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CHAMBERLAIN UNIVERSITY. NR601 FINAL EXAM . ACTUAL EXAM A+ GUARANTEED.

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CHAMBERLAIN UNIVERSITY. NR601 FINAL EXAM . ACTUAL EXAM A+ GUARANTEED. Which of the following statements is NOT true about palliative care teams? - Answer: - Provide weekly home visits 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? - Answer: - Recheck UA dipstick today According to the sexuality presentation, atrophic vaginitis (AV) - Answer: - Is a contributing factor for frequent UTIs Ms. L 55-year-old women with BMI of 28, has 20-yearhx 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? - Answer: - Prescribe Metformin 500 mg PO BID 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? - Answer: - Reassure the patient that this is an anticipated side effect 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: - Answer: - Diabetes, obesity, and hyperlipidemia Lifestyle approaches to postmenopausal symptom management include - Answer: - avoiding sugar, coffee, chocolate and alcohol When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed? - Answer: - Amitriptyline How does women’s anatomy make them more susceptible to UTIs? - Answer: - the urethra is shorter Which of the following is a role of the advanced nurse in - Answer: - All of the above All of the following statements are true regarding anxiety EXCEPT: - Answer: - is a normal part of aging A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes - Answer: - Educate the patient of lifestyle changes to lower blood glucose Which of the following assessments are commonly noted in a client with Parkinson’s disease? - Answer: - Micrographia and bradykinesia 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? - Answer: - Urinary Tract Infection (UTI) Which of the following maneuvers is contraindicated in acute prostatis? - Answer: - Massaging the infected prostate Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20-yearhx of primary HTN and has been on HCTZ 25 mg daily for years , reports that for the past 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon charting NP notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. What actions should the NP perform next? - Answer: - order a fasting blood glucose According to the WHO analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient who presents with moderate pain? - Answer: - Indomethacin/ hydrocodone The cornerstone of pharmacotherapy in treating Alzheimer’s disease is : - Answer: - Cholinesterase inhibitors The highest level of evidence to support interventions at the end of life is with: - Answer: - opioids for dyspnea The comorbid psychiatric problem with the highest frequency in dementia is: - Answer: - Anxiety All of the following are true statements regarding elder abuse EXCEPT: - Answer: - common signs of abuse include decreased anxiety and depression Which of the following is a role of the advanced nurse in - Answer: - All of the above The proposed mechanism by which diphenhydramine causes delirium is: - Answer: - Anticholinergic effect A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is: - Answer: - Morphine According to the Palliative Care presentation, hospice care may be provided to: - Answer: - those with a life expectancy 6 months A 68-year-old women is being worked up for stress incontinence. UA reveals positive leukocyte esterase, positive nitrites, 15 WBCs, no RBS, no protein, no casts. She denies frequency, urgency, suprapubic pressure or urgency. What is the first treatment for her US results?

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CHAMBERLAIN UNIVERSITY.
NR601 FINAL EXAM 2024-2025. ACTUAL EXAM A+ GUARANTEED.

Which of the following statements is NOT true about palliative care teams?
- Answer: - Provide weekly home visits


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?
- Answer: - Recheck UA dipstick today

According to the sexuality presentation, atrophic vaginitis (AV)
- Answer: - Is a contributing factor for frequent UTIs

Ms. L 55-year-old women with BMI of 28, has 20-yearhx 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?
- Answer: - Prescribe Metformin 500 mg PO BID


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?
- Answer: - Reassure the patient that this is an anticipated side effect


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:
- Answer: - Diabetes, obesity, and hyperlipidemia


Lifestyle approaches to postmenopausal symptom management include
- Answer: - avoiding sugar, coffee, chocolate and alcohol


When treating depression associated with dementia, which of the following would be a poor choice and should not be
prescribed?
- Answer: - Amitriptyline


How does women’s anatomy make them more susceptible to UTIs?
- Answer: - the urethra is shorter


Which of the following is a role of the advanced nurse in
- Answer: - All of the above




All of the following statements are true regarding anxiety EXCEPT:
- Answer: - is a normal part of aging


A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes
- Answer: - Educate the patient of lifestyle changes to lower blood glucose

, Which of the following assessments are commonly noted in a client with Parkinson’s disease?

- Answer: - Micrographia and bradykinesia


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?
- Answer: - Urinary Tract Infection (UTI)


Which of the following maneuvers is contraindicated in acute prostatis?
- Answer: - Massaging the infected prostate


Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20-yearhx of primary HTN and has been on HCTZ 25
mg daily for years , reports that for the past 6 months she has felt thirsty all of the time even though she drinks at least 10
glasses of water a day. Upon charting NP notes that the last two fasting blood glucose levels have been 136 mg/dl and
165 mg/dl. What actions should the NP perform next?
- Answer: - order a fasting blood glucose


According to the WHO analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient
who presents with moderate pain?
- Answer: - Indomethacin/ hydrocodone


The cornerstone of pharmacotherapy in treating Alzheimer’s disease is :
- Answer: - Cholinesterase inhibitors


The highest level of evidence to support interventions at the end of life is with:
- Answer: - opioids for dyspnea


The comorbid psychiatric problem with the highest frequency in dementia is:
- Answer: - Anxiety


All of the following are true statements regarding elder abuse EXCEPT:
- Answer: - common signs of abuse include decreased anxiety and depression


Which of the following is a role of the advanced nurse in
- Answer: - All of the above


The proposed mechanism by which diphenhydramine causes delirium is:
- Answer: - Anticholinergic effect


A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is:
- Answer: - Morphine


According to the Palliative Care presentation, hospice care may be provided to:
- Answer: - those with a life expectancy < 6 months


A 68-year-old women is being worked up for stress incontinence. UA reveals positive leukocyte esterase, positive
nitrites, 15 WBCs, no RBS, no protein, no casts. She denies frequency, urgency, suprapubic pressure or urgency. What is

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Subido en
2 de octubre de 2024
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