NR 601 Final exam
A forty eight yr antique male affected person screened for diabetes has a fasting plasma
glucose degree of 120mg/dl (6.7mmol/L). The nurse practitioner plan includes:
a. Prescribe metformin 500mg po BID
b. Train the patient on lifestyle adjustments to decrease blood glucose
c. Provoke self monitoring of blood glucose
d. Overview the consequences of oral hypoglycemic medications - ANS-b. Train the patient
on way of life adjustments to lower blood glucose
A 52 year vintage female patient screened for diabetes has a fasting plasma glucose degree
of 123 mg/dl. The nurse practitioners plan includes:
a. Repeat fasting glucose in 1 month
b. Prescribe memformin 500mg BID po
c. Repeat fasting plasma glucose in twelve months
d. Repeat fasting glucose in three years - ANS-c. Repeat fasting plasma glucose in 365 days
A fifty six yr antique man is identified with acute prostatitis, he's afebrile with out excessive
ache and could be managed outpatient. He need to to start with be handled with antibiotics
for a way lengthy?
A. 6-12 weeks
b. 14-21 days
c. Three-6 weeks
d. 10-14 days - ANS-d. 10-14 days
A fifty six yr vintage guy presents to the workplace with worries about low power, loss of joy
in his life and decreased urge for food for two weeks. The nurse practitioner assesses him
the usage of SIG-E CAPS, the NP knows that the E stands for
a. Energy (reduced)
b. Emotional instability
c. Ego dystonia
d. Enthusiasm (decreased) - ANS-a. Power (decreased)
A 56-year old male patient screened for diabetes has a fasting plasma glucose degree of
96mg/dl. The nurse practitioner control plan includes:
a. Repeat fasting plasma glucose in three years
b. Prescribe Metformin 500mg po BID
c. Repeat fasting plasma glucose in three hundred and sixty five days
,d. Talk over with ophthalmology for eye exam - ANS-a. Repeat fasting plasma glucose in 3
years
A 58 12 months vintage Caucasian mane with kind 2 diabetes mellitus presents to the clinic
as a brand new patient. He takes metformin 500mg twice an afternoon. His remaining Hgb
A1c was 7%. He is up to date on eye and foot examinations. His BP is 142/ninety six.
According to ACC 2017 tips for excessive blood stress in adults, what is the maximum
suitable first line medicinal drug?
A. Lisinopril
b. Furosemide
c. Amlodipine
d. Clonidine - ANS-a. Lisinopril
A fifty eight yr antique male affords to the health facility with complaints of growing SOB. The
NP suspects HF. The NP examines the CXR movie. The NP is aware of diagnosis can be
made with a high degree of accuracy if of the subsequent standards are met:
1. Signs and symptoms of interstitial edema (Kerley Bs)
2. Top area redistribution of pulmonary blood waft (cephalization)
three. Abnormally enlarged retrosternal apace
four. Pulling down of the diaphragm with blunting of the costrophrenic angle on PA film
a. 1 & 2
b2&4
c. 1 & three
d. 2 & three - ANS-a. 1 & 2
A 60 12 months old obese male purchaser has type 2 diabetes mellitus and a lipid panel of
TC=250 HDL=32 LDL=a hundred sixty five. The nurse practitioner teaches the patient
approximately his modifiable cardiac chance elements, which include:
a. Diabetes, weight problems and hyperlipidemia
b. Advancing age, diabetes, hyperlipidemia, and male gender
c. Hyperlipidemia, smoking and own family records of coronary heart sickness
d. Male with age >forty five, diabetes mellitys and hyperlipidemia - ANS-a. Diabetes, obesity
and hyperlipidemia
A sixty five caucasian female gives for her yearly physical. She is five"1 tall and weighs 102
lbs. A assessment of her chart well-knownshows she smokes 1 % of cigarettes an afternoon,
and beverages 2 beers each night seeing that she retired. She has taken synthroid and
simvastatin for 10 years. She does no longer workout, she likes to sit and knit. The NP
knows the non-modifiable danger thing for osteoporosis for this patient consist of:
a. Interest degree
b. Age
c. Tobacco use
d. Medications - ANS-b. Age
, A 65 yr antique caucasian presented to your health center with the subsequent history and
signs and symptoms: reviews precise trendy fitness, asymptomatic mitral valve stenosis,
cutting-edge beta blocker use and bodily examination findings unremarkable. The NP is
aware of this patient's degree of coronary heart failure is:
a. Stage D
b. Stage B - ANS-b. Stage B
A 65 yr old hispanci female provides to the office for habitual observe up for her type 2
diabetes mellitus. Her routine UA reveals few epithelial cells, poor leukocytes, poor nitrates,
poor protein, no ketones. Which of the following exams have to additionally be ordered
annually for diabetic sufferers.
A. Reslult is regular, no similarly trying out is necessary
b. Urine for way of life and sensitivity
c.Suggest a screening intravenous pyelopgram (IVP)
d. Microalbumin - ANS-d. Microalbumin
A sixty five yr antique Hispanic woman who affords to the workplace for recurring observe up
of her kind 2 diabetes mellitus. Her ordinary UA results are as follows: few epithelial cells,
bad leukocytes, negative nitrates, bad protein, no ketones. Which of the subsequent exams
have to also be ordered yearly for diabetic patients:
a. Result is ordinary, no further testing is vital
b. Urine for way of life and sensitivity
c. Endorse a screening intravenous pyelogram (IVP)
d. Micoralbumin - ANS-d. Micoralbumin
A sixty seven 12 months vintage guy is seen in the health facility with a primary grievance of
nocturia. Which of the subsequent need to be included inside the differential prognosis?
A. Psychogenic nocturia
b. Benign prostatic hypertrophy
c. Drug precipitated impotence
d. Irritative posterior urethral lesion - ANS-b. Benign prostatic hypertrophy
A sixty eight 12 months antique woman gives with a grievance of urine leakage every time
she sneezes, laughs or traces for the past 4 months. She denies dysuria, frequency and
nocturia. US dipstick is bad for RBC's leukocyte esterase, nitrates, ketones and urobilinogen.
What is the prognosis?
A. Stress incontinence
b. Urinary incontinence
c. Urge incontinence
d. Overflow incontninence - ANS-a. Pressure incontinence
A forty eight yr antique male affected person screened for diabetes has a fasting plasma
glucose degree of 120mg/dl (6.7mmol/L). The nurse practitioner plan includes:
a. Prescribe metformin 500mg po BID
b. Train the patient on lifestyle adjustments to decrease blood glucose
c. Provoke self monitoring of blood glucose
d. Overview the consequences of oral hypoglycemic medications - ANS-b. Train the patient
on way of life adjustments to lower blood glucose
A 52 year vintage female patient screened for diabetes has a fasting plasma glucose degree
of 123 mg/dl. The nurse practitioners plan includes:
a. Repeat fasting glucose in 1 month
b. Prescribe memformin 500mg BID po
c. Repeat fasting plasma glucose in twelve months
d. Repeat fasting glucose in three years - ANS-c. Repeat fasting plasma glucose in 365 days
A fifty six yr antique man is identified with acute prostatitis, he's afebrile with out excessive
ache and could be managed outpatient. He need to to start with be handled with antibiotics
for a way lengthy?
A. 6-12 weeks
b. 14-21 days
c. Three-6 weeks
d. 10-14 days - ANS-d. 10-14 days
A fifty six yr vintage guy presents to the workplace with worries about low power, loss of joy
in his life and decreased urge for food for two weeks. The nurse practitioner assesses him
the usage of SIG-E CAPS, the NP knows that the E stands for
a. Energy (reduced)
b. Emotional instability
c. Ego dystonia
d. Enthusiasm (decreased) - ANS-a. Power (decreased)
A 56-year old male patient screened for diabetes has a fasting plasma glucose degree of
96mg/dl. The nurse practitioner control plan includes:
a. Repeat fasting plasma glucose in three years
b. Prescribe Metformin 500mg po BID
c. Repeat fasting plasma glucose in three hundred and sixty five days
,d. Talk over with ophthalmology for eye exam - ANS-a. Repeat fasting plasma glucose in 3
years
A 58 12 months vintage Caucasian mane with kind 2 diabetes mellitus presents to the clinic
as a brand new patient. He takes metformin 500mg twice an afternoon. His remaining Hgb
A1c was 7%. He is up to date on eye and foot examinations. His BP is 142/ninety six.
According to ACC 2017 tips for excessive blood stress in adults, what is the maximum
suitable first line medicinal drug?
A. Lisinopril
b. Furosemide
c. Amlodipine
d. Clonidine - ANS-a. Lisinopril
A fifty eight yr antique male affords to the health facility with complaints of growing SOB. The
NP suspects HF. The NP examines the CXR movie. The NP is aware of diagnosis can be
made with a high degree of accuracy if of the subsequent standards are met:
1. Signs and symptoms of interstitial edema (Kerley Bs)
2. Top area redistribution of pulmonary blood waft (cephalization)
three. Abnormally enlarged retrosternal apace
four. Pulling down of the diaphragm with blunting of the costrophrenic angle on PA film
a. 1 & 2
b2&4
c. 1 & three
d. 2 & three - ANS-a. 1 & 2
A 60 12 months old obese male purchaser has type 2 diabetes mellitus and a lipid panel of
TC=250 HDL=32 LDL=a hundred sixty five. The nurse practitioner teaches the patient
approximately his modifiable cardiac chance elements, which include:
a. Diabetes, weight problems and hyperlipidemia
b. Advancing age, diabetes, hyperlipidemia, and male gender
c. Hyperlipidemia, smoking and own family records of coronary heart sickness
d. Male with age >forty five, diabetes mellitys and hyperlipidemia - ANS-a. Diabetes, obesity
and hyperlipidemia
A sixty five caucasian female gives for her yearly physical. She is five"1 tall and weighs 102
lbs. A assessment of her chart well-knownshows she smokes 1 % of cigarettes an afternoon,
and beverages 2 beers each night seeing that she retired. She has taken synthroid and
simvastatin for 10 years. She does no longer workout, she likes to sit and knit. The NP
knows the non-modifiable danger thing for osteoporosis for this patient consist of:
a. Interest degree
b. Age
c. Tobacco use
d. Medications - ANS-b. Age
, A 65 yr antique caucasian presented to your health center with the subsequent history and
signs and symptoms: reviews precise trendy fitness, asymptomatic mitral valve stenosis,
cutting-edge beta blocker use and bodily examination findings unremarkable. The NP is
aware of this patient's degree of coronary heart failure is:
a. Stage D
b. Stage B - ANS-b. Stage B
A 65 yr old hispanci female provides to the office for habitual observe up for her type 2
diabetes mellitus. Her routine UA reveals few epithelial cells, poor leukocytes, poor nitrates,
poor protein, no ketones. Which of the following exams have to additionally be ordered
annually for diabetic sufferers.
A. Reslult is regular, no similarly trying out is necessary
b. Urine for way of life and sensitivity
c.Suggest a screening intravenous pyelopgram (IVP)
d. Microalbumin - ANS-d. Microalbumin
A sixty five yr antique Hispanic woman who affords to the workplace for recurring observe up
of her kind 2 diabetes mellitus. Her ordinary UA results are as follows: few epithelial cells,
bad leukocytes, negative nitrates, bad protein, no ketones. Which of the subsequent exams
have to also be ordered yearly for diabetic patients:
a. Result is ordinary, no further testing is vital
b. Urine for way of life and sensitivity
c. Endorse a screening intravenous pyelogram (IVP)
d. Micoralbumin - ANS-d. Micoralbumin
A sixty seven 12 months vintage guy is seen in the health facility with a primary grievance of
nocturia. Which of the subsequent need to be included inside the differential prognosis?
A. Psychogenic nocturia
b. Benign prostatic hypertrophy
c. Drug precipitated impotence
d. Irritative posterior urethral lesion - ANS-b. Benign prostatic hypertrophy
A sixty eight 12 months antique woman gives with a grievance of urine leakage every time
she sneezes, laughs or traces for the past 4 months. She denies dysuria, frequency and
nocturia. US dipstick is bad for RBC's leukocyte esterase, nitrates, ketones and urobilinogen.
What is the prognosis?
A. Stress incontinence
b. Urinary incontinence
c. Urge incontinence
d. Overflow incontninence - ANS-a. Pressure incontinence
