NR 601 Midterm
(Questions and Answers)
1. 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
2. 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?
3. 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
4. A 75-year old resident in the nursing home has end stage dementia and
experiences a 10-pound weight loss over the course of 2 months. The
resident has become increasingly difficult to feed and often spits out food,
pockets food, and frequently drools. The family is concerned about the
resident's nutritional status. What is the initial action of the nurse
practitioner?
order a swallow evaluation
5. 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
6. . 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
(Questions and Answers)
1. 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
2. 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?
3. 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
4. A 75-year old resident in the nursing home has end stage dementia and
experiences a 10-pound weight loss over the course of 2 months. The
resident has become increasingly difficult to feed and often spits out food,
pockets food, and frequently drools. The family is concerned about the
resident's nutritional status. What is the initial action of the nurse
practitioner?
order a swallow evaluation
5. 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
6. . 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
