NR601 final exam
Study online at https://quizlet.com/_ds4uvf
1. An 86-year-old female C
comes to your office
for a wellness visit.
Her blood pressure is
125/70 mmHg, pulse 69
beats per min, and res-
piratory rate 18 breaths
per min. She is well
appearing and reports
she is up to date
on her routine vacci-
nations. She introduces
her partner of 35 years
whom she would like
to make medical deci-
sions for her in case
she becomes unable to
make decisions for her-
self. She reports that
she and her partner are
not married. She asks
if she needs any fur-
ther documentation to
ensure her goals of care
are followed.
Which one of the fol-
lowing would be the
most appropriate rec-
ommendation for this
patient and her part-
ner?
, NR601 final exam
Study online at https://quizlet.com/_ds4uvf
a. Advise them to com-
plete a POLST.
b. Advise them that they
have adequate docu-
mentation to be recog-
nized legally.
c. Advise them to file an
advanced directive.
d. Respond that al-
though they lack docu-
mentation, her partner
will be recognized de
facto.
2. An 81-year-old trans- C
gender female with
history of depression
and hyperlipidemia pre-
sents to your clin-
ic for routine care.
She endorses a histo-
ry of smoking, current-
ly smoking 1 pack per
day, and occasionally
drinks a glass of wine,
although she denies il-
licit drug use. She re-
ports she takes atorvas-
tatin 20 mg and subcu-
taneous estrogen ther-
apy.
Which of the following
, NR601 final exam
Study online at https://quizlet.com/_ds4uvf
is the most important
next step in this pa-
tient's primary care?
a. Counseling on start-
ing aspirin
b. Counseling on alco-
hol cessation
c. Counseling on smok-
ing cessation
d. Counseling on mam-
mogram
3. An 84-year-old male D
with history of stroke
without residual deficit,
systolic heart failure,
and type 2 diabetes pre-
sents to clinic for fol-
low-up. He is indepen-
dently living in a retire-
ment community and
still works part time on
a golf course. He cur-
rently 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 ab-
normality. He reports
, NR601 final exam
Study online at https://quizlet.com/_ds4uvf
he is sexually active with
men and women, en-
gaging in receptive oral,
receptive anal, and pen-
etrative sex. He states
he has had over three
sexual partners in the
last year with intermit-
tent condom use.
What sexually trans-
mitted infection testing
should be offered?
a. Urine testing
b. Urine testing, blood
testing
c. Urine testing, blood
testing, anal swab
d. Urine testing, blood
testing, anal swab, and
oropharyngeal swab
4. Which of the following D
is true about toltero-
dine?
a. It should be avoid-
ed in men with prostatic
hypertrophy.
b. It increases the risk of
constipation compared
with oral oxybutynin.
c. It acts by ablating de-
trusor spasms.
Study online at https://quizlet.com/_ds4uvf
1. An 86-year-old female C
comes to your office
for a wellness visit.
Her blood pressure is
125/70 mmHg, pulse 69
beats per min, and res-
piratory rate 18 breaths
per min. She is well
appearing and reports
she is up to date
on her routine vacci-
nations. She introduces
her partner of 35 years
whom she would like
to make medical deci-
sions for her in case
she becomes unable to
make decisions for her-
self. She reports that
she and her partner are
not married. She asks
if she needs any fur-
ther documentation to
ensure her goals of care
are followed.
Which one of the fol-
lowing would be the
most appropriate rec-
ommendation for this
patient and her part-
ner?
, NR601 final exam
Study online at https://quizlet.com/_ds4uvf
a. Advise them to com-
plete a POLST.
b. Advise them that they
have adequate docu-
mentation to be recog-
nized legally.
c. Advise them to file an
advanced directive.
d. Respond that al-
though they lack docu-
mentation, her partner
will be recognized de
facto.
2. An 81-year-old trans- C
gender female with
history of depression
and hyperlipidemia pre-
sents to your clin-
ic for routine care.
She endorses a histo-
ry of smoking, current-
ly smoking 1 pack per
day, and occasionally
drinks a glass of wine,
although she denies il-
licit drug use. She re-
ports she takes atorvas-
tatin 20 mg and subcu-
taneous estrogen ther-
apy.
Which of the following
, NR601 final exam
Study online at https://quizlet.com/_ds4uvf
is the most important
next step in this pa-
tient's primary care?
a. Counseling on start-
ing aspirin
b. Counseling on alco-
hol cessation
c. Counseling on smok-
ing cessation
d. Counseling on mam-
mogram
3. An 84-year-old male D
with history of stroke
without residual deficit,
systolic heart failure,
and type 2 diabetes pre-
sents to clinic for fol-
low-up. He is indepen-
dently living in a retire-
ment community and
still works part time on
a golf course. He cur-
rently 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 ab-
normality. He reports
, NR601 final exam
Study online at https://quizlet.com/_ds4uvf
he is sexually active with
men and women, en-
gaging in receptive oral,
receptive anal, and pen-
etrative sex. He states
he has had over three
sexual partners in the
last year with intermit-
tent condom use.
What sexually trans-
mitted infection testing
should be offered?
a. Urine testing
b. Urine testing, blood
testing
c. Urine testing, blood
testing, anal swab
d. Urine testing, blood
testing, anal swab, and
oropharyngeal swab
4. Which of the following D
is true about toltero-
dine?
a. It should be avoid-
ed in men with prostatic
hypertrophy.
b. It increases the risk of
constipation compared
with oral oxybutynin.
c. It acts by ablating de-
trusor spasms.
