NR 601 FINAL EXAM QUESTIONS AND
ANSWERS
You are working up a 52 year old patient for microscopic hematuria. Your differential diagnosis list
includes all of the following except:
a. nephrocalcinosis
b. acute pyelonephritis
c. renal stenosis
d. bladder cancer ✅✅ANSW-c. renal stenosis
A 48 year old male patient screened for diabetes has a fasting plasma glucose level of 120mg/dl
(6.7mmol/L). The nurse practitioner plan includes:
a. prescribe metformin 500mg po BID
b. educate the patient on lifestyle changes to lower blood glucose
c. initiate self monitoring of blood glucose
d. review the effects of oral hypoglycemic medications ✅✅ANSW-b. educate the patient on
lifestyle changes to lower blood glucose
Terazosin, an alpha blocker, is prescribed to treat the following conditions:
a. benign prostatic hypertrophy and hypertension
b. benign prostatic hypertrophy and hypotension
c. urinary tract infection and arrhythmia
d. chronic prostatitis and atrial fibrillation ✅✅ANSW-a. benign prostatic hypertrophy and
hypertension
A 65 year old Hispanic woman presents to the office for routine follow up for her type 2 diabetes
mellitus. Her routine UA reveals few epithelial cells, negative leukocytes, negative nitrates, negative
protein, no ketones. Which of the following tests should also be ordered annually for diabetic
patients:
a. result is normal, no further testing is necessary
b. urine for culture and sensitivity
c. recommend a screening intravenous pyelogram (IVP)
d. microalbumin ✅✅ANSW-d. microalbumin
,Age-related changes in the bladder, urethra and ureters include all of the following in older women
except:
a. decline in ureteral resistance pressure
b. increased estrogen production's influence on the bladder and ureter
c. laxity of the pelvic muscle
d. decline in bladder outlet function. ✅✅ANSW-b. increased estrogen production's influence on
the bladder and ureter
Which of the listed conditions is most likely to cause delirium?
a. acute infection
b. multiple brain infarcts
c. malnutrition
d. fluid overload ✅✅ANSW-a. acute infection
Mrs. R is a 68 year old woman with a BMI of 26. She is on Medicare, has a 20 year history of primary
hypertension and has been well controlled on furosemide 30 mg BID for years. During this follow up
visit Mrs. R reports that for the last 2 months she is always thirsty, she drinks at least 8 glasses of
water a day. Upon chart review the NP notes that the last two fasting blood glucose levels have been
102mg/dl and 108mg/dl. What action should the nurse practitioner perform next?
a. plan to recheck glucose as scheduled at the yearly physical exam next month
b. order a fasting blood glucose
c. check a POC glucose now, she is not fasting
d. educate that the diuretic is causing thirst ✅✅ANSW-b. order a fasting blood glucose
Diabetes is one of the leading causes of which medical condition?
a. chronic lung disease
b. disability
c. kidney failure
d. cardiac death ✅✅ANSW-c. kidney failure
In the late stages of dementia, a phenomenon called "sun downing" occurs, in which cognitive
disturbances tend to:
, a. peak mid-day
b. becomes worse toward the evening
c. improves as the day goes on
d. fluctuates during the course of the day ✅✅ANSW-b. becomes worse toward the evening
The proposed mechanism by which diphenhydramine caused delirium is:
a. anticholinergic effects
b. dopaminergic effects
c. GABAergic effects
d. serotonergic effects ✅✅ANSW-a. anticholinergic effects
According to the Palliative Care Presentation, palliative care may be provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months ✅✅ANSW-b. anyone regardless of their life expectancy
or disease progression
The highest level of evidence with the use of adjuvant analgesics is with:
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant analgesics
c. tricyclic antidepressants avoided due to high adverse affects
d. neuropathic pain patients are candidates for adjuvant analgesia ✅✅ANSW-d. neuropathic pain
patients are candidates for adjuvant analgesia
According o the Sexuality presentation, the biggest barrier to appropriate sexual evaluation in the
older patient:
a. older people don't talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. female post menopausal changes ✅✅ANSW-c. ageist attitudes
ANSWERS
You are working up a 52 year old patient for microscopic hematuria. Your differential diagnosis list
includes all of the following except:
a. nephrocalcinosis
b. acute pyelonephritis
c. renal stenosis
d. bladder cancer ✅✅ANSW-c. renal stenosis
A 48 year old male patient screened for diabetes has a fasting plasma glucose level of 120mg/dl
(6.7mmol/L). The nurse practitioner plan includes:
a. prescribe metformin 500mg po BID
b. educate the patient on lifestyle changes to lower blood glucose
c. initiate self monitoring of blood glucose
d. review the effects of oral hypoglycemic medications ✅✅ANSW-b. educate the patient on
lifestyle changes to lower blood glucose
Terazosin, an alpha blocker, is prescribed to treat the following conditions:
a. benign prostatic hypertrophy and hypertension
b. benign prostatic hypertrophy and hypotension
c. urinary tract infection and arrhythmia
d. chronic prostatitis and atrial fibrillation ✅✅ANSW-a. benign prostatic hypertrophy and
hypertension
A 65 year old Hispanic woman presents to the office for routine follow up for her type 2 diabetes
mellitus. Her routine UA reveals few epithelial cells, negative leukocytes, negative nitrates, negative
protein, no ketones. Which of the following tests should also be ordered annually for diabetic
patients:
a. result is normal, no further testing is necessary
b. urine for culture and sensitivity
c. recommend a screening intravenous pyelogram (IVP)
d. microalbumin ✅✅ANSW-d. microalbumin
,Age-related changes in the bladder, urethra and ureters include all of the following in older women
except:
a. decline in ureteral resistance pressure
b. increased estrogen production's influence on the bladder and ureter
c. laxity of the pelvic muscle
d. decline in bladder outlet function. ✅✅ANSW-b. increased estrogen production's influence on
the bladder and ureter
Which of the listed conditions is most likely to cause delirium?
a. acute infection
b. multiple brain infarcts
c. malnutrition
d. fluid overload ✅✅ANSW-a. acute infection
Mrs. R is a 68 year old woman with a BMI of 26. She is on Medicare, has a 20 year history of primary
hypertension and has been well controlled on furosemide 30 mg BID for years. During this follow up
visit Mrs. R reports that for the last 2 months she is always thirsty, she drinks at least 8 glasses of
water a day. Upon chart review the NP notes that the last two fasting blood glucose levels have been
102mg/dl and 108mg/dl. What action should the nurse practitioner perform next?
a. plan to recheck glucose as scheduled at the yearly physical exam next month
b. order a fasting blood glucose
c. check a POC glucose now, she is not fasting
d. educate that the diuretic is causing thirst ✅✅ANSW-b. order a fasting blood glucose
Diabetes is one of the leading causes of which medical condition?
a. chronic lung disease
b. disability
c. kidney failure
d. cardiac death ✅✅ANSW-c. kidney failure
In the late stages of dementia, a phenomenon called "sun downing" occurs, in which cognitive
disturbances tend to:
, a. peak mid-day
b. becomes worse toward the evening
c. improves as the day goes on
d. fluctuates during the course of the day ✅✅ANSW-b. becomes worse toward the evening
The proposed mechanism by which diphenhydramine caused delirium is:
a. anticholinergic effects
b. dopaminergic effects
c. GABAergic effects
d. serotonergic effects ✅✅ANSW-a. anticholinergic effects
According to the Palliative Care Presentation, palliative care may be provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months ✅✅ANSW-b. anyone regardless of their life expectancy
or disease progression
The highest level of evidence with the use of adjuvant analgesics is with:
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant analgesics
c. tricyclic antidepressants avoided due to high adverse affects
d. neuropathic pain patients are candidates for adjuvant analgesia ✅✅ANSW-d. neuropathic pain
patients are candidates for adjuvant analgesia
According o the Sexuality presentation, the biggest barrier to appropriate sexual evaluation in the
older patient:
a. older people don't talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. female post menopausal changes ✅✅ANSW-c. ageist attitudes
