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

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

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12/1/23, 8:43 NR 601 Final
AM Exam


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)




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,12/1/23, 8:43 NR 601 Final
AM 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




about:bla 2/19
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, 12/1/23, 8:43 NR 601 Final
AM Exam


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




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