NU 661 ADULT GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER I REVIEW EXAM Q & A 2024

NU 661 Adult Gerontology Primary Care Nurse Practitioner I Review Exam Q & A 2024 1. A 68 -year-old male patient presents with a history of type 2 diabetes and hypertension. Which of the following is the most appropriate initial assessment? A. Fasting blood glucose B. 24 -hour blood pressure monitoring C. Foot examination D. Eye examination **Answer: B.** 24 -hour blood pressure monitoring is essenti al in managing hypertension, which can significantly impact diabetes management. 2. A patient with chronic kidney disease is at increased risk for which of the following complications? A. Osteoporosis B. Anemia C. Hyperthyroidism D. Cognitive impairment **Answer: B.** Anemia is a common complication of chronic kidney disease due to reduced erythropoietin production. 3. In assessing a patient with suspected heart failure, which diagnostic test provides the most valuable information? A. Ch est X -ray B. Echocardiogram C. Electrocardiogram (ECG) D. Complete blood count (CBC) **Answer: B.** An echocardiogram can evaluate cardiac function and structure, aiding in the diagnosis of heart failure. 4. Which immunization should be routin ely administered to adults over 65 years old in primary care settings? A. Varicella vaccine B. Human papillomavirus (HPV) vaccine C. Pneumococcal vaccine D. Hepatitis B vaccine **Answer: C.** Pneumococcal vaccine is recommended for all adults over 65 to prevent pneumonia and other pneumococcal diseases. 5. When evaluating a patient for potential thyroid disorders, which of the following tests is most indicative of thyroid fun ction? A. Serum calcium B. Thyroid -stimulating hormone (TSH) C. Serum potassium D. Liver function tests **Answer: B.** TSH levels are the primary screening test for thyroid function and can indicate hypothyroidism or hyperthyroidism. 6. For a patient presenting with symptoms of a urinary tract infection (UTI), which of the following is the most appropriate management? A. Immediate antibiotic therapy B. Urinalysis and urine culture C. Bladder ultrasound D. Referral to urology **Answer: B.** Urinalysis and urine culture are necessary to confirm UTI and guide appropriate antibiotic therapy. 7. In managing a patient with asthma, which of the following is an essential component of their treatment plan? A. Long -term use of oral c orticosteroids B. Regular use of inhaled short -acting beta -agonists (SABAs) C. Implementation of an asthma action plan D. Prescribing antibiotics for respiratory infections **Answer: C.** An asthma action plan is crucial for managing triggers and controlling symptoms, reducing the need for emergency care. 1. What is the recommended screening tool for assessing the risk of cardiovascular disease in adults? a) Body mass index b) Framingham Risk Score c) Blood pressure measurement d) lipid panel Answer: b) Framingham Risk Score Rationale: The Framingham Risk Score is a validated tool used to estimate