NURS 5434 FINAL EXAM WITH
ACTUAL QUESTIONS AND WELL
DEFINED ANSWERS
Instructions
All answers are underlined
Questions
"How do you feel about your weight?" Is a great example
of a question to pose to a person with obesity who is in
Pre contemplation, True or False? <answer>True
,A 4-year-old boy had a focal seizure. He is conscious and
calm and is sitting on his mother's lap. Which of the
following medications is safe for this patient?
A. Eslicatbazepine
B. Lacosamide
C. Phenytoin
D. valproic acid
E. Ethosuximide <answer>A. Eslicatbazepine
A 42-year-old obese patient comes to the office. The
patient has a Family Hex of DM and hypertension. The
total cholesterol is 255, triglycerides are 150, HDL 45 and
LDL 180. Which of the following options should be next for
this patient?
A. Lifestyle modifications
B. Initiate Atorvastatin 40-80mg
C. Initiate Rosuvastatin 20-40mg
D. Initiate Simvastatin 20-40mg <answer>A. Lifestyle
modifications
,Patient does not have DM type II. Patient does not meet
any of the criteria
A 58-year-old African American man comes into the clinic.
He has HTN and diabetes. The patient does not consume
tobacco products. He had a heart attack 3 years ago. Total
cholesterol is 234, LDL is 140 and HDL is 38. The SBP is
138 and DBP is 90. Other than HTN meds he is taking
nothing else.
A. Control BP better
B. His LDL is not very elevated so will only need high
intensity statin.
C. Very high risk, start high intensity statin assess after 3
mo. And may add Ezetimibe and PCSK9-1 prn
<answer>C. Very high risk, start high intensity statin
assess after 3 mo. And may add Ezetimibe and PCSK9-1
prn
A 58-year-old male comes in as is diagnosed with HTN.
According to the JNC 8 guidelines, which one of the
following is his target BP?
, A. < 120/80
B. < 130/80
C. < 140/90
D. < 150/90 <answer>C. < 140/90
A 65-year-old man comes to a primary care facility. He
states that it has been 10 years since his last Tetanus shot
and he is excited about seeing his newborn grandchild, he
should be offered and immunization with:
A. Tdap
B. Prevnar 23
C. Hepatitis B
D. HPV <answer>A. Tdap
A 68-year-old woman presents to the clinics with
Hypertension and BP of 152-158/92-96 mmHg
documented over two months on three different occasions.
ECG and creatinine are normal, and she has no protein
urea. Clinical findings included the following: BMI 26.4
kg/m^2: no S3, S4 or murmur and the point of maximal
impulse is range. Which of the following resents the best
interventions?
ACTUAL QUESTIONS AND WELL
DEFINED ANSWERS
Instructions
All answers are underlined
Questions
"How do you feel about your weight?" Is a great example
of a question to pose to a person with obesity who is in
Pre contemplation, True or False? <answer>True
,A 4-year-old boy had a focal seizure. He is conscious and
calm and is sitting on his mother's lap. Which of the
following medications is safe for this patient?
A. Eslicatbazepine
B. Lacosamide
C. Phenytoin
D. valproic acid
E. Ethosuximide <answer>A. Eslicatbazepine
A 42-year-old obese patient comes to the office. The
patient has a Family Hex of DM and hypertension. The
total cholesterol is 255, triglycerides are 150, HDL 45 and
LDL 180. Which of the following options should be next for
this patient?
A. Lifestyle modifications
B. Initiate Atorvastatin 40-80mg
C. Initiate Rosuvastatin 20-40mg
D. Initiate Simvastatin 20-40mg <answer>A. Lifestyle
modifications
,Patient does not have DM type II. Patient does not meet
any of the criteria
A 58-year-old African American man comes into the clinic.
He has HTN and diabetes. The patient does not consume
tobacco products. He had a heart attack 3 years ago. Total
cholesterol is 234, LDL is 140 and HDL is 38. The SBP is
138 and DBP is 90. Other than HTN meds he is taking
nothing else.
A. Control BP better
B. His LDL is not very elevated so will only need high
intensity statin.
C. Very high risk, start high intensity statin assess after 3
mo. And may add Ezetimibe and PCSK9-1 prn
<answer>C. Very high risk, start high intensity statin
assess after 3 mo. And may add Ezetimibe and PCSK9-1
prn
A 58-year-old male comes in as is diagnosed with HTN.
According to the JNC 8 guidelines, which one of the
following is his target BP?
, A. < 120/80
B. < 130/80
C. < 140/90
D. < 150/90 <answer>C. < 140/90
A 65-year-old man comes to a primary care facility. He
states that it has been 10 years since his last Tetanus shot
and he is excited about seeing his newborn grandchild, he
should be offered and immunization with:
A. Tdap
B. Prevnar 23
C. Hepatitis B
D. HPV <answer>A. Tdap
A 68-year-old woman presents to the clinics with
Hypertension and BP of 152-158/92-96 mmHg
documented over two months on three different occasions.
ECG and creatinine are normal, and she has no protein
urea. Clinical findings included the following: BMI 26.4
kg/m^2: no S3, S4 or murmur and the point of maximal
impulse is range. Which of the following resents the best
interventions?
