NUR 612 - Exam 3 | High-Yield Questions & Answers,
Rationales & Advanced Nursing Study Guide| Expert
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and Updated | Frequently Most Tested Questions |
Latest Exam and Newest Version!!!
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.
ANSWER:<< 4. These tests are necessary to obtain baseline information.
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
ANSWER:<< 3. The symptoms seem to have appeared slowly.
Ms. Jenny is 72 years old and has managed her type 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
ANSWER:<< 1. Financial challenges.
Ms. Allen, 72 years old, is being evaluated by the nurse practitioner for type 2
diabetes. Because symptoms of endocrine disorders in older adults are vague,
which of the following questions is best to ask?
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?
ANSWER:<< 1. Do you have any trouble carrying out your daily activities?
Mrs. Smith, 80 years old, has been vomiting and having bouts of loose stools for
several days. She is taking several medications that are prescribed. The nurse
practitioner conducts a medication review because:
1. An accounting of all prescribed and over-the-counter (OTC) medications may
uncover reasons 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.
ANSWER:<< 2. There could be drug-drug interactions leading to her symptoms.
Mr. Jameson, 75 years old, comes to the clinic with complaints of severe sharp
epigastric pain that radiates to his back. He has been nauseous and has vomited
three times today. The nurse practitioner suspects which of the following?
1. Appendicitis
2. Gastrointestinal influenza
3. Acute pancreatitis
4. Insulin shock
ANSWER:<< 3. Acute pancreatitis
The nurse practitioner is working in the emergency department and is called to
assist with the diagnosis 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
ANSWER:<< 3. APACHE II
John Brown, 60 years old, asks the nurse practitioner if a lack of functioning
insulin is the only cause of diabetes. Which of the following is the nurse
practitioner's reply? Select all that apply.
1. More recently, other hormones have been found to be part of diabetes.
2. Besides insulin, glucagon, amylin, and incretin are involved.
3. Finding other factors of diabetes has resulted in new treatments.
4. The pancreas is not the only organ involved in diabetes.
5. Genetic factors lead to type 1 diabetes only.
ANSWER:<<
1. More recently, other hormones have been found to be part of diabetes.
2. Besides insulin, glucagon, amylin, and incretin are involved.
3. Finding other factors of diabetes has resulted in new treatments.
4. The pancreas is not the only organ involved in diabetes.
5. Genetic factors lead to type 1 diabetes only.
The APRN is ordering tests to confirm her suspicion of pancreatic cancer.
Which of the following findings would confirm her suspicions? Select all that
apply.
1. Trypsinogen activation peptide (TAP).
2. Blood urea nitrogen (BUN), creatinine, glucose.
3. An abdominal x-ray.
4. Amylase and lipase amount three times the normal.
5. Stool culture.
ANSWER:<<
1. Trypsinogen activation peptide (TAP).
2. Blood urea nitrogen (BUN), creatinine, glucose.
3. An abdominal x-ray.
4. Amylase and lipase amount three times the normal.
5. Stool culture.
Mr. Ed, 46 years old, experienced a mild stroke and was hospitalized through
the emergency room. The general work-up showed that his blood glucose was
300 mg/dl. He denied knowing that his sugar was so high. He did report
frequency of urination and polyphagia. On further examination, the nurse
practitioner asked about family history, and he identified that his mother and
, grandfather both had adult-onset diabetes. Although he is under 65 years old,
the nurse practitioner teaches him which of the following? Select all that apply.
1. A urine sample that shows ketones in the urine, his age, and his body mass
index (BMI) will tell if he is a type 1 or type 2 diabetic.
2. Having the mild stroke is connected to having diabetes.
3. Medications could be associated with diabetes.
4. Because he had a family history of type 2 diabetes, he should have been
screened every year.
5. Screening would not have identified him as a risk
ANSWER:<<
1. A urine sample that shows ketones in the urine, his age, and his body mass
index (BMI) will tell if he is a type 1 or type 2 diabetic.
2. Having the mild stroke is connected to having diabetes.
3. Medications could be associated with diabetes.
The nurse practitioner is preparing home-going instructions for a 66-year-old
man with newly diagnosed type 2 diabetes. The goals include which of the
following? Select all that apply.
1. Maintenance of weight at present status
2. Glycemic control
3. Good nutritional status
4. More rest
5. Exercise
ANSWER:<
2. Glycemic control
3. Good nutritional status
5. Exercise
Mr. John has recently been given a diagnosis of diabetes. He asks the nurse
practitioner if can try something nonpharmacological to control his diabetes.
Which of the following would the nurse practitioner propose? Select all that
apply.
1. Weight loss and exercise.
2. Self-monitoring blood glucose.
3. A moderate increase in activity.
4. Frequent follow-up appointments with the nurse practitioner.
5. Enrolling in a high-intensity physical activity program
ANSWER:<<
Rationales & Advanced Nursing Study Guide| Expert
Guarantee Pass and 100% Accurate | Well Verified
and Updated | Frequently Most Tested Questions |
Latest Exam and Newest Version!!!
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.
ANSWER:<< 4. These tests are necessary to obtain baseline information.
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
ANSWER:<< 3. The symptoms seem to have appeared slowly.
Ms. Jenny is 72 years old and has managed her type 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
ANSWER:<< 1. Financial challenges.
Ms. Allen, 72 years old, is being evaluated by the nurse practitioner for type 2
diabetes. Because symptoms of endocrine disorders in older adults are vague,
which of the following questions is best to ask?
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?
ANSWER:<< 1. Do you have any trouble carrying out your daily activities?
Mrs. Smith, 80 years old, has been vomiting and having bouts of loose stools for
several days. She is taking several medications that are prescribed. The nurse
practitioner conducts a medication review because:
1. An accounting of all prescribed and over-the-counter (OTC) medications may
uncover reasons 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.
ANSWER:<< 2. There could be drug-drug interactions leading to her symptoms.
Mr. Jameson, 75 years old, comes to the clinic with complaints of severe sharp
epigastric pain that radiates to his back. He has been nauseous and has vomited
three times today. The nurse practitioner suspects which of the following?
1. Appendicitis
2. Gastrointestinal influenza
3. Acute pancreatitis
4. Insulin shock
ANSWER:<< 3. Acute pancreatitis
The nurse practitioner is working in the emergency department and is called to
assist with the diagnosis 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
ANSWER:<< 3. APACHE II
John Brown, 60 years old, asks the nurse practitioner if a lack of functioning
insulin is the only cause of diabetes. Which of the following is the nurse
practitioner's reply? Select all that apply.
1. More recently, other hormones have been found to be part of diabetes.
2. Besides insulin, glucagon, amylin, and incretin are involved.
3. Finding other factors of diabetes has resulted in new treatments.
4. The pancreas is not the only organ involved in diabetes.
5. Genetic factors lead to type 1 diabetes only.
ANSWER:<<
1. More recently, other hormones have been found to be part of diabetes.
2. Besides insulin, glucagon, amylin, and incretin are involved.
3. Finding other factors of diabetes has resulted in new treatments.
4. The pancreas is not the only organ involved in diabetes.
5. Genetic factors lead to type 1 diabetes only.
The APRN is ordering tests to confirm her suspicion of pancreatic cancer.
Which of the following findings would confirm her suspicions? Select all that
apply.
1. Trypsinogen activation peptide (TAP).
2. Blood urea nitrogen (BUN), creatinine, glucose.
3. An abdominal x-ray.
4. Amylase and lipase amount three times the normal.
5. Stool culture.
ANSWER:<<
1. Trypsinogen activation peptide (TAP).
2. Blood urea nitrogen (BUN), creatinine, glucose.
3. An abdominal x-ray.
4. Amylase and lipase amount three times the normal.
5. Stool culture.
Mr. Ed, 46 years old, experienced a mild stroke and was hospitalized through
the emergency room. The general work-up showed that his blood glucose was
300 mg/dl. He denied knowing that his sugar was so high. He did report
frequency of urination and polyphagia. On further examination, the nurse
practitioner asked about family history, and he identified that his mother and
, grandfather both had adult-onset diabetes. Although he is under 65 years old,
the nurse practitioner teaches him which of the following? Select all that apply.
1. A urine sample that shows ketones in the urine, his age, and his body mass
index (BMI) will tell if he is a type 1 or type 2 diabetic.
2. Having the mild stroke is connected to having diabetes.
3. Medications could be associated with diabetes.
4. Because he had a family history of type 2 diabetes, he should have been
screened every year.
5. Screening would not have identified him as a risk
ANSWER:<<
1. A urine sample that shows ketones in the urine, his age, and his body mass
index (BMI) will tell if he is a type 1 or type 2 diabetic.
2. Having the mild stroke is connected to having diabetes.
3. Medications could be associated with diabetes.
The nurse practitioner is preparing home-going instructions for a 66-year-old
man with newly diagnosed type 2 diabetes. The goals include which of the
following? Select all that apply.
1. Maintenance of weight at present status
2. Glycemic control
3. Good nutritional status
4. More rest
5. Exercise
ANSWER:<
2. Glycemic control
3. Good nutritional status
5. Exercise
Mr. John has recently been given a diagnosis of diabetes. He asks the nurse
practitioner if can try something nonpharmacological to control his diabetes.
Which of the following would the nurse practitioner propose? Select all that
apply.
1. Weight loss and exercise.
2. Self-monitoring blood glucose.
3. A moderate increase in activity.
4. Frequent follow-up appointments with the nurse practitioner.
5. Enrolling in a high-intensity physical activity program
ANSWER:<<
