1
NR 601 Final Exam
1. A 77-year-old Hispanic Catholic Nun (retired) who immigrated to
the United States 15 years ago lives alone but in an apartment
complex where her sister lives as well. She is being discharged
home after a hospitalization for congestive heart failure with
prescriptions for 8 different medications. She is considered at risk
for noncompliance due to the following contributing factors
except:
Ethnic background
2. A 78-year-old patient who is dying of colon cancer with metastases
to the liver is refusing to eat or drink. He is alert and oriented, and
states that he has no desire to eat, which is causing the family great
distress. In order to best address the client and family, you should:
Educate the family that this is normal behavior in this
situation
3. A 79-year-old female client resides independently in the
community. The client’s daughter is concerned because her mother
insists on wearing a sweater and keeps all of the windows closed
even though it is 90 degrees Fahrenheit outside. The nurse
practitioner initially recognizes that this behavior may be related
to:
age-related neurosensory changes that diminish awareness of
temperature changes
,2
NR 601 Final Exam
4. An 88-year-old, being admitted to rule out lung cancer, is assessed
using the short form of the Geriatric Depression Scale tool. When
it is determines that the earned score is 9, the nurse practitioner
initially:
asks if they have any thoughts of committing suicide
5. The area in which nurse practitioners have the greatest effect on
the safe, effective medication therapy of an older client is:
educating the client to all aspects of the medication.
6. The Beers list is an effective tool for healthcare professionals
prescribing and/or managing the medication therapy of older adults
since it identifies medications that for this population:
have a higher than usual risk for injury
7. A client who reported, “a problem sleeping” shows an
understanding of good sleep hygiene when:
limiting the afternoon nap to just 30 minutes
8. Common causes of dyspnea in the older adult may include which
of the following?
Heart failure
Asthma
Chronic obstructive lung disease
Pneumonia
9. Common ethical issues in the nursing home may include which of
the following?
, 3
NR 601 Final Exam
Quality of life
Decision-making capacity
Preservation of autonomy
Surrogate decision making
10. The cost of nursing home care is significant. The primary
payer for nursing home care is:
Medicaid and private pay.
11. Each of the following assessment finding is a contributor to
an older client’s risk for falls except:
client has a history of contact dermatitis and psoriasis
12. Each of the following data supports the diagnosis of sleep
apnea in the older adult except:
followed a vegetarian diet for last 28 years
13. Factors that affect the pharmacokinetics of lipophilic
medications in older include:
greater adipose tissue ratio to body mass
14. The following precautions are beneficial in minimizing an
older adult’s risk of being a victim of fraud except:
Rely on the advice of people who only friends have
recommended.
15. In order to focus on the older population with the greatest
risk for suicide the nurse practitioner would conduct a depression
that targets:
White men
NR 601 Final Exam
1. A 77-year-old Hispanic Catholic Nun (retired) who immigrated to
the United States 15 years ago lives alone but in an apartment
complex where her sister lives as well. She is being discharged
home after a hospitalization for congestive heart failure with
prescriptions for 8 different medications. She is considered at risk
for noncompliance due to the following contributing factors
except:
Ethnic background
2. A 78-year-old patient who is dying of colon cancer with metastases
to the liver is refusing to eat or drink. He is alert and oriented, and
states that he has no desire to eat, which is causing the family great
distress. In order to best address the client and family, you should:
Educate the family that this is normal behavior in this
situation
3. A 79-year-old female client resides independently in the
community. The client’s daughter is concerned because her mother
insists on wearing a sweater and keeps all of the windows closed
even though it is 90 degrees Fahrenheit outside. The nurse
practitioner initially recognizes that this behavior may be related
to:
age-related neurosensory changes that diminish awareness of
temperature changes
,2
NR 601 Final Exam
4. An 88-year-old, being admitted to rule out lung cancer, is assessed
using the short form of the Geriatric Depression Scale tool. When
it is determines that the earned score is 9, the nurse practitioner
initially:
asks if they have any thoughts of committing suicide
5. The area in which nurse practitioners have the greatest effect on
the safe, effective medication therapy of an older client is:
educating the client to all aspects of the medication.
6. The Beers list is an effective tool for healthcare professionals
prescribing and/or managing the medication therapy of older adults
since it identifies medications that for this population:
have a higher than usual risk for injury
7. A client who reported, “a problem sleeping” shows an
understanding of good sleep hygiene when:
limiting the afternoon nap to just 30 minutes
8. Common causes of dyspnea in the older adult may include which
of the following?
Heart failure
Asthma
Chronic obstructive lung disease
Pneumonia
9. Common ethical issues in the nursing home may include which of
the following?
, 3
NR 601 Final Exam
Quality of life
Decision-making capacity
Preservation of autonomy
Surrogate decision making
10. The cost of nursing home care is significant. The primary
payer for nursing home care is:
Medicaid and private pay.
11. Each of the following assessment finding is a contributor to
an older client’s risk for falls except:
client has a history of contact dermatitis and psoriasis
12. Each of the following data supports the diagnosis of sleep
apnea in the older adult except:
followed a vegetarian diet for last 28 years
13. Factors that affect the pharmacokinetics of lipophilic
medications in older include:
greater adipose tissue ratio to body mass
14. The following precautions are beneficial in minimizing an
older adult’s risk of being a victim of fraud except:
Rely on the advice of people who only friends have
recommended.
15. In order to focus on the older population with the greatest
risk for suicide the nurse practitioner would conduct a depression
that targets:
White men
