180 NR 601 FINAL EXAM QUESTIONS AND
ANSWERS UPDATED AND VERIFIED
1. A 56-year old male patient screened for diabetes has a fasting plasma
glucose level of 96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam: a. repeat fasting plasma glucose in three
years
2. According to the Sexually presentation, atrophic vaginitis
a. the symptoms are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants: c. is a contributing factor for frequent
urinary tract infections
3. Which of the following would you recommend annually for the elderly type
2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an ophthalmologist: d. eye exam with an ophthalmologist
,4. The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home: d. at home
5. Which of the following is a role of the advanced practice nurse in palliative
cancer care?
a. detecting cancer in asymptomatic patients or those with specific symp-toms
b. arranging for follow up including patients
c. identifying and managing complications of care
d. all of the above: d. all of the above
6. A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the
clinic as a new patient. He takes metformin 500mg twice a day. His last Hgb
A1c was 7%. He is up to date on eye and foot examinations. His BP is 142/96.
According to ACC 2017 guidelines for high blood pressure in adults, what is
the most appropriate first line medication? a. lisinopril
b. furosemide
c. amlodipine
d. clonidine: a. Lisinopril
,7. A 68 year old woman presents with a complaint of urine leakage whenever
she sneezes, laughs or strains for the past 4 months. She denies dysuria,
frequency and nocturia. US dipstick is negative for RBC's leukocyte esterase,
nitrates, ketones and urobilinogen. What is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence: a. stress incontinence
8. A 52 year old female patient screened for diabetes has a fasting plasma
glucose level of 123 mg/dl. The nurse practitioners plan includes: a.
repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years: c. repeat fasting plasma glucose in one
year
9. According to the palliative care presentation, most elderly patients die: a.
alone
b. at home
c. in institutions
d. in pain: c. in institutions
10. Male patient presents with a BMI of 30 presents to the office for an
annual exam. You are reviewing the lab results. You ordered a CMP as part of
routine labs. The fasting glucose was 130. Your next action is: a. repeat the
fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
, d. call the patient and report lab results as normal: a. repeat the fasting glucose
11. The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships: a. begin to disengage
12. All of the following are true statements regarding elder abuse except:
a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are common
d. common signs of abuse include decreased anxiety and depression: d.
common signs of abuse include decreased anxiety and depression 13.
Hospice care differs from palliative care in that:
a. it cannot be provided in the nursing home
b. the majority of those admitted to hospice die within 7 days
c. it is not covered by insurance
d. it is designed for the last six months of life: d. it is designed for the last six
months of life
14. How does woman's anatomy make them more susceptible to UTI's
a. the female urethra is shorter
b. asymptomatic UTI's do not resolve themselves without treatment
c. women tend to get UTI's when they are pregnant
d. there is a longer distance between the urethra and anus: a. the female urethra
is shorter
15. Mrs. Smith, a 64 year old woman presents to the clinic for the first time and
complains of urinary incontinence and dyspareunia. She went through
menopaused 10 years ago without any hormone replacement therapy and had
a hysterectomy for a fibroid. Her mother had a hip fracture at 87 years of age.
The patient's most recent mammogram was 7 years ago and no known family
history of breast cancer. She is not taking any medications. Her physical exam
ANSWERS UPDATED AND VERIFIED
1. A 56-year old male patient screened for diabetes has a fasting plasma
glucose level of 96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam: a. repeat fasting plasma glucose in three
years
2. According to the Sexually presentation, atrophic vaginitis
a. the symptoms are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants: c. is a contributing factor for frequent
urinary tract infections
3. Which of the following would you recommend annually for the elderly type
2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an ophthalmologist: d. eye exam with an ophthalmologist
,4. The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home: d. at home
5. Which of the following is a role of the advanced practice nurse in palliative
cancer care?
a. detecting cancer in asymptomatic patients or those with specific symp-toms
b. arranging for follow up including patients
c. identifying and managing complications of care
d. all of the above: d. all of the above
6. A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the
clinic as a new patient. He takes metformin 500mg twice a day. His last Hgb
A1c was 7%. He is up to date on eye and foot examinations. His BP is 142/96.
According to ACC 2017 guidelines for high blood pressure in adults, what is
the most appropriate first line medication? a. lisinopril
b. furosemide
c. amlodipine
d. clonidine: a. Lisinopril
,7. A 68 year old woman presents with a complaint of urine leakage whenever
she sneezes, laughs or strains for the past 4 months. She denies dysuria,
frequency and nocturia. US dipstick is negative for RBC's leukocyte esterase,
nitrates, ketones and urobilinogen. What is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence: a. stress incontinence
8. A 52 year old female patient screened for diabetes has a fasting plasma
glucose level of 123 mg/dl. The nurse practitioners plan includes: a.
repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years: c. repeat fasting plasma glucose in one
year
9. According to the palliative care presentation, most elderly patients die: a.
alone
b. at home
c. in institutions
d. in pain: c. in institutions
10. Male patient presents with a BMI of 30 presents to the office for an
annual exam. You are reviewing the lab results. You ordered a CMP as part of
routine labs. The fasting glucose was 130. Your next action is: a. repeat the
fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
, d. call the patient and report lab results as normal: a. repeat the fasting glucose
11. The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships: a. begin to disengage
12. All of the following are true statements regarding elder abuse except:
a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are common
d. common signs of abuse include decreased anxiety and depression: d.
common signs of abuse include decreased anxiety and depression 13.
Hospice care differs from palliative care in that:
a. it cannot be provided in the nursing home
b. the majority of those admitted to hospice die within 7 days
c. it is not covered by insurance
d. it is designed for the last six months of life: d. it is designed for the last six
months of life
14. How does woman's anatomy make them more susceptible to UTI's
a. the female urethra is shorter
b. asymptomatic UTI's do not resolve themselves without treatment
c. women tend to get UTI's when they are pregnant
d. there is a longer distance between the urethra and anus: a. the female urethra
is shorter
15. Mrs. Smith, a 64 year old woman presents to the clinic for the first time and
complains of urinary incontinence and dyspareunia. She went through
menopaused 10 years ago without any hormone replacement therapy and had
a hysterectomy for a fibroid. Her mother had a hip fracture at 87 years of age.
The patient's most recent mammogram was 7 years ago and no known family
history of breast cancer. She is not taking any medications. Her physical exam
