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The most common sustained rhythmic disorder, which consists
of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - THE CORRECT ANSWER-c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm 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 - THE CORRECT ANSWER-c. is
a contributing factor for frequent urinary tract infections
Which of the following is the most appropriate screening tool
for delirium?
,a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - THE CORRECT ANSWER-d.
Confusion Assessment Model
A drug that can be used to treat two very common symptoms in
a dying patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - THE CORRECT ANSWER-d. Morphine
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 opthlamologist - THE CORRECT ANSWER-d. eye
exam with an opthlamologist
Which characteristic of delerium helps to distinguish it from
dementia?
,a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention - THE CORRECT ANSWER-c. acute onset
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 - THE CORRECT ANSWER-d. at home
A middle aged patient has been diagnosed with Parkinson's
disease. What influences the nurse practitioners descision to
begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability - THE CORRECT
ANSWER-d. symptoms interfering with functional ability
Which of the following is a role of the advanced practice nurse
in palliative cancer care?
a. detecting cancer in asymptomatic paitents or those with
specific symptoms
, b. arranging for follow up including patiennts
c. identifying and managing complications of care
d. all of the above - THE CORRECT ANSWER-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 - THE CORRECT ANSWER-a. lisinopril
An older male patient is experiencing acute onset of right sided
weakness, slurred speech and confusion. What should the nurse
practitioner do promptly?
a. order an EKG and administer O2 by cannula immediately
b. Do a through medication review and stat blood sugar
c. evaluate for a stroke and arrange transport to the hospital
right away
d. administer an aspirin by mouth - THE CORRECT ANSWER-c.
evaluate for a stroke and arrange transport to the hospital right
away