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NR 603 WEEK 1 QUESTIONS / NR 603 WEEK 4 APEA PREDICTOR EXAM REVIEW QUESTION AND ANSWERS 2022/2023
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NR 603 WEEK 1 QUESTIONS / NR 603 WEEK 4 APEA PREDICTOR EXAM REVIEW QUESTION AND ANSWERS 2022/2023
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NR 603 WEEK 1 QUESTIONS / NR 603 WEEK 4 APEA PREDICTOR EXAMREVIEW QUESTION AND ANSWERS 2022/2023
JAN. 2021/2022 Answered
Question 1
Which of the following are potential causes of delirium in the elderly? Mark all that apply.
Dehydration
Medication Effects
Sepsis
Metabolic imbalance
Question 2
Personality changes in patients with Traumatic Brain Injury include all of the following except:
Hypervigilance
Impaired Social Judgment
Apathy
Impulsivity
Question 3
Common presenting symptoms of dementia include all of the following except:
Depression
Irritability
Inability to find the right
words Abstract thinking
increases
Question 4
Which type of medication may be particularly dangerous when treating aggression in patients with traumatic
brain injury (TBI) because it could cause paradoxical agitation?
Benzodiazepines
Clonidine
Haloperidol
Propranolol
Question 5
Chris is a 28-year-old marine who just returned from active duty from Iraq. He has been complaining of dizziness,
extreme headaches, and memory problems related to traumatic brain injury. His neurological injuries are most
likely the effect of:
Changes related to altitude in climate.
Rotational acceleration/deceleration, resulting in focal injury.
Diffuse axonal damage as the result of a blast-induced injury.
Direct blunt trauma, resulting in damage to underlying
tissues.
Question 6
A pleasant 73-year-old male presents to the clinic with his wife. His wife states that she has noted increasing
problems with his memory including forgetting to get some items on his grocery list and misplacing his car keys.
You administer the MMSE in the office and he scores 24/30 which is consistent with Mild Dementia per the
scoring guidelines. Your best response to his wife is:
The MMSE score alone is a strong indicator of Dementia and we can proceed with medication based on these
results.
The MMSE score along with the memory issues are more concerning for head injury and so we will pursue a head
,CT to rule out TBI.
,The MMSE score alone is concerning for Dementia but the memory issues can be a part of normal brain function
so we need to rule out organic causes before concluding a diagnosis of Dementia.
The MMSE score along with the memory issues you identified are very strong indicators of Dementia so we will
begin first line treatment with Donepezil (Aricept) today.
Question 7
Collaborating with specialists is an important part of primary care involving patients with neurologic injuries. It is
important as an APN to know when to refer to a specialist and what the goal of that referral is: further
information, diagnostic testing or treatment recommendations? Which of the following are accurate goals of
referral of a patient for Neuropsychological Testing? Choose all that apply:
Marital Counseling
Assist in identifying neurobehavioral or developmental disorders that may influence cognitive and behavioral
functions (e.g., dyslexia, attention-deficit/hyperactivity disorder [ADHD], autism spectrum disorders, mental
retardation)
Monitor the results of Court ordered Drug testing
Monitor changes in cognition over time (document recovery or progression of
symptoms) Establish a baseline level of neuropsychological functioning
Assist in differential diagnosis and determination of the severity of a condition
Question 8
Key early warning signs for Alzheimer’s disease include all of the following except:
Problem with language
Loss of initiative
Memory loss
Increased fatigue
Question 9
Benzodiazepines are appropriate for which of the following disorders? (Choose all that apply)
Insomnia
Mood Disorders
Acute alcohol withdrawal
Delirium
Question 10
Match the type of Injury with the neurologic damage.
Blow to the head with an object
Focal and diffuse damage
Damage to underlying tissue or vessels
Punched in the face or head
Contusions/bruising/bleeding
Being shot in the face or head
Focal and diffuse damage
Disintegration of brain tissue
Falling and hitting your head
Diffuse damage
Focal and diffuse damage
Near Drowning
Focal and diffuse damage
Diffuse damage
, The WEEK 1 QUIZ focuses on the assessment, diagnosis, and treatment
Delirium is characterized by a . disturbance in attention, consciousness, and cognition.
the HALLMARKof delirium is a clouding of consciousness, with an inability to focus, sustain, or shift attention, as well as a
change in cognition, including impairment in short-term memory, disorientation, and perceptual disturbances.
Diagnostic Criteria for Delirium
A. A disturbance in attention and awareness
B. The disturbance develops over a SHORT period of time (usually hours to a few days),
C. An additional disturbance in cognition (e.g., memory deficit, disorientation, language, visuospatial ability, or perception).
Diagnostics for delirium
Chest x-ray study, Other Diagnostics, ECG, Head CT or MRI*, Lumbar puncture*
CBC and differential, ESR, Platelet count, Serum electrolytes, Serum glucose, Calcium, Magnesium, Phosphorus,
BUN, Creatinine, LFTs, Vitamin B12, Folate, Thiamine, Ammonia, Thyroid function tests
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