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NR601 FINAL EXAM TESTBANK QUESTIONS AND ANSWERS 2024
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NR601 FINAL EXAM TESTBANK QUESTIONS AND ANSWERS 2024
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NR601 FINAL EXAM TESTBANKAccording to 2017 Guidelines for HTN in adults, recommended BP goal for 68yo
Asian American woman w/no h/o DM and a h/o CKD is:
a. <150/90
b. <120/80
c. <140/80
d. <130/80 - ANSWERS-D
You see a new pt for acute care visit. She is 68yo Caucasian who is dx'd w/PMR.
You prescribe corticosteroids and will continue tx until the condition has resolved.
You look over her records and note it has been 2yrs since her last exam and
labs/diagnostic tests. In prioritizing your health maintenance management plan,
your orders today should include:
a. DEXA and updating vax
b. Recommending increased dietary intake of Calcium and vit D
c. Ordering once a year bisphosphonate and PPI
d. Participate in a fall prevention program - ANSWERS-A
JK, 60yo woman, returns for eval of management plan for insomnia. You saw her
2wks ago, dx'd primary insomnia and recommended melatonin. JK reports she is
,taking it nightly, avoiding caffeine/ETOH, and is falling asleep but not staying
asleep. She wakes up after about 4hrs and cannot return to sleep. Next step is:
a. Zolpidem 5mg PO HS #7 w/no refills
b. Eszopiclone 1mg PO HS #30 w/5 refills
c. Ramelteon 8mg PO HS #21 w/no refills
d. Zolpidem 5mg PO HS #30 w/3 refills - ANSWERS-A
CC, 62yo male, new to your practice. Previously dx'd w/Stage B HF. According to
week 2 HF lecture, you'll look for the following med classes to ensure appropriate
tx of HF:
a. ACE/ARB, statin, BB
b. ACE/ARB
c. BB - ANSWERS-A
JM, 68yo males, presents for physical. He has T2DM x5yrs, smokes 1/2PPD, BMI
30. No other hx, no current complaints. According to AHA/ACC guidelines, JM is
Stage A. Tx goals include:
a. Control symptoms
b. Heart healthy lifestyle
c. Diuresis to relieve symptoms of congestion
,d. Prevent further cardiac remodeling - ANSWERS-B
Lifestyle modifications for managing HTN include all of the following except:
a. DASH diet
b. Wt reduction
c. HCTZ
d. Physical activity - ANSWERS-C
PG is a 58yo Caucasian man w/stable mental health dx of schizophrenia who
presents for yearly physical. He takes aripiprazole for it. You know the labs and
assessments should be ordered to assess for cardiometabolic changes related to
his meds except for:
a. Waist circumference
b. Glucose
c. Cholesterol
d. AST/ALT - ANSWERS-D
Which organism that can be prevented by vax is most often responsible for
infectious "outbreak" in nursing homes?
a. Influenza A
, b. Haemophilus influenza
c. Mycobacterium tuberculosis
d. Streptococcus - ANSWERS-A
Justification for ordering CBC, TSH, serum B12 for a pt you suspect may have
clinical depression is:
a. Overlapping symptoms w/anemia, thyroid dysfunction, nutritional deficiencies
b. Rule out vascular dz
c. Differentiate between depression and anxiety
d. Determine the cause of sadness - ANSWERS-A
65yo woman w/BMI 29, 15yr h/o HTN, on HCTZ 25mg for years w/excellent
response. Follow up visit: reports that for last 1-2mo, she has been thirsty,
increased urination. Last fasting BGL was 118. What action should you take next?
a. Plan to recheck BGL as scheduled at yearly physical
b. Check POC glucose now, since she has just eaten breakfast
c. Educate that the diuretic is causing the increased thirst
d. Order fasting BGL - ANSWERS-D
48yo female presents for annual exam. A1C is 6.2%. You interpret this result as:
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