Nr601 final exam test bank
2024-2025 actual exam 300
questions and correct
detailed answers ( verified
answers)| already graded a+|
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A 78-year-old male was recently diagnosed with Alzheimer disease. He
scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his
clinical presentation is consistent with mild disease. He returns to clinic
with his family to discuss possible initiation of pharmacotherapy. You
consider beginning donepezil 5 mg daily for 4 weeks, with a plan to
increase to 10 mg daily if he tolerates the lower dose. Which of the
following is not a common side effect of donepezil?
a. Thrombocytopenia
b. Bradycardia
c. Vivid dreams
d. Gastrointestinal distress
2
,Page 2 of 94
An 82-year-old woman receives oral amoxicillin-clavulate for a skin
abscess on her leg. She develops new onset of frequent watery stool that
persists for several days after the antibiotic is stopped. You obtain a
stool for Clostridium difficile antigen, toxin, and polymerase chain
reaction (PCR). The antigen and PCR are both positive. She has never
had C. difficile infection before. What one statement is the best answer
regarding her management?
a. Metronidazole is the treatment of choice for C. difficile infection.
b. Older adults with their first episode of C. difficile require a longer
duration of treatment with vancomycin.
c. Fecal transplantation is the treatment of choice for C. difficile
infection.
d. Either vancomycin or fidaxomicin are recommended for the first
episode of C. difficile infection.
3
Which of the following groups has the highest rate of suicide in older
adults?
a. Asian males
b. Hispanic males
c. White males
d. Black males
4
A 78-year-old male who resides at a nursing home has Lewy Body
dementia, frequent falls, visual hallucinations, and sleep disturbances.
,Page 3 of 94
He is transferred to your hospital with poor oral intake and confusion of
3 days duration. Physical examination reveals a thin man with dry
mucous membranes, tachypnea, tachycardia, and confusion. To reliably
identify delirium in this patient in a time-efficient manner (<5 minutes),
what will be your instrument of choice?
a. Folstein Mini-Mental State Examination (MMSE)
b. Confusion Assessment Method (CAM)
c. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
(DSM-V)
d. Glasgow Coma Scale (GCS)
e. Delirium Rating Scale - Revised 1998 (DSR-R98)
Don't know?
Terms in this set (93)
Original
Healthcare providers should recommend that older adults engage in
which one of the following?
a. 150 minutes of moderate intensity physical activity weekly
b. 20 minutes of moderate intensity physical activity 3 days per week
c. 10 minutes of vigorous physical activity most days of the week
d. 30 minutes of vigorous physical activity 3 days per week
, Page 4 of 94
a. 150 minutes of moderate intensity physical activity weekly
A 69-year-old female presents to your office for routine primary care.
Her elder sister was recently diagnosed with Alzheimer disease, and she
wonders what steps she can take to reduce her own risk of developing
dementia. Which of the following statements about the prevention of
dementia is true?
a. There is moderate quality evidence to support daily use of vitamin
B12 and fish oil to prevent risk of cognitive decline.
b. Risk of dementia is modulated by nonmodifiable risk factors, such as
genetics, family history, and educational attainment, and there are no
behavioral interventions that can be taken to reduce risk of developing
dementia.
c. There is moderate quality evidence to suggest control of
cardiovascular and metabolic risk factors, such as blood pressure,
weight, and blood sugar, may reduce risk of dementia.
d. There is moderate to low quality evidence supporting cannabinoids
maementia.y reduce rates of progression from mild cognitive
impairment to dementia.
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