NR 601 FINAL EXAM LATEST CONTAINS 400 QUESTIONS & ANSWERS| 4
NEWEST VERSIONS
Study online at https://quizlet.com/_hdg4xo
1. An 86-year-old female comes to your office for a well- Advise them to file an ad-
ness visit. Her blood pressure is 125/70 mmHg, pulse vanced directive.
69 beats per min, and respiratory rate 18 breaths per
min. She is well appearing and reports she is up to
date on her routine vaccinations. She introduces her
partner of 35 years whom she would like to make
medical decisions for her in case she becomes unable
to make decisions for herself. She reports that she and
her partner are not married. She asks if she needs
any further documentation to ensure her goals of care
are followed. Which one of the following would be
the most appropriate recommendation for this patient
and her partner?
2. . An 81-year-old transgender female with history of Counseling on smoking
depression and hyperlipidemia presents to your clinic cessation
for routine care. She endorses a history of smoking,
currently smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies illicit drug
use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
3. An 84-year-old male with history of stroke without Urine testing, blood test-
residual deficit, systolic heart failure, and type 2 dia- ing, anal swab, and
betes presents to clinic for follow-up. He is indepen- oropharyngeal swab
dently living in a retirement community and still works
part time on a golf course. He currently takes aspirin
81 mg, metoprolol tartrate 25 mg BID (twice a day),
furosemide 20 mg BID, and lisinopril 10 mg daily. He
reports his last colonoscopy was 8 years ago, with no
abnormality. He reports he is sexually active with men
, NR 601 FINAL EXAM LATEST CONTAINS 400 QUESTIONS & ANSWERS| 4
NEWEST VERSIONS
Study online at https://quizlet.com/_hdg4xo
and women, engaging in receptive oral, receptive anal,
and penetrative sex. He states he has had over three
sexual partners in the last year with intermittent con-
dom use. What sexually transmitted infection testing
should be offered?
4. Which of the following is true about tolterodine? It has greater risk of
adverse effects with its
twice-daily formulation.
5. An 82-year-old man, Mr. A, complains of worsening Stop amlodipine and in-
nocturia, occurring four times per night. His other crease lisinopril.
lower urinary tract symptoms are slow stream, oc-
casional urgency, and urgency-related leakage once
weekly. Medical problems include poorly controlled
hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications in-
clude lisinopril 20 mg daily, metoprolol succinate 75
mg daily, atorvastatin 10 mg daily, metformin 500 mg
twice daily, hydrocodone-acetaminophen as needed,
and aspirin 81 mg daily. Amlodipine 5 mg daily was
recently added by his cardiologist. On review of sys-
tems, Mr. A complains that nocturia is causing daytime
fatigue, and he is more constipated. Physical examina-
tion is notable for blood pressure 162/83 mmHg, heart
rate 60 beats per minute, clear lungs, soft abdomen,
enlarged prostate, and 21 pretibial edema. Your next
step in management should be:
6. The daughter of a 79-year-old woman notes that her Day program staff
mother, who has dementia and lives with her, is wetting
, NR 601 FINAL EXAM LATEST CONTAINS 400 QUESTIONS & ANSWERS| 4
NEWEST VERSIONS
Study online at https://quizlet.com/_hdg4xo
herself when she attends her new day program. Pro-
gram staff have requested that "something be done"
as she is requiring a clothes change nearly every time
she is there. She cannot describe the circumstances of
leakage, saying "it just comes." Leakage is uncommon
at home. Her medications include donepezil and ac-
etaminophen. Physical examination is normal. Initial
treatment approach will require intervention by which
of the following?
7. . Ms. J, who is 82 years old, complains of urine leak- Bladder training
age while playing golf. This has gotten worse over the
past year, and she rarely makes it through nine holes
without feeling like she needs to "run into the bushes
and go." Leakage is usually small volume, but causes
her extreme embarrassment because she is afraid she
will smell of urine. She has tried limiting caffeine in
the morning before she golfs and avoiding drinking
water while playing, to no effect. She also tried "those
Kegler" exercises in the past without success. Which
of the following is the most appropriate recommenda-
tion for Ms. J?
8. What is the most common cause of erectile dysfunc- Atherosclerosis
tion in older men?
9. Which is the most reasonable first step in the treat- Sildenafil
ment of older men with erectile dysfunction?
10. A 72-year-old woman reports vaginal dryness that Stop chlorthalidone
interferes with coitus. Her medical history includes
type 2 diabetes, hypertension, and osteoarthritis.
NEWEST VERSIONS
Study online at https://quizlet.com/_hdg4xo
1. An 86-year-old female comes to your office for a well- Advise them to file an ad-
ness visit. Her blood pressure is 125/70 mmHg, pulse vanced directive.
69 beats per min, and respiratory rate 18 breaths per
min. She is well appearing and reports she is up to
date on her routine vaccinations. She introduces her
partner of 35 years whom she would like to make
medical decisions for her in case she becomes unable
to make decisions for herself. She reports that she and
her partner are not married. She asks if she needs
any further documentation to ensure her goals of care
are followed. Which one of the following would be
the most appropriate recommendation for this patient
and her partner?
2. . An 81-year-old transgender female with history of Counseling on smoking
depression and hyperlipidemia presents to your clinic cessation
for routine care. She endorses a history of smoking,
currently smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies illicit drug
use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
3. An 84-year-old male with history of stroke without Urine testing, blood test-
residual deficit, systolic heart failure, and type 2 dia- ing, anal swab, and
betes presents to clinic for follow-up. He is indepen- oropharyngeal swab
dently living in a retirement community and still works
part time on a golf course. He currently takes aspirin
81 mg, metoprolol tartrate 25 mg BID (twice a day),
furosemide 20 mg BID, and lisinopril 10 mg daily. He
reports his last colonoscopy was 8 years ago, with no
abnormality. He reports he is sexually active with men
, NR 601 FINAL EXAM LATEST CONTAINS 400 QUESTIONS & ANSWERS| 4
NEWEST VERSIONS
Study online at https://quizlet.com/_hdg4xo
and women, engaging in receptive oral, receptive anal,
and penetrative sex. He states he has had over three
sexual partners in the last year with intermittent con-
dom use. What sexually transmitted infection testing
should be offered?
4. Which of the following is true about tolterodine? It has greater risk of
adverse effects with its
twice-daily formulation.
5. An 82-year-old man, Mr. A, complains of worsening Stop amlodipine and in-
nocturia, occurring four times per night. His other crease lisinopril.
lower urinary tract symptoms are slow stream, oc-
casional urgency, and urgency-related leakage once
weekly. Medical problems include poorly controlled
hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications in-
clude lisinopril 20 mg daily, metoprolol succinate 75
mg daily, atorvastatin 10 mg daily, metformin 500 mg
twice daily, hydrocodone-acetaminophen as needed,
and aspirin 81 mg daily. Amlodipine 5 mg daily was
recently added by his cardiologist. On review of sys-
tems, Mr. A complains that nocturia is causing daytime
fatigue, and he is more constipated. Physical examina-
tion is notable for blood pressure 162/83 mmHg, heart
rate 60 beats per minute, clear lungs, soft abdomen,
enlarged prostate, and 21 pretibial edema. Your next
step in management should be:
6. The daughter of a 79-year-old woman notes that her Day program staff
mother, who has dementia and lives with her, is wetting
, NR 601 FINAL EXAM LATEST CONTAINS 400 QUESTIONS & ANSWERS| 4
NEWEST VERSIONS
Study online at https://quizlet.com/_hdg4xo
herself when she attends her new day program. Pro-
gram staff have requested that "something be done"
as she is requiring a clothes change nearly every time
she is there. She cannot describe the circumstances of
leakage, saying "it just comes." Leakage is uncommon
at home. Her medications include donepezil and ac-
etaminophen. Physical examination is normal. Initial
treatment approach will require intervention by which
of the following?
7. . Ms. J, who is 82 years old, complains of urine leak- Bladder training
age while playing golf. This has gotten worse over the
past year, and she rarely makes it through nine holes
without feeling like she needs to "run into the bushes
and go." Leakage is usually small volume, but causes
her extreme embarrassment because she is afraid she
will smell of urine. She has tried limiting caffeine in
the morning before she golfs and avoiding drinking
water while playing, to no effect. She also tried "those
Kegler" exercises in the past without success. Which
of the following is the most appropriate recommenda-
tion for Ms. J?
8. What is the most common cause of erectile dysfunc- Atherosclerosis
tion in older men?
9. Which is the most reasonable first step in the treat- Sildenafil
ment of older men with erectile dysfunction?
10. A 72-year-old woman reports vaginal dryness that Stop chlorthalidone
interferes with coitus. Her medical history includes
type 2 diabetes, hypertension, and osteoarthritis.
