NR 601 Final exam Complete
Questions and Answers with
rationale
MK a 54-year-old woman has returned to the office today for evaluation of your
management plan for her complaints of insomnia. You saw her two weeks ago,
diagnosed primary insomnia and educated MK on sleep hygiene practices. MK
reports she is avoiding caffeine and alcohol as recommended. She does not look
at her phone or computer prior to bed. She is falling asleep a little easier but she
is not staying asleep. She wakes up after about 4 hours and cannot return to
sleep. The next step in treatment of insomnia is:
a. zolpidem 5mg by mouth at hs #30 with 3 refills
b. eszopiclone 1mg by mouth at hs #30 with 5 refills
c. ramelteon 8mg by mouth at hs # 21 with no refills
d. zolpidem 5 mg by mouth at hs #7 with no refills - CORRECT ANSWER - d.
zolpidem 5 mg by mouth at hs #7 with no refills
A 65 year old caucasian presented to your clinic with the following history and
symptoms: reports good general health, asymptomatic mitral valve stenosis,
current beta blocker use and physical exam findings unremarkable. The NP
knows this patient's stage of heart failure is:
a. Stage D
b. Stage B - CORRECT ANSWER - b. Stage B
Patient education for the COPD patient is essential. The nurse practitioner
knows that COPD education includes all of the following except
a. healthy diet
b. increased risk for diabetes
c. smoking cessation
d. daily exercise - CORRECT ANSWER - b. increased risk for diabetes
,According to the 2017 Guideline for High Blood pressure in adults, patients with
stage 1 or 2 CKD with albuminuria should be started on the following medication
to slow progression of kidney disease
a. ACE inhibitors
b. CCP
c. ARNI
d. thiazide diruetic - CORRECT ANSWER - a. ACE inhibitors
Pain which results from pathology or damage to the nervous system is classified
as
a. chronic
b. neuropathic
c. acute
d. nociceptive - CORRECT ANSWER - b. neuropathic
Mr. A, experienced a brief onset of right sided weakness, slurred speech and
confusion yesterday. The symptoms have resolved and the CT is normal. What is
the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask - CORRECT ANSWER - b.
identify modifiable cardiovascular risk factors
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 - CORRECT ANSWER - a. repeat
fasting plasma glucose in three years
RW, a 57 year old native American female, presents to the office. RW states she
feels irritable and has difficulty concentrating as well as fallingn asleep and
staying aleep. She states she is worried about her finances, her husband has just
, lost his job. The NP diagnoses anxiety. The NP prescribes a first line treatment
which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - CORRECT ANSWER - d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p
waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - CORRECT ANSWER - c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm 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 - CORRECT ANSWER - c. is a
contributing factor for frequent urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - CORRECT ANSWER - d. Confusion
Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient
(pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - CORRECT ANSWER - d. Morphine
Questions and Answers with
rationale
MK a 54-year-old woman has returned to the office today for evaluation of your
management plan for her complaints of insomnia. You saw her two weeks ago,
diagnosed primary insomnia and educated MK on sleep hygiene practices. MK
reports she is avoiding caffeine and alcohol as recommended. She does not look
at her phone or computer prior to bed. She is falling asleep a little easier but she
is not staying asleep. She wakes up after about 4 hours and cannot return to
sleep. The next step in treatment of insomnia is:
a. zolpidem 5mg by mouth at hs #30 with 3 refills
b. eszopiclone 1mg by mouth at hs #30 with 5 refills
c. ramelteon 8mg by mouth at hs # 21 with no refills
d. zolpidem 5 mg by mouth at hs #7 with no refills - CORRECT ANSWER - d.
zolpidem 5 mg by mouth at hs #7 with no refills
A 65 year old caucasian presented to your clinic with the following history and
symptoms: reports good general health, asymptomatic mitral valve stenosis,
current beta blocker use and physical exam findings unremarkable. The NP
knows this patient's stage of heart failure is:
a. Stage D
b. Stage B - CORRECT ANSWER - b. Stage B
Patient education for the COPD patient is essential. The nurse practitioner
knows that COPD education includes all of the following except
a. healthy diet
b. increased risk for diabetes
c. smoking cessation
d. daily exercise - CORRECT ANSWER - b. increased risk for diabetes
,According to the 2017 Guideline for High Blood pressure in adults, patients with
stage 1 or 2 CKD with albuminuria should be started on the following medication
to slow progression of kidney disease
a. ACE inhibitors
b. CCP
c. ARNI
d. thiazide diruetic - CORRECT ANSWER - a. ACE inhibitors
Pain which results from pathology or damage to the nervous system is classified
as
a. chronic
b. neuropathic
c. acute
d. nociceptive - CORRECT ANSWER - b. neuropathic
Mr. A, experienced a brief onset of right sided weakness, slurred speech and
confusion yesterday. The symptoms have resolved and the CT is normal. What is
the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask - CORRECT ANSWER - b.
identify modifiable cardiovascular risk factors
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 - CORRECT ANSWER - a. repeat
fasting plasma glucose in three years
RW, a 57 year old native American female, presents to the office. RW states she
feels irritable and has difficulty concentrating as well as fallingn asleep and
staying aleep. She states she is worried about her finances, her husband has just
, lost his job. The NP diagnoses anxiety. The NP prescribes a first line treatment
which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - CORRECT ANSWER - d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p
waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - CORRECT ANSWER - c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm 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 - CORRECT ANSWER - c. is a
contributing factor for frequent urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - CORRECT ANSWER - d. Confusion
Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient
(pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - CORRECT ANSWER - d. Morphine
