NR 601 Final Exam - Primary Care Of The Maturing & Aged Family Practicum (NR-601) 2023/2024

1 NR 601 Final Exam - Primary Care Of The Maturing & Aged Family Practicum (NR-601) 2023/2024 NR 601 Final Exam Chamberlain College of Nursing NR 601: Primary Care of the Maturing and Aged Family (Complete solutions and resources for the course exam) 2 NR 601 Final Exam 1. Which of the following statements is NOT true about palliative care teams? • A: Provide weekly home visits • 2. A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned about her kidneys. She has no report of dysuria, frequency or urgency at this time. Which of the following is the best action to follow? • A: Recheck UA dipstick today 3. According to the sexuality presentation, atrophic vaginitis (AV) • A: Is a contributing factor for frequent UTIs 4. Ms. L 55-year-old women with BMI of 28, has 20-year hx of primary HTN and has been on hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210 mg/dl. What is the next appropriate test? • A: Prescribe Metformin 500 mg PO BID 5. A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but complaints of some loose stools during the week. How should the NP respond? • A: Reassure the patient that this is an anticipated side effect 6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL= 165. The NP teaches the patient about his modifiable cardiac risk factors which include: • A: Diabetes, obesity, and hyperlipidemia 7. Lifestyle approaches to postmenopausal symptom management include 3 • A: avoiding sugar, coffee, chocolate and alcohol 8. When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed? • A: Amitriptyline 9. How does women’s anatomy make them more susceptible to UTIs? • A: the urethra is shorter 10. A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes • A: Educate the patient of lifestyle changes to lower blood glucose 11. Which of the following assessments are commonly noted in a client with Parkinson’s disease? • A: Micrographia and bradykinesia 12. A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explore which of these causes of incontinence in men? • A: Urinary Tract Infection (UTI) 13. Which of the following maneuvers is contraindicated in acute prostatis? • A: Massaging the infected prostate 14. Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20-year hx of primary HTN and has been on HCTZ 25 mg daily for years , reports that for the past 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon charting NP notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. What actions should the NP perform next? • A: order a fasting blood glucose??? PRESCRIBE METFORMIN XR 500MG PO 15. According to the WHO analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient who presents with moderate pain? • A: Indomethacin/ hydrocodone 16. The cornerstone of pharmacotherapy in treating Alzheimer’s disease is : • A: Cholinesterase inhibitors 17. The highest level of evidence to support interventions at the end of life is with: • A: opioids for dyspnea 18. The comorbid psychiatric problem with the highest frequency in dementia is: • A: Anxiety 19. All of the following are true statements regarding elder abuse EXCEPT: • A : common signs of abuse include decreased anxiety and depression 4 20. Which of the following is a role of the advanced nurse in ????? • A: All of the above 21. The proposed mechanism by which diphenhydramine causes delirium is: • A: Anticholinergic effect 22. A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is : • A : Morphine 23. According to the Palliative Care presentation, hospice care may be provided to: • A: those with a life expectancy 6 months 24. A 68-year-old women is being worked up for stress incontinence. UA reveals positive leukocyte esterase, positive nitrites, 15 WBCs, no RBS, no protein, no casts. She denies frequency, urgency, suprapubic pressure or urgency. What is the first treatment for her US results? • A: no treatment is necessary 25. The elderly are at higher risk for delirium because of: • A: All of the above 26. A 63-year-old man is seen in the clinic with a c/o nocturia. Which of the following should be included in the differential diagnosis? • A: Benign prostatic hypertrophy (BPH) 27. A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which of the following statements is true regarding the management of pain with opioids in the elderly? • A: none of the above 28. The highest level of evidence with the use of adjuvant analgesics is with: • A: neuropathic pain patients are candidates for adjuvant analgesia 29. The 56-year-old man with chronic prostatis should initially be treated with antibiotics for how long? • A: 14 days 30. A 50-year-old female patient screened for diabetes has a fasting plasma glucose level of 124 mg/dl. The NP plan includes: • A: repeat fasting plasma glucose in one year 31. When assessing a patient who complains of a tremor, the NP must differentiate essential tremor from the tremor of Parkinson’s disease. Which of the following findings are consistent with essential tremor? • A: The tremor occurs with purposeful movement 32. Which characteristic of delirium helps to distinguish it from dementia? • A: abrupt or Acute onset 5 Useful Links: (Chamberlain College of Nursing) Search the required document link, use it to get the answer documents and secure HIGHSCORE Visit the bundle link to get the documents NR 601 Week 2, 5 Case Study, NR 601: Care of the Maturing and Aged Family, Chamberlain NR 601 Week 3, 5, 7 Quiz- Knowledge Check, NR 601: Care of the Maturing and Aged Family NR 601 Final Exam, Study Guide, Review, NR 601: Care of the Maturing and Aged Family NR 601 Midterm Exam, Study Guide, Review, NR 601: Care of the Maturing and Aged Family NR 601 6 Midterm Exam, Final Exam, Study Guide, Knowledge Check, Case Study, NR 601: Care of the Maturing and Aged Family, Chamberlain NR 601 Week Case Study, NR 601: Care of the Maturing and Aged Family, Chamberlain NR 667 Narrative Template, VISE Call Notes, Week 1 certification review plan, NR 667 FNP Capstone Practicum, and Intensive, Chamberlain College of Nursing POLI 330 POLI 330N Week 8 Final Exam (Latest 6 Versions) Essay MCQs, POLI330 Final Exam NR 661 Week 4 VISE Assessment, Familiarize Yourself-VISE Assignment Review, NR 661 Certification Review Study Plan, Hipaa Quiz, APN Capstone, Portfolio, NR Pf roima: ry Care Of The Maturing … NR-601 Chamberlain… 264 documents Go to course Jennifer albertson ihuman Primary Care Of… 100% (33) Primary care blueprints - Final… Primary Care Of… 100% (13) Advanced Practice Nursing in the Care… Primary Care Of… 100% (10) I Human Dylan Scott Week 3 NR 601 Primary Care Of… 100% (9) NR601 - Week 3 i Human Hailey… Primary Care Of… 100% (8) WEEK 2 case study- 5 part one assignment 7 Primary Care Of… 661 Professional Portfolio, Chamberlain College of Nursing. 100% (7) NR 603 Week 1 Contrast and compare, Quiz, Case Study, APEA Predictor Assignment, NR 603: Advanced Clinical Diagnosis, and Practice Across the Lifespan, Chamberlain NR 602 Final Exam, MIDTERM Exam & STUDY GUIDE (Multiple Versions), NR 602 -Primary Care of the Childbearing and Childrearing Family, Chamberlain NR 602 MIDTERM Exam & STUDY GUIDE (Multiple Versions), NR 602 -Primary Care of the Childbearing and Childrearing Family, Chamberlain NR 602 FINAL EXAM & STUDY GUIDE (Multiple Versions), NR 602 -Primary Care of the Childbearing and Childrearing Family, Chamberlain NR 599 8 Midterm, Final Study Guide, NR599 Informatics Midterm Review Sheet, Case Study, Chamberlain College Of Nursing (Updated Guide, Secure to Score ) NR 565 Week Study guide, Chapters, discussions, NR 565: Advanced Pharmacology Fundamentals, Chamberlain NR 511 All Week Quiz, Final Exam, Midterm Exam and Study Guides ( Multiple Versions), NR 511 Differential Diagnosis and Primary Care, Chamberlain College of Nursing. 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