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Exam (elaborations)

NUR 6123 Exam 3 (100+ Questions) – Geriatric Diabetes, GI Disorders, Endocrine, Liver, Nutrition & Malnutrition | 2025/2026

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This expertly compiled exam guide for NUR 6123 features over 100 clinical scenario-based multiple-choice questions with accurate, validated answers. The content is tailored for advanced nursing students, particularly those in adult-gerontology and primary care tracks, focusing on endocrine, gastrointestinal, hepatobiliary, renal, and nutritional issues common in older adults. The questions are designed to support critical reasoning, exam preparation, and real-world clinical application for the 2025/2026 academic year. Core topics and competencies include: Endocrine assessment in older adults: thyroid and pancreatic testing, early signs of diabetes, vague symptomology, and functional decline Diabetes care: type 2 diabetes evaluation, nonpharmacologic strategies, metabolic changes, stroke risk, and glucose screening guidelines Gastrointestinal disorders: pancreatitis, GERD, cholecystitis, IBS-D, Clostridium difficile infection, and GI pain assessment Hepatic and renal disorders: cirrhosis counseling, NAFLD, liver cancer workup, nephrolithiasis prevention, and CKD staging Nutrition and malnutrition: prealbumin testing, Nutrition Screening Initiative scoring, failure to thrive (FTT), sarcopenia, dysphagia, and geriatric hydration Neurological implications: delirium, stroke correlation with endocrine disorders, and medication-induced complications Diagnostic interpretation: lab values (GFR, amylase, lipase, liver enzymes), imaging (CT, ultrasound), and use of screening tools (Beck Depression Scale, MoCA) Health promotion: geriatric patient education, risk factor modification, caregiver involvement, and discharge planning This exam resource is ideal for students in: Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) programs Family Nurse Practitioner (FNP) and DNP students focusing on chronic disease in aging adults Advanced Pharmacology and Pathophysiology courses PA, MSN, or clinical nursing programs managing diabetes, nutrition, and GI health in elderly patients Applicable for: Board exam review (AANP, ANCC) Clinical scenario practice and simulation Evidence-based care planning for older adult populations Keywords: NUR 6123, geriatric diabetes, chronic pancreatitis, adult FTT, malnutrition screening, NAFLD management, IBS-D, cirrhosis counseling, Clostridium difficile, endocrine symptoms elderly, prealbumin test, nephrolithiasis prevention, CKD stages, liver cancer markers, abdominal pain assessment, glucose screening older adults

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Uploaded on
November 23, 2025
Number of pages
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Written in
2025/2026
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NUR 612 - Exam 3 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



Mrs. Borden is 67 years old and her primary care physician wants her to be

seen by a nurse practitioner who specializes in geriatric issues. On

completing the interview and examination, the nurse practitioner tells Mrs.

Borden that she will order a blood laboratory specimen for thyroid function

and pancreatic function. Mrs. Borden asks what the reason is. Which of the

following is the nurse practitioner's best response?

1. Diabetes is more common in older patients.

2. Thyroid issues are less common in older patients.

3. These are common tests to be done on any new patient.

,4. These tests are necessary to obtain baseline information. - 🧠 ANSWER

✔✔4. These tests are necessary to obtain baseline information.


Mr. Jones is 70 years old and sees the nurse practitioner for a yearly

checkup. He states that he needs to urinate a lot and seems to always be

thirsty. He also finds himself gaining some weight. In the process of the

examination, the nurse practitioner detects that he is vague in his answers.

Which of the following may be the reason?

1. Mr. Jones is cold and bundled in a sweater.

2. There is no family history of diabetes.

3. The symptoms seem to have appeared slowly.


4. He does not want to admit to eating too much - 🧠 ANSWER ✔✔3. The

symptoms seem to have appeared slowly.

Ms. Allen, 72 years old, is being evaluated by the nurse practitioner for type

2 diabetes. Because symptoms of endocrine disorders in older adults are

vague, which of the following questions is best to ask?

1. Do you have any trouble carrying out your daily activities?

2. Can you tell me what you ate yesterday?

3. Have you seen a dentist in the last year?

,4. Have you noticed that you have less hair? - 🧠 ANSWER ✔✔1. Do you

have any trouble carrying out your daily activities?

Mrs. Smith, 80 years old, has been vomiting and having bouts of loose

stools for several days. She is taking several medications that are

prescribed. The nurse practitioner conducts a medication review because:

1. An accounting of all prescribed and over-the-counter (OTC) medications

may uncover reasons for her symptoms.

2. There could be drug-drug interactions leading to her symptoms.

3. Side effects of the gastrointestinal tract are not seen in many

medications.

4. The administration of some of her medications may be appropriate. - 🧠

ANSWER ✔✔2. There could be drug-drug interactions leading to her

symptoms.

Mr. Jameson, 75 years old, comes to the clinic with complaints of severe

sharp epigastric pain that radiates to his back. He has been nauseous and

has vomited three times today. The nurse practitioner suspects which of

the following?

1. Appendicitis


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, 2. Gastrointestinal influenza

3. Acute pancreatitis


4. Insulin shock - 🧠 ANSWER ✔✔3. Acute pancreatitis


The nurse practitioner is working in the emergency department and is

called to assist with the diagnosis of a patient who just came in. Mr. Barn is

76 years old and complains of abdominal pain, and his serum amylase and

lipase are three times the normal limit. The nurse practitioner confirms

pancreatitis, as this meets which criteria?

1. CT severity index

2. Atlanta classification

3. APACHE II


4. Ranson criteria - 🧠 ANSWER ✔✔3. APACHE II


Ms. Jenny is 72 years old and has managed her type 2 diabetes for 30

years. This condition is costly to her in more than one way. Which

complications are common?

1. Financial challenges.

2. Good visual acuity.

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