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NR 601 Final Exam – Questions With Indepth Solutions

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NR 601 Final Exam – Questions With Indepth Solutions

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NR 601
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NR 601

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NR 601 Final Exam – Questions With Indepth Solutions

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A 56-year old male patient screened for a. repeat fasting plasma glucose in three years
diabetes has a fasting plasma glucose level
of 96mg/dl. The nurse practitioner
management plan includes:
a. repeat fasting plasma glucose in three
years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam


According to the Sexually presentation, c. is a contributing factor for frequent urinary tract infections
atrophic vaginitis
a. the symptoms are the same for each
woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent
urinary tract infections
d. is not treated with vaginal lubricants


Which of the following would you d. eye exam with an ophthalmologist
recommend annually for the elderly type 2
diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an ophthalmologist


The majority of patients enrolled in hospice d. at home
care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home

,Which of the following is a role of the d. all of the above
advanced practice nurse in palliative cancer
care?
a. detecting cancer in asymptomatic
patients or those with specific symptoms
b. arranging for follow up including patients
c. identifying and managing complications
of care
d. all of the above


A 58 year old Caucasian mane with type 2 a. lisinopril
diabetes mellitus presents to the clinic as a
new patient. He takes metformin 500mg
twice a day. His last Hgb A1c was 7%. He is
up to date on eye and foot examinations.
His BP is 142/96. According to ACC 2017
guidelines for high blood pressure in adults,
what is the most appropriate first line
medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine


A 68 year old woman presents with a a. stress incontinence
complaint of urine leakage whenever she
sneezes, laughs or strains for the past 4
months. She denies dysuria, frequency and
nocturia. US dipstick is negative for RBC's
leukocyte esterase, nitrates, ketones and
urobilinogen. What is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence


A 52 year old female patient screened for c. repeat fasting plasma glucose in one year
diabetes has a fasting plasma glucose level
of 123 mg/dl. The nurse practitioners plan
includes:
a. repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years


According to the palliative care c. in institutions
presentation, most elderly patients die:
a. alone
b. at home
c. in institutions
d. in pain

, Male patient presents with a BMI of 30 a. repeat the fasting glucose
presents to the office for an annual exam.
You are reviewing the lab results. You
ordered a CMP as part of routine labs. The
fasting glucose was 130. Your next action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
d. call the patient and report lab results as
normal


The task of grieving include all of the a. begin to disengage
following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships


All of the following are true statements d. common signs of abuse include decreased anxiety and
regarding elder abuse except: depression
a. a new STI in an elderly patient can be a
sign of abuse
b. persons over 80 years of age are at
highest risk for abuse
c. missing scheduled appointments and
delays in medical care are common
d. common signs of abuse include
decreased anxiety and depression


Hospice care differs from palliative care in d. it is designed for the last six months of life
that:
a. it cannot be provided in the nursing home
b. the majority of those admitted to hospice
die within 7 days
c. it is not covered by insurance
d. it is designed for the last six months of life


How does woman's anatomy make them a. the female urethra is shorter
more susceptible to UTI's
a. the female urethra is shorter
b. asymptomatic UTI's do not resolve
themselves without treatment
c. women tend to get UTI's when they are
pregnant
d. there is a longer distance between the
urethra and anus

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