Detailed Answers
1. A nurse practitioner is completing a home visit on a 60-year-old female patient who was
recently discharged from the hospital. Furosemide has been increased during the
hospital stay. The NP educates the patient about the increase in explaining that with
aging this medication:
Decreases in clinical effect due to decreased rate of absorption.
2. BNP/NT-proBNP testing has limitations in older adults for the detection of:
Heart failure
3. Which vaccinations assist in the prevention of pulmonary disease exacerbation in adults?
Quadrivalent influenza
4. A NP performs an ASCVD risk estimation during a patient visit and understands that
medication intervention will be needed. Which medication is most appropriate in this
situation?
Rosuvastatin
5. A NP calculates a CHADS2Vasc score to be 5. The NP understands that the patient is at
increased risk for a:
Cerebral vascular accident
6. A NP reviews the patient’s history noting that the patient has moderative mitral stenosis
and atrial fibrillation with rapid ventricular response. The best medication management
would include:
Warfarin and Metoprolol succinate
7. A 67-year-old female patient presents with shortness of breath upon exertion, bilateral
lower extremity swelling, fatigue, weight gain, and cough. The patient denies fever but
admits to feeling weak and bloated. The patient’s history included anemia and a recent
treatment for community acquired pneumonia. Based on the patients’ complaints and
history, the most likely diagnosis could include:
Heart failure
, 8. A 64-year-old male has lab work completed which indicated a creatine clearance of
35mL/min (normal range 97-137mL/min). this renal status will affect the NPs
recommendations on:
Medication management
9. The most definitive study for the diagnosis of chronic obstructive pulmonary disease
(COPD) is:
Spirometry