NR 601 Final Exam – Questions & A+ Answers
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WSC 2026: Are we there yet? SS10 Nationalism FRE L4
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Terms in this set (97)
An 86-year-old female comes to your office Advise them to file an advanced directive.
for a wellness visit. Her blood pressure is
125/70 mmHg, pulse 69 beats per min, and
respiratory rate 18 breaths per min. She is
well appearing and reports she is up to date
on her routine vaccinations. She introduces
her partner of 35 years whom she would like
to make medical decisions for her in case
she becomes unable to make decisions for
herself. She reports that she and her partner
are not married. She asks if she needs any
further documentation to ensure her goals
of care are followed. Which one of the
following would be the most appropriate
recommendation for this patient and her
partner?
. An 81-year-old transgender female with Counseling on smoking cessation
history of depression and hyperlipidemia
presents to your clinic for routine care. She
endorses a history of smoking, currently
smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies
illicit drug use. She reports she takes
atorvastatin 20 mg and subcutaneous
estrogen therapy.
,An 84-year-old male with history of stroke Urine testing, blood testing, anal swab, and oropharyngeal
without residual deficit, systolic heart failure, swab
and type 2 diabetes presents to clinic for
follow-up. He is independently living in a
retirement community and still works part
time on a golf course. He currently takes
aspirin 81 mg, metoprolol tartrate 25 mg BID
(twice a day), furosemide 20 mg BID, and
lisinopril 10 mg daily. He reports his last
colonoscopy was 8 years ago, with no
abnormality. He reports he is sexually active
with men and women, engaging in receptive
oral, receptive anal, and penetrative sex. He
states he has had over three sexual partners
in the last year with intermittent condom
use. What sexually transmitted infection
testing should be offered?
Which of the following is true about It has greater risk of adverse effects with its twice-daily
tolterodine? formulation.
An 82-year-old man, Mr. A, complains of Stop amlodipine and increase lisinopril.
worsening nocturia, occurring four times
per night. His other lower urinary tract
symptoms are slow stream, occasional
urgency, and urgency-related leakage once
weekly. Medical problems include poorly
controlled hypertension, diastolic heart
failure, hyperlipidemia, osteoarthritis, and
prediabetes. His medications include
lisinopril 20 mg daily, metoprolol succinate
75 mg daily, atorvastatin 10 mg daily,
metformin 500 mg twice daily,
hydrocodone-acetaminophen as needed,
and aspirin 81 mg daily. Amlodipine 5 mg
daily was recently added by his cardiologist.
On review of systems, Mr. A complains that
nocturia is causing daytime fatigue, and he is
more constipated. Physical examination is
notable for blood pressure 162/83 mmHg,
heart rate 60 beats per minute, clear lungs,
soft abdomen, enlarged prostate, and 21
pretibial edema. Your next step in
management should be:
The daughter of a 79-year-old woman notes Day program staff
that her mother, who has dementia and lives
with her, is wetting herself when she attends
her new day program. Program staff have
requested that "something be done" as she
is requiring a clothes change nearly every
time she is there. She cannot describe the
circumstances of leakage, saying "it just
comes." Leakage is uncommon at home. Her
medications include donepezil and
acetaminophen. Physical examination is
normal. Initial treatment approach will
require intervention by which of the
following?
, . Ms. J, who is 82 years old, complains of Bladder training
urine leakage while playing golf. This has
gotten worse over the past year, and she
rarely makes it through nine holes without
feeling like she needs to "run into the
bushes and go." Leakage is usually small
volume, but causes her extreme
embarrassment because she is afraid she
will smell of urine. She has tried limiting
caffeine in the morning before she golfs and
avoiding drinking water while playing, to no
effect. She also tried "those Kegler"
exercises in the past without success. Which
of the following is the most appropriate
recommendation for Ms. J?
What is the most common cause of erectile Atherosclerosis
dysfunction in older men?
Which is the most reasonable first step in Sildenafil
the treatment of older men with erectile
dysfunction?
A 72-year-old woman reports vaginal Stop chlorthalidone
dryness that interferes with coitus. Her
medical history includes type 2 diabetes,
hypertension, and osteoarthritis.
Medications are glyburide, chlorthalidone,
and acetaminophen. What would be your
first step in therapy?
A 70-year-old woman reports sexual pain High-tone pelvic floor dysfunction
with deep penetration only. What is the most
likely cause of her problem?
A 79-year-old woman with a 1.5-cm breast Hormonal therapy only
cancer underwent lumpectomy. Pathology
revealed ductal carcinoma that is hormone
receptor negative (estrogen receptor 0%,
progesterone receptor 1%) and HER2/neu
negative. Surgical margins were adequate
and uninvolved with cancer. Sentinel lymph
node sampling was negative for lymph
node involvement. She has good
performance status and no activities of daily
living (ADL) or instrumental (IADL)
dependencies. What treatment would you
recommend?
Save
Students also studied
WSC 2026: Are we there yet? SS10 Nationalism FRE L4
Teacher 156 terms Teacher 25 terms Teacher 421 terms
Amy_Woodall4 Preview Alicia_Zents Preview CoreGlossaries
Terms in this set (97)
An 86-year-old female comes to your office Advise them to file an advanced directive.
for a wellness visit. Her blood pressure is
125/70 mmHg, pulse 69 beats per min, and
respiratory rate 18 breaths per min. She is
well appearing and reports she is up to date
on her routine vaccinations. She introduces
her partner of 35 years whom she would like
to make medical decisions for her in case
she becomes unable to make decisions for
herself. She reports that she and her partner
are not married. She asks if she needs any
further documentation to ensure her goals
of care are followed. Which one of the
following would be the most appropriate
recommendation for this patient and her
partner?
. An 81-year-old transgender female with Counseling on smoking cessation
history of depression and hyperlipidemia
presents to your clinic for routine care. She
endorses a history of smoking, currently
smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies
illicit drug use. She reports she takes
atorvastatin 20 mg and subcutaneous
estrogen therapy.
,An 84-year-old male with history of stroke Urine testing, blood testing, anal swab, and oropharyngeal
without residual deficit, systolic heart failure, swab
and type 2 diabetes presents to clinic for
follow-up. He is independently living in a
retirement community and still works part
time on a golf course. He currently takes
aspirin 81 mg, metoprolol tartrate 25 mg BID
(twice a day), furosemide 20 mg BID, and
lisinopril 10 mg daily. He reports his last
colonoscopy was 8 years ago, with no
abnormality. He reports he is sexually active
with men and women, engaging in receptive
oral, receptive anal, and penetrative sex. He
states he has had over three sexual partners
in the last year with intermittent condom
use. What sexually transmitted infection
testing should be offered?
Which of the following is true about It has greater risk of adverse effects with its twice-daily
tolterodine? formulation.
An 82-year-old man, Mr. A, complains of Stop amlodipine and increase lisinopril.
worsening nocturia, occurring four times
per night. His other lower urinary tract
symptoms are slow stream, occasional
urgency, and urgency-related leakage once
weekly. Medical problems include poorly
controlled hypertension, diastolic heart
failure, hyperlipidemia, osteoarthritis, and
prediabetes. His medications include
lisinopril 20 mg daily, metoprolol succinate
75 mg daily, atorvastatin 10 mg daily,
metformin 500 mg twice daily,
hydrocodone-acetaminophen as needed,
and aspirin 81 mg daily. Amlodipine 5 mg
daily was recently added by his cardiologist.
On review of systems, Mr. A complains that
nocturia is causing daytime fatigue, and he is
more constipated. Physical examination is
notable for blood pressure 162/83 mmHg,
heart rate 60 beats per minute, clear lungs,
soft abdomen, enlarged prostate, and 21
pretibial edema. Your next step in
management should be:
The daughter of a 79-year-old woman notes Day program staff
that her mother, who has dementia and lives
with her, is wetting herself when she attends
her new day program. Program staff have
requested that "something be done" as she
is requiring a clothes change nearly every
time she is there. She cannot describe the
circumstances of leakage, saying "it just
comes." Leakage is uncommon at home. Her
medications include donepezil and
acetaminophen. Physical examination is
normal. Initial treatment approach will
require intervention by which of the
following?
, . Ms. J, who is 82 years old, complains of Bladder training
urine leakage while playing golf. This has
gotten worse over the past year, and she
rarely makes it through nine holes without
feeling like she needs to "run into the
bushes and go." Leakage is usually small
volume, but causes her extreme
embarrassment because she is afraid she
will smell of urine. She has tried limiting
caffeine in the morning before she golfs and
avoiding drinking water while playing, to no
effect. She also tried "those Kegler"
exercises in the past without success. Which
of the following is the most appropriate
recommendation for Ms. J?
What is the most common cause of erectile Atherosclerosis
dysfunction in older men?
Which is the most reasonable first step in Sildenafil
the treatment of older men with erectile
dysfunction?
A 72-year-old woman reports vaginal Stop chlorthalidone
dryness that interferes with coitus. Her
medical history includes type 2 diabetes,
hypertension, and osteoarthritis.
Medications are glyburide, chlorthalidone,
and acetaminophen. What would be your
first step in therapy?
A 70-year-old woman reports sexual pain High-tone pelvic floor dysfunction
with deep penetration only. What is the most
likely cause of her problem?
A 79-year-old woman with a 1.5-cm breast Hormonal therapy only
cancer underwent lumpectomy. Pathology
revealed ductal carcinoma that is hormone
receptor negative (estrogen receptor 0%,
progesterone receptor 1%) and HER2/neu
negative. Surgical margins were adequate
and uninvolved with cancer. Sentinel lymph
node sampling was negative for lymph
node involvement. She has good
performance status and no activities of daily
living (ADL) or instrumental (IADL)
dependencies. What treatment would you
recommend?
