NR601 / NR 601 Final Exam
Primary Care of the Maturing & Aged Family Practicum
Questions and Answers (Verified Answers)
1. 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
ANS: a. repeat fasting plasma glucose in three years
2. 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
ANS: c. is a contributing factor for frequent urinary tract infections
3. 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
ANS: d. eye exam with an ophthalmologist
4. 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
ANS: d. at home
5. 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
ANS: d. all of the above
6. 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
ANS: a. lisinopril
, 7. A 68 year old woman presents with a complaint of urine
leakage whenever she sneezes, laughs or strains for the past 4
months. She denies dysuria, frequency and nocturia. US
dipstick is negative for RBC's leukocyte esterase, nitrates,
ketones and urobilinogen. What is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence
ANS: a. stress incontinence
8. A 52 year old female patient screened for diabetes has a
fasting plasma glucose level of 123 mg/dl. The nurse
practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years
ANS: c. repeat fasting plasma glucose in one year
9. According to the palliative care presentation, most elderly
Primary Care of the Maturing & Aged Family Practicum
Questions and Answers (Verified Answers)
1. 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
ANS: a. repeat fasting plasma glucose in three years
2. 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
ANS: c. is a contributing factor for frequent urinary tract infections
3. 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
ANS: d. eye exam with an ophthalmologist
4. 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
ANS: d. at home
5. 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
ANS: d. all of the above
6. 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
ANS: a. lisinopril
, 7. A 68 year old woman presents with a complaint of urine
leakage whenever she sneezes, laughs or strains for the past 4
months. She denies dysuria, frequency and nocturia. US
dipstick is negative for RBC's leukocyte esterase, nitrates,
ketones and urobilinogen. What is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence
ANS: a. stress incontinence
8. A 52 year old female patient screened for diabetes has a
fasting plasma glucose level of 123 mg/dl. The nurse
practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years
ANS: c. repeat fasting plasma glucose in one year
9. According to the palliative care presentation, most elderly
