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NR 601 FINAL EXAM
1.
Which of the following statements is NOT true about palliative care
teams?
A: Provide weekly home visits
2. A 55-year-old women has type 2 DM she had three UTIs in the last 9
months and she is concerned about her kidneys. She has no report of
dysuria, frequency or urgency at this time. Which of the following is
the best action to follow?
A: Recheck UA dipstick today
3. According to the sexuality presentation, atrophic vaginitis (AV)
A: Is a contributing factor for frequent UTIs
4. Ms. L 55-year-old women with BMI of 28, has 20-year hx of primary
HTN and has been on hydrochlorothiazide 25 mg daily for years with
excellent response. During follow up visit Mrs L reports that for the
last 6 months she has felt thirsty all of the time even though she drinks
at least 10 glasses of water a day. Upon chart review the N notes that
the last two fasting blood glucose levels have been 136 mg/dl and 165
mg/dl. The NP checks a random blood glucose, which is 210 mg/dl.
What is the next appropriate test?
A: Prescribe Metformin 500 mg PO BID
5. A patient has been prescribed Metformin (Glucophage). One week
later he returns with lowered blood sugars but complaints of some
loose stools during the week. How should the NP respond?
A: Reassure the patient that this is an anticipated side effect
6. A 60-year-old obese male client has type 2 DM and a lipid panel of
TC= 250, HDL = 32, LDL= 165. The NP teaches the patient about his
modifiable cardiac risk factors which include:
A: Diabetes, obesity, and hyperlipidemia
7. Lifestyle approaches to postmenopausal symptom management
include
A: avoiding sugar, coffee, chocolate and alcohol
, 2
8. When treating depression associated with dementia, which of the
following would be a poor choice and should not be prescribed?
A: Amitriptyline
9. How does women’s anatomy make them more susceptible to UTIs?
A: the urethra is shorter
10. Don’t have
11.don’t have
12. A 48-year-old male patient screened for diabetes has a fasting plasma
glucose level of 120 mg/dl. The NP plan includes
A: Educate the patient of lifestyle changes to lower blood
glucose
13.Which of the following assessments are commonly noted in a client
with Parkinson’s disease?
A: Micrographia and bradykinesia
14.A 76-year-old man is seen in the office for c/o urinary incontinence.
The clinician should explore which of these causes of incontinence in
men?
A: Urinary Tract Infection (UTI)
15.Which of the following maneuvers is contraindicated in acute
prostatis?
A: Massaging the infected prostate
16.Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20-
year hx of primary HTN and has been on HCTZ 25 mg daily for years
, reports that for the past 6 months she has felt thirsty all of the time
even though she drinks at least 10 glasses of water a day. Upon
charting NP notes that the last two fasting blood glucose levels have
been 136 mg/dl and 165 mg/dl. What actions should the NP perform
next?
A: order a fasting blood glucose??? PRESCRIBE
METFORMIN XR 500MG PO
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