NR 601 MIDTERM EXAM – STUDY GUIDE WITH Q&A
NR 601 MIDTERM EXAM – STUDY GUIDE WITH Q&A
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 p...
nr 601 midterm exam – study guide with qampa a client is newly diagnosed with type 2 diabetes mellitus which diagnostic test will best evaluate the m
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NR 601 MIDTERM EXAM – STUDY GUIDE WITH Q&A
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:
offers direction for the achievement of improved quality of life across the life
span
Which of the following is not a common cause of constipation?
hypercalcemia
The nurse is teaching a health promotion class at a senior center. Which of
the following statements demonstrate that the participant does not
understand the topic:
"We need to use caustic soaps and scrub aggressively with a wash cloth
bathing to minimize bacteria on the skin."
The nurse practitioner shows an understanding of appropriate influenza
vaccination guidelines for a client over the age of 65 when stating:
"Regardless of your physical health you really should get a yearly flu shot."
The nurse shows understanding of the need to promote healthy skin in the
older adult when encouraging the client to all of the following except :
clean the skin with a moisturizing soap
. A 78-year-old man is being evaluated in the geriatric clinic. His daughter
reports that he has been very forgetful lately, and she is concerned that he
might be "senile." The advanced practice nurse administers the clock
drawing test and the patient draws a distorted circular shape and places the
numbers all on one side of the shape. Based on his performance, the nurse
concludes that the patient:
needs further evaluation
Tinnitus is defined as:
a buzzing, clicking, or ringing in the ear
Which intervention is not therapeutic when facilitating communication with a
cognitively impaired older client?
Use non-verbal as well as verbal cues to help get your message across to the
client
, When best promoting a sense of well-being, the role of the nurse practitioner
caring for a terminally ill client is to:
help empower the client to achieve his/her potential for wellness
A 68-year-old male presents with a chief complaint of episodes of
lightheadedness or dizziness. He states that sweating, tachycardia, and
some hand trembling are often associated with these episodes. Which one of
the following questions should you ask to help confirm the diagnosis?
Are these symptoms related to eating?
The caregiver for an older adult with cognitive impairment is concerned
about the individual's seeming disinterest in eating. Which suggestion does
the nurse practitioner offer based upon a known effect of dementia on a
client's nutrition?
Establish a routine of when and where the individual will have their meals.
A 68-year-old male presents with a chief complaint of episodic dizziness.
Although not dizzy at present, he states that he has noted onset of dizzy
episodes when he rolls over in bed and occasionally when he turns his head
rapidly. Episodes last about 3 minutes. The most likely diagnosis is:
Benign positional vertigo
What information will be included in client education for an older adult who
needs to manage their calcium levels?
Take your 1200-1500 mgs of daily calcium spread out between your meals
and snacks
The nurse practitioner is developing a class on stroke prevention for a local
senior citizens center. What would be an important focus when teaching
stroke prevention directed at modifiable risk factors?
Smoking cessation
The nurse practitioner provides a client with education regarding the use of
My Pyramid. What is the primary advantage of the United States Department
of Agriculture's (USDA) My Pyramid to the older adult client?
It's an easy method for identifying and correcting nutritional deficiencies in
one's diet.
An older adult recently diagnosed with depression asks, "How long will it take
for the antidepressant medication to make me feel better?" The nurse
practitioner correctly responds:
"It can take up to 3 months for the full effects of the medication to be felt."
An older man has a history of medication therapy for hypertension. Which
intervention does the nurse practitioner implement when the client reports
that, "I've fallen twice in 5 weeks"?
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