nr 601 week 4 midterm exam nr601 week 4 midterm exam50 qa version 2newest
2021 chamberlain college of nursing
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Chamberlain College Of Nursing
NR 601 / NR601 (NR601/NR601)
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NR 601 Week 4 Midterm Exam
(50 Q and A)
1. A 60-year-old woman presents with a chief complaint of uncomfortable breathing on
exertion. She has had a minimally productive cough for several years that does not
bother her. On further questioning, she states that her breathing gets much worse when
she lies down. The most likely cause of her dyspnea is:
Cardiac
2. A 68-year-old male presents with a chief complaint of episodes of lightheadedness or
dizziness. He states that sweating, tachycardia, and some hand trembling are often
associated with these episodes. Which one of the following questions should you ask to
help confirm the diagnosis?
Are these symptoms related to eating?
3. A 68-year-old male presents with a chief complaint of episodic dizziness. Although not
dizzy at present, he states that he has noted onset of dizzy episodes when he rolls over
in bed and occasionally when he turns his head rapidly. Episodes last about 3 minutes.
The most likely diagnosis is:
Benign positional vertigo
4. A 75-year old resident in the nursing home has end stage dementia and experiences a
10-pound weight loss over the course of 2 months. The resident has become
increasingly difficult to feed and often spits out food, pockets food, and frequently drools.
The family is concerned about the resident's nutritional status. What is the initial action of
the nurse practitioner?
order a swallow evaluation
5. A 77-year-old client being treated for glaucoma asks the nurse practitioner what causes
glaucoma. The nurse bases the response on the knowledge that the increase in
intraocular pressure is a result of:
a breakdown in the absorption process
, 6. . A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he
has been very forgetful lately, and she is concerned that he might be "senile." The
advanced practice nurse administers the clock drawing test and the patient draws a
distorted circular shape and places the numbers all on one side of the shape. Based on
his performance, the nurse concludes that the patient:
needs further evaluation
7. The abrupt onset of symptoms of stress or urge incontinence is most often due to a
urinary tract infection
True
8. After first managing the pain being experienced by the client with gout, the treatment
focuses on:
Preventing systemic involvement by altering the client's diet
9. Based on current demographic data, which statement identifies a predictive trend
regarding the health care needs of society?
More nursing services will be required to serve the needs of the population 85 years of
age and older.
10. The caregiver for an older adult with cognitive impairment is concerned about the
individual's seeming disinterest in eating. Which suggestion does the nurse practitioner
offer based upon a known effect of dementia on a client's nutrition?
Establish a routine of when and where the individual will have their meals.
11. A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will best
evaluate the management plan prescribed for this client?
Quarterly hemoglobin A1C
12. Compared with acute pain, persistent chronic pain requires the nurse practitioner to:
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