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1. Mrs. Borden is 67 years old and her primary care physician wants her to be seen by a nurse
practitioner who specializes in geriatric issues. On completing the interview and examination, the nurse
practitioner tells Mrs. Borden that she will order a blood laboratory specimen for thyroid function and
pancreatic function. Mrs. Borden asks what the reason is. Which of the following is the nurse
practitioner's best response?
1. Diabetes is more common in older patients.
2. Thyroid issues are less common in older patients.
3. These are common tests to be done on any new patient.
4. These tests are necessary to obtain baseline information.: 4. These tests are necessary to obtain
baseline information.
2. Mr. Jones is 70 years old and sees the nurse practitioner for a yearly checkup. He states that he needs
to urinate a lot and seems to always be thirsty. He also finds himself gaining some weight. In the process
of the examination, the nurse practitioner detects that he is vague in his answers. Which of the following
may be the reason?
1. Mr. Jones is cold and bundled in a sweater.
2. There is no family history of diabetes.
3. The symptoms seem to have appeared slowly.
,4. He does not want to admit to eating too much: 3. The symptoms seem to have appeared slowly.
3. Ms. Allen, 72 years old, is being evaluated by the nurse practitioner for type 2 diabetes. Because
symptoms of endocrine disorders in older adults are vague, which of the following questions is best to
ask?
1. Do you have any trouble carrying out your daily activities?
2. Can you tell me what you ate yesterday?
3. Have you seen a dentist in the last year?
4. Have you noticed that you have less hair?: 1. Do you have any trouble carrying out your daily
activities?
4. Mrs. Smith, 80 years old, has been vomiting and having bouts of loose stools for several days. She is
taking several medications that are prescribed. The nurse practitioner conducts a medication review
because:
1. An accounting of all prescribed and over-the-counter (OTC) medications may uncover reasons for
her symptoms.
2. There could be drug-drug interactions leading to her symptoms.
3. Side effects of the gastrointestinal tract are not seen in many medications.
4. The administration of some of her medications may be appropriate.: 2. There could be drug-drug
interactions leading to her symptoms.
, 5. Mr. Jameson, 75 years old, comes to the clinic with complaints of severe sharp epigastric pain that
radiates to his back. He has been nauseous and has vomited three times today. The nurse practitioner
suspects which of the following? 1. Appendicitis
2. Gastrointestinal influenza
3. Acute pancreatitis
4. Insulin shock: 3. Acute pancreatitis
6. The nurse practitioner is working in the emergency department and is called to assist with the
diagnosis of a patient who just came in. Mr. Barn is 76 years old and complains of abdominal pain, and
his serum amylase and lipase are three times the normal limit. The nurse practitioner confirms
pancreatitis, as this meets which criteria? 1. CT severity index
2. Atlanta classification
3. APACHE II
4. Ranson criteria: 3. APACHE II
7. Ms. Jenny is 72 years old and has managed her type 2 diabetes for 30 years. This condition is costly
to her in more than one way. Which complications are common?
1. Financial challenges.
2. Good visual acuity.
3. Good renal functioning.
4. Increased circulation to lower extremities: 1. Financial challenges.
8. The APRN is ordering tests to confirm her suspicion of pancreatic cancer.