NSG 5544 South College -Final FNP Older Adult Questions |
2026/2027 | Answers Correct | With Complete Solutions
14. A 78-year-old man with Parkinson's disease is being cared
for in a nursing home. The nurses observe that he coughs at
mealtime; he has the ability to still feed himself with adaptive
equipment. He has had no aspirations. Oral exam is normal,
except during his swallowing assessment you note there is slight
delayed elicitation. You assess that he has only mild dysphagia.
You recommend which of the following as the next step in his
care?
A. Consult gastroenterologist for g-tube decision
B. Consult speech pathologist for video fluoroscopy
C. Provide a trial of foods of differing consistency
D. Require that he is fed all his meals Correct Answers C.
Provide a trial of foods of differing consistency
A 56 year old man presents to the office with concerns about
low energy, lack of joy in his life and decreased appetite for 2
weeks. The nurse practitioner assesses him using SIG-E CAPS,
the NP knows that the E stands for
a. energy (decreased)
b. emotional instability
c. ego dystonia
d. enthusiasm (decreased) Correct Answers a. energy
(decreased)
,A 56-year old male patient screened for diabetes has a fasting
plasma glucose level of 96mg/dl. The nurse practitioner
management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam Correct Answers a.
repeat fasting plasma glucose in three years
A 58 year old Caucasian mane with type 2 diabetes mellitus
presents to the clinic as a new patient. He takes metformin
500mg twice a day. His last Hgb A1c was 7%. He is up to date
on eye and foot examinations. His BP is 142/96. According to
ACC 2017 guidelines for high blood pressure in adults, what is
the most appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine Correct Answers a. lisinopril
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 Answers b. age
A 78-year-old female presents with a seizure that occurred over
the weekend. In selecting the most important diagnostics for this
presentation, it is important to know that the least common site
of seizures in the elderly is:
A.Cerebellum
B.Frontal lobe
C.Temporal lobe
D.Parietal lobe Correct Answers C. Temporal Lobe
A 87 year old man tells the nurse practitioner that his grandson
locks him in his bedroom when he gets out. The grandson
withholds food if the patient does not give him money every
week. The patient appears frail, ungroomed, and his clothes are
visibly dirty and smell of urine. Which of the following is the
best action for the nurse practitioner.
a. advise the patient to call his son and report the grandson's
behavior as soon as possible
b. call the grandson from the waiting room and educate him
about proper care for his grandfather
c. report the grandson to your states protective services
d. advise the grandson if the patient reports the concerns at the
end of the next visit, the NP is obligated to report to protective
services Correct Answers c. report the grandson to your states
protective services
, A clinician is performing sensory assessment on a patient
presenting signs and symptoms of
neurological disease. During the assessment, the clinician
notices that the patient has a decreased sense of both pain and
temperature. Which of the following may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn Correct Answers 1. Spinothalamic tract
A drug that can be used to treat two very common symptoms in
a dying patient (pain and dyspnea) is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine Correct Answers d. Morphine
A middle aged patient has been diagnosed with Parkinson's
disease. What influences the nurse practitioners decision to
begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability Correct Answers
d. symptoms interfering with functional ability
According to studies, which of the following is true regarding
cerebrovascular disease?
2026/2027 | Answers Correct | With Complete Solutions
14. A 78-year-old man with Parkinson's disease is being cared
for in a nursing home. The nurses observe that he coughs at
mealtime; he has the ability to still feed himself with adaptive
equipment. He has had no aspirations. Oral exam is normal,
except during his swallowing assessment you note there is slight
delayed elicitation. You assess that he has only mild dysphagia.
You recommend which of the following as the next step in his
care?
A. Consult gastroenterologist for g-tube decision
B. Consult speech pathologist for video fluoroscopy
C. Provide a trial of foods of differing consistency
D. Require that he is fed all his meals Correct Answers C.
Provide a trial of foods of differing consistency
A 56 year old man presents to the office with concerns about
low energy, lack of joy in his life and decreased appetite for 2
weeks. The nurse practitioner assesses him using SIG-E CAPS,
the NP knows that the E stands for
a. energy (decreased)
b. emotional instability
c. ego dystonia
d. enthusiasm (decreased) Correct Answers a. energy
(decreased)
,A 56-year old male patient screened for diabetes has a fasting
plasma glucose level of 96mg/dl. The nurse practitioner
management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam Correct Answers a.
repeat fasting plasma glucose in three years
A 58 year old Caucasian mane with type 2 diabetes mellitus
presents to the clinic as a new patient. He takes metformin
500mg twice a day. His last Hgb A1c was 7%. He is up to date
on eye and foot examinations. His BP is 142/96. According to
ACC 2017 guidelines for high blood pressure in adults, what is
the most appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine Correct Answers a. lisinopril
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 Answers b. age
A 78-year-old female presents with a seizure that occurred over
the weekend. In selecting the most important diagnostics for this
presentation, it is important to know that the least common site
of seizures in the elderly is:
A.Cerebellum
B.Frontal lobe
C.Temporal lobe
D.Parietal lobe Correct Answers C. Temporal Lobe
A 87 year old man tells the nurse practitioner that his grandson
locks him in his bedroom when he gets out. The grandson
withholds food if the patient does not give him money every
week. The patient appears frail, ungroomed, and his clothes are
visibly dirty and smell of urine. Which of the following is the
best action for the nurse practitioner.
a. advise the patient to call his son and report the grandson's
behavior as soon as possible
b. call the grandson from the waiting room and educate him
about proper care for his grandfather
c. report the grandson to your states protective services
d. advise the grandson if the patient reports the concerns at the
end of the next visit, the NP is obligated to report to protective
services Correct Answers c. report the grandson to your states
protective services
, A clinician is performing sensory assessment on a patient
presenting signs and symptoms of
neurological disease. During the assessment, the clinician
notices that the patient has a decreased sense of both pain and
temperature. Which of the following may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn Correct Answers 1. Spinothalamic tract
A drug that can be used to treat two very common symptoms in
a dying patient (pain and dyspnea) is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine Correct Answers d. Morphine
A middle aged patient has been diagnosed with Parkinson's
disease. What influences the nurse practitioners decision to
begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability Correct Answers
d. symptoms interfering with functional ability
According to studies, which of the following is true regarding
cerebrovascular disease?
