NRNP 6540 FINAL EXAM
PREP
ADVANCED PRACTICE CARE
OF OLDER ADULTS
ANSWERED
2023/2024
,1. The nurse practitioner is examining an 85-year-old man with reports of abdominal pain, weakness,
and loss of appetite. Which is the most likely condition to be tested for and ruled out?
1. Neoplasms and carcinomas
2. Partial seizure
3. Sarcopenia
4. Hirschsprung's disease - 5. Selected
answer: 1Page: 4
Feedback
1.
Certain diseases, such as neoplasms and carcinomas, are more common in the elderly, and an
understanding of the epidemiology is critical in the interpretation.
2.
Partial seizure is more common in early old age.
3.
Sarcopenia is more common in early old age.
4.
Hirschsprung's disease is most common in infancy.
6. For individuals over 65 years old, the most common morbidities are related to:
1. Heart disease, arthritis
2. Respiratory problems, cancer
3. Diabetes, stroke
4. All of these are common morbidities. - 6. Selected
answer: 4
Feedback
1.
Heart disease is one of the common morbidities.
2.
Cancer is common in the general population; however, specific types are more common in the older
patient.
3.
Diabetes is common in patients over 40 years of age.
, Heart disease, cancer, and diabetes combined are the most common morbidities in older patients.
2. A gerontological patient is being examined for a report of pain in the shoulder. The
nursepractitioner completes a thorough systemic examination because:
• Older patients with one morbidity often express difficulties in general.
• Arthritis of the shoulder is accompanied by other neurological symptoms.
• Older patients with arthritis often experience pain in lower extremities.
• The patient may not report significant signs and symptoms. - 7. Selected
answer:1
Feedback
1.
Older patients with late-onset rheumatoid arthritis experience joint involvement more often in the
larger joints, such as the shoulder, and they also experience systemic symptoms such as fever, malaise,
weight loss, and depression.
2.
Older patients may express symptoms in any other physical systems.
3.
Patients more often experience arthritis in smaller joints.
4.
A thorough examination will detect objective indicators.
3. The nurse practitioner performs a thorough systemic examination of a patient who reports diarrhea
and pain in the upper left quadrant of the abdomen. One possible diagnosis would be:
• Hirschsprung's disease
• Pancreatitis
• Appendicitis
• Gastrointestinal inflammatory bowel disease (GIBD) - 8. Selected
answer:4
Feedback
1.
Hirschsprung's disease is an obstruction of the colon in infancy.
2.
Diarrhea is not associated with pancreatitis.
3.
Appendicitis is more common in younger patients than in older patients.
4.
GIBD is manifested differently in a bimodal pattern.
, 4. A 70-year-old man is seeing a nurse practitioner because he is feeling weak and dizzy. The nurse
practitioner is discussing a care plan with him and makes which of the following statements? Select all
that apply.
• I want to order a test for your heart to evaluate its function.
• I will perform a thorough examination of your functional abilities.
• I will order a blood sugar test to check for diabetes.
• Many older people feel this way. It is to be expected.
• I will assess you for the presence of other conditions. - 9. Selected answer:
1, 2, 3, 5Page: 2, 3
Feedback
1.
A complete assessment will help differentiate signs of aging from disease.
2.
All systems interact and can affect an existing condition.
3.
Identifying underlying conditions will avoid undertreatment.
4.
Attributing symptoms to aging can contribute to depression in an older person.
5.
There are changes in the sympathetic response which contribute to the orthostasis and falls, as well as
lack of hypoglycemic response.
5. The nurse practitioner is leading a class of seniors over age 65 years and is teaching about
nutritional needs. One of the men asks why, even though he eats correctly according to the standards
presented, he still feels weaker than he did 10 years ago. He also wonders why he gets more infections
than he used to. Which of the following are helpful answers? Select all that apply.
1. I suggest that you exercise a little more than you are currently doing.
2. Some people experience a decrease in reserve energy.
3. For some people, the immune system weakens.
4. More viruses are being spread throughout the community.
5. I suggest that you see your primary caregiver for extensive testing. - 10. Selected
answer: 2, 3,5 Page: 2, 3
Feedback
1.
Improved nutrition may not be the factor affecting health of elders.
2.
Many factors can influence the health of elders, including lifestyle and medications.
PREP
ADVANCED PRACTICE CARE
OF OLDER ADULTS
ANSWERED
2023/2024
,1. The nurse practitioner is examining an 85-year-old man with reports of abdominal pain, weakness,
and loss of appetite. Which is the most likely condition to be tested for and ruled out?
1. Neoplasms and carcinomas
2. Partial seizure
3. Sarcopenia
4. Hirschsprung's disease - 5. Selected
answer: 1Page: 4
Feedback
1.
Certain diseases, such as neoplasms and carcinomas, are more common in the elderly, and an
understanding of the epidemiology is critical in the interpretation.
2.
Partial seizure is more common in early old age.
3.
Sarcopenia is more common in early old age.
4.
Hirschsprung's disease is most common in infancy.
6. For individuals over 65 years old, the most common morbidities are related to:
1. Heart disease, arthritis
2. Respiratory problems, cancer
3. Diabetes, stroke
4. All of these are common morbidities. - 6. Selected
answer: 4
Feedback
1.
Heart disease is one of the common morbidities.
2.
Cancer is common in the general population; however, specific types are more common in the older
patient.
3.
Diabetes is common in patients over 40 years of age.
, Heart disease, cancer, and diabetes combined are the most common morbidities in older patients.
2. A gerontological patient is being examined for a report of pain in the shoulder. The
nursepractitioner completes a thorough systemic examination because:
• Older patients with one morbidity often express difficulties in general.
• Arthritis of the shoulder is accompanied by other neurological symptoms.
• Older patients with arthritis often experience pain in lower extremities.
• The patient may not report significant signs and symptoms. - 7. Selected
answer:1
Feedback
1.
Older patients with late-onset rheumatoid arthritis experience joint involvement more often in the
larger joints, such as the shoulder, and they also experience systemic symptoms such as fever, malaise,
weight loss, and depression.
2.
Older patients may express symptoms in any other physical systems.
3.
Patients more often experience arthritis in smaller joints.
4.
A thorough examination will detect objective indicators.
3. The nurse practitioner performs a thorough systemic examination of a patient who reports diarrhea
and pain in the upper left quadrant of the abdomen. One possible diagnosis would be:
• Hirschsprung's disease
• Pancreatitis
• Appendicitis
• Gastrointestinal inflammatory bowel disease (GIBD) - 8. Selected
answer:4
Feedback
1.
Hirschsprung's disease is an obstruction of the colon in infancy.
2.
Diarrhea is not associated with pancreatitis.
3.
Appendicitis is more common in younger patients than in older patients.
4.
GIBD is manifested differently in a bimodal pattern.
, 4. A 70-year-old man is seeing a nurse practitioner because he is feeling weak and dizzy. The nurse
practitioner is discussing a care plan with him and makes which of the following statements? Select all
that apply.
• I want to order a test for your heart to evaluate its function.
• I will perform a thorough examination of your functional abilities.
• I will order a blood sugar test to check for diabetes.
• Many older people feel this way. It is to be expected.
• I will assess you for the presence of other conditions. - 9. Selected answer:
1, 2, 3, 5Page: 2, 3
Feedback
1.
A complete assessment will help differentiate signs of aging from disease.
2.
All systems interact and can affect an existing condition.
3.
Identifying underlying conditions will avoid undertreatment.
4.
Attributing symptoms to aging can contribute to depression in an older person.
5.
There are changes in the sympathetic response which contribute to the orthostasis and falls, as well as
lack of hypoglycemic response.
5. The nurse practitioner is leading a class of seniors over age 65 years and is teaching about
nutritional needs. One of the men asks why, even though he eats correctly according to the standards
presented, he still feels weaker than he did 10 years ago. He also wonders why he gets more infections
than he used to. Which of the following are helpful answers? Select all that apply.
1. I suggest that you exercise a little more than you are currently doing.
2. Some people experience a decrease in reserve energy.
3. For some people, the immune system weakens.
4. More viruses are being spread throughout the community.
5. I suggest that you see your primary caregiver for extensive testing. - 10. Selected
answer: 2, 3,5 Page: 2, 3
Feedback
1.
Improved nutrition may not be the factor affecting health of elders.
2.
Many factors can influence the health of elders, including lifestyle and medications.
