NRNP 6540 FINAL EXAM STUDY GUIDE.
NRNP 6540 FINAL EXAM STUDY
GUIDE. GRADED A+. WITH
QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES.
LATEST UPDATE
1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is
dehydrated.
Although she is afebrile, the nurse conducts a thorough physical examination,
including urinalysis and complete blood count (CBC). The total assessment is
necessary because:
1. All body systems interact, and symptoms could indicate a variety of diagnoses.
2. The symptoms are vague and may be signs of aging.
3. There may be other signs or symptoms more indicative of the condition.
4. Mrs. Smith may not be reporting all significant information. - 1. Answer: 1
Page: 2
Feedback 1.
The clinician must be aware that all the systems interact and, in doing so, can
increase the older person's vulnerability to illness/disease. 2.
The nurse must not attribute symptoms only to the
aging process. 3.
There may be comorbidities accompanying this
condition. 4.
Assumptions of not reporting properly may not be true.
,NRNP 6540 FINAL EXAM STUDY GUIDE.
2. A patient with renal disease has blood work drawn, and the results show an
increase in serum creatinine. The nurse practitioner needs to know which of the
following laboratory values before ordering medications?
1. CBC
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels - 2. Answer: 3
Page: 3
Feedback 1.
A CBC will not evaluate kidney function for a patient with renal disease. 2.
,NRNP 6540 FINAL EXAM STUDY GUIDE.
A culture and sensitivity test reflects the presence of an infection and the
antibiotic to which the organism is sensitive. 3.
The calculation of creatinine clearance provides an estimation of
renal function. 4.
Uric acid level is elevated in the presence of gout.
3. Which of the following statements is true regarding diagnostic testing?
1. A test is ordered for a specific purpose.
2. A test is the most invasive available.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient.
- 3. Answer: 1 Page: 3
Feedback 1.
The nurse practitioner should have a plan for the use of each test result
value obtained. 2.
When considering which laboratory tests to order, it is worth remembering the
doctrine primum no nnocere—first, do no harm. 3.
Once laboratory tests are available for review, tests results should be discussed with
the patient, with abnormal test results interpreted for the aging individual and
addressed with the patient and
caregiver
s. 4.
Any risks involved in laboratory testing must be considered concerning the patient's
clinical condition and weighed against the test's expected benefits.
4. Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs.
Johnson because:
1. The body undergoes physiological changes with aging.
2. A healthy body does not experience significant changes as one gets older.
3. Older patients do not feel any systemic symptoms, such as malaise and weight loss.
4. Even though the same joints are usually affected, age makes it feel different. -
4. Answer: 1 Page: 5
, NRNP 6540 FINAL EXAM STUDY GUIDE.
Feedback 1.
Knowledge of the bimodality of age onset of certain disease conditions will aid the
advanced practice nurse in avoiding misdiagnosis or delay in diagnosis due to lack
of recognition.
2.
NRNP 6540 FINAL EXAM STUDY
GUIDE. GRADED A+. WITH
QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES.
LATEST UPDATE
1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is
dehydrated.
Although she is afebrile, the nurse conducts a thorough physical examination,
including urinalysis and complete blood count (CBC). The total assessment is
necessary because:
1. All body systems interact, and symptoms could indicate a variety of diagnoses.
2. The symptoms are vague and may be signs of aging.
3. There may be other signs or symptoms more indicative of the condition.
4. Mrs. Smith may not be reporting all significant information. - 1. Answer: 1
Page: 2
Feedback 1.
The clinician must be aware that all the systems interact and, in doing so, can
increase the older person's vulnerability to illness/disease. 2.
The nurse must not attribute symptoms only to the
aging process. 3.
There may be comorbidities accompanying this
condition. 4.
Assumptions of not reporting properly may not be true.
,NRNP 6540 FINAL EXAM STUDY GUIDE.
2. A patient with renal disease has blood work drawn, and the results show an
increase in serum creatinine. The nurse practitioner needs to know which of the
following laboratory values before ordering medications?
1. CBC
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels - 2. Answer: 3
Page: 3
Feedback 1.
A CBC will not evaluate kidney function for a patient with renal disease. 2.
,NRNP 6540 FINAL EXAM STUDY GUIDE.
A culture and sensitivity test reflects the presence of an infection and the
antibiotic to which the organism is sensitive. 3.
The calculation of creatinine clearance provides an estimation of
renal function. 4.
Uric acid level is elevated in the presence of gout.
3. Which of the following statements is true regarding diagnostic testing?
1. A test is ordered for a specific purpose.
2. A test is the most invasive available.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient.
- 3. Answer: 1 Page: 3
Feedback 1.
The nurse practitioner should have a plan for the use of each test result
value obtained. 2.
When considering which laboratory tests to order, it is worth remembering the
doctrine primum no nnocere—first, do no harm. 3.
Once laboratory tests are available for review, tests results should be discussed with
the patient, with abnormal test results interpreted for the aging individual and
addressed with the patient and
caregiver
s. 4.
Any risks involved in laboratory testing must be considered concerning the patient's
clinical condition and weighed against the test's expected benefits.
4. Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs.
Johnson because:
1. The body undergoes physiological changes with aging.
2. A healthy body does not experience significant changes as one gets older.
3. Older patients do not feel any systemic symptoms, such as malaise and weight loss.
4. Even though the same joints are usually affected, age makes it feel different. -
4. Answer: 1 Page: 5
, NRNP 6540 FINAL EXAM STUDY GUIDE.
Feedback 1.
Knowledge of the bimodality of age onset of certain disease conditions will aid the
advanced practice nurse in avoiding misdiagnosis or delay in diagnosis due to lack
of recognition.
2.
