NURS 6540 Exam Study Guide Test Bank | Advanced Practice Care of Frail Elders | Final Review | Latest Updated 2023–2024

NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders, Elders
Final Review - TESTBANK LATEST UPDATED 2023/ 2024

TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+




1. Mrs.!!Smith,!!75!!years!!old,!!reports!!that!!she!!is!!weak,!!has!!difficulty!!urinating,!!and!!is!!dehydrate
d.!!Although!!she!!is!!afebrile,!!the!!nurse!!conducts!!a!!thorough!!physical!!examination,!!including!!urin
alysis!!andcomplete!!blood!!count!!(CBC).!!The!!total!!assessment!!is!!necessary!!because:
1. All!!body!!systems!!interact,!!and!!symptoms!!could!!indicate!!a!!variety!!of!!diagnoses.
2. The!!symptoms!!are!!vague!!and!!may!!be!!signs!!of!!aging.
3. There!!may!!be!!other!!signs!!or!!symptoms!!more!!indicative!!of!!the!!condition.
4. Mrs.!!Smith!!may!!not!!be!!reporting!!all!!significant!!information.!!-
!!1.!!Answer:!!1!!Page:!!2




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!!1.



The!!clinician!!must!!be!!aware!!that!!all!!the!!systems!!interact!!and,!!in!!doing!!so,!!can!!increase!!the!!older!!per
son's!!vulnerability!!to!!illness/disease.
2.
The!!nurse!!must!!not!!attribute!!symptoms!!only!!to!!the!!aging!!proces
s.!!3.

There!!may!!be!!comorbidities!!accompanying!!this!!condition
.!!4.

Assumptions!!of!!not!!reporting!!properly!!may!!not!!be!!true.



2. A!!patient!!with!!renal!!disease!!has!!blood!!work!!drawn,!!and!!the!!results!!show!!an!!increas
e!!in!!serum!!creatinine.!!The!!nurse!!practitioner!!needs!!to!!know!!which!!of!!the!!following!!lab
oratory!!values!!beforeordering!!medications?



1. CBC
2. Culture!!and!!sensitivity!!of!!the!!urine



[Date] 1

,NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders, Elders
Final Review - TESTBANK LATEST UPDATED 2023/ 2024

TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+

3. Creatinine!!clearance
4. Uric!!acid!!levels!!-!!2.!!Answer:!!3
Page:!!3




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!!1.



A!!CBC!!will!!not!!evaluate!!kidney!!function!!for!!a!!patient!!with!!renal!!diseas
e.!!2.

A!!culture!!and!!sensitivity!!test!!reflects!!the!!presence!!of!!an!!infection!!and!!the!!antibiotic!!to!!which!!the!!org
anism!!is!!sensitive.
3.
The!!calculation!!of!!creatinine!!clearance!!provides!!an!!estimation!!of!!renal!!functio
n.!!4.

Uric!!acid!!level!!is!!elevated!!in!!the!!presence!!of!!gout.



3.!!Which!!of!!the!!following!!statements!!is!!true!!regarding!!diagnostic!!testing?



1. A!!test!!is!!ordered!!for!!a!!specific!!purpose.
2. A!!test!!is!!the!!most!!invasive!!available.
3. There!!is!!no!!need!!to!!discuss!!results!!with!!the!!patient.
4. If!!a!!test!!is!!needed,!!it!!should!!be!!ordered!!regardless!!of!!risk!!to!!the!!patient.!!
-!!3.!!Answer:1!!Page:!!3




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!!1.



The!!nurse!!practitioner!!should!!have!!a!!plan!!for!!the!!use!!of!!each!!test!!result!!value!!obtaine
d.!!2.

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,NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders, Elders
Final Review - TESTBANK LATEST UPDATED 2023/ 2024

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When!!considering!!which!!laboratory!!tests!!to!!order,!!it!!is!!worth!!remembering!!the!!doctrine!!primum!!no!!n
nocere—first,!!do!!no!!harm.
3.
Once!!laboratory!!tests!!are!!available!!for!!review,!!tests!!results!!should!!be!!discussed!!with!!the!!patient,!!wit
h!!abnormal!!test!!results!!interpreted!!for!!the!!aging!!individual!!and!!addressed!!with!!the!!patient!!and!!caregi
vers.!!4.

Any!!risks!!involved!!in!!laboratory!!testing!!must!!be!!considered!!concerning!!the!!patient's!!clinical!!conditio
n!!and!!weighed!!against!!the!!test's!!expected!!benefits.
4. Janey, !!25!! years!!old,!!may!!experience!!arthritis!!differently!!than!!65-year-old!!Mrs.!!Johnson!!because:



1. The!!body!!undergoes!!physiological!!changes!!with!!aging.
2. A!!healthy!!body!!does!!not!!experience!!significant!!changes!!as!!one!!gets!!older.
3. Older!!patients!!do!!not!!feel!!any!!systemic!!symptoms,!!such!!as!!malaise!!and!!weight!!loss.
4. Even!!though!!the!!same!!joints!!are!!usually!!affected,!!age!!makes!!it!!feel!!different.!!-
!!4.!!Answer:!! 1Page:!!5




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!!1.



Knowledge!!of!!the!!bimodality!!of!!age!!onset!!of!!certain!!disease!!conditions!!will!!aid!!the!!advanced!!practic
e!!nurse!!in!!avoiding!!misdiagnosis!!or!!delay!!in!!diagnosis!!due!!to!!lack!!of!!recognition.

2.
Symptoms!!of!!rheumatoid!!arthritis!!may!!be!!different!!depending!!on!!the!!age!!of!!the!!patient.
3.
Younger!!patients!!may!!not!!experience!!constitutional!!symptoms!!such!!as!!fever,!!malaise,!!weight!!loss,!!an
d!!depression.
4.
In!!late-onset!!rheumatoid!!arthritis,!!the!!joint!!involvement!!is!!more!!often!!in!!the!!larger!!joints.



5. The!!nurse!!practitioner!!is!!examining!!an!!85-year-
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, NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders, Elders
Final Review - TESTBANK LATEST UPDATED 2023/ 2024

TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+

old!!man!!with!!reports!!of!!abdominal!!pain,!!weakness,and!!loss!!of!!appetite.!!Which!!is!!the!!most!!lik
ely!!condition!!to!!be!!tested!!for!!and!!ruled!!out?



1. Neoplasms!!and!!carcinomas
2. Partial!!seizure
3. Sarcopenia
4. Hirschsprung's!!disease!!-!!5.!!Answer:!!1
Page:!!4




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!!1.



Certain!!diseases,!!such!!as!!neoplasms!!and!!carcinomas,!!are!!more!!common!!in!!the!!elderly, !!and!!an!!unders
tanding!!of!!the!!epidemiology!!is!!critical!!in!!the!!interpretation.

2.
Partial!!seizure!!is!!more!!common!!in!!early!!old!!age
.!!3.

Sarcopenia!!is!!more!!common!!in!!early!!old!!age.
!!4.


Hirschsprung's!!disease!!is!!most!!common!!in!!infancy.

6. For!!individuals!!over!!65!!years!!old,!!the!!most!!common!!morbidities!!are!!related!!to:



1. Heart!!disease,!!arthritis
2. Respiratory!!problems,!!cancer
3. Diabetes,!!stroke
4. All!!of!!these!!are!!common!!morbidities.!!-
!!6.!!Answer:!!4!!Page:!!5




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