NR 601 FINAL EXAM QUESTIONS WITH
ANSWERS
1.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 memformin 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
2.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
3.RW, a 57 year old native American female, presents to the office. RW
states she feels irritable and has difficulty concentrating as well as fallingn
asleep and staying aleep. She states she is worried about her finances, her
husband has just lost his job. The NP diagnoses anxiety. The NP prescribes
a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine: d. Paroxetine
4.The most common sustained rhythmic disorder, which consists of
fibrilla- tory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter: c. atrial fibrillation
5.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: c. is a contributing factor for
frequent urinary tract infections
6.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: d. Confusion Assessment Model
7.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: d. Morphine
8.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: d. eye exam with an opthlamologist
9.Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention: c. acute onset
10.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
11.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: d. symptoms interfering
with functional ability
12.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: d. all of the above
13.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
14.An older male patient is experiencing acute onset of right sided
weakness, slurred speech and confusion. What should the nurse
practitioner do prompt- ly?
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: c. evaluate for a stroke and arrange
transport to the hospital right away
15.Mr. A, experienced a brief onset of right sided weakness, slurred speech
and confusion yesterday. The symptoms have resolved and the CT is
normal. What is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
ANSWERS
1.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 memformin 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
2.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
3.RW, a 57 year old native American female, presents to the office. RW
states she feels irritable and has difficulty concentrating as well as fallingn
asleep and staying aleep. She states she is worried about her finances, her
husband has just lost his job. The NP diagnoses anxiety. The NP prescribes
a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine: d. Paroxetine
4.The most common sustained rhythmic disorder, which consists of
fibrilla- tory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter: c. atrial fibrillation
5.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: c. is a contributing factor for
frequent urinary tract infections
6.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: d. Confusion Assessment Model
7.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: d. Morphine
8.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: d. eye exam with an opthlamologist
9.Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention: c. acute onset
10.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
11.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: d. symptoms interfering
with functional ability
12.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: d. all of the above
13.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
14.An older male patient is experiencing acute onset of right sided
weakness, slurred speech and confusion. What should the nurse
practitioner do prompt- ly?
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: c. evaluate for a stroke and arrange
transport to the hospital right away
15.Mr. A, experienced a brief onset of right sided weakness, slurred speech
and confusion yesterday. The symptoms have resolved and the CT is
normal. What is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
