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NR 601 FINAL EXAM QUESTIONS AND ANSWERS 2024
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NR 601 FINAL EXAM QUESTIONS AND ANSWERS 2024
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NR 601 FINAL EXAMThe proposed mechanism by which diphenhydramine caused delerium is:
a. anticholinergic effects
b. dopaminergic effects
c. gabanergic effectis
d. serotinergic effects - ANSWERS-a. anticholinergic effects
According to the Palliative Care Presentation, palliative care may be provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months - ANSWERS-b. anyone regardless of
their life expectancy or disease progression
The highest level of evidence with the use of adjuvant analgesics is with
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant analgesics
,c. tricyclic antidepressants avoided due to high adverse affects
d. neuropathic pain patients are candidates for adjuvant analgesia - ANSWERS-d.
neuropathic pain patients are candidates for adjuvant analgesia
According o the Sexuality presentation, the biggest barrier to appropriate sexual
evaluation in the older patient
a. older people dont talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. female post menopausal changes - ANSWERS-c. ageist attitudes
The patient with BPH is seen for follow-up.. He has been taking finasteride
(Proscar) for 6 months. The clinician should assess this patient for which of these
side effects?
a. headache
b. urinary incontinence
c. hypotensionn
d. impotence - ANSWERS-d. impotence
Which of the following statements is true regarding pain?
,a. all of the above
b. if a patient complains of pain but has no physical signs, he or she is most likely
exhibiting drug-seeking behavior
c. pain is a subjective experience related to actual or potential tissue damage
d. acute pain is more intense and severe than chronic pain - ANSWERS-c. pain is a
subjective experience related to actual or potential tissue damage
The highest level of evidence to support interventions at the end of life is with
a. hycosamine for respiratory secretions
b. stimulant laxatives for treating constipation
c. opioids for pain control
d. opioids for dyspnea - ANSWERS-d. opioids for dyspnea
The comorbid psychiatric problem with the highest frequency in dementia is:
a. depression
b,, agitation and aggression
c. psychosis
d. anxiety - ANSWERS-a. depression
According to the World Health Orginazition's analgesic ladder, which drug would
be most appropriate in opiate-niave patient who presents with moderate pain
, a. naproxen/morphine
b. asprin/fentanyl
c. acetaminophen/hydrocodone
d. ibuprofen/impraminen - ANSWERS-c. acetaminophen/hydrocodone
K B age 54 presents to your office. her husband has just died suddenly and she
states she cannot function. She is crying all the time, cant seem to focus and she
has so much she needs to do to plan the funeral service and get through the next
few days. YOu decide to prescribe a benzodiazepine. Please choose the correct
treatment decision statements below.
a. benzodiazepines are safe to prescribe long term
b. benzodiazepines should not be stopped abruptly if taken for > 1 month
c. benzodiazepines are first line treatment for anxiety in the elderly
d. benzodiazepines should be prescribed at the highest dose tolerated for the
best effect - ANSWERS-b. benzodiazepines should not be stopped abruptly if
taken for > 1 month
Mrs. L, a 66 year old Asian female, presented for her yearly physical last week. A
review of her chart reveals she smokes 2 packs of cigarettes a day, and drinks 2
beers every evening since she retired. She stopped walkingn two years ago when
she started having knee pain. As part of heallth maintenance, a DEXA was
ordered. You have received the results, a T score of -2.5. The score is consistant
with
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