CORRECT ANSWER: Provide weekly home visits
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?
CORRECT ANSWER: Recheck UA dipstick today
According to the sexuality presentation, atrophic vaginitis (AV)
CORRECT ANSWER: Is a contributing factor for frequent UTIs
Ms. L 55-year-old women with BMI of 28, has 20-yearhx 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 NP 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?
CORRECT ANSWER: Prescribe Metformin 500 mg PO BID
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?
CORRECT ANSWER: Reassure the patient that this is an anticipated side
effect
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:
CORRECT ANSWER: Diabetes, obesity, and hyperlipidemia
Lifestyle approaches to postmenopausal symptom management include
CORRECT ANSWER: avoiding sugar, coffee, chocolate and alcohol
When treating depression associated with dementia, which of the following
would be a poor choice and should not be prescribed?
CORRECT ANSWER: Amitriptyline
How does women’s anatomy make them more susceptible to UTIs?
, CORRECT ANSWER: the urethra is shorter
Which of the following is a role of the advanced nurse in?
CORRECT ANSWER: All of the above
All of the following statements are true regarding anxiety EXCEPT:
CORRECT ANSWER: is a normal part of aging
A 48-year-old male patient screened for diabetes has a fasting plasma
glucose level of 120 mg/dl. The NP plan includes
CORRECT ANSWER: Educate the patient of lifestyle changes to lower blood
glucose
Which of the following assessments are commonly noted in a client with
Parkinson’s disease?
CORRECT ANSWER: Micrographia and bradykinesia
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?
CORRECT ANSWER: Urinary Tract Infection (UTI)
Which of the following maneuvers is contraindicated in acute prostatis?
CORRECT ANSWER: Massaging the infected prostate
Mrs. N a 65-year-old women with BMI of 29 on Medicare, has a 20-yearhx 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?
CORRECT ANSWER: order a fasting blood glucose??? PRESCRIBE
METFORMIN XR 500MG PO
According to the WHO analgesic ladder, which drug combination would be
most appropriate in an opiate-naïve patient who presents with moderate
pain?
CORRECT ANSWER: Indomethacin/ hydrocodone
The cornerstone of pharmacotherapy in treating Alzheimer’s disease is:
CORRECT ANSWER: Cholinesterase inhibitors