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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. prescribes Metformin 500mg po BID
c. repeats fasting plasma glucose in one year
d. refers to ophthalmology for eye exam ANS a. repeat fasting plasma glucose in three years
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 ANS c. is a contributing factor for frequent urinary tract infections
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 ANS d. eye exam with an ophthalmologist
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 ANS d. at home
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 symptoms
b. arranging for follow up including patients
,c. identifying and managing complications of care
d. all of the above ANS d. all of the above
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 ANS a. lisinopril
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 ANS a. stress incontinence
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 ANS c. repeat fasting plasma glucose in one year
According to the palliative care presentation, most elderly patients die:
a. alone
b. at home
c. in institutions
d. in pain ANS c. in institutions
, 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 ANS a. repeat the fasting glucose
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 ANS a. begin to disengage
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 ANS d. common signs of abuse
include decreased anxiety and depression
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 ANS d. it is designed for the last six months of life
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 ANS a. the female urethra is shorter