NURS6540 PROFESSIONAL EXAMPREP 2026 TESTED
QUESTIONS AND SOLUTIONS FULL REVIEW GRADED
A+
◉ 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.. Answer:
1. Answer: 1
Page: 361
Feedback
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.
4.
Overall, the nurse practitioner managing the care of older adults
needs to differentiate among four clinical states:
1. An endocrine function that is altered relative to that of younger
patients, but is an expected consequence of normal aging.
2. Altered endocrine function secondary to coincident nonendocrine
disease, but is not of known pathological significance.
3. Iatrogenic changes in endocrine function that largely reflect the
polypharmacy seen in the older adult population.
4. Authentic endocrinopathy.
,◉ 2. 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: 2. Answer:
3
Page: 361
Feedback
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.
◉ 3. 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: 3. Answer: 1
Page: 361
Feedback
1.
Given the vagueness or atypical presentation of endocrine,
metabolic, and nutritional disorders in older adults, specific
QUESTIONS AND SOLUTIONS FULL REVIEW GRADED
A+
◉ 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.. Answer:
1. Answer: 1
Page: 361
Feedback
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.
4.
Overall, the nurse practitioner managing the care of older adults
needs to differentiate among four clinical states:
1. An endocrine function that is altered relative to that of younger
patients, but is an expected consequence of normal aging.
2. Altered endocrine function secondary to coincident nonendocrine
disease, but is not of known pathological significance.
3. Iatrogenic changes in endocrine function that largely reflect the
polypharmacy seen in the older adult population.
4. Authentic endocrinopathy.
,◉ 2. 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: 2. Answer:
3
Page: 361
Feedback
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.
◉ 3. 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: 3. Answer: 1
Page: 361
Feedback
1.
Given the vagueness or atypical presentation of endocrine,
metabolic, and nutritional disorders in older adults, specific
