NR 601(2024/2025) FINAL EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS || ALREADY GRADED A+ <UPDATED VERSION>
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Course
NR 601
Institution
NR 601
NR 601(2024/2025) FINAL EXAM
QUESTIONS WITH CORRECT
DETAILED ANSWERS || ALREADY
GRADED A+ <UPDATED VERSION>
The 4 main domains of clinical preventive services that you will provide are: -
ANSWER Counseling interventions, screening tests, immunizations,
chemoprophylaxis
Which organ...
NR 601(2024/2025) FINAL EXAM
QUESTIONS WITH CORRECT
DETAILED ANSWERS || ALREADY
GRADED A+ <UPDATED VERSION>
The 4 main domains of clinical preventive services that you will provide are: -
ANSWER ✔ Counseling interventions, screening tests, immunizations,
chemoprophylaxis
Which organism that can be prevented by immunization is most often responsible
for an infectious "outbreak" in the nursing home setting? - ANSWER ✔ Influenza
A
What is the appropriate method for TB screening of an older adult entering a
nursing home? - ANSWER ✔ 5 TBU intradermal PPD injection and if negative,
repeat w/same dose one week later
Meds known to contribute to constipation include all of the following except: -
ANSWER ✔ Broad-spectrum abx
All of the following are considered contributors to dysphagia except: - ANSWER
✔ Smooth muscle relaxants
The term "geriatric syndrome" is best described as: - ANSWER ✔ Condition that
has multiple underlying factors and involves multiple systems
The anal wink reflex is used to test: - ANSWER ✔ Sensation and pudental nerve
function
Atypical presentation of acute coronary syndrome is: - ANSWER ✔ More
common in females
,What dz can mimic and often co-exists w/MI in elderly w/CAD? - ANSWER ✔
Esophageal dz
Thoracic aortic dissection presents typically as: - ANSWER ✔ Severe retrosternal
CP that radiates to the back and both arms
Bordetella pertussis is best characterized by: - ANSWER ✔ Sub-acute cough
lasting >2wks
Routine testing of TB should occur in all of the following vulnerable populations
except: - ANSWER ✔ Hospitalized elderly
Which of the following statements about fluid balance in elderly is false? -
ANSWER ✔ Assessment of skin turgor at the sternum is a reliable indicator of
dehydration in elderly.
Distinguishing delirium from dementia can be problematic since they may co-
exist. The primary consideration in the DD is: - ANSWER ✔ Rapid change and
fluctuating course of cognitive function
Presbystasis is best described as: - ANSWER ✔ Age-related disequilibrium of
unknown pathology characterized by gradual onset of difficulty walking
If dizziness has a predictable pattern associated w/it, you should first consider: -
ANSWER ✔ Hypoglycemia
Evidence shows that the most important predictor of a fall is: - ANSWER ✔ Prior
h/o a fall
The most cost-effective interventions used to prevent falls are: - ANSWER ✔
Home modifications and vit D supplements
Chronic fatigue syndrome is best described as: - ANSWER ✔ Fatigue lasting
longer than 6mo and not relieved by rest
Which form of HA is bilat? - ANSWER ✔ Tension
, Microscopic hematuria is defined as: - ANSWER ✔ 3 or more RBCs on 3 or mor
samples of urine
Risk factors associated with the finding of a malignancy in a pt w/hemoptysis
include all of the following except: - ANSWER ✔ Childhood asthma
Recent wt loss is defined as: - ANSWER ✔ Loss of >10lbs over the past 3-6mo
The most common cause of disability in elderly is due to: - ANSWER ✔ Arthritis
Lipedema is best described as: - ANSWER ✔ Bilat distribution of fat in lower
extremities
Drug-induced pruritis is distinguished because it: - ANSWER ✔ May occur right
after drug is taken or months later
A form of syncope that is more common in elderly than in younger adults is: -
ANSWER ✔ Orthostatic hypotension
All of the following statements about tremor are true except: - ANSWER ✔ The
most common tremor is the Parkinson tremor
Overflow incontinence is usually associated with: - ANSWER ✔ Bladder outlet
obstruction
Wandering is best described as: - ANSWER ✔ Purposeful excessive ambulatory
behavior
A key symptom of ischemic heart dz is CP. However, angina equivalents may
include exertional dyspnea. Angina equivalents are important because: - ANSWER
✔ Women w/ischemic heart dz many times don't present w/CP.
Some pt's may have no symptoms or atypical symptoms so dx may only be made at
the time of the actual MI.
Which test is clinical standard for assessment of aortic stenosis? - ANSWER ✔
Echocardiogram
, Ischemic heart dz is: - ANSWER ✔ Defined as an imbalance between O2 supply
and demand.
Frequently manifested as angina.
Leading COD in elderly.
Preceding a stress test, the following lab work might include: - ANSWER ✔ CBC
w/diff to differentiate ischemic heart dz from anemia.
Thyroid studies to rule out hyperthyroidism.
On exam, what type of murmur can be auscultated w/aortic regurg? - ANSWER ✔
Austin flint
Which of the following statements is true regarding anti-arrhythmic drugs? -
ANSWER ✔ Most anti-arrhythmics have low toxic/therapeutic ratio and some are
exceedingly toxic.
In mitral stenosis, p waves may suggest: - ANSWER ✔ L atrial enlargement
Aortic regurg requires medical tx for early signs of CHF with: - ANSWER ✔
ACEi
The best evidence rating drugs in a post-MI pt include: - ANSWER ✔ ASA,
ACEi/ARB, BB, aldosterone blockade
55yo post-menopausal woman with h/o HTN c/o jaw pain on heavy exertion. No
c/o CP. EKG is NSR w/out ST segment abnormalities. Your plan may include: -
ANSWER ✔ Exercise stress test
What is the most common valvular heart dz in elderly? - ANSWER ✔ Aortic
stenosis
Elderly may present with atypical clinical signs of pna. You need to be aware that
clustering of all of the following s/s may indicate pna in the elderly except for: -
ANSWER ✔ Bradycardia
A common auscultatory finding in CHF is: - ANSWER ✔ S3
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