Final Exam: NR601/ NR 601 Primary Care of the Maturing & Aged Family Practicum Final Exam| Graded A Questions and Verified Answers| 2023/ 2024 New

Final Exam: NR601/ NR 601 Primary Care of the Maturing & Aged Family Practicum Final Exam| Graded A Questions and Verified Answers| 2023/ 2024 New QUESTION When assessing an elderly client who reports a tremor, which assessment findings would be most reliable in identifying Parkinson’s disease? a. cogwheel rigidity, bradykinesia, and macrographic b. any presence of fever c. symptoms of slowed movement, unstable angina and tremor d. resting tremor, slow unsteady gait and cogwheel rigidity Answer: d. resting tremor, slow unsteady gait and cogwheel rigidity QUESTION How does woman’s anatomy make them more susceptible to UTI's a. the female urethra is shorter b. asymptomatic UTI's do not resolve themselves without treatment c. women tend to get UTI's when they are pregnant d. there is a longer distance between the urethra and anus Answer: a. the female urethra is shorter QUESTION Mrs. Smith, a 64 year old woman presents to the clinic for the first time and complains of urinary incontinence and dyspareunia. She went through menopause 10 years ago without any hormone replacement therapy and had a hysterectomy for a fibroid. Her mother had a hip fracture at 87 years of age. The patient’s most recent mammogram was 7 years ago and no known family history of breast cancer. She is not taking any medications. Her physical exam is unremarkable except for findings consistent with atrophic vaginitis. You prescribed topical hormone replacement therapy today. Which of the following evaluations should also be ordered today a. bone mineral density measurement b. mammogram Answer: b. mammogram QUESTION All of the following patients should be screened for diabetes except: a. a 44 year old Caucasian male with hypertension b. a 42 year old female on disability from back injury from back injury who is unable to exercise c. an overweight middle aged African American woman with a family history of type 2 diabetes mellitus d. an obese hispanic man Answer: a. a 44 year old caucasian male with hypertension QUESTION A 60 year old obese male client has type 2 diabetes mellitus and a lipid panel of TC=250 HDL=32 LDL=165. The nurse practitioner teaches the patient about his modifiable cardiac risk factors, which include: a. diabetes, obesity and hyperlipidemia b. advancing age, diabetes, hyperlipidemia, and male gender c. hyperlipidemia, smoking and family history of heart disease d. male with age 45, diabetes mellitys and hyperlipidemia Answer: a. diabetes, obesity and hyperlipidemia QUESTION When treating inflammatory pain, the NP knows treatmemnt is focused on managing the inflammation. Appropriate medications for inflammatory pain include all of the following except: a. NSAIDS b. Opioids c. Corticosteroids Answer: b. Opioids QUESTION According to the New York Heart Association (NYHA) functional classification, patients who have symptoms only with marked exertion are classified as: a. Class II b. Stage 1 c. Class I d. Class IV Answer: a. Class II QUESTION Which of the following assessments are commonly noted in a client with Parkinson's disease: a. exaggeration of rapid successive movements b. increased arm swing c. macrographia and bradycardia d. micrographia and bradykinesia Answer: d. micrographia and bradykinesia QUESTION The most common neurological cause of seizures in an older adult is: a. multiple sclerosis b. stroke c. alzheimemrs disease d. peripheral neuropathy Answer: b. stroke QUESTION Patients with osteoarthritis of the hip and knee have a distinguishable gait described as: a. antalgic b. festinating c. steppage d. ataxic Answer: a. antalgic QUESTION According to the 2017 Guideline for High Blood Pressure in Adults the recommended blood pressure goal for a 55 year old man with a history of chronic kidney disease is: