NUR 621 Module 2 Exam | Questions & Answers | 2026 Update |
Comprehensive Nursing Study Guide | Utica College | PDF
Adam, 70 years old, is admitted for possible myasthenia gravis (MG). The nurse practitioner
knows that MG is commonly seen in women between 20 and 40 years old. Adam, however, is
experiencing an ocular form of MG, has dysphonia, and does not have any thymus abnormalities.
Adam asks why the nurse is concerned about MG since he is older and this is a “young person’s
disease.” Which of the following are the best answers? Select all that apply. Question 1Select
one or more: a. Older people often experience weakness, and we must rule out other conditions.
b. Signs and symptoms of illness are the same for each disease regardless of age. c. We need to
assess for anything, just in case. d. Some diseases show up in two different age and gender
groups. e. Your insurance will cover this, and we want to rule out as much as possible.
ChatGPT said:
The correct answers are:
a. Older people often experience weakness, and we must rule out other conditions.
d. Some diseases show up in two different age and gender groups.
Reasoning:
• MG has a bimodal distribution: more common in women 20–40 and in men ≥55–75,
often presenting with ocular forms, dysphonia, and higher antibody positivity
Advanced Practice Nursing in th…
.
• Weakness in older adults can stem from multiple conditions, so it’s important to rule out
alternatives.
• Symptoms and presentations are not always the same across ages, so option b is
incorrect.
• Option c is too vague and not evidence-based.
• Insurance coverage (e) is irrelevant to the clinical explanation.
Answer: a and d
Sources
You said:
Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson because:
Question 2Select one: a. A healthy body does not experience significant changes as one gets
older. b. Even though the same joints are usually affected, age makes it feel different. c. Older
patients do not feel any systemic symptoms, such as malaise and weight loss. d. The body
undergoes physiological changes with aging.
ChatGPT said:
,The best answer is:
d. The body undergoes physiological changes with aging.
Reasoning:
• Rheumatoid arthritis and other arthritic conditions can present differently in older vs.
younger adults due to aging physiology. For example, in late-onset RA, larger joints are
more often affected, and systemic symptoms like malaise, weight loss, and depression are
common
Advanced Practice Nursing in th…
.
• Aging changes (reduced physiologic reserve, altered immune response, comorbidities)
directly impact presentation.
Answer: d
Sources
You said:
The nurse is working with a 65-year-old patient who was recently diagnosed with hypertension.
The patient is concerned about their optimal health with their new diagnosis. Which nursing
action is necessary for health promotion with the patient? Question 3Select one: a. Discussing
with the patient exercises that increase heart rate b. Emphasizing the importance of avoiding flu
vaccinations c. Discussing appropriate stress management techniques d. Sharing with the patient
how to increase sodium consumption
ChatGPT said:
The best answer is:
c. Discussing appropriate stress management techniques
Reasoning:
• Health promotion for hypertension includes lifestyle modifications: stress reduction, diet
modification (low sodium, heart healthy diet), regular moderate exercise, smoking
cessation, and adherence to treatment
Primary Care The Art and Scienc…
.
, • Increasing heart rate (a) is not the goal; moderate activity is recommended instead.
• Avoiding flu vaccines (b) is harmful, especially in older adults.
• Increasing sodium (d) worsens hypertension.
Answer: c
Sources
You said:
The nurse practitioner is leading a class of seniors over age 65 years and is teaching about
nutritional needs. One of the men asks why, even though he eats correctly according to the
standards presented, he still feels weaker than he did 10 years ago. He also wonders why he gets
more infections than he used to. Which of the following are helpful answers? Select all that
apply. Question 4Select one or more: a. More viruses are being spread throughout the
community. b. For some people, the immune system weakens. c. Some people experience a
decrease in reserve energy. d. I suggest that you exercise a little more than you are currently
doing. e. I suggest that you see your primary caregiver for extensive testing.
ChatGPT said:
The best answers are:
b. For some people, the immune system weakens.
c. Some people experience a decrease in reserve energy.
Reasoning:
• With aging, there is a decline in physiologic reserve (especially cardiac, renal,
respiratory) and impaired immune function, making older adults more prone to
infections and fatigue
Advanced Practice Nursing in th…
.
• Option a (more viruses in the community) is not the key factor.
• Option d (exercise) may help but does not directly explain the physiologic reason.
• Option e (extensive testing) may be appropriate in some cases but is not the best health-
promotion teaching answer here.
Answer: b and c
Sources
You said:
Comprehensive Nursing Study Guide | Utica College | PDF
Adam, 70 years old, is admitted for possible myasthenia gravis (MG). The nurse practitioner
knows that MG is commonly seen in women between 20 and 40 years old. Adam, however, is
experiencing an ocular form of MG, has dysphonia, and does not have any thymus abnormalities.
Adam asks why the nurse is concerned about MG since he is older and this is a “young person’s
disease.” Which of the following are the best answers? Select all that apply. Question 1Select
one or more: a. Older people often experience weakness, and we must rule out other conditions.
b. Signs and symptoms of illness are the same for each disease regardless of age. c. We need to
assess for anything, just in case. d. Some diseases show up in two different age and gender
groups. e. Your insurance will cover this, and we want to rule out as much as possible.
ChatGPT said:
The correct answers are:
a. Older people often experience weakness, and we must rule out other conditions.
d. Some diseases show up in two different age and gender groups.
Reasoning:
• MG has a bimodal distribution: more common in women 20–40 and in men ≥55–75,
often presenting with ocular forms, dysphonia, and higher antibody positivity
Advanced Practice Nursing in th…
.
• Weakness in older adults can stem from multiple conditions, so it’s important to rule out
alternatives.
• Symptoms and presentations are not always the same across ages, so option b is
incorrect.
• Option c is too vague and not evidence-based.
• Insurance coverage (e) is irrelevant to the clinical explanation.
Answer: a and d
Sources
You said:
Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson because:
Question 2Select one: a. A healthy body does not experience significant changes as one gets
older. b. Even though the same joints are usually affected, age makes it feel different. c. Older
patients do not feel any systemic symptoms, such as malaise and weight loss. d. The body
undergoes physiological changes with aging.
ChatGPT said:
,The best answer is:
d. The body undergoes physiological changes with aging.
Reasoning:
• Rheumatoid arthritis and other arthritic conditions can present differently in older vs.
younger adults due to aging physiology. For example, in late-onset RA, larger joints are
more often affected, and systemic symptoms like malaise, weight loss, and depression are
common
Advanced Practice Nursing in th…
.
• Aging changes (reduced physiologic reserve, altered immune response, comorbidities)
directly impact presentation.
Answer: d
Sources
You said:
The nurse is working with a 65-year-old patient who was recently diagnosed with hypertension.
The patient is concerned about their optimal health with their new diagnosis. Which nursing
action is necessary for health promotion with the patient? Question 3Select one: a. Discussing
with the patient exercises that increase heart rate b. Emphasizing the importance of avoiding flu
vaccinations c. Discussing appropriate stress management techniques d. Sharing with the patient
how to increase sodium consumption
ChatGPT said:
The best answer is:
c. Discussing appropriate stress management techniques
Reasoning:
• Health promotion for hypertension includes lifestyle modifications: stress reduction, diet
modification (low sodium, heart healthy diet), regular moderate exercise, smoking
cessation, and adherence to treatment
Primary Care The Art and Scienc…
.
, • Increasing heart rate (a) is not the goal; moderate activity is recommended instead.
• Avoiding flu vaccines (b) is harmful, especially in older adults.
• Increasing sodium (d) worsens hypertension.
Answer: c
Sources
You said:
The nurse practitioner is leading a class of seniors over age 65 years and is teaching about
nutritional needs. One of the men asks why, even though he eats correctly according to the
standards presented, he still feels weaker than he did 10 years ago. He also wonders why he gets
more infections than he used to. Which of the following are helpful answers? Select all that
apply. Question 4Select one or more: a. More viruses are being spread throughout the
community. b. For some people, the immune system weakens. c. Some people experience a
decrease in reserve energy. d. I suggest that you exercise a little more than you are currently
doing. e. I suggest that you see your primary caregiver for extensive testing.
ChatGPT said:
The best answers are:
b. For some people, the immune system weakens.
c. Some people experience a decrease in reserve energy.
Reasoning:
• With aging, there is a decline in physiologic reserve (especially cardiac, renal,
respiratory) and impaired immune function, making older adults more prone to
infections and fatigue
Advanced Practice Nursing in th…
.
• Option a (more viruses in the community) is not the key factor.
• Option d (exercise) may help but does not directly explain the physiologic reason.
• Option e (extensive testing) may be appropriate in some cases but is not the best health-
promotion teaching answer here.
Answer: b and c
Sources
You said:
