NR 601 Final Exam Questions and Answers

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 - ANSWER a. repeat fasting plasma glucose in three years According to the Sexually presentation, atrophic vaginitis a. the symptoms are the same for each woman b. creates a more acidic vaginal environment c. is a contributing factor for frequent urinary tract infections d. is not treated with vaginal lubricants - ANSWER c. is a contributing factor for frequent urinary tract infections Which of the following would you recommend annually for the elderly type 2 diabetic? a. periodic visits to a gastroenterologist b. colonoscopy c. follow up with a urologist d. eye exam with an ophthalmologist - ANSWER d. eye exam with an ophthalmologist The majority of patients enrolled in hospice care die: a. in the hospital b. in an inpatient hospice facility c. in a nursing home d. at home - ANSWER d. at home Which of the following is a role of the advanced practice nurse in palliative cancer care? a. detecting cancer in asymptomatic patients or those with specific symptoms b. arranging for follow up including patients c. identifying and managing complications of care d. all of the above - ANSWER d. all of the above 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