NRNP 6540 Didactic | UPDATED Questions with 100% Verified
Answers
Walden University • NRNP 6540
Q1: There are benign and lethal murmurs. Which of the following are true of lethal murmurs
A: hospitalization is required when arrhythmias result from hemodynamic compromise Cardioversion pre hospitalization
may be needed Aggressive therapeutic treatment is needed when symptomatic Underlying cardiac problems need to
be discovered
Q2: What are the classes of BMI for obesity
A: Class 1 30-35 Class II 35-39.9 Class morbid >40
Q3: What is the screening tool for alcohol
A: Cage It is positive if they answer yes to two or more and then perform a SMAST-G screening tool
Q4: What are the hypertension guidelines for patients greater than 60 years of age
A: 150/90 for patients without DM or CKD 140/90 for patients with DM or CKD
Q5: Why would you initiate statins on elderly patients
A: 1-cvd 2 - LDL >190 3-in patients age 40-75, LDL of 70-189
Q6: Was what is a positive malnutrition score
A: Greater than 10 lb weight loss in 6 months Use the MUST tool
Q7: Elderly population should you screen for hyperlipidemia
A: Patients that have known hypertension, smoking, or diabetes
Q8: What is the scales nutrition screening tool
A: S-sadness, C-cholesterol, A-albumin, L- loss of weight E- eating problems, S - shopping problems
Q9: What are the vision screening requirements of patients > 65
A: Snelling chart - annually Patients with hypertension or diabetes must have a dilated exam annually
,Q10: What are the hearing screening requirements of patients > 65
A: Asking questions about whether people say they appear to have problems with turning the volume up
Q11: When should you screen for osteoporosis
A: Women >65 Men > 70 You must use a dual energy dxa x-ray And perform at-score
Q12: What is the T score for osteoporosis?
A: Normal 1.0 Osteopenia -1 to -2.5 Osteoporosis -2.5 Severe osteoporosis < 2.5 and fragility fracture
Q13: What are the mammogram screening requirements
A: Age greater than 40-74
Q14: What are the colon cancer screening recommendations
A: All patients over the age of 50 Colonoscopy every 10 years Sigmoidoscopy every 5 years Occult blood yearly
Q15: What are the cervical cancer screening recommendations
A: Age 21-65 > age 65 is not required
Q16: What are the requirements for counseling patients > 65
A: Exercise, nutrition, tobacco, alcohol
Q17: What are the requirements of exercise for patients 65
A: Aerobic exercise for 30 minutes three times a week Strength exercise two times a week
Q18: What are the alcohol recommendations for an adult
A: one per day for women Per day for men
Q19: What are the pneumonia immunization recommendations for patients >65
A: Pcv13 first PPS 23 one year later
,Q20: What are the zoster immunization recommendations
A: All patients over the age of 60-regardless if they have had shingles or chicken pox in the past
Contraindications-allergy to neomycin or gelatin Bone marrow cancer - such as lymphoma Current chemotherapy or
steroids AIDS patients
Q21: the major impact of the physiological changes that occur with aging is
A: Reduced physiological Reserve-Particularly the cardiac, respiratory, and renal systems Reduced homeostatic
mechanisms-That fail to adjust regulatory systems such as temperature control and fluid and electrolyte balance
Changes in the sympathetic response-which contribute to orthostasis and Falls as well as a lack of hypoglycemic
response Impaired immunologic response
Q22: the strongest evidence regarding normal physiological aging is available through
A: Longitudinal studies
Q23: the following statements are true about laboratory values in older adults
A: Reference ranges are preferable Normal ranges may not be applicable for older adults Reference ranges are not
necessarily acceptable values
Q24: biochemical individuality is best described as
A: Each individual's variation is often much smaller than that of a larger group
Q25: polypharmacy is best described as
A: Even a single med if there is not a clear indication for its use
Q26: pharmacokinetic changes with aging is reflective of
A: What the body does to the drug
Q27: All of the following statements are false about drug absorption except
A: Underlying chronic disease has little impact on drug absorption
Q28: all of the following statements are true about drug distribution in the elderly
A: drugs distributed in fat have less intense, more prolonged effect drugs highly protein bound have greater potential to
cause an adverse drug reaction the fastest way to deliver a drug to the action site is by inhalation
, Q29: men have faster and more efficient biotransformation of drugs and this is thought to be due to
A: testosterone
Q30: the cytochrome P system involves enzymes that are generally
A: Inhibited or induced by drugs
Q31: a statement not shown to be true about pharmacodynamics changes with aging
A: and hand sensitivity to central nervous system drugs drug responsiveness can be influenced by patients activity level
decreased sensitivity to beta blockers they do not have a decrease sensitivity to oral anticoagulants
Q32: a typical presentation of disease in the elderly is reflected by all of the following
A: infection without fever depression without dysphoric mood cardiac manifestations of thyroid disease
Q33: functional abilities are best assessed by
A: Observed assessment of function
Q34: What is a reference range in laboratory values
A: How age or sexcan attribute to
Q35: The leading cause of death in elderly Travelers worldwide
A: Accidents
Q36: What should be avoided in countries where food and water precautions are to be observed
A: Salad buffet
Q37: What insect precautions are not necessary to prevent insect- born diseases in the tropics
A: Using 100% DEET on skin to prevent bites
Q38: What is an example of a secondary prevention you could recommend order for older adults
A: Check for a fecal occult blood
Answers
Walden University • NRNP 6540
Q1: There are benign and lethal murmurs. Which of the following are true of lethal murmurs
A: hospitalization is required when arrhythmias result from hemodynamic compromise Cardioversion pre hospitalization
may be needed Aggressive therapeutic treatment is needed when symptomatic Underlying cardiac problems need to
be discovered
Q2: What are the classes of BMI for obesity
A: Class 1 30-35 Class II 35-39.9 Class morbid >40
Q3: What is the screening tool for alcohol
A: Cage It is positive if they answer yes to two or more and then perform a SMAST-G screening tool
Q4: What are the hypertension guidelines for patients greater than 60 years of age
A: 150/90 for patients without DM or CKD 140/90 for patients with DM or CKD
Q5: Why would you initiate statins on elderly patients
A: 1-cvd 2 - LDL >190 3-in patients age 40-75, LDL of 70-189
Q6: Was what is a positive malnutrition score
A: Greater than 10 lb weight loss in 6 months Use the MUST tool
Q7: Elderly population should you screen for hyperlipidemia
A: Patients that have known hypertension, smoking, or diabetes
Q8: What is the scales nutrition screening tool
A: S-sadness, C-cholesterol, A-albumin, L- loss of weight E- eating problems, S - shopping problems
Q9: What are the vision screening requirements of patients > 65
A: Snelling chart - annually Patients with hypertension or diabetes must have a dilated exam annually
,Q10: What are the hearing screening requirements of patients > 65
A: Asking questions about whether people say they appear to have problems with turning the volume up
Q11: When should you screen for osteoporosis
A: Women >65 Men > 70 You must use a dual energy dxa x-ray And perform at-score
Q12: What is the T score for osteoporosis?
A: Normal 1.0 Osteopenia -1 to -2.5 Osteoporosis -2.5 Severe osteoporosis < 2.5 and fragility fracture
Q13: What are the mammogram screening requirements
A: Age greater than 40-74
Q14: What are the colon cancer screening recommendations
A: All patients over the age of 50 Colonoscopy every 10 years Sigmoidoscopy every 5 years Occult blood yearly
Q15: What are the cervical cancer screening recommendations
A: Age 21-65 > age 65 is not required
Q16: What are the requirements for counseling patients > 65
A: Exercise, nutrition, tobacco, alcohol
Q17: What are the requirements of exercise for patients 65
A: Aerobic exercise for 30 minutes three times a week Strength exercise two times a week
Q18: What are the alcohol recommendations for an adult
A: one per day for women Per day for men
Q19: What are the pneumonia immunization recommendations for patients >65
A: Pcv13 first PPS 23 one year later
,Q20: What are the zoster immunization recommendations
A: All patients over the age of 60-regardless if they have had shingles or chicken pox in the past
Contraindications-allergy to neomycin or gelatin Bone marrow cancer - such as lymphoma Current chemotherapy or
steroids AIDS patients
Q21: the major impact of the physiological changes that occur with aging is
A: Reduced physiological Reserve-Particularly the cardiac, respiratory, and renal systems Reduced homeostatic
mechanisms-That fail to adjust regulatory systems such as temperature control and fluid and electrolyte balance
Changes in the sympathetic response-which contribute to orthostasis and Falls as well as a lack of hypoglycemic
response Impaired immunologic response
Q22: the strongest evidence regarding normal physiological aging is available through
A: Longitudinal studies
Q23: the following statements are true about laboratory values in older adults
A: Reference ranges are preferable Normal ranges may not be applicable for older adults Reference ranges are not
necessarily acceptable values
Q24: biochemical individuality is best described as
A: Each individual's variation is often much smaller than that of a larger group
Q25: polypharmacy is best described as
A: Even a single med if there is not a clear indication for its use
Q26: pharmacokinetic changes with aging is reflective of
A: What the body does to the drug
Q27: All of the following statements are false about drug absorption except
A: Underlying chronic disease has little impact on drug absorption
Q28: all of the following statements are true about drug distribution in the elderly
A: drugs distributed in fat have less intense, more prolonged effect drugs highly protein bound have greater potential to
cause an adverse drug reaction the fastest way to deliver a drug to the action site is by inhalation
, Q29: men have faster and more efficient biotransformation of drugs and this is thought to be due to
A: testosterone
Q30: the cytochrome P system involves enzymes that are generally
A: Inhibited or induced by drugs
Q31: a statement not shown to be true about pharmacodynamics changes with aging
A: and hand sensitivity to central nervous system drugs drug responsiveness can be influenced by patients activity level
decreased sensitivity to beta blockers they do not have a decrease sensitivity to oral anticoagulants
Q32: a typical presentation of disease in the elderly is reflected by all of the following
A: infection without fever depression without dysphoric mood cardiac manifestations of thyroid disease
Q33: functional abilities are best assessed by
A: Observed assessment of function
Q34: What is a reference range in laboratory values
A: How age or sexcan attribute to
Q35: The leading cause of death in elderly Travelers worldwide
A: Accidents
Q36: What should be avoided in countries where food and water precautions are to be observed
A: Salad buffet
Q37: What insect precautions are not necessary to prevent insect- born diseases in the tropics
A: Using 100% DEET on skin to prevent bites
Q38: What is an example of a secondary prevention you could recommend order for older adults
A: Check for a fecal occult blood
