COUC 601 FINAL EXAM PREP EXAM
SCRIPT COMPREHENSIVE STUDY GUIDE
QUESTIONS WITH ACCURATE SOLUTIONS
●● 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
Answer: a. repeat fasting plasma glucose in three years
●● 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
Answer: d. Paroxetine
●● 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
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
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
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
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
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
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
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
SCRIPT COMPREHENSIVE STUDY GUIDE
QUESTIONS WITH ACCURATE SOLUTIONS
●● 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
Answer: a. repeat fasting plasma glucose in three years
●● 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
Answer: d. Paroxetine
●● 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
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
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
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
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
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
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
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
