NUR861 FINAL FINAL EXAM REVIEW QUESTIONS AND ANSWERS WELL UPDATED 100% A+ GRADED EXCEL!!!

NUR861 FINAL FINAL EXAM REVIEW QUESTIONS AND ANSWERS WELL UPDATED 100% A+ GRADED EXCEL!!! Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and complete blood count (CBC). The total assessment is necessary because: 1. All body systems interact, and symptoms could indicate a variety of diagnoses. 2. The symptoms are vague and may be signs of aging. 3. There may be other signs or symptoms more indicative of the condition. 4. Mrs. Smith may not be reporting all significant information. - CORRECT ANSWER-1. All body systems interact, and symptoms could indicate a variety of diagnoses. A patient with renal disease has blood work drawn, and the results show an increase in serum creatinine. The nurse practitioner needs to know which of the following laboratory values before ordering medications? 1. CBC 2. Culture and sensitivity of the urine 3. Creatinine clearance 4. Uric acid levels - CORRECT ANSWER-3. Creatinine clearance Which of the following statements is true regarding diagnostic testing? 1. A test is ordered for a specific purpose. 2. A test is the most invasive available. 3. There is no need to discuss results with the patient. 4. If a test is needed, it should be ordered regardless of risk to the patient. - CORRECT ANSWER-1. A test is ordered for a specific purpose. Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson because: 1. The body undergoes physiological changes with aging. 2. A healthy body does not experience significant changes as one gets older. 3. Older patients do not feel any systemic symptoms, such as malaise and weight loss. 4. Even though the same joints are usually affected, age makes it feel different. - CORRECT ANSWER-1. The body undergoes physiological changes with aging. The nurse practitioner is examining an 85-year-old man with reports of abdominal pain, weakness, and loss of appetite. Which is the most likely condition to be tested for and ruled out? 1. Neoplasms and carcinomas 2. Partial seizure 3. Sarcopenia 4. Hirschsprung's disease - CORRECT ANSWER-1. Neoplasms and carcinomas For individuals over 65 years old, the most common morbidities are related to: 1. Heart disease, arthritis 2. Respiratory problems, cancer 3. Diabetes, stroke 4. All of these are common morbidities. - CORRECT ANSWER-4. All of these are common morbidities. A gerontological patient is being examined for a report of pain in the shoulder. The nurse practitioner completes a thorough systemic examination because: 1. Older patients with one morbidity often express difficulties in general. 2. Arthritis of the shoulder is accompanied by other neurological symptoms. 3. Older patients with arthritis often experience pain in lower extremities. 4. The patient may not report significant signs and symptoms. - CORRECT ANSWER-1. Older patients with one morbidity often express difficulties in general. The nurse practitioner performs a thorough systemic examination of a patient who reports diarrhea and pain in the upper left quadrant of the abdomen. One possible diagnosis would be: 1. Hirschsprung's disease 2. Pancreatitis 3. Appendicitis 4. Gastrointestinal inflammatory bowel disease (GIBD) - CORRECT ANSWER-4. Gastrointestinal inflammatory bowel disease (GIBD) A patient asks the nurse practitioner what is meant by health promotion. Which of the following is the nurse practitioner's best response? Health promotion: 1. Includes activities that an individual performs proactively to increase health and well-being. 2. Is a process of keeping track of immunizations. 3. Includes a set of programs that help people cope with the disease. 4. Includes strategies that prolong life. - CORRECT ANSWER-1. Includes activities that an individual performs proactively to increase health and well-being. The nurse practitioner knows that health promotion is accomplished on a broader scale by: 1. Maintaining current health services. 2. Maintaining federal legislation regarding health care at the current level. 3. Encouraging healthy lifestyle and healthy public policy formulation. 4. Encouraging the advancement of alternative health therapies. - CORRECT ANSWER-3. Encouraging healthy lifestyle and healthy public policy formulation. Mr. Thomas comes in for a health examination appointment with his nurse practitioner. He asks why nurse practitioners are qualified to conduct these evaluations. Which of the following is the nurse practitioner's best response? The nurse practitioner: 1. Is concerned about health and not disease. 2. Saves the physician time in the office. 3. Can assess for minor conditions and refer to the doctor for other conditions. 4. Is prepared to assess health holistically. - CORRECT ANSWER-4. Is prepared to assess health holistically. Mrs. Williams, 80 years old, asks her nurse practitioner to order a new alternative therapy for her. Mrs. Williams believes that this botanical supplement will provide pain relief for her fibromyalgia. The nurse practitioner explains that this therapy is likely not covered by Medicare because: 1. The botanical is expensive and not approved for use. 2. Medicare only covers treatments that are approved according to the stringent guidelines of the U.S. Preventive Services Task Force (USPSTF). 3. There is no reason to use these botanicals when opioids are proven effective. 4. This botanical is not on the Medicare list of approved medications. - CORRECT ANSWER-2. Medicare only covers treatments that are approved according to the stringent guidelines of the U.S. Preventive Services Task Force (USPSTF). The focus of advanced nurse practitioners is primary care. This is defined as activities that focus on: 1. Preventing the occurrence of a disease or condition. 2. Treating an illness after symptoms appear. 3. Enabling the patient to recover and convalesce. 4. Enriching the patient's appreciation of life. - CORRECT ANSWER-1. Preventing the occurrence of a disease or condition.