NR 601MidtermExam StudyGuide-With 100%verified solutions-
2025-2026 Updated.
A clientis newlydiagnosedwith type2 diabetesmellitus.Which diagnostictestwill best evaluate the
management plan prescribed for this client?
QuarterlyhemoglobinA1C
After first managingthepain beingexperiencedby theclientwithgout,thetreatment focuses on:
Preventingsystemicinvolvementby alteringtheclient'sdiet
The abruptonsetof symptomsof stressor urgeincontinenceis mostoftendueto a urinary tract
infection
True
A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She has
had a minimally productive cough for several years that does not bother
her.On furtherquestioning,she
statesthather breathinggetsmuch worsewhen she lies down. The most likely cause of her dyspnea is:
Cardiac
Which of thefollowingdrugs do not triggeror aggravatea cough?
Hydrochlorothiazide
Basedon currentdemographicdata,which statementidentifiesa predictivetrend regarding the health
care needs of society?
Morenursing serviceswill berequiredto servetheneedsof thepopulation85 yearsof age and older.
Which diagnosticlaboratorytestwouldthenursepractitionertypicallynot orderfor the purpose of
evaluating an individual's acute, unexplained weight loss?
SerumPotassium
It has beenprojectedthattheculturalgrouppresentingthegreatestgrowthrateamong the older adult
population will be the:
HispanicAmericans
Which statementmadeby a clientrecentlydiagnosedwith diverticulardiseasewould indicate that she
needs additional teaching regarding dietary considerations?
"I'll haveto give up eatingright beforeI go to bed."
Ethnocentrism is defined as:
a beliefthatone'sethnicgroup is superiorto thatof anothertrue
When diagnosedwith diverticulosis,a clientaskshow this problemoccurred.Which assessment data
,identifies a risk factor for diverticulosis?
Maintainsa dietlowin fiber.
,A 77-year-old clientbeingtreatedfor glaucomaasksthenursepractitionerwhatcauses glaucoma. The
nurse bases the response on the knowledge that the increase in intraocular pressure is a result of:
a breakdownin theabsorptionprocess
Weightloss is frequentlycausedby ingestionof oneor moreof thefollowingdrugs.Antibiotics
Digoxin
Nonsteroidalanti-inflammatorydrugs(NSAIDs) Theophylline
A, B, and C
All of the aboveAnswer:All
of theabove
Which of thefollowingculturallydiversemaleclientswill mostbenefitfrom educational material related to
"Staying Healthy into your 80s"
Japanese
The following are true statements about bipolar disorders in older adults except "Bipolar
disorder isthe
mostcommonlydiagnosedpsychiatricdisorder in older adults." Which assessmentdatawouldnot be
of particularconcernwhenattemptingto manage an older adult's risk for dehydration?
Chronic constipation
When educatingtheolderadultpopulationabouttherisks to physicalhealththatchronic alcohol abuse
presents, the nurse practitioner is especially careful to include
Identification
the: of the signs and symptoms
of gastrointestinal bleeding
Which of thefollowingdrugsdoesnot typicallycauseconstipation?
Magnesium-containing antacid
An older adult client has been voluntarily admitted for treatment of alcohol dependency. In
implementing care, the nurseplans which intervention basedupon knowledge about alcohol and
aging?
Assessingtheclientfor bothdepressionand anxiety
The greatestrisk for injury for a clientwith progressedParkinson'sdiseaseis: Falls
An olderadultclient shareswith thenursethat,"I don'tknow whatit is but it seemsthat I need more
light for reading or even watching television as I get older." The nurse explains that aging may cause
this change due to the:
Slowerabilityof thepupil to adjustto changesin lighting.
, The nursepractitionereducatesthatclientthatHealthyPeople2010:
offersdirectionfor theachievementof improvedqualityof life acrossthelife span
Which of thefollowingis not a commoncauseof constipation?hypercalcemia
The nurseis teachinga healthpromotionclassat a seniorcenter.Which of thefollowing statements
demonstrate that the participant does not understand the topic:
"Weneedto usecausticsoapsand scrubaggressivelywith a washclothbathingto minimize bacteria
on the skin."
The nursepractitionershowsan understandingof appropriateinfluenzavaccination guidelines for a
client over the age of 65 when stating:
"Regardlessof your physicalhealthyou reallyshouldgeta yearlyflu shot."
The nurseshowsunderstandingof theneedto promotehealthyskin in theolderadult when
encouraging the client to all of the following except :
cleantheskin with a moisturizingsoap
. A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very
forgetful lately, and she is concerned that he might be "senile." The advanced practice nurse administers
the clock drawing test and the patient draws a distorted
circular shapeand placesthenumbersall on one
sideof theshape.Basedon his performance, the nurse concludes that the patient:
needsfurtherevaluation
Tinnitus is definedas:
a buzzing,clicking, or ringing in theear
Which interventionis not therapeuticwhenfacilitatingcommunicationwith a cognitively impaired older
client?
Use non-verbalas wellas verbalcuesto helpgetyour messageacrossto theclient
When bestpromotinga senseof well- being,theroleof thenursepractitionercaring for a terminally ill
client is to:
helpempowertheclientto achievehis/herpotentialfor wellness
A 68-year-old male presents with a chief complaint of episodes of lightheadedness or dizziness. He states
that sweating, tachycardia, and some hand trembling are often associated
with theseepisodes.Which
oneof thefollowingquestionsshouldyou ask to help confirm the diagnosis?
Are thesesymptomsrelatedto eating?
The caregiver for an older adult with cognitive impairment is concerned about the individual's
seeming
disinterestin eating.Which suggestiondoesthenursepractitioner offer based upon a known effect of
dementia on a client's nutrition?
2025-2026 Updated.
A clientis newlydiagnosedwith type2 diabetesmellitus.Which diagnostictestwill best evaluate the
management plan prescribed for this client?
QuarterlyhemoglobinA1C
After first managingthepain beingexperiencedby theclientwithgout,thetreatment focuses on:
Preventingsystemicinvolvementby alteringtheclient'sdiet
The abruptonsetof symptomsof stressor urgeincontinenceis mostoftendueto a urinary tract
infection
True
A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She has
had a minimally productive cough for several years that does not bother
her.On furtherquestioning,she
statesthather breathinggetsmuch worsewhen she lies down. The most likely cause of her dyspnea is:
Cardiac
Which of thefollowingdrugs do not triggeror aggravatea cough?
Hydrochlorothiazide
Basedon currentdemographicdata,which statementidentifiesa predictivetrend regarding the health
care needs of society?
Morenursing serviceswill berequiredto servetheneedsof thepopulation85 yearsof age and older.
Which diagnosticlaboratorytestwouldthenursepractitionertypicallynot orderfor the purpose of
evaluating an individual's acute, unexplained weight loss?
SerumPotassium
It has beenprojectedthattheculturalgrouppresentingthegreatestgrowthrateamong the older adult
population will be the:
HispanicAmericans
Which statementmadeby a clientrecentlydiagnosedwith diverticulardiseasewould indicate that she
needs additional teaching regarding dietary considerations?
"I'll haveto give up eatingright beforeI go to bed."
Ethnocentrism is defined as:
a beliefthatone'sethnicgroup is superiorto thatof anothertrue
When diagnosedwith diverticulosis,a clientaskshow this problemoccurred.Which assessment data
,identifies a risk factor for diverticulosis?
Maintainsa dietlowin fiber.
,A 77-year-old clientbeingtreatedfor glaucomaasksthenursepractitionerwhatcauses glaucoma. The
nurse bases the response on the knowledge that the increase in intraocular pressure is a result of:
a breakdownin theabsorptionprocess
Weightloss is frequentlycausedby ingestionof oneor moreof thefollowingdrugs.Antibiotics
Digoxin
Nonsteroidalanti-inflammatorydrugs(NSAIDs) Theophylline
A, B, and C
All of the aboveAnswer:All
of theabove
Which of thefollowingculturallydiversemaleclientswill mostbenefitfrom educational material related to
"Staying Healthy into your 80s"
Japanese
The following are true statements about bipolar disorders in older adults except "Bipolar
disorder isthe
mostcommonlydiagnosedpsychiatricdisorder in older adults." Which assessmentdatawouldnot be
of particularconcernwhenattemptingto manage an older adult's risk for dehydration?
Chronic constipation
When educatingtheolderadultpopulationabouttherisks to physicalhealththatchronic alcohol abuse
presents, the nurse practitioner is especially careful to include
Identification
the: of the signs and symptoms
of gastrointestinal bleeding
Which of thefollowingdrugsdoesnot typicallycauseconstipation?
Magnesium-containing antacid
An older adult client has been voluntarily admitted for treatment of alcohol dependency. In
implementing care, the nurseplans which intervention basedupon knowledge about alcohol and
aging?
Assessingtheclientfor bothdepressionand anxiety
The greatestrisk for injury for a clientwith progressedParkinson'sdiseaseis: Falls
An olderadultclient shareswith thenursethat,"I don'tknow whatit is but it seemsthat I need more
light for reading or even watching television as I get older." The nurse explains that aging may cause
this change due to the:
Slowerabilityof thepupil to adjustto changesin lighting.
, The nursepractitionereducatesthatclientthatHealthyPeople2010:
offersdirectionfor theachievementof improvedqualityof life acrossthelife span
Which of thefollowingis not a commoncauseof constipation?hypercalcemia
The nurseis teachinga healthpromotionclassat a seniorcenter.Which of thefollowing statements
demonstrate that the participant does not understand the topic:
"Weneedto usecausticsoapsand scrubaggressivelywith a washclothbathingto minimize bacteria
on the skin."
The nursepractitionershowsan understandingof appropriateinfluenzavaccination guidelines for a
client over the age of 65 when stating:
"Regardlessof your physicalhealthyou reallyshouldgeta yearlyflu shot."
The nurseshowsunderstandingof theneedto promotehealthyskin in theolderadult when
encouraging the client to all of the following except :
cleantheskin with a moisturizingsoap
. A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very
forgetful lately, and she is concerned that he might be "senile." The advanced practice nurse administers
the clock drawing test and the patient draws a distorted
circular shapeand placesthenumbersall on one
sideof theshape.Basedon his performance, the nurse concludes that the patient:
needsfurtherevaluation
Tinnitus is definedas:
a buzzing,clicking, or ringing in theear
Which interventionis not therapeuticwhenfacilitatingcommunicationwith a cognitively impaired older
client?
Use non-verbalas wellas verbalcuesto helpgetyour messageacrossto theclient
When bestpromotinga senseof well- being,theroleof thenursepractitionercaring for a terminally ill
client is to:
helpempowertheclientto achievehis/herpotentialfor wellness
A 68-year-old male presents with a chief complaint of episodes of lightheadedness or dizziness. He states
that sweating, tachycardia, and some hand trembling are often associated
with theseepisodes.Which
oneof thefollowingquestionsshouldyou ask to help confirm the diagnosis?
Are thesesymptomsrelatedto eating?
The caregiver for an older adult with cognitive impairment is concerned about the individual's
seeming
disinterestin eating.Which suggestiondoesthenursepractitioner offer based upon a known effect of
dementia on a client's nutrition?
