VERIFIED ANSWERS GRADED A+
2025\2026 UPDATE!
Mrs R is a 68 year old woman with a BMI of 26. She is on Medicare, has
a 20 year history of primary hypertension and has been well controlled
on furosemide 30 mg BID for years. During this follow up visit Mrs. R
reports that for the last 2 months she is always thirsty, she drinks at
least 8 glasses of water a day. Upon chart review the NP notes that the
last two fasting blood glucose levels have been 102mg/dl and
108mg/dl. What action should the nurse practitioner perform next?
a. plan to recheck glucose as scheduled at the yearly physical exam next
month
b. order a fasting blood glucose
c. check a POC glucose now, she is not fasting
d. educate that the diuretic is causing thirst ANSWER
b. order a fasting blood glucose
A 56 year old man is diagnosed with acute prostatitis, he is afebrile
without severe pain and will be managed outpatient. He should initially
be treated with antibiotics for how long?
a. 6-12 weeks
,b. 14-21 days
c. 3-6 weeks
d. 10-14 days ANSWER d. 10-14 days
Age-related changes in the bladder, urethra and ureters include all of
the following in older women except:
a. decline in ureteral resistance pressure
b. increased estrogen produciton's influence on the bladder and ureter
c. laxity of the pelvic muscle
d. decline in bladder outlet function. ANSWER b. increased estrogen
production's influence on the bladder and ureter
An 80 year old female widow asks her nurse practitioner about her end
of life options. Her diagnosis include congestive heart failure,
hypertension and type 2 diabetes mellitus. She has noticed that in the
last month she has lower extremity edema and she if finding it difficult
to walk to the grocery store and chrch. She does not use oxygen. She is
able to maintain her home but requires more frequent rests after
vacuuming. She does not wish to be admitted to the hospital again in
the future but if admitted wants to maintain full code status. How
should the NP address this patients concerns today?
a. start her on a medication for depression
b provide her with information for senior day care services
,c. offer the patient a palliative care referral ANSWER
c. offer the patient a palliative care referral
Hospice services and palliative care services are underutilized due to
a. denial of impending death
b. confusion remains over when it is appropriate to consult palliative
care
c. services are not understood
d. all options are appropriate ANSWER d. all options are appropriate
Jean, a 47 year old presents to the clinic with complaints of dysuria,
frequency and strong odor of her urine for 5 days. This is the second
occurrence this year. The first occurrence was 3 months ago. Today, UA
reveals positive leukocyte esterase, positive nitrates, 18 WBC's, few
RBC's, no protein, no casts. What is the appropriate next step for this
patient
a. order a urine culture and sensitivity and hold treatment until you
receive results
b. prescribe a 7 day course of antibiotics and order a urine culture and
sensitivity
c. treat the patient with a stronger antibiotic, ofloxin, for 10 days
d. treat the patient with antibiotics today ANSWER
, d. treat the patient with antibiotics today
Delirium is typically characterized by all of the following except:
a. altered level of consciousness
b. insidious onset
c. inattention ANSWER b. insidious onset
Not sure of the question but
a. dominant personality
b. obesity
c. cardiovascular disease
d. diabetes ANSWER a. dominant personality
Mrs. G has returned to your office for a follow up visit for urinary
incontinence (UI). Mrs G has followed your 1st line recommendations.
She has quit smoking, drinks plenty of fluids, and has eliminated
caffeine and spicy foods. Despite all these changes, she still experiences
UI. You decide to initiate second line treatement. You recommend:
a. bladder control training
b. keagels