NR 601/ NR601 MIDTERM EXAM PRIMARY
CARE OF THE MATURING AND AGED
FAMILY PRACTICUM QUESTIONS AND
DETAILED ANSWERS | 100% VERIFIED
55 year old post-menopausal woman with h/o HTN c/o jaw pain
on heavy exertion. No c/o CP. EKG is normal sinus rhythm
without ST segment abnormalities. Your plan may include -
✔✔✔ Correct Answer > Exercise stress test
The caregiver for an older adult with cognitive impairment is
concerned about the individuals seeming disinterest in eating.
Which suggestion does the NP offer based upon a known effect
of dementia on a clients nutrition - ✔✔✔ Correct Answer >
Establish a routine of when and where the individual will have
their meals.
An older man has a hx of medication therapy for hypertension.
Which intervention does the nurse practitioner implement
when the client reports that, I've fallen twice in 5 weeks. -
✔✔✔ Correct Answer > Orthostatic blood pressures
,A key symptom of ischemia heart disease is chest pain.
However, angina equivalents may include exertional dyspnea.
Angina equivalents are important because - ✔✔✔ Correct
Answer > Women with ischemic heart disease many times
don't present with chest pain. Some patient's may have no
symptoms or atypical symptoms so diagnosis may only be made
at the time of the actual MI
Which test is clinic standard for assessment of aortic stenosis -
✔✔✔ Correct Answer > Echocardiogram
Ischemic heart disease is - ✔✔✔ Correct Answer > Defined as
an imbalance between O2 supply and demand, frequently
manifested as angina, leading cause of death in the elderly
Preceding a stress test, the following lab work might include -
✔✔✔ Correct Answer > CBC with diff to differentiate ischemic
heart disease from anemia, thyroid studies to rule out
hyperthyroidism
On exam, what type of murmur can be auscultation with aortic
regurgitation - ✔✔✔ Correct Answer > Austin Flint
,Which of the following statements is true regarding anti-
arrhythmic drugs - ✔✔✔ Correct Answer > Most anti-
arrhythmic have low toxic/therapeutic ratio and some are
exceeding toxic
In mitral stenosis, p waves may suggest - ✔✔✔ Correct Answer
> Left atrial enlargement
Aortic regurgitation requires medical treatment for early signs
of CHF with - ✔✔✔ Correct Answer > ACEi
The best evidence rating drugs in a post MI pt include - ✔✔✔
Correct Answer > ASA, ACEi/ARB, BB, aldosterone blockade
What is the most common valvular heart disease in the elderly -
✔✔✔ Correct Answer > Aortic stenosis
Elderly may present with atypical signs of pneumonia. You may
need to be aware that clustering of all of the following s/s may
indicate pneumonia in the elderly except - ✔✔✔ Correct
Answer > Bradycardia
, A common auscultory finding in CHF is - ✔✔✔ Correct Answer
> S3
The most common organism responsible for CAP in the elderly
is - ✔✔✔ Correct Answer > Strep pneumoniae
72 year old woman and her husband are driving cross country.
After a long day of driving, they stop to eat. Midway through
the meal, the woman because very SOB with CP and a sense of
panic. Which problem is most likely - ✔✔✔ Correct Answer >
Pulmonary embolism
Exercise recommended for elderly should include activities that
- ✔✔✔ Correct Answer > Strengthen muscles
Preferred amount of exercise for elderly is - ✔✔✔ Correct
Answer > 30 min of aerobic activity a day 5 days a week.
Which of the following medical conditions is not considered
restrictive for engaging in physical activity - ✔✔✔ Correct
Answer > Depression
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