NR 601 Final exam
Study online at https://quizlet.com/_jl7vyl
1. Mr. A, experienced a brief onset of right sided weak- b. identify modifiable car-
ness, slurred speech and confusion yesterday. The diovascular risk factors
symptoms have resolved and the CT is normal. What
is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the
symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask
2. A 56-year old male patient screened for diabetes has a. repeat fasting plasma
a fasting plasma glucose level of 96mg/dl. The nurse glucose in three years
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
3. RW, a 57 year old native American female, presents to d. Paroxetine
the office. RW states she feels irritable and has difficul-
ty concentrating as well as fallingn asleep and staying
aleep. She states she is worried about her finances,
her husband has just lost his job. The NP diagnoses
anxiety. The NP prescribes a first line treatment which
is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine
, NR 601 Final exam
Study online at https://quizlet.com/_jl7vyl
4. The most common sustained rhythmic disorder, which c. atrial fibrillation
consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter
5. According to the Sexually presentation, atrophic c. is a contributing factor
vaginitis for frequent urinary tract
infections
a. the symptomsm 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
6. Which of the following is the most appropriate screen- d. Confusion Assessment
ing tool for delirium? Model
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Liv-
ing
d. Confusion Assessment Model
7. A drug that can be used to treat two very common d. Morphine
symptoms in a dying patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine
, NR 601 Final exam
Study online at https://quizlet.com/_jl7vyl
8. Which of the following would you recommend annu- d. eye exam with an opth-
ally for the elderly type 2 diabetic? lamologist
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist
9. Which characteristic of delerium helps to distinguish c. acute onset
it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention
10. The majority of patients enrolled in hospice care die: d. at home
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home
11. A middle aged patient has been diagnosed with d. symptoms interfering
Parkinson's disease. What influences the nurse practi- with functional ability
tioners descision to begin pharmacological treatment
for this patient?
a. medications initiated at first sign of unilateral in-
volvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability
, NR 601 Final exam
Study online at https://quizlet.com/_jl7vyl
12. Which of the following is a role of the advanced prac- d. all of the above
tice nurse in palliative cancer care?
a. detecting cancer in asymptomatic paitents or those
with specific symptoms
b. arranging for follow up including patiennts
c. identifying and managing complications of care
d. all of the above
13. A 58 year old Caucasian mane with type 2 diabetes a. lisinopril
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
14. An older male patient is experiencing acute onset of c. evaluate for a stroke and
right sided weakness, slurred speech and confusion. arrange transport to the
What should the nurse practitioner do promptly? hospital right away
a. order an EKG and administer O2 by cannula imme-
diately
b. Do a through medication review and stat blood
sugar
c. evaluate for a stroke and arrange transport to the
Study online at https://quizlet.com/_jl7vyl
1. Mr. A, experienced a brief onset of right sided weak- b. identify modifiable car-
ness, slurred speech and confusion yesterday. The diovascular risk factors
symptoms have resolved and the CT is normal. What
is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the
symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask
2. A 56-year old male patient screened for diabetes has a. repeat fasting plasma
a fasting plasma glucose level of 96mg/dl. The nurse glucose in three years
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
3. RW, a 57 year old native American female, presents to d. Paroxetine
the office. RW states she feels irritable and has difficul-
ty concentrating as well as fallingn asleep and staying
aleep. She states she is worried about her finances,
her husband has just lost his job. The NP diagnoses
anxiety. The NP prescribes a first line treatment which
is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine
, NR 601 Final exam
Study online at https://quizlet.com/_jl7vyl
4. The most common sustained rhythmic disorder, which c. atrial fibrillation
consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter
5. According to the Sexually presentation, atrophic c. is a contributing factor
vaginitis for frequent urinary tract
infections
a. the symptomsm 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
6. Which of the following is the most appropriate screen- d. Confusion Assessment
ing tool for delirium? Model
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Liv-
ing
d. Confusion Assessment Model
7. A drug that can be used to treat two very common d. Morphine
symptoms in a dying patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine
, NR 601 Final exam
Study online at https://quizlet.com/_jl7vyl
8. Which of the following would you recommend annu- d. eye exam with an opth-
ally for the elderly type 2 diabetic? lamologist
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist
9. Which characteristic of delerium helps to distinguish c. acute onset
it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention
10. The majority of patients enrolled in hospice care die: d. at home
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home
11. A middle aged patient has been diagnosed with d. symptoms interfering
Parkinson's disease. What influences the nurse practi- with functional ability
tioners descision to begin pharmacological treatment
for this patient?
a. medications initiated at first sign of unilateral in-
volvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability
, NR 601 Final exam
Study online at https://quizlet.com/_jl7vyl
12. Which of the following is a role of the advanced prac- d. all of the above
tice nurse in palliative cancer care?
a. detecting cancer in asymptomatic paitents or those
with specific symptoms
b. arranging for follow up including patiennts
c. identifying and managing complications of care
d. all of the above
13. A 58 year old Caucasian mane with type 2 diabetes a. lisinopril
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
14. An older male patient is experiencing acute onset of c. evaluate for a stroke and
right sided weakness, slurred speech and confusion. arrange transport to the
What should the nurse practitioner do promptly? hospital right away
a. order an EKG and administer O2 by cannula imme-
diately
b. Do a through medication review and stat blood
sugar
c. evaluate for a stroke and arrange transport to the
