Midterm & Final Exams: NR 601/ NR601
A 56-year old male patient screened for diabetes has a fasting plasma glucose level
of 96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - ANSWERSa. repeat fasting plasma glucose
in three years
RW, a 57 year old native American female, presents to the office. RW states she
feels irritable and has difficulty concentrating as well as fallingn asleep and staying
aleep. She states she is worried about her finances, her husband has just lost his
job. The NP diagnoses anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - ANSWERSd. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves
is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - ANSWERSc. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - ANSWERSc. is a contributing factor for
frequent urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - ANSWERSd. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain
and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
,d. Morphine - ANSWERSd. Morphine
Which of the following would you recommend annually for the elderly type 2
diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist - ANSWERSd. eye exam with an opthlamologist
Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention - ANSWERSc. acute onset
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - ANSWERSd. at home
A middle aged patient has been diagnosed with Parkinson's disease. What
influences the nurse practitioners descision to begin pharmacological treatment for
this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability - ANSWERSd. symptoms interfering
with functional ability
Which of the following is a role of the advanced practice nurse in palliative cancer
care?
a. detecting cancer in asymptomatic paitents or those with specific symptoms
b. arranging for follow up including patiennts
c. identifying and managing complications of care
d. all of the above - ANSWERSd. all of the above
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as
a new patient. He takes metformin 500mg twice a day. His last Hgb A1c was 7%. He
is up to date on eye and foot examinations. His BP is 142/96. According to ACC
2017 guidelines for high blood pressure in adults, what is the most appropriate first
line medication?
a. lisinopril
b. furosemide
, c. amlodipine
d. clonidine - ANSWERSa. lisinopril
An older male patient is experiencing acute onset of right sided weakness, slurred
speech and confusion. What should the nurse practitioner do promptly?
a. order an EKG and administer O2 by cannula immediately
b. Do a through medication review and stat blood sugar
c. evaluate for a stroke and arrange transport to the hospital right away
d. administer an aspirin by mouth - ANSWERSc. evaluate for a stroke and arrange
transport to the hospital right away
The NP knows that medications can trigger or worsen heart failure. With this
knowledge in mind, the NP will avoiding prescribing the following classes of
medications
a. benzodiazepines
b. macrolides
c. muscle relaxants
d. NSAIDS - ANSWERSd. NSAIDS
MG, a 60 year old female presents with complaints of her "heart flipping in her chest"
The NP wants to evaluate for arrhythmia. The nP knows that the cornerstone for
arrhythmia evaluation includes:
a. electrocardiogram
b. physical examination
c. all options are appropriate
d. history - ANSWERSc. all options are appropriate
The elderly are at high risk for delerium because of:
a. multiple medical problems
b. multisensory deficits
c. polypharmacy
d. all of the above - ANSWERSd. all of the above
A 68 year old woman presents with a complaint of urine leakage whenever she
sneezes, laughs or strains for the past 4 months. She denies dysuria, frequency and
nocturia. US dipstick is negative for RBC's leukocyte esterase, nitrates, ketones and
urobilinogen. What is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontninence - ANSWERSa. stress incontinence
Which of the following signs or symptoms are not characteristics of delirium
a. patient is coherent
A 56-year old male patient screened for diabetes has a fasting plasma glucose level
of 96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - ANSWERSa. repeat fasting plasma glucose
in three years
RW, a 57 year old native American female, presents to the office. RW states she
feels irritable and has difficulty concentrating as well as fallingn asleep and staying
aleep. She states she is worried about her finances, her husband has just lost his
job. The NP diagnoses anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - ANSWERSd. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves
is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - ANSWERSc. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - ANSWERSc. is a contributing factor for
frequent urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - ANSWERSd. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain
and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
,d. Morphine - ANSWERSd. Morphine
Which of the following would you recommend annually for the elderly type 2
diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist - ANSWERSd. eye exam with an opthlamologist
Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention - ANSWERSc. acute onset
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - ANSWERSd. at home
A middle aged patient has been diagnosed with Parkinson's disease. What
influences the nurse practitioners descision to begin pharmacological treatment for
this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability - ANSWERSd. symptoms interfering
with functional ability
Which of the following is a role of the advanced practice nurse in palliative cancer
care?
a. detecting cancer in asymptomatic paitents or those with specific symptoms
b. arranging for follow up including patiennts
c. identifying and managing complications of care
d. all of the above - ANSWERSd. all of the above
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as
a new patient. He takes metformin 500mg twice a day. His last Hgb A1c was 7%. He
is up to date on eye and foot examinations. His BP is 142/96. According to ACC
2017 guidelines for high blood pressure in adults, what is the most appropriate first
line medication?
a. lisinopril
b. furosemide
, c. amlodipine
d. clonidine - ANSWERSa. lisinopril
An older male patient is experiencing acute onset of right sided weakness, slurred
speech and confusion. What should the nurse practitioner do promptly?
a. order an EKG and administer O2 by cannula immediately
b. Do a through medication review and stat blood sugar
c. evaluate for a stroke and arrange transport to the hospital right away
d. administer an aspirin by mouth - ANSWERSc. evaluate for a stroke and arrange
transport to the hospital right away
The NP knows that medications can trigger or worsen heart failure. With this
knowledge in mind, the NP will avoiding prescribing the following classes of
medications
a. benzodiazepines
b. macrolides
c. muscle relaxants
d. NSAIDS - ANSWERSd. NSAIDS
MG, a 60 year old female presents with complaints of her "heart flipping in her chest"
The NP wants to evaluate for arrhythmia. The nP knows that the cornerstone for
arrhythmia evaluation includes:
a. electrocardiogram
b. physical examination
c. all options are appropriate
d. history - ANSWERSc. all options are appropriate
The elderly are at high risk for delerium because of:
a. multiple medical problems
b. multisensory deficits
c. polypharmacy
d. all of the above - ANSWERSd. all of the above
A 68 year old woman presents with a complaint of urine leakage whenever she
sneezes, laughs or strains for the past 4 months. She denies dysuria, frequency and
nocturia. US dipstick is negative for RBC's leukocyte esterase, nitrates, ketones and
urobilinogen. What is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontninence - ANSWERSa. stress incontinence
Which of the following signs or symptoms are not characteristics of delirium
a. patient is coherent
