NR 599 NURSING INFORMATICS TEST BANK /
NR599 NURSING INFORMATICS TEST BANK:
Chamberlain College Of Nursing
A 65 caucasian female presents for her yearly physical. She is 5"1 tall and weighs 102 lbs. A
review of her chart reveals she smokes 1 pack of cigarettes a day, and drinks 2 beers every
evening since she retired. She has taken synthroid and simvastatin for 10 years. She does not
exercise, she likes to sit and knit. The NP knows the non-modifiable risk factor for osteoporosis
for this patient include:
a. activity level
b. age
c. tobacco use
d. medications - Correct Answerb. age
MM, is a 78 year old female presents to the office MM states she feels restless and has a poor
appetite. She states she is worried about her health but has no other symptoms. The physical
exam is normal. The NP diagnoses depression. The NP prescribes a first line treatment for
depression, which is:
a. sertaline
b. diazepam - Correct Answera. sertaline
Which obstructive lung disease is classified as reversible?
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. COPD - Correct Answera. Asthma
Page 1 of 32
,The 2017 HTN guidelines recommend the following treatment for a healthy 54 year old African
American woman with a BI of 23 and consistent BP readings of 116-120/78
a. none, this is a normal BP
b. hypertension, stage 1 requiring treatment
c. elevated BP requiring treatment with a thiazide
d. hypertension, stage 1 requiring treatment with a calcium channel blocker - Correct Answera.
none, this is a normal BP
According to the genitourinary presentation, the number 1 risk factor for urinary incontinence
is:
a. smoking and caffeine levles
b. uncontrolled diabetes
c. aging
d. obesity - Correct Answerc. aging
Which of the following would be an appropriate treatment for a patient with moderated
bothersome symptoms of BPH.
a. recommend cranberry supplements
b. reevaluate symptoms in 1 to 3 months
c. prescribe finasteride and saw palmetto
d. prescribe tamsulosin - Correct Answerd. prescribe tamsulosin
Acanthosis nigricans is associated with all of the following conditions except:
Page 2 of 32
,a. tinea versicolor
b. diabetes
c. obesity
d. colon cancer - Correct Answera. tinea versicolor
Which of the following medications can blunt the signs of hypoglycemia in diabetics?
a. beta blockers
b. calcium channel blockers
c. angiotensin receptor blockers (ARB's)
d diruetics - Correct Answera. beta blockers
The cornerstone of pharmacotherapy in treating Alzheimer's disease is:
a. NMDA receptor antagonist
b. Psychotropic medications
c. Cholinesterase inhibitors
d. Anxiolytics - Correct Answerc. Cholinesterase inhibitors
A 75 year old man is being treated as an outpatient for metastatic prostate cancer. Which of the
following statements is true regarding the management of pain with opioids in the elderly?
a. none of the options are appropriate management
b. opioids with a long half life, such as methadone, are a good choice, because they stay inn the
system longer and patients do not have to remember to take multiple pills - Correct Answera.
none of the options are appropriate management
Page 3 of 32
, The Mini-Cog is a short screening tool used to assess cognition. Which of the following
statements pertaining to the test is a true statement?
a. a score of 0-2 is a positive screen for cognitive impairment
b. the patient is asked to recall five images from picture cards following the drawing of the clock
hands
c. the patient will be asked to repeat five eworkds immediately following the directions by the
practitioner
d. the patient is asked to draw the hour and minute hands on a picture of an analog clock -
Correct Answera. a score of 0-2 is a positive screen for cognitive impairment
When assessing a patient who complains of a tremor, the nurse practitioner must differentiate
essential tremor from the tremor of Parkinson's disease. Which of the following findings are
consistent with essential tremors?
a. the tremor occurs with purposeful movement
b. the handwriting is not affected by the tremor - Correct Answera. the tremor occurs with
purposeful movement
A 56 year old man is diagnosed with acute prostatitis, he is afebrile without severe pain and will
be managed outpatient. He should initially be treated with antibiotics for how long?
a. 6-12 weeks
b. 14-21 days
c. 3-6 weeks
d. 10-14 days - Correct Answerd. 10-14 days
Page 4 of 32
NR599 NURSING INFORMATICS TEST BANK:
Chamberlain College Of Nursing
A 65 caucasian female presents for her yearly physical. She is 5"1 tall and weighs 102 lbs. A
review of her chart reveals she smokes 1 pack of cigarettes a day, and drinks 2 beers every
evening since she retired. She has taken synthroid and simvastatin for 10 years. She does not
exercise, she likes to sit and knit. The NP knows the non-modifiable risk factor for osteoporosis
for this patient include:
a. activity level
b. age
c. tobacco use
d. medications - Correct Answerb. age
MM, is a 78 year old female presents to the office MM states she feels restless and has a poor
appetite. She states she is worried about her health but has no other symptoms. The physical
exam is normal. The NP diagnoses depression. The NP prescribes a first line treatment for
depression, which is:
a. sertaline
b. diazepam - Correct Answera. sertaline
Which obstructive lung disease is classified as reversible?
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. COPD - Correct Answera. Asthma
Page 1 of 32
,The 2017 HTN guidelines recommend the following treatment for a healthy 54 year old African
American woman with a BI of 23 and consistent BP readings of 116-120/78
a. none, this is a normal BP
b. hypertension, stage 1 requiring treatment
c. elevated BP requiring treatment with a thiazide
d. hypertension, stage 1 requiring treatment with a calcium channel blocker - Correct Answera.
none, this is a normal BP
According to the genitourinary presentation, the number 1 risk factor for urinary incontinence
is:
a. smoking and caffeine levles
b. uncontrolled diabetes
c. aging
d. obesity - Correct Answerc. aging
Which of the following would be an appropriate treatment for a patient with moderated
bothersome symptoms of BPH.
a. recommend cranberry supplements
b. reevaluate symptoms in 1 to 3 months
c. prescribe finasteride and saw palmetto
d. prescribe tamsulosin - Correct Answerd. prescribe tamsulosin
Acanthosis nigricans is associated with all of the following conditions except:
Page 2 of 32
,a. tinea versicolor
b. diabetes
c. obesity
d. colon cancer - Correct Answera. tinea versicolor
Which of the following medications can blunt the signs of hypoglycemia in diabetics?
a. beta blockers
b. calcium channel blockers
c. angiotensin receptor blockers (ARB's)
d diruetics - Correct Answera. beta blockers
The cornerstone of pharmacotherapy in treating Alzheimer's disease is:
a. NMDA receptor antagonist
b. Psychotropic medications
c. Cholinesterase inhibitors
d. Anxiolytics - Correct Answerc. Cholinesterase inhibitors
A 75 year old man is being treated as an outpatient for metastatic prostate cancer. Which of the
following statements is true regarding the management of pain with opioids in the elderly?
a. none of the options are appropriate management
b. opioids with a long half life, such as methadone, are a good choice, because they stay inn the
system longer and patients do not have to remember to take multiple pills - Correct Answera.
none of the options are appropriate management
Page 3 of 32
, The Mini-Cog is a short screening tool used to assess cognition. Which of the following
statements pertaining to the test is a true statement?
a. a score of 0-2 is a positive screen for cognitive impairment
b. the patient is asked to recall five images from picture cards following the drawing of the clock
hands
c. the patient will be asked to repeat five eworkds immediately following the directions by the
practitioner
d. the patient is asked to draw the hour and minute hands on a picture of an analog clock -
Correct Answera. a score of 0-2 is a positive screen for cognitive impairment
When assessing a patient who complains of a tremor, the nurse practitioner must differentiate
essential tremor from the tremor of Parkinson's disease. Which of the following findings are
consistent with essential tremors?
a. the tremor occurs with purposeful movement
b. the handwriting is not affected by the tremor - Correct Answera. the tremor occurs with
purposeful movement
A 56 year old man is diagnosed with acute prostatitis, he is afebrile without severe pain and will
be managed outpatient. He should initially be treated with antibiotics for how long?
a. 6-12 weeks
b. 14-21 days
c. 3-6 weeks
d. 10-14 days - Correct Answerd. 10-14 days
Page 4 of 32
