FNP NR 506 EXAM TIPS FOR CLINICAL
QUESTION AANP REVISED,200 QUESTIONS
AND ANSWERS ALREADY GRADED A+
1. polypharmacy - ANSWER-inappropriate use of multiple drugs
- no indication
- duplication of therapy
- treating side-effects
2. causes of polypharmacy - ANSWER-- excessive prescribing
- multiple prescribers/dispensers and lack of coordinating provider
- impairments in vision/dexterity
- self-medication (OTC's, homeopathy, non-dietary herbal
supplementation, "borrowing", reusing)
3. polymedicine - ANSWER-use of an increasing number of drugs related to an
increasing number of medical problems
1
, - more than one agent needed to treat a condition
- comorbidities
- health maintenance
4. Beer's Criteria - ANSWER-- consensus criteria
- intended for use in all ambulatory and institutional settings of care
for populations aged 65 and older
- goal is to improve care of older adults by reducing their exposure to
potentially inappropriate medications
5. reasons medications on Beer's Critieria should not be routinely used or
limited in use - ANSWER-- safety concerns - ADRs, interactions
- potential drug-disease interactions
- higher dosing increases risk for ADRs
- frequent dosing increases risk for ADRs
- length of treatment increases risk for ADRs
6. depression diagnostic criteria - ANSWER-- requires at least 5 depressive
symptoms for at least 2 weeks
- must include symptoms of depressed mood and diminished pleasure
(anhedonia)
7. dementia etiologies - ANSWER-**Alzheimer's disease, **vascular dementia,
Parkinson's dementia, Lewy body dementia, and frontotemporal dementia
8. *most common
9. symptoms of dementia - ANSWER-- impaired perception -
hallucinations/illusions/delusions (false beliefs)
2
, - alteration in sleep/rest pattern and Sun downing
- impaired self-expression/communication
- physical discomfort/pain
- repetitiveness/loss of short term memory
- caregiver role strain r/t no meaningful/regular respite and minimal or
no community resources
10.hyperactive delirium - ANSWER-↑ psychomotor activity (agitation, mood
labiality, refusal to cooperate, disruptive behaviors, combativeness)
11.most recognized
12.hypoactive delirium - ANSWER-↓ psychomotor activity (sluggish, lethargic,
withdrawn, apathy)
13.under recognized
14.mixed delirium - ANSWER-fluctuating course
15.highest risk for morbidity/mortality
16.SVR - ANSWER-systemic vascular resistance (body)
17.PVR - ANSWER-pulmonary vascular resistance (lungs)
18.SVR and PVR - ANSWER-normally SVR is greater than PVR
3
QUESTION AANP REVISED,200 QUESTIONS
AND ANSWERS ALREADY GRADED A+
1. polypharmacy - ANSWER-inappropriate use of multiple drugs
- no indication
- duplication of therapy
- treating side-effects
2. causes of polypharmacy - ANSWER-- excessive prescribing
- multiple prescribers/dispensers and lack of coordinating provider
- impairments in vision/dexterity
- self-medication (OTC's, homeopathy, non-dietary herbal
supplementation, "borrowing", reusing)
3. polymedicine - ANSWER-use of an increasing number of drugs related to an
increasing number of medical problems
1
, - more than one agent needed to treat a condition
- comorbidities
- health maintenance
4. Beer's Criteria - ANSWER-- consensus criteria
- intended for use in all ambulatory and institutional settings of care
for populations aged 65 and older
- goal is to improve care of older adults by reducing their exposure to
potentially inappropriate medications
5. reasons medications on Beer's Critieria should not be routinely used or
limited in use - ANSWER-- safety concerns - ADRs, interactions
- potential drug-disease interactions
- higher dosing increases risk for ADRs
- frequent dosing increases risk for ADRs
- length of treatment increases risk for ADRs
6. depression diagnostic criteria - ANSWER-- requires at least 5 depressive
symptoms for at least 2 weeks
- must include symptoms of depressed mood and diminished pleasure
(anhedonia)
7. dementia etiologies - ANSWER-**Alzheimer's disease, **vascular dementia,
Parkinson's dementia, Lewy body dementia, and frontotemporal dementia
8. *most common
9. symptoms of dementia - ANSWER-- impaired perception -
hallucinations/illusions/delusions (false beliefs)
2
, - alteration in sleep/rest pattern and Sun downing
- impaired self-expression/communication
- physical discomfort/pain
- repetitiveness/loss of short term memory
- caregiver role strain r/t no meaningful/regular respite and minimal or
no community resources
10.hyperactive delirium - ANSWER-↑ psychomotor activity (agitation, mood
labiality, refusal to cooperate, disruptive behaviors, combativeness)
11.most recognized
12.hypoactive delirium - ANSWER-↓ psychomotor activity (sluggish, lethargic,
withdrawn, apathy)
13.under recognized
14.mixed delirium - ANSWER-fluctuating course
15.highest risk for morbidity/mortality
16.SVR - ANSWER-systemic vascular resistance (body)
17.PVR - ANSWER-pulmonary vascular resistance (lungs)
18.SVR and PVR - ANSWER-normally SVR is greater than PVR
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