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Advanced Health Assessment And Diagnostic Reasoning Exam 1

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Advanced Health Assessment And Diagnostic Reasoning Exam 1

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RN - Registered Nurse
Vak
RN - Registered Nurse

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Page 1 of 33


Advanced Health Assessment And Diagnostic
Reasoning Exam 1



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NUR 612

HIGH YIELD S QUESTIONS

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Exam 1

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NUR 612 - Exam 1
Ivan W. is a 65-year-old man who is new to your practice. He has a history of
COPD, CAD, hypertension, and type 2 diabetes mellitus. He has had no
immunizations since his discharge from the military at age 25. Childhood
diseases included chickenpox, measles, mumps, and "German measles." He
presents for a disease management visit. Which of the following
immunizations would you recommend for Ivan?
A. MMR, influenza, pneumococcal, Zostavax
B. Influenza, pneumococcal, PPD, Hepatitis B
C. Tdap, pneumococcal, influenza, Zostavax
D. Hepatitis B, influenza, pneumococcal, Hepatitis A
C. Tdap, pneumococcal, influenza, Zostavax
Leo L. is a 62-year-old African American male who comes for an initial visit to
your practice. Personal health history includes smoking 1 pack/day since age
11, consuming a case of beer (24 bottles) every weekend, and working as an
assembler (sedentary job) for the past 10 years. Family history in first-degree
relatives includes hypertension, high cholesterol, heart attack, and type 2
diabetes mellitus. Leo's BMI is 32; BP today is 130/86. You order a fasting
glucose, lipid profile, and return visit for BP check. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health profiling
B. Secondary prevention
A local chapter of a nurse practitioner organization has begun planning a
community-based screening for hypertension at a local congregate living
facility. This population was selected on the basis of:

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A. A predicted decreased incidence of high blood pressure in this population
B. A recognized element of high risk within this group
C. Readily available treatment measures
D. Achieving an administrative goal for the congregate living facility
B. A recognized element of high risk within this group
Performing range of motion exercises on a client who has had a stroke is an
example of which level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Rehabilitation prevention
B. Tertiary prevention
The nurse practitioner demonstrates an understanding of primary prevention
of falling among the elderly through which management plan?
A. Evaluate a need for assistive devices for ambulation after the client has
been injured from a fall.
B. Provide resources to correct hazards contributing to falls in the home
environment.
C. Reinforce the need to use prescribed eyeglasses to prevent further injury
from falls.
D. Provide information about medications, side effects, and interactions
D. Provide information about medications, side effects, and interactions
An example of an active strategy of health promotion for an individual to
accomplish would be:
A. Maintaining clean water in the local environment
B. Introducing fluoride into the water
C. Beginning a stress management program
D. Maintaining a sanitary sewage system
C. Beginning a stress management program
You are working with an older male adult with a long history of alcohol abuse
and a 30-year history of smoking. In recommending an intervention for this
client, your responsibility is to:
A. Make the individual abandon his own health practices and follow your
recommendations

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B. Register the patient for a local intervention program and secure payments
C. Promote positive change in lifestyle choices
D. Identify the barriers that the client will encounter
C. Promote positive change in lifestyle choices
The four main domains of clinical preventive services that the practitioner will
provide are:
A. Counseling interventions, screening tests, immunizations, and
chemoprophylaxis
B. Counseling intervention, screening tests, immunizations, and education
C. Counseling interventions, transportation, screening tests, and
immunizations
D. Screening tests, brief psychotherapy, immunizations, and
chemoprophylaxis
A. Counseling interventions, screening tests, immunizations, and chemoprophylaxis
Which organism that can be prevented by immunization is most often
responsible for an infectious "outbreak" in the nursing home setting?
A. Haemophilus influenza
B. Streptococcus
C. Influenza A
D. Mycobacterium tuberculosis
C. Influenza A
What is the appropriate method for tuberculosis screening of an older adult
entering a nursing home?
A. 5 tuberculin units intramuscular PPD injection and if negative repeat with
same dose one week later
B. 5 tuberculin units intradermal PPD injection and if negative repeat with
same dose one week later
C. Chest x-ray at the same time of PPD testing
D. 5 tuberculin units intradermal PPD injection and if positive repeat same
dose in one week
B. 5 tuberculin units intradermal PPD injection and if negative repeat with same dose
one week later
The evidence reflects that comprehensive geriatric assessment should be
conducted:

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