NR 601 Final Exam – Question with Answers

NR 601 Final Exam – Question with Answers 1. Which of the following statements is NOT true about palliative care teams? • A: Provide weekly home visits 2. A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned about her kidneys. She has no report of dysuria, frequency or urgency at this time. Which of the following is the best action to follow? • A: Recheck UA dipstick today 3. According to the sexuality presentation, atrophic vaginitis (AV) • A: Is a contributing factor for frequent UTIs 4. Ms. L 55-year-old women with BMI of 28, has 20-year hx of primary HTN and has been on hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210 mg/dl. What is the next appropriate test? • A: Prescribe Metformin 500 mg PO BID 5. A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but complaints of some loose stools during the week. How should the NP respond? • A: Reassure the patient that this is an anticipated side effect 6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL= 165. The NP teaches the patient about his modifiable cardiac risk factors which include: • A: Diabetes, obesity, and hyperlipidemia 7. Lifestyle approaches to postmenopausal symptom management include • A: avoiding sugar, coffee, chocolate and alcohol 8. When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed? • A: Amitriptyline 9. How does women’s anatomy make them more susceptible to UTIs? • A: the urethra is shorter 10. Don’t have 11. don’t have 12. A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes • A: Educate the patient of lifestyle changes to lower blood glucose 13. Which of the following assessments are commonly noted in a client with Parkinson’s disease? • A: Micrographia and bradykinesia 14. A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explore which of these causes of incontinence in men? • A: Urinary Tract Infection (UTI) 15. Which of the following maneuvers is contraindicated in acute prostatis?