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UPDATE 2025|2026
An 80-year-old female widow asks her nurse practitioner about her
end-of-life options. Her diagnosis includes congestive heart failure,
hypertension and type 2 diabetes mellitus. She has noticed that in the
last month she has lower extremity edema and she if finding it difficult
to walk to the grocery store and chrch. She does not use oxygen. She is
able to maintain her home but requires more frequent rests after
vacuuming. She does not wish to be admitted to the hospital again in
the future but if admitted wants to maintain full code status. How
should the NP address this patient concerns today?
a. starts her on a medication for depression
,b provides her with information for senior day care services
c. offers the patient a palliative care referral - {✔✔CORRECT
VERIFIED ANSWERS✔✔}-
c. offer the patient a palliative care referral
Hospice services and palliative care services are underutilized due to
a. denial of impending death
b. confusion remains over when it is appropriate to consult palliative
care
c. services are not understood
d. all options are appropriate - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-d. all options are appropriate
Jean, a 47-year-old presents to the clinic with complaints of dysuria,
frequency and strong odour of her urine for 5 days. This is the second
occurrence this year. The first occurrence was 3 months ago. Today, UA
reveals positive leukocyte esterase, positive nitrates, 18 WBC's, few
RBC's, no protein, no casts. What is the appropriate next step for this
patient?
a. order a urine culture and sensitivity and hold treatment until you
receive results
,b. prescribes a 7-day course of antibiotics and order a urine culture and
sensitivity
c. treats the patient with a stronger antibiotic, poloxin, for 10 days
d. treats the patient with antibiotics today - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-d. treat the patient with antibiotics today
Delirium is typically characterized by all of the following except:
a. altered level of consciousness
b. insidious onset
c. inattention - {✔✔CORRECT VERIFIED ANSWERS✔✔}-b.
insidious onset
Not sure of the question but
a. dominant personality
b. obesity
c. cardiovascular disease
d. diabetes - {✔✔CORRECT VERIFIED ANSWERS✔✔}-a. dominant
personality
Mrs. G has returned to your office for a follow up visit for urinary
incontinence (UI). Mrs G has followed your 1st line recommendations.
, She has quit smoking, drinks plenty of fluids, and has eliminated
caffeine and spicy foods. Despite all these changes, she still experiences
UI. You decide to initiate second line treatement. You recommend:
a. bladder control training
b. keagels
c. antimuscarinic medications
d. alpha 1 adrenergic receptor antagonists - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-c. antimuscarinic medications
Which of the following diagnoses should be considered in a patient
presenting with erectile dysfunction?
a. diabetes mellitus
b. artherosclerosis
c. depression
d. all options are appropriate - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-d. all options are appropriate
urinary incontinence is defined as:
a. unintentional voiding, loss or leakage of urine
b. urination occurs more frequently during the day