NR 601 FINAL EXAM QUESTIONS AND
ANSWERS
Mr.xA,xexperiencedxaxbriefxonsetxofxrightxsidedxweakness,xslurredxspeechxandxconfusionxy
esterday.xThexsymptomsxhavexresolvedxandxthexCTxisxnormal.xWhatxisxthexnextxstepxofxth
explanxforxMr.xA?
a.xassurexthexpatientxthatxhexwillxnotxexperiencexthexsymptomsxagain
b.xidentifyxmodifiablexcardiovascularxriskxfactors
c.xorderxASAx81mgxstat
d.xorderxaxstatxEEGxandxadministerxO2xbyxmaskx-
xans✔✔b.xidentifyxmodifiablexcardiovascularxriskxfactors
Ax56-
yearxoldxmalexpatientxscreenedxforxdiabetesxhasxaxfastingxplasmaxglucosexlevelxofx96mg/
dl.xThexnursexpractitionerxmanagementxplanxincludes:
a.xrepeatxfastingxplasmaxglucosexinxthreexyears
b.xprescribexMetforminx500mgxpoxBID
c.xrepeatxfastingxplasmaxglucosexinxonexyear
d.xreferxtoxophthalmologyxforxeyexexamx-
xans✔✔a.xrepeatxfastingxplasmaxglucosexinxthreexyears
RW,xax57xyearxoldxnativexAmericanxfemale,xpresentsxtoxthexoffice.xRWxstatesxshexfeelsxirri
tablexandxhasxdifficultyxconcentratingxasxwellxasxfallingnxasleepxandxstayingxaleep.xShexst
atesxshexisxworriedxaboutxherxfinances,xherxhusbandxhasxjustxlostxhisxjob.xThexNPxdiagnos
esxanxiety.xThexNPxprescribesxaxfirstxlinextreatmentxwhichxis
a.xDiazepam
b.xClonazepam
c.xAriprprazole
d.xParoxetinex-xans✔✔d.xParoxetine
Thexmostxcommonxsustainedxrhythmicxdisorder,xwhichxconsistsxofxfibrillatoryxpxwavesxis:
a.xAVxblock
b.xatrialxtachycardia
c.xatrialxfibrillation
d.xatrialxflutterx-xans✔✔c.xatrialxfibrillation
,AccordingxtoxthexSexuallyxpresentation,xatrophicxvaginitis
a.xthexsymptomsmxarexthexsamexforxeachxwoman
b.xcreatesxaxmorexacidicxvaginalxenvironment
c.xisxaxcontributingxfactorxforxfrequentxurinaryxtractxinfections
d.xisxnotxtreatedxwithxvaginalxlubricantsx-
xans✔✔c.xisxaxcontributingxfactorxforxfrequentxurinaryxtractxinfections
Whichxofxthexfollowingxisxthexmostxappropriatexscreeningxtoolxforxdelirium?
a.xStxLouisxUniversityxMentalxStatusxExamx(SLUMS)
b.xMontrealxCognitivexAssessment
c.xLawtonxScalexofxinstrumentalxActivitiesxofxDailyxLiving
d.xConfusionxAssessmentxModelx-xans✔✔d.xConfusionxAssessmentxModel
Axdrugxthatxcanxbexusedxtoxtreatxtwoxveryxcommonxsymptomsxinxaxdyingxpatientx(painxand
xdyspnea_xis:
a.xlorazepam
b.xGabapentin
c.xMethadone
d.xMorphinex-xans✔✔d.xMorphine
Whichxofxthexfollowingxwouldxyouxrecommendxannuallyxforxthexelderlyxtypex2xdiabetic?
a.xperiodicxvisitsxtoxaxgastroenterologist
b.xcolonoscopy
c.xfollowxupxwithxaxurologist
d.xeyexexamxwithxanxopthlamologistx-xans✔✔d.xeyexexamxwithxanxopthlamologist
Whichxcharacteristicxofxdeleriumxhelpsxtoxdistinguishxitxfromxdementia?
a,xshortxtermxmemoryximpairment
b.xpersonalityxchanges
c.xacutexonset
d.ximpairedxattentionx-xans✔✔c.xacutexonset
Thexmajorityxofxpatientsxenrolledxinxhospicexcarexdie:
a.xinxthexhospital
b.xinxanxinpatientxhospicexfacility
c.xinxaxnursingxhome
d.xatxhomex-xans✔✔d.xatxhome
, AxmiddlexagedxpatientxhasxbeenxdiagnosedxwithxParkinson'sxdisease.xWhatxinfluencesxth
exnursexpractitionersxdescisionxtoxbeginxpharmacologicalxtreatmentxforxthisxpatient?
a.xmedicationsxinitiatedxatxfirstxsignxofxunilateralxinvolvement
b.xgaitxinstabilityxrequiringxthexusexofxaxcane
c.xintentionalxtremors
d.xsymptomsxinterferingxwithxfunctionalxabilityx-
xans✔✔d.xsymptomsxinterferingxwithxfunctionalxability
Whichxofxthexfollowingxisxaxrolexofxthexadvancedxpracticexnursexinxpalliativexcancerxcare?
a.xdetectingxcancerxinxasymptomaticxpaitentsxorxthosexwithxspecificxsymptoms
b.xarrangingxforxfollowxupxincludingxpatiennts
c.xidentifyingxandxmanagingxcomplicationsxofxcare
d.xallxofxthexabovex-xans✔✔d.xallxofxthexabove
Ax58xyearxoldxCaucasianxmanexwithxtypex2xdiabetesxmellitusxpresentsxtoxthexclinicxasxaxne
wxpatient.xHextakesxmetforminx500mgxtwicexaxday.xHisxlastxHgbxA1cxwasx7%.xHexisxupxtox
datexonxeyexandxfootxexaminations.xHisxBPxisx142/96.xAccordingxtoxACCx2017xguidelinesx
forxhighxbloodxpressurexinxadults,xwhatxisxthexmostxappropriatexfirstxlinexmedication?
a.xlisinopril
b.xfurosemide
c.xamlodipine
d.xclonidinex-xans✔✔a.xlisinopril
Anxolderxmalexpatientxisxexperiencingxacutexonsetxofxrightxsidedxweakness,xslurredxspeec
hxandxconfusion.xWhatxshouldxthexnursexpractitionerxdoxpromptly?
a.xorderxanxEKGxandxadministerxO2xbyxcannulaximmediately
b.xDoxaxthroughxmedicationxreviewxandxstatxbloodxsugar
c.xevaluatexforxaxstrokexandxarrangextransportxtoxthexhospitalxrightxaway
d.xadministerxanxaspirinxbyxmouthx-
xans✔✔c.xevaluatexforxaxstrokexandxarrangextransportxtoxthexhospitalxrightxaway
ThexNPxknowsxthatxmedicationsxcanxtriggerxorxworsenxheartxfailure.xWithxthisxknowledgexi
nxmind,xthexNPxwillxavoidingxprescribingxthexfollowingxclassesxofxmedications
a.xbenzodiazepines
b.xmacrolides
c.xmusclexrelaxants
d.xNSAIDSx-xans✔✔d.xNSAIDS
MG,xax60xyearxoldxfemalexpresentsxwithxcomplaintsxofxherx"heartxflippingxinxherxchest"xTh
exNPxwantsxtoxevaluatexforxarrhythmia.xThexnPxknowsxthatxthexcornerstonexforxarrhythmia
xevaluationxincludes:
ANSWERS
Mr.xA,xexperiencedxaxbriefxonsetxofxrightxsidedxweakness,xslurredxspeechxandxconfusionxy
esterday.xThexsymptomsxhavexresolvedxandxthexCTxisxnormal.xWhatxisxthexnextxstepxofxth
explanxforxMr.xA?
a.xassurexthexpatientxthatxhexwillxnotxexperiencexthexsymptomsxagain
b.xidentifyxmodifiablexcardiovascularxriskxfactors
c.xorderxASAx81mgxstat
d.xorderxaxstatxEEGxandxadministerxO2xbyxmaskx-
xans✔✔b.xidentifyxmodifiablexcardiovascularxriskxfactors
Ax56-
yearxoldxmalexpatientxscreenedxforxdiabetesxhasxaxfastingxplasmaxglucosexlevelxofx96mg/
dl.xThexnursexpractitionerxmanagementxplanxincludes:
a.xrepeatxfastingxplasmaxglucosexinxthreexyears
b.xprescribexMetforminx500mgxpoxBID
c.xrepeatxfastingxplasmaxglucosexinxonexyear
d.xreferxtoxophthalmologyxforxeyexexamx-
xans✔✔a.xrepeatxfastingxplasmaxglucosexinxthreexyears
RW,xax57xyearxoldxnativexAmericanxfemale,xpresentsxtoxthexoffice.xRWxstatesxshexfeelsxirri
tablexandxhasxdifficultyxconcentratingxasxwellxasxfallingnxasleepxandxstayingxaleep.xShexst
atesxshexisxworriedxaboutxherxfinances,xherxhusbandxhasxjustxlostxhisxjob.xThexNPxdiagnos
esxanxiety.xThexNPxprescribesxaxfirstxlinextreatmentxwhichxis
a.xDiazepam
b.xClonazepam
c.xAriprprazole
d.xParoxetinex-xans✔✔d.xParoxetine
Thexmostxcommonxsustainedxrhythmicxdisorder,xwhichxconsistsxofxfibrillatoryxpxwavesxis:
a.xAVxblock
b.xatrialxtachycardia
c.xatrialxfibrillation
d.xatrialxflutterx-xans✔✔c.xatrialxfibrillation
,AccordingxtoxthexSexuallyxpresentation,xatrophicxvaginitis
a.xthexsymptomsmxarexthexsamexforxeachxwoman
b.xcreatesxaxmorexacidicxvaginalxenvironment
c.xisxaxcontributingxfactorxforxfrequentxurinaryxtractxinfections
d.xisxnotxtreatedxwithxvaginalxlubricantsx-
xans✔✔c.xisxaxcontributingxfactorxforxfrequentxurinaryxtractxinfections
Whichxofxthexfollowingxisxthexmostxappropriatexscreeningxtoolxforxdelirium?
a.xStxLouisxUniversityxMentalxStatusxExamx(SLUMS)
b.xMontrealxCognitivexAssessment
c.xLawtonxScalexofxinstrumentalxActivitiesxofxDailyxLiving
d.xConfusionxAssessmentxModelx-xans✔✔d.xConfusionxAssessmentxModel
Axdrugxthatxcanxbexusedxtoxtreatxtwoxveryxcommonxsymptomsxinxaxdyingxpatientx(painxand
xdyspnea_xis:
a.xlorazepam
b.xGabapentin
c.xMethadone
d.xMorphinex-xans✔✔d.xMorphine
Whichxofxthexfollowingxwouldxyouxrecommendxannuallyxforxthexelderlyxtypex2xdiabetic?
a.xperiodicxvisitsxtoxaxgastroenterologist
b.xcolonoscopy
c.xfollowxupxwithxaxurologist
d.xeyexexamxwithxanxopthlamologistx-xans✔✔d.xeyexexamxwithxanxopthlamologist
Whichxcharacteristicxofxdeleriumxhelpsxtoxdistinguishxitxfromxdementia?
a,xshortxtermxmemoryximpairment
b.xpersonalityxchanges
c.xacutexonset
d.ximpairedxattentionx-xans✔✔c.xacutexonset
Thexmajorityxofxpatientsxenrolledxinxhospicexcarexdie:
a.xinxthexhospital
b.xinxanxinpatientxhospicexfacility
c.xinxaxnursingxhome
d.xatxhomex-xans✔✔d.xatxhome
, AxmiddlexagedxpatientxhasxbeenxdiagnosedxwithxParkinson'sxdisease.xWhatxinfluencesxth
exnursexpractitionersxdescisionxtoxbeginxpharmacologicalxtreatmentxforxthisxpatient?
a.xmedicationsxinitiatedxatxfirstxsignxofxunilateralxinvolvement
b.xgaitxinstabilityxrequiringxthexusexofxaxcane
c.xintentionalxtremors
d.xsymptomsxinterferingxwithxfunctionalxabilityx-
xans✔✔d.xsymptomsxinterferingxwithxfunctionalxability
Whichxofxthexfollowingxisxaxrolexofxthexadvancedxpracticexnursexinxpalliativexcancerxcare?
a.xdetectingxcancerxinxasymptomaticxpaitentsxorxthosexwithxspecificxsymptoms
b.xarrangingxforxfollowxupxincludingxpatiennts
c.xidentifyingxandxmanagingxcomplicationsxofxcare
d.xallxofxthexabovex-xans✔✔d.xallxofxthexabove
Ax58xyearxoldxCaucasianxmanexwithxtypex2xdiabetesxmellitusxpresentsxtoxthexclinicxasxaxne
wxpatient.xHextakesxmetforminx500mgxtwicexaxday.xHisxlastxHgbxA1cxwasx7%.xHexisxupxtox
datexonxeyexandxfootxexaminations.xHisxBPxisx142/96.xAccordingxtoxACCx2017xguidelinesx
forxhighxbloodxpressurexinxadults,xwhatxisxthexmostxappropriatexfirstxlinexmedication?
a.xlisinopril
b.xfurosemide
c.xamlodipine
d.xclonidinex-xans✔✔a.xlisinopril
Anxolderxmalexpatientxisxexperiencingxacutexonsetxofxrightxsidedxweakness,xslurredxspeec
hxandxconfusion.xWhatxshouldxthexnursexpractitionerxdoxpromptly?
a.xorderxanxEKGxandxadministerxO2xbyxcannulaximmediately
b.xDoxaxthroughxmedicationxreviewxandxstatxbloodxsugar
c.xevaluatexforxaxstrokexandxarrangextransportxtoxthexhospitalxrightxaway
d.xadministerxanxaspirinxbyxmouthx-
xans✔✔c.xevaluatexforxaxstrokexandxarrangextransportxtoxthexhospitalxrightxaway
ThexNPxknowsxthatxmedicationsxcanxtriggerxorxworsenxheartxfailure.xWithxthisxknowledgexi
nxmind,xthexNPxwillxavoidingxprescribingxthexfollowingxclassesxofxmedications
a.xbenzodiazepines
b.xmacrolides
c.xmusclexrelaxants
d.xNSAIDSx-xans✔✔d.xNSAIDS
MG,xax60xyearxoldxfemalexpresentsxwithxcomplaintsxofxherx"heartxflippingxinxherxchest"xTh
exNPxwantsxtoxevaluatexforxarrhythmia.xThexnPxknowsxthatxthexcornerstonexforxarrhythmia
xevaluationxincludes:
