NR 601 FINAL EXAM LATEST UPDATE| COMPLETE QUESTIONS AND
ANSWERS| CHAMBERLAIN COLLEGE OF NURSING
Which of the following statements is NOT true about palliative care teams?
CORRECT ANSWER: Provide weekly home visits
A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned about her kidneys.
She has no report of dysuria, frequency or urgency at this time. Which of the following is the best action to follow?
CORRECT ANSWER: Recheck UA dipstick today
According to the sexuality presentation, atrophic vaginitis (AV)
CORRECT ANSWER: Is a contributing factor for frequent UTIs
Ms. L 55-year-old women with BMI of 28, has 20-yearhx of primary HTN and has been on hydrochlorothiazide 25 mg
daily for years with excellent response. During follow up visit Mrs L reports that for the last 6 months she has felt
thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N notes that the
last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose,
which is 210 mg/dl. What is the next appropriate test?
CORRECT ANSWER: Prescribe Metformin 500 mg PO BID
A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but
complaints of some loose stools during the week. How should the NP respond?
CORRECT ANSWER: Reassure the patient that this is an anticipated side effect
A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL=165. The NP teaches the
patient about his modifiable cardiac risk factors which include:
CORRECT ANSWER: Diabetes, obesity, and hyperlipidemia
Lifestyle approaches to postmenopausal symptom management include
CORRECT ANSWER: avoiding sugar, coffee, chocolate and alcohol
When treating depression associated with dementia, which of the following would be a poor choice and should not be
prescribed?
CORRECT ANSWER: Amitriptyline
How does women’s anatomy make them more susceptible to UTIs?
CORRECT ANSWER: the urethra is shorter
Which of the following is a role of the advanced nurse in?
CORRECT ANSWER: All of the above
All of the following statements are true regarding anxiety EXCEPT:
CORRECT ANSWER: is a normal part of aging
, A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes
CORRECT ANSWER: Educate the patient of lifestyle changes to lower blood glucose
Which of the following assessments are commonly noted in a client with Parkinson’s disease?
CORRECT ANSWER: Micrographia and bradykinesia
A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explore which of these causes
of incontinence in men?
CORRECT ANSWER: Urinary Tract Infection (UTI)
Which of the following maneuvers is contraindicated in acute prostatitis?
CORRECT ANSWER: Massaging the infected prostate
Mrs. N a 65-year-old women with BMI of 29 on Medicare, has a 20-yearhx of primary HTN and has been on HCTZ 25 mg
daily for years , reports that for the past 6 months she has felt thirsty all of the time even though she drinks at least 10
glasses of water a day. Upon charting NP notes that the last two fasting blood glucose levels have been 136 mg/dl and
165 mg/dl. What actions should the NP perform next?
CORRECT ANSWER: order a fasting blood glucose??? PRESCRIBE METFORMIN XR 500MG PO
According to the WHO analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient
who presents with moderate pain?
CORRECT ANSWER: Indomethacin/ hydrocodone
The cornerstone of pharmacotherapy in treating Alzheimer’s disease is:
CORRECT ANSWER: Cholinesterase inhibitors
The highest level of evidence to support interventions at the end of life is with:
CORRECT ANSWER: opioids for dyspnea
The comorbid psychiatric problem with the highest frequency in dementia is:
CORRECT ANSWER: Anxiety
All of the following are true statements regarding elder abuse EXCEPT:
CORRECT ANSWER: common signs of abuse include decreased anxiety and depression
Which of the following is a role of the advanced nurse in ?
CORRECT ANSWER: All of the above
The proposed mechanism by which diphenhydramine causes delirium is:
CORRECT ANSWER: Anticholinergic effect
A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is :
ANSWERS| CHAMBERLAIN COLLEGE OF NURSING
Which of the following statements is NOT true about palliative care teams?
CORRECT ANSWER: Provide weekly home visits
A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned about her kidneys.
She has no report of dysuria, frequency or urgency at this time. Which of the following is the best action to follow?
CORRECT ANSWER: Recheck UA dipstick today
According to the sexuality presentation, atrophic vaginitis (AV)
CORRECT ANSWER: Is a contributing factor for frequent UTIs
Ms. L 55-year-old women with BMI of 28, has 20-yearhx of primary HTN and has been on hydrochlorothiazide 25 mg
daily for years with excellent response. During follow up visit Mrs L reports that for the last 6 months she has felt
thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N notes that the
last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose,
which is 210 mg/dl. What is the next appropriate test?
CORRECT ANSWER: Prescribe Metformin 500 mg PO BID
A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but
complaints of some loose stools during the week. How should the NP respond?
CORRECT ANSWER: Reassure the patient that this is an anticipated side effect
A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL=165. The NP teaches the
patient about his modifiable cardiac risk factors which include:
CORRECT ANSWER: Diabetes, obesity, and hyperlipidemia
Lifestyle approaches to postmenopausal symptom management include
CORRECT ANSWER: avoiding sugar, coffee, chocolate and alcohol
When treating depression associated with dementia, which of the following would be a poor choice and should not be
prescribed?
CORRECT ANSWER: Amitriptyline
How does women’s anatomy make them more susceptible to UTIs?
CORRECT ANSWER: the urethra is shorter
Which of the following is a role of the advanced nurse in?
CORRECT ANSWER: All of the above
All of the following statements are true regarding anxiety EXCEPT:
CORRECT ANSWER: is a normal part of aging
, A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes
CORRECT ANSWER: Educate the patient of lifestyle changes to lower blood glucose
Which of the following assessments are commonly noted in a client with Parkinson’s disease?
CORRECT ANSWER: Micrographia and bradykinesia
A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explore which of these causes
of incontinence in men?
CORRECT ANSWER: Urinary Tract Infection (UTI)
Which of the following maneuvers is contraindicated in acute prostatitis?
CORRECT ANSWER: Massaging the infected prostate
Mrs. N a 65-year-old women with BMI of 29 on Medicare, has a 20-yearhx of primary HTN and has been on HCTZ 25 mg
daily for years , reports that for the past 6 months she has felt thirsty all of the time even though she drinks at least 10
glasses of water a day. Upon charting NP notes that the last two fasting blood glucose levels have been 136 mg/dl and
165 mg/dl. What actions should the NP perform next?
CORRECT ANSWER: order a fasting blood glucose??? PRESCRIBE METFORMIN XR 500MG PO
According to the WHO analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient
who presents with moderate pain?
CORRECT ANSWER: Indomethacin/ hydrocodone
The cornerstone of pharmacotherapy in treating Alzheimer’s disease is:
CORRECT ANSWER: Cholinesterase inhibitors
The highest level of evidence to support interventions at the end of life is with:
CORRECT ANSWER: opioids for dyspnea
The comorbid psychiatric problem with the highest frequency in dementia is:
CORRECT ANSWER: Anxiety
All of the following are true statements regarding elder abuse EXCEPT:
CORRECT ANSWER: common signs of abuse include decreased anxiety and depression
Which of the following is a role of the advanced nurse in ?
CORRECT ANSWER: All of the above
The proposed mechanism by which diphenhydramine causes delirium is:
CORRECT ANSWER: Anticholinergic effect
A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is :
