NRNP 6645 MIDTERM AND FINAL EXAM 2023
(5 DIFFERENT VERSIONS 500 QS & ANS)
/NRNP6645 PSYCHOTHERAPY WITH
MULTIPLE MODALITIES.
1. In the assessment for peripheral vascular disorders, the clinician should
begin with which of
The following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing. - ANS-1. Answer: 1
Page: 215
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1.
The clinician should begin with auscultation of the carotid arteries bilaterally
because cardiac murmurs will usually radiate into the carotid arteries.
,2.
After auscultation of the carotid and subclavian arteries, the clinician should
proceed to palpation of the brachial, radial, and ulnar arteries.
3.
After auscultation and palpation, careful inspection should be performed of
the distal fingers and the nail beds.
4.
Diagnostic testing is usually ordered when areas of concern are found.
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.
1. Mrs. James is 78 years old and comes to the clinic for an annual checkup.
The nurse practitioner addresses the psychosocial needs of older adults and
specifically the need for which of the following?
1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched. - ANS-1. Answer: 2
Page: 428
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1.
The psychosocial assessment of the older adult entails an evaluation of the
following basic needs: autonomy and independence.
2.
The psychosocial assessment of the older adult entails an evaluation of the
following basic needs: dignity, credibility, and respect.
3.
The psychosocial assessment of the older adult entails an evaluation of the
following basic needs: communication and belonging.
4.
, The psychosocial assessment of the older adult entails an evaluation of the
following basic needs: touch.
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. - ANS-1. Answer:
1
Page: 361
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1. Mrs. M. W. Comes into the primary care office for her regular yearly
checkup. The nurse practitioner begins the assessment by asking if there are
concerns Mrs. M. W. Has that need to be addressed. The patient says that
she has been experiencing periodic episodes of abdominal cramps and
diarrhea that just comes and goes. The nurse practitioner continues the
assessment with which of the following?
(5 DIFFERENT VERSIONS 500 QS & ANS)
/NRNP6645 PSYCHOTHERAPY WITH
MULTIPLE MODALITIES.
1. In the assessment for peripheral vascular disorders, the clinician should
begin with which of
The following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing. - ANS-1. Answer: 1
Page: 215
Feedback
1.
The clinician should begin with auscultation of the carotid arteries bilaterally
because cardiac murmurs will usually radiate into the carotid arteries.
,2.
After auscultation of the carotid and subclavian arteries, the clinician should
proceed to palpation of the brachial, radial, and ulnar arteries.
3.
After auscultation and palpation, careful inspection should be performed of
the distal fingers and the nail beds.
4.
Diagnostic testing is usually ordered when areas of concern are found.
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.
1. Mrs. James is 78 years old and comes to the clinic for an annual checkup.
The nurse practitioner addresses the psychosocial needs of older adults and
specifically the need for which of the following?
1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched. - ANS-1. Answer: 2
Page: 428
Feedback
1.
The psychosocial assessment of the older adult entails an evaluation of the
following basic needs: autonomy and independence.
2.
The psychosocial assessment of the older adult entails an evaluation of the
following basic needs: dignity, credibility, and respect.
3.
The psychosocial assessment of the older adult entails an evaluation of the
following basic needs: communication and belonging.
4.
, The psychosocial assessment of the older adult entails an evaluation of the
following basic needs: touch.
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. - ANS-1. Answer:
1
Page: 361
Feedback
1. Mrs. M. W. Comes into the primary care office for her regular yearly
checkup. The nurse practitioner begins the assessment by asking if there are
concerns Mrs. M. W. Has that need to be addressed. The patient says that
she has been experiencing periodic episodes of abdominal cramps and
diarrhea that just comes and goes. The nurse practitioner continues the
assessment with which of the following?
