NR 601 MIDTERM EXAM STUDY GUIDE
A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test
will best evaluate the management plan prescribed for this client?
Quarterly hemoglobin A1C
After first managing the pain being experienced by the client with gout, the
treatment focuses on:
Preventing systemic involvement by altering the client's diet
The abrupt onset of symptoms of stress or urge incontinence is most often due to a
urinary tract infection
True
A 60-year-old woman presents with a chief complaint of uncomfortable breathing
on exertion. She has had a minimally productive cough for several years that does
not bother her. On further questioning, she states that her breathing gets much
worse when she lies down. The most likely cause of her dyspnea is:
Cardiac
Which of the following drugs do not trigger or aggravate a cough?
Hydrochlorothiazide
Based on current demographic data, which statement identifies a predictive trend
regarding the health care needs of society?
More nursing services will be required to serve the needs of the population 85
years of age and older.
Which diagnostic laboratory test would the nurse practitioner typically not order
for the purpose of evaluating an individual's acute, unexplained weight loss?
Serum Potassium
It has been projected that the cultural group presenting the greatest growth rate
among the older adult population will be the:
Hispanic Americans
,Which statement made by a client recently diagnosed with diverticular disease
would indicate that she needs additional teaching regarding dietary considerations?
"I'll have to give up eating right before I go to bed."
Ethnocentrism is defined as:
a belief that one's ethnic group is superior to that of another true
When diagnosed with diverticulosis, a client asks how this problem occurred.
Which assessment data identifies a risk factor for diverticulosis?
Maintains a diet low in fiber.
A 77-year-old client being treated for glaucoma asks the nurse practitioner what
causes glaucoma. The nurse bases the response on the knowledge that the increase
in intraocular pressure is a result of:
a breakdown in the absorption process
Weight loss is frequently caused by ingestion of one or more of the following
drugs.
Antibiotics
Digoxin
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Theophylline
A, B, and C
All of the above
Answer: All of the above
Which of the following culturally diverse male clients will most benefit from
educational material related to "Staying Healthy into your 80s"
Japanese
The following are true statements about bipolar disorders in older adults except
"Bipolar disorder is the most commonly diagnosed psychiatric disorder in older
adults."
Which assessment data would not be of particular concern when attempting to
manage an older adult's risk for dehydration?
Chronic constipation
,When educating the older adult population about the risks to physical health that
chronic alcohol abuse presents, the nurse practitioner is especially careful to
include the:
Identification of the signs and symptoms of gastrointestinal bleeding
Which of the following drugs does not typically cause constipation?
Magnesium-containing antacid
An older adult client has been voluntarily admitted for treatment of alcohol
dependency. In implementing care, the nurse plans which intervention based upon
knowledge about alcohol and aging?
Assessing the client for both depression and anxiety
The greatest risk for injury for a client with progressed Parkinson's disease is:
Falls
An older adult client shares with the nurse that, "I don't know what it is but it
seems that I need more light for reading or even watching television as I get older."
The nurse explains that aging may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting.
The nurse practitioner educates that client that Healthy People 2010:
offers direction for the achievement of improved quality of life across the life span
Which of the following is not a common cause of constipation?
hypercalcemia
The nurse is teaching a health promotion class at a senior center. Which of the
following statements demonstrate that the participant does not understand the
topic:
"We need to use caustic soaps and scrub aggressively with a wash cloth bathing to
minimize bacteria on the skin."
The nurse practitioner shows an understanding of appropriate influenza vaccination
guidelines for a client over the age of 65 when stating:
"Regardless of your physical health you really should get a yearly flu shot."
The nurse shows understanding of the need to promote healthy skin in the older
adult when encouraging the client to all of the following except :
, clean the skin with a moisturizing soap
. A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports
that he has been very forgetful lately, and she is concerned that he might be
"senile." The advanced practice nurse administers the clock drawing test and the
patient draws a distorted circular shape and places the numbers all on one side of
the shape. Based on his performance, the nurse concludes that the patient:
needs further evaluation
Tinnitus is defined as:
a buzzing, clicking, or ringing in the ear
Which intervention is not therapeutic when facilitating communication with a
cognitively impaired older client?
Use non-verbal as well as verbal cues to help get your message across to the client
When best promoting a sense of well-being, the role of the nurse practitioner
caring for a terminally ill client is to:
help empower the client to achieve his/her potential for wellness
A 68-year-old male presents with a chief complaint of episodes of lightheadedness
or dizziness. He states that sweating, tachycardia, and some hand trembling are
often associated with these episodes. Which one of the following questions should
you ask to help confirm the diagnosis?
Are these symptoms related to eating?
The caregiver for an older adult with cognitive impairment is concerned about the
individual's seeming disinterest in eating. Which suggestion does the nurse
practitioner offer based upon a known effect of dementia on a client's nutrition?
Establish a routine of when and where the individual will have their meals.
A 68-year-old male presents with a chief complaint of episodic dizziness.
Although not dizzy at present, he states that he has noted onset of dizzy episodes
when he rolls over in bed and occasionally when he turns his head rapidly.
Episodes last about 3 minutes. The most likely diagnosis is:
Benign positional vertigo
What information will be included in client education for an older adult who needs
to manage their calcium levels?
A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test
will best evaluate the management plan prescribed for this client?
Quarterly hemoglobin A1C
After first managing the pain being experienced by the client with gout, the
treatment focuses on:
Preventing systemic involvement by altering the client's diet
The abrupt onset of symptoms of stress or urge incontinence is most often due to a
urinary tract infection
True
A 60-year-old woman presents with a chief complaint of uncomfortable breathing
on exertion. She has had a minimally productive cough for several years that does
not bother her. On further questioning, she states that her breathing gets much
worse when she lies down. The most likely cause of her dyspnea is:
Cardiac
Which of the following drugs do not trigger or aggravate a cough?
Hydrochlorothiazide
Based on current demographic data, which statement identifies a predictive trend
regarding the health care needs of society?
More nursing services will be required to serve the needs of the population 85
years of age and older.
Which diagnostic laboratory test would the nurse practitioner typically not order
for the purpose of evaluating an individual's acute, unexplained weight loss?
Serum Potassium
It has been projected that the cultural group presenting the greatest growth rate
among the older adult population will be the:
Hispanic Americans
,Which statement made by a client recently diagnosed with diverticular disease
would indicate that she needs additional teaching regarding dietary considerations?
"I'll have to give up eating right before I go to bed."
Ethnocentrism is defined as:
a belief that one's ethnic group is superior to that of another true
When diagnosed with diverticulosis, a client asks how this problem occurred.
Which assessment data identifies a risk factor for diverticulosis?
Maintains a diet low in fiber.
A 77-year-old client being treated for glaucoma asks the nurse practitioner what
causes glaucoma. The nurse bases the response on the knowledge that the increase
in intraocular pressure is a result of:
a breakdown in the absorption process
Weight loss is frequently caused by ingestion of one or more of the following
drugs.
Antibiotics
Digoxin
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Theophylline
A, B, and C
All of the above
Answer: All of the above
Which of the following culturally diverse male clients will most benefit from
educational material related to "Staying Healthy into your 80s"
Japanese
The following are true statements about bipolar disorders in older adults except
"Bipolar disorder is the most commonly diagnosed psychiatric disorder in older
adults."
Which assessment data would not be of particular concern when attempting to
manage an older adult's risk for dehydration?
Chronic constipation
,When educating the older adult population about the risks to physical health that
chronic alcohol abuse presents, the nurse practitioner is especially careful to
include the:
Identification of the signs and symptoms of gastrointestinal bleeding
Which of the following drugs does not typically cause constipation?
Magnesium-containing antacid
An older adult client has been voluntarily admitted for treatment of alcohol
dependency. In implementing care, the nurse plans which intervention based upon
knowledge about alcohol and aging?
Assessing the client for both depression and anxiety
The greatest risk for injury for a client with progressed Parkinson's disease is:
Falls
An older adult client shares with the nurse that, "I don't know what it is but it
seems that I need more light for reading or even watching television as I get older."
The nurse explains that aging may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting.
The nurse practitioner educates that client that Healthy People 2010:
offers direction for the achievement of improved quality of life across the life span
Which of the following is not a common cause of constipation?
hypercalcemia
The nurse is teaching a health promotion class at a senior center. Which of the
following statements demonstrate that the participant does not understand the
topic:
"We need to use caustic soaps and scrub aggressively with a wash cloth bathing to
minimize bacteria on the skin."
The nurse practitioner shows an understanding of appropriate influenza vaccination
guidelines for a client over the age of 65 when stating:
"Regardless of your physical health you really should get a yearly flu shot."
The nurse shows understanding of the need to promote healthy skin in the older
adult when encouraging the client to all of the following except :
, clean the skin with a moisturizing soap
. A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports
that he has been very forgetful lately, and she is concerned that he might be
"senile." The advanced practice nurse administers the clock drawing test and the
patient draws a distorted circular shape and places the numbers all on one side of
the shape. Based on his performance, the nurse concludes that the patient:
needs further evaluation
Tinnitus is defined as:
a buzzing, clicking, or ringing in the ear
Which intervention is not therapeutic when facilitating communication with a
cognitively impaired older client?
Use non-verbal as well as verbal cues to help get your message across to the client
When best promoting a sense of well-being, the role of the nurse practitioner
caring for a terminally ill client is to:
help empower the client to achieve his/her potential for wellness
A 68-year-old male presents with a chief complaint of episodes of lightheadedness
or dizziness. He states that sweating, tachycardia, and some hand trembling are
often associated with these episodes. Which one of the following questions should
you ask to help confirm the diagnosis?
Are these symptoms related to eating?
The caregiver for an older adult with cognitive impairment is concerned about the
individual's seeming disinterest in eating. Which suggestion does the nurse
practitioner offer based upon a known effect of dementia on a client's nutrition?
Establish a routine of when and where the individual will have their meals.
A 68-year-old male presents with a chief complaint of episodic dizziness.
Although not dizzy at present, he states that he has noted onset of dizzy episodes
when he rolls over in bed and occasionally when he turns his head rapidly.
Episodes last about 3 minutes. The most likely diagnosis is:
Benign positional vertigo
What information will be included in client education for an older adult who needs
to manage their calcium levels?
