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Chamberlain College of Nursing: NR601
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NR 601 Midterm Study Guide
A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will best
evaluate the management plan prescribed for this client?
Quarterly hemoglobin A1C
After first managing the pain being experienced by the client with gout, the treatment focuses on:
Preventing systemic involvement by altering the client's diet
The abrupt onset of symptoms of stress or urge incontinence is most often due to a urinary tract
infection
True
A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion.
She has had a minimally productive cough for several years that does not bother her. On further
questioning, she states that her breathing gets much worse when she lies down. The most likely
cause of her dyspnea is:
Cardiac
Which of the following drugs do not trigger or aggravate a cough?
Hydrochlorothiazide
Based on current demographic data, which statement identifies a predictive trend regarding the
health care needs of society?
,More nursing services will be required to serve the needs of the population 85 years of age and
older.
Which diagnostic laboratory test would the nurse practitioner typically not order for the purpose
of evaluating an individual's acute, unexplained weight loss?
Serum Potassium
It has been projected that the cultural group presenting the greatest growth rate among the older
adult population will be the:
Hispanic Americans
Which statement made by a client recently diagnosed with diverticular disease would indicate
that she needs additional teaching regarding dietary considerations?
"I'll have to give up eating right before I go to bed."
Ethnocentrism is defined as:
a belief that one's ethnic group is superior to that of another true
When diagnosed with diverticulosis, a client asks how this problem occurred. Which assessment
data identifies a risk factor for diverticulosis?
Maintains a diet low in fiber.
,A 77-year-old client being treated for glaucoma asks the nurse practitioner what causes
glaucoma. The nurse bases the response on the knowledge that the increase in intraocular
pressure is a result of:
a breakdown in the absorption process
Weight loss is frequently caused by ingestion of one or more of the following drugs.
Antibiotics
Digoxin
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Theophylline
A, B, and C
All of the above
Answer: All of the above
Which of the following culturally diverse male clients will most benefit from educational
material related to "Staying Healthy into your 80s"
Japanese
The following are true statements about bipolar disorders in older adults except
"Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults."
Which assessment data would not be of particular concern when attempting to manage an older
adult's risk for dehydration?
Chronic constipation
, When educating the older adult population about the risks to physical health that chronic alcohol
abuse presents, the nurse practitioner is especially careful to include the:
Identification of the signs and symptoms of gastrointestinal bleeding
Which of the following drugs does not typically cause constipation?
Magnesium-containing antacid
An older adult client has been voluntarily admitted for treatment of alcohol dependency. In
implementing care, the nurse plans which intervention based upon knowledge about alcohol and
aging?
Assessing the client for both depression and anxiety
The greatest risk for injury for a client with progressed Parkinson's disease is:
Falls
An older adult client shares with the nurse that, "I don't know what it is but it seems that I need
more light for reading or even watching television as I get older." The nurse explains that aging
may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting.
The nurse practitioner educates that client that Healthy People 2010:
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