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NR 601 Final Exam
1. Which of the following statements is NOT true about palliative care teams?
A: Provide weekly home visits
2. A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned
about her kidneys. She has no report of dysuria, frequency or urgency at this time. Which of the
following is the best action to follow?
A: Recheck UA dipstick today
3. According to the sexuality presentation, atrophic vaginitis (AV)
A: Is a contributing factor for frequent UTIs
4. Ms. L 55-year-old women with BMI of 28, has 20-year hx of primary HTN and has been on
hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L
reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least
10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose
levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210
mg/dl. What is the next appropriate test?
A: Prescribe Metformin 500 mg PO BID
5. A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered
blood sugars but complaints of some loose stools during the week. How should the NP respond?
A: Reassure the patient that this is an anticipated side effect
6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL=
165. The NP teaches the patient about his modifiable cardiac risk factors which include:
A: Diabetes, obesity, and hyperlipidemia
7. Lifestyle approaches to postmenopausal symptom management include
A: avoiding sugar, coffee, chocolate and alcohol
8. When treating depression associated with dementia, which of the following would be a poor
choice and should not be prescribed?
A: Amitriptyline
9. How does women’s anatomy make them more susceptible to UTIs?
, 2
A: the urethra is shorter
10. A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl.
The NP plan includes
A: Educate the patient of lifestyle changes to lower blood glucose
11. Which of the following assessments are commonly noted in a client with Parkinson’s disease?
A: Micrographia and bradykinesia
12. A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explore
which of these causes of incontinence in men?
A: Urinary Tract Infection (UTI)
13. Which of the following maneuvers is contraindicated in acute prostatis?
A: Massaging the infected prostate
14. Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20-year hx of primary HTN and
has been on HCTZ 25 mg daily for years , reports that for the past 6 months she has felt thirsty all
of the time even though she drinks at least 10 glasses of water a day. Upon charting NP notes that
the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. What actions should
the NP perform next?
A: order a fasting blood glucose??? PRESCRIBE METFORMIN XR 500MG PO
15. According to the WHO analgesic ladder, which drug combination would be most appropriate in an
opiate-naïve patient who presents with moderate pain?
A: Indomethacin/ hydrocodone
16. The cornerstone of pharmacotherapy in treating Alzheimer’s disease is :
A: Cholinesterase inhibitors
17. The highest level of evidence to support interventions at the end of life is with:
A: opioids for dyspnea
18. The comorbid psychiatric problem with the highest frequency in dementia is:
A: Anxiety
19. All of the following are true statements regarding elder abuse EXCEPT:
A : common signs of abuse include decreased anxiety and depression
20. Which of the following is a role of the advanced nurse in ?????
A: All of the above
21. The proposed mechanism by which diphenhydramine causes delirium is:
A: Anticholinergic effect
22. A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea)
is :
NR 601 Final Exam
1. Which of the following statements is NOT true about palliative care teams?
A: Provide weekly home visits
2. A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned
about her kidneys. She has no report of dysuria, frequency or urgency at this time. Which of the
following is the best action to follow?
A: Recheck UA dipstick today
3. According to the sexuality presentation, atrophic vaginitis (AV)
A: Is a contributing factor for frequent UTIs
4. Ms. L 55-year-old women with BMI of 28, has 20-year hx of primary HTN and has been on
hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L
reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least
10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose
levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210
mg/dl. What is the next appropriate test?
A: Prescribe Metformin 500 mg PO BID
5. A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered
blood sugars but complaints of some loose stools during the week. How should the NP respond?
A: Reassure the patient that this is an anticipated side effect
6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL=
165. The NP teaches the patient about his modifiable cardiac risk factors which include:
A: Diabetes, obesity, and hyperlipidemia
7. Lifestyle approaches to postmenopausal symptom management include
A: avoiding sugar, coffee, chocolate and alcohol
8. When treating depression associated with dementia, which of the following would be a poor
choice and should not be prescribed?
A: Amitriptyline
9. How does women’s anatomy make them more susceptible to UTIs?
, 2
A: the urethra is shorter
10. A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl.
The NP plan includes
A: Educate the patient of lifestyle changes to lower blood glucose
11. Which of the following assessments are commonly noted in a client with Parkinson’s disease?
A: Micrographia and bradykinesia
12. A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explore
which of these causes of incontinence in men?
A: Urinary Tract Infection (UTI)
13. Which of the following maneuvers is contraindicated in acute prostatis?
A: Massaging the infected prostate
14. Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20-year hx of primary HTN and
has been on HCTZ 25 mg daily for years , reports that for the past 6 months she has felt thirsty all
of the time even though she drinks at least 10 glasses of water a day. Upon charting NP notes that
the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. What actions should
the NP perform next?
A: order a fasting blood glucose??? PRESCRIBE METFORMIN XR 500MG PO
15. According to the WHO analgesic ladder, which drug combination would be most appropriate in an
opiate-naïve patient who presents with moderate pain?
A: Indomethacin/ hydrocodone
16. The cornerstone of pharmacotherapy in treating Alzheimer’s disease is :
A: Cholinesterase inhibitors
17. The highest level of evidence to support interventions at the end of life is with:
A: opioids for dyspnea
18. The comorbid psychiatric problem with the highest frequency in dementia is:
A: Anxiety
19. All of the following are true statements regarding elder abuse EXCEPT:
A : common signs of abuse include decreased anxiety and depression
20. Which of the following is a role of the advanced nurse in ?????
A: All of the above
21. The proposed mechanism by which diphenhydramine causes delirium is:
A: Anticholinergic effect
22. A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea)
is :
