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NR 601 MIDTERM EXAM (4 LATEST VERSIONS )EACH VERSION WITH QUESTIONS AND CORRECT ANSWERS WITH RATIONALES

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NR 601 MIDTERM EXAM (4 LATEST VERSIONS )EACH VERSION WITH QUESTIONS AND CORRECT ANSWERS WITH RATIONALES

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Name: Score:


300 Multiple choice questions

Term 1 of 300
What is the purpose of functional assessment of the elderly?

Determines the risk of infectious diseases

Discovers the ability to care for themselves on a daily bases

Assesses the need for surgical intervention

Evaluates the effectiveness of medications

Term 2 of 300
T/F
Responsible prescribing is an important role of NP and BC can assist in determining the safest
meds for geri pts.

3-4 times


True

Promote positive change in lifestyle choices

Anxiety

,Term 3 of 300
What are characteristics of COPD?

Morning stiffness <30min, improves with activity
Bouchard's nodes (PIP joints)
Heberden's nodes (DIP joints)
Crepitus

New onset stiffness/aching in neck, shoulders, pelvic girdle.


Unable to get out of bed in the morning w/out extreme difficulty.

Difficulty lifting arms over head.


Chronic pain tends to be more multifactorial, less amenable to cure, more influenced by
psychological/social factors.

Typically requires continuous long-term/multidisciplenary management.


Can be triggered with seemingly minor biologic stimulus or persist long after injury is
healed.

Common, preventable, treatable.

Characterized by persistent airflow limitation.


Usually progressive, associated with enhanced chronic inflammatory response in airways
and lungs to noxious particles/gases

Airway fibrosis, luminal plugs, airway inflammation, increased airway resistance, small
airway dz.

Decreased elastic recoil of alveoli.

,Term 4 of 300
OA of cervical and lumbar spine causes pain related to all of the following except:

Pressure of the ligaments

Recognize objects

Crystal deposition


Bone spur formation

Term 5 of 300
Ischemic heart dz is:

Nonopioid (APAP, ibuprofen)
Weak opioids (Tramadol, tapentadol)
Antidepressants (TCAs, SNRIs)
Opioids

Damage to valve(s) of the heart, causing cardiac dysfunction.

Most prevalent types in elderly: calcific and degenerative aortic valve dz

Defined as an imbalance between O2 supply and demand.
Frequently manifested as angina.
Leading COD in elderly.

Heart-healthy lifestyle
Prevent vascular, coronary dz
Prevent LV structural abnormalities

, Term 6 of 300
When is pneumococcal vax recommended?

High intensity statin (atorvastatin/Lipitor 40-80mg, rosuvastatin/Crestor 20mg)

Even a single med if there is not a clear indication for its use

Structural heart dz but w/out s/s of HF (still "at risk" for HF)


Once for 65yo and older
Younger adults w/severe chronic health conditions

Term 7 of 300
What are signal symptoms of lung CA?

Cough
Dyspnea
Wt loss
Anorexia
Hemoptysis

Abnormal Narrowing Of mitral Valve Orifice

Control symptoms
Pt education
Prevent hospitalization
Prevent mortality

Aortic stenosis

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