NR-601 PRIMARY CARE OF THE MATURING & AGED FAMILY PRACTICUM NUR 601 FINAL EXAM QUESTIONS AND ANSWERS | 100% PASS | GRADES A+| GUARANTEED SUCCESS

NR-601 PRIMARY CARE OF THE
MATURING & AGED FAMILY
PRACTICUM 2024-2025 NUR 601
FINAL EXAM QUESTIONS AND
ANSWERS | 100% PASS | GRADES A+|
GUARANTEED SUCCESS
1. Anm86-year-
oldmfemalemcomesmtomyourmofficemformamwellnessmvisit.mHermbloodmpressuremism125/70mm
mHg,mpulsem69mbeatsmpermmin,mandmrespiratorymratem18mbreathsmpermmin.mShemismwellmap
pearingmandmreportsmshemismupmtomdatemonmhermroutinemvaccinations.mShemintroducesmher
mpartnermofm35myearsmwhommshemwouldmlikemtommakemmedicalmdecisionsmformherminmcasem


shembecomesmunablemtommakemdecisionsmformherself.mShemreportsmthatmshemandmhermpart
nermaremnotmmarried.mShemasksmifmshemneedsmanymfurthermdocumentationmtomensuremherm
goalsmofmcaremaremfollowed.mWhichmonemofmthemfollowingmwouldmbemthemmostmappropriat
emrecommendationmformthismpatientmandmhermpartner?m-
mCORRECTmANSWERmAdvisemthemmtomfilemanmadvancedmdirective.




2. .mAnm81-year-
oldmtransgendermfemalemwithmhistorymofmdepressionmandmhyperlipidemiampresentsmtomyou
rmclinicmformroutinemcare.mShemendorsesmamhistorymofmsmoking,mcurrentlymsmokingm1mpackm
permday,mandmoccasionallymdrinksmamglassmofmwine,malthoughmshemdeniesmillicitmdrugmuse.mS
hemreportsmshemtakesmatorvastatinm20mmgmandmsubcutaneousmestrogenmtherapy.m-
mCORRECTmANSWERmCounselingmonmsmokingmcessation




3. Anm84-year-
oldmmalemwithmhistorymofmstrokemwithoutmresidualmdeficit,msystolicmheartmfailure,mandmtyp
em2mdiabetesmpresentsmtomclinicmformfollow-
up.mHemismindependentlymlivingminmamretirementmcommunitymandmstillmworksmpartmtimemon
mamgolfmcourse.mHemcurrentlymtakesmaspirinm81mmg,mmetoprololmtartratem25mmgmBIDm(twice


mamday),mfurosemidem20mmgmBID,mandmlisinoprilm10mmgmdaily.mHemreportsmhismlastmcolonosc


opymwasm8myearsmago,mwithmnomabnormality.mHemreportsmhemismsexuallymactivemwithmmenm
andmwomen,mengagingminmreceptivemoral,mreceptivemanal,mandmpenetrativemsex.mHemstates

, mhemhasmhadmovermthreemsexualmpartnersminmthemlastmyearmwithmintermittentmcondommuse.
mWhatmsexuallymtransmittedminfectionmtestingmshouldmbemoffered?m-


mCORRECTmANSWERmUrinemtesting,mbloodmtesting,manalmswab,mandmoropharyngealmswab




4. Whichmofmthemfollowingmismtruemaboutmtolterodine?m-
mCORRECTmANSWERmItmhasmgreatermriskmofmadversemeffectsmwithmitsmtwice-


dailymformulation.



5. Anm82-year-
oldmman,mMr.mA,mcomplainsmofmworseningmnocturia,moccurringmfourmtimesmpermnight.mHism
othermlowermurinarymtractmsymptomsmaremslowmstream,moccasionalmurgency,mandmurgency
-
relatedmleakagemoncemweekly.mMedicalmproblemsmincludempoorlymcontrolledmhypertensio
n,mdiastolicmheartmfailure,mhyperlipidemia,mosteoarthritis,mandmprediabetes.mHismmedicati
onsmincludemlisinoprilm20mmgmdaily,mmetoprololmsuccinatem75mmgmdaily,matorvastatinm10mm
gmdaily,mmetforminm500mmgmtwicemdaily,mhydrocodone-
acetaminophenmasmneeded,mandmaspirinm81mmgmdaily.mAmlodipinem5mmgmdailymwasmrecen
tlymaddedmbymhismcardiologist.mOnmreviewmofmsystems,mMr.mAmcomplainsmthatmnocturiamismc
ausingmdaytimemfatigue,mandmhemismmoremconstipated.mPhysicalmexaminationmismnotablemf
ormbloodmpressurem162/83mmmHg,mheartmratem60mbeatsmpermminute,mclearmlungs,msoftmab
domen,menlargedmprostate,mandm21mpretibialmedema.mYourmnextmstepminmmanagementmsh
ouldmbe:m-mCORRECTmANSWERmStopmamlodipinemandmincreasemlisinopril.



6. Themdaughtermofmam79-year-
oldmwomanmnotesmthatmhermmother,mwhomhasmdementiamandmlivesmwithmher,mismwettingmh
erselfmwhenmshemattendsmhermnewmdaymprogram.mProgrammstaffmhavemrequestedmthatm"so
methingmbemdone"masmshemismrequiringmamclothesmchangemnearlymeverymtimemshemismthere.
mShemcannotmdescribemthemcircumstancesmofmleakage,msayingm"itmjustmcomes."mLeakagemism


uncommonmatmhome.mHermmedicationsmincludemdonepezilmandmacetaminophen.mPhysical
mexaminationmismnormal.mInitialmtreatmentmapproachmwillmrequireminterventionmbymwhichm


ofmthemfollowing?m-mCORRECTmANSWERmDaymprogrammstaff



7. .mMs.mJ,mwhomism82myearsmold,mcomplainsmofmurinemleakagemwhilemplayingmgolf.mThismhasmg
ottenmworsemovermthempastmyear,mandmshemrarelymmakesmitmthroughmninemholesmwithoutmf

, eelingmlikemshemneedsmtom"runmintomthembushesmandmgo."mLeakagemismusuallymsmallmvolum
e,mbutmcausesmhermextrememembarrassmentmbecausemshemismafraidmshemwillmsmellmofmurin
e.mShemhasmtriedmlimitingmcaffeineminmthemmorningmbeforemshemgolfsmandmavoidingmdrinkin
gmwatermwhilemplaying,mtomnomeffect.mShemalsomtriedm"thosemKegler"mexercisesminmthempast
mwithoutmsuccess.mWhichmofmthemfollowingmismthemmostmappropriatemrecommendationmfor


mMs.mJ?m-mCORRECTmANSWERmBladdermtraining




8. Whatmismthemmostmcommonmcausemofmerectilemdysfunctionminmoldermmen?m-
mCORRECTmANSWERmAtherosclerosis




9. Whichmismthemmostmreasonablemfirstmstepminmthemtreatmentmofmoldermmenmwithmerectilemd
ysfunction?m-mCORRECTmANSWERmSildenafil



10. Am72-year-
oldmwomanmreportsmvaginalmdrynessmthatminterferesmwithmcoitus.mHermmedicalmhistoryminc
ludesmtypem2mdiabetes,mhypertension,mandmosteoarthritis.mMedicationsmaremglyburide,mchl
orthalidone,mandmacetaminophen.mWhatmwouldmbemyourmfirstmstepminmtherapy?m-
mCORRECTmANSWERmStopmchlorthalidone




11. Am70-year-
oldmwomanmreportsmsexualmpainmwithmdeepmpenetrationmonly.mWhatmismthemmostmlikelymca
usemofmhermproblem?m-mCORRECTmANSWERmHigh-tonempelvicmfloormdysfunction



12. Am79-year-oldmwomanmwithmam1.5-
cmmbreastmcancermunderwentmlumpectomy.mPathologymrevealedmductalmcarcinomamthatmi
smhormonemreceptormnegativem(estrogenmreceptorm0%,mprogesteronemreceptorm1%)mandm
HER2/neumnegative.mSurgicalmmarginsmweremadequatemandmuninvolvedmwithmcancer.mSent
inelmlymphmnodemsamplingmwasmnegativemformlymphmnodeminvolvement.mShemhasmgoodmp
erformancemstatusmandmnomactivitiesmofmdailymlivingm(ADL)morminstrumentalm(IADL)mdepen
dencies.mWhatmtreatmentmwouldmyoumrecommend?m-
mCORRECTmANSWERmHormonalmtherapymonly