NRNP 6540 FINAL EXAM
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
LATEST UPDATED
1. Mr. Jones is 70 years old and sees the nurse practitioner for a
yearly checkup. He states that he needs to urinate a lot and
seems to always be thirsty. He also finds himself gaining some
weight. In the process of the examination, the nurse practitioner
detects that he is vague in his answers. Which of the following
may be the reason?
1. Mr. Jones is cold and bundled in a sweater.
2. There is no family history of diabetes.
3. The symptoms seem to have appeared slowly.
4. He does not want to admit to eating too much. - ✔✔✔ Correct
,Answer > 2. Answer: 3
Page: 361
Feedback
1.
Explore with the patient any difficulty with temperature
regulation, changes in skin texture, or distribution of body hair.
2.
Reevaluate the patient's family history for endocrine and
metabolic disease.
3.
Because changes in the endocrine system may appear subtle to
the older person or atypical as compared to younger patients, it
may be difficult to pinpoint the onset of the presentation.
4.
Review with the patient any episodes of unexplained weight loss
or gain, new or increased fatigue, weakness, malaise, and recent
infections.
1. Mrs. Borden is 67 years old and her primary care physician
wants her to be seen by a nurse practitioner who specializes in
geriatric issues. On completing the interview and examination,
the nurse practitioner tells Mrs. Borden that she will order a
blood laboratory specimen for thyroid function and pancreatic
function. Mrs. Borden asks what the reason is. Which of the
following is the nurse practitioner's best response?
,1. Diabetes is more common in older patients.
2. Thyroid issues are less common in older patients.
3. These are common tests to be done on any new patient.
4. These tests are necessary to obtain baseline information. -
✔✔✔ Correct Answer > 1. Answer: 1
Page: 361
Feedback
1.
The nurse practitioner recognizes that normal aging changes of
the endocrine system primarily are related to a decrease in
pancreatic function (inability to sufficiently secrete insulin),
resulting in diabetes mellitus.
2.
The nurse practitioner needs to screen older adults periodically
for diabetes mellitus and thyroid disease because the incidence
of these conditions increases with age.
3.
The nurse practitioner managing the care of older adults needs
to differentiate among four clinical states. One of those is an
endocrine function that is altered relative to that of younger
patients, but is an expected consequence of normal aging.
4.
, Overall, the nurse practitioner managing the care of older adults
needs to differentiate among four clinical states:
1. An endocrine function that is altered relative to that of
younger patients, but is an expected consequence of normal
aging.
2. Altered endocrine function secondary to coincident
nonendocrine disease, but is not of known pathological
significance.
3. Iatrogenic changes in endocrine function that largely reflect
the polypharmacy seen in the older adult population.
4. Authentic endocrinopathy.
3. Ms. Allen, 72 years old, is being evaluated by the nurse
practitioner for type 2 diabetes. Because symptoms of endocrine
disorders in older adults are vague, which of the following
questions is best to ask?
1. Do you have any trouble carrying out your daily activities?
2. Can you tell me what you ate yesterday?
3. Have you seen a dentist in the last year?
4. Have you noticed that you have less hair? - ✔✔✔ Correct
Answer > 3. Answer: 1
Page: 361
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
LATEST UPDATED
1. Mr. Jones is 70 years old and sees the nurse practitioner for a
yearly checkup. He states that he needs to urinate a lot and
seems to always be thirsty. He also finds himself gaining some
weight. In the process of the examination, the nurse practitioner
detects that he is vague in his answers. Which of the following
may be the reason?
1. Mr. Jones is cold and bundled in a sweater.
2. There is no family history of diabetes.
3. The symptoms seem to have appeared slowly.
4. He does not want to admit to eating too much. - ✔✔✔ Correct
,Answer > 2. Answer: 3
Page: 361
Feedback
1.
Explore with the patient any difficulty with temperature
regulation, changes in skin texture, or distribution of body hair.
2.
Reevaluate the patient's family history for endocrine and
metabolic disease.
3.
Because changes in the endocrine system may appear subtle to
the older person or atypical as compared to younger patients, it
may be difficult to pinpoint the onset of the presentation.
4.
Review with the patient any episodes of unexplained weight loss
or gain, new or increased fatigue, weakness, malaise, and recent
infections.
1. Mrs. Borden is 67 years old and her primary care physician
wants her to be seen by a nurse practitioner who specializes in
geriatric issues. On completing the interview and examination,
the nurse practitioner tells Mrs. Borden that she will order a
blood laboratory specimen for thyroid function and pancreatic
function. Mrs. Borden asks what the reason is. Which of the
following is the nurse practitioner's best response?
,1. Diabetes is more common in older patients.
2. Thyroid issues are less common in older patients.
3. These are common tests to be done on any new patient.
4. These tests are necessary to obtain baseline information. -
✔✔✔ Correct Answer > 1. Answer: 1
Page: 361
Feedback
1.
The nurse practitioner recognizes that normal aging changes of
the endocrine system primarily are related to a decrease in
pancreatic function (inability to sufficiently secrete insulin),
resulting in diabetes mellitus.
2.
The nurse practitioner needs to screen older adults periodically
for diabetes mellitus and thyroid disease because the incidence
of these conditions increases with age.
3.
The nurse practitioner managing the care of older adults needs
to differentiate among four clinical states. One of those is an
endocrine function that is altered relative to that of younger
patients, but is an expected consequence of normal aging.
4.
, Overall, the nurse practitioner managing the care of older adults
needs to differentiate among four clinical states:
1. An endocrine function that is altered relative to that of
younger patients, but is an expected consequence of normal
aging.
2. Altered endocrine function secondary to coincident
nonendocrine disease, but is not of known pathological
significance.
3. Iatrogenic changes in endocrine function that largely reflect
the polypharmacy seen in the older adult population.
4. Authentic endocrinopathy.
3. Ms. Allen, 72 years old, is being evaluated by the nurse
practitioner for type 2 diabetes. Because symptoms of endocrine
disorders in older adults are vague, which of the following
questions is best to ask?
1. Do you have any trouble carrying out your daily activities?
2. Can you tell me what you ate yesterday?
3. Have you seen a dentist in the last year?
4. Have you noticed that you have less hair? - ✔✔✔ Correct
Answer > 3. Answer: 1
Page: 361
