three times today. The nurse practitioner suspects
which of the following?
1. Appendicitis
2. Gastrointestinal influenza
3. Acute pancreatitis
4. Insulin shock
6. The nurse practitioner is working in the emergency 3. APACHE II
department and is called to assist with the diagnosis
, NUR 612 - Exam 3
of a patient who just came in. Mr. Barn is 76 years
old and complains of abdominal pain, and his serum
amylase and lipase are three times the normal limit.
The nurse practitioner confirms pancreatitis, as this
meets which criteria?
1. CT severity index
2. Atlanta classification
3. APACHE II
4. Ranson criteria
7. Ms. Jenny is 72 years old and has managed her type 1. Financial challenges.
2 diabetes for 30 years. This condition is costly to
her in more than one way. Which complications are
common?
1. Financial challenges.
2. Good visual acuity.
3. Good renal functioning.
4. Increased circulation to lower extremities
8. The APRN is ordering tests to confirm her suspicion 1. Trypsinogen activation
of pancreatic cancer. Which of the following findings peptide (TAP).
would confirm her suspicions? Select all that apply. 2. Blood urea nitrogen
1. Trypsinogen activation peptide (TAP). (BUN), creatinine, glucose.
2. Blood urea nitrogen (BUN), creatinine, glucose. 3. An abdominal x-ray.
3. An abdominal x-ray. 4. Amylase and lipase
4. Amylase and lipase amount three times the nor- amount three times the
mal. normal.
5. Stool culture. 5. Stool culture.
9. John Brown, 60 years old, asks the nurse practitioner 1. More recently, other hor-
if a lack of functioning insulin is the only cause of mones have been found to
diabetes. Which of the following is the nurse practi- be part of diabetes.
