NU 661
Adult Gerontology
Primary Care Nurse
Practitioner I Review
Exam
Q&A
2024
,1. A 68-year-old male patient presents with a history of type 2 diabetes
and hypertension. Which of the following is the most appropriate initial
assessment?
A. Fasting blood glucose
B. 24-hour blood pressure monitoring
C. Foot examination
D. Eye examination
**Answer: B.** 24-hour blood pressure monitoring is essential in
managing hypertension, which can significantly impact diabetes
management.
2. A patient with chronic kidney disease is at increased risk for which of
the following complications?
A. Osteoporosis
B. Anemia
C. Hyperthyroidism
D. Cognitive impairment
**Answer: B.** Anemia is a common complication of chronic kidney
disease due to reduced erythropoietin production.
3. In assessing a patient with suspected heart failure, which diagnostic test
provides the most valuable information?
A. Chest X-ray
B. Echocardiogram
C. Electrocardiogram (ECG)
D. Complete blood count (CBC)
**Answer: B.** An echocardiogram can evaluate cardiac function and
structure, aiding in the diagnosis of heart failure.
4. Which immunization should be routinely administered to adults over 65
years old in primary care settings?
A. Varicella vaccine
B. Human papillomavirus (HPV) vaccine
C. Pneumococcal vaccine
D. Hepatitis B vaccine
**Answer: C.** Pneumococcal vaccine is recommended for all adults
over 65 to prevent pneumonia and other pneumococcal diseases.
, 5. When evaluating a patient for potential thyroid disorders, which of the
following tests is most indicative of thyroid function?
A. Serum calcium
B. Thyroid-stimulating hormone (TSH)
C. Serum potassium
D. Liver function tests
**Answer: B.** TSH levels are the primary screening test for thyroid
function and can indicate hypothyroidism or hyperthyroidism.
6. For a patient presenting with symptoms of a urinary tract infection
(UTI), which of the following is the most appropriate management?
A. Immediate antibiotic therapy
B. Urinalysis and urine culture
C. Bladder ultrasound
D. Referral to urology
**Answer: B.** Urinalysis and urine culture are necessary to confirm
UTI and guide appropriate antibiotic therapy.
7. In managing a patient with asthma, which of the following is an
essential component of their treatment plan?
A. Long-term use of oral corticosteroids
B. Regular use of inhaled short-acting beta-agonists (SABAs)
C. Implementation of an asthma action plan
D. Prescribing antibiotics for respiratory infections
**Answer: C.** An asthma action plan is crucial for managing triggers
and controlling symptoms, reducing the need for emergency care.
1. What is the recommended screening tool for assessing the risk of
cardiovascular disease in adults?
a) Body mass index
b) Framingham Risk Score
c) Blood pressure measurement
d) lipid panel
Answer: b) Framingham Risk Score
Rationale: The Framingham Risk Score is a validated tool used to estimate
Adult Gerontology
Primary Care Nurse
Practitioner I Review
Exam
Q&A
2024
,1. A 68-year-old male patient presents with a history of type 2 diabetes
and hypertension. Which of the following is the most appropriate initial
assessment?
A. Fasting blood glucose
B. 24-hour blood pressure monitoring
C. Foot examination
D. Eye examination
**Answer: B.** 24-hour blood pressure monitoring is essential in
managing hypertension, which can significantly impact diabetes
management.
2. A patient with chronic kidney disease is at increased risk for which of
the following complications?
A. Osteoporosis
B. Anemia
C. Hyperthyroidism
D. Cognitive impairment
**Answer: B.** Anemia is a common complication of chronic kidney
disease due to reduced erythropoietin production.
3. In assessing a patient with suspected heart failure, which diagnostic test
provides the most valuable information?
A. Chest X-ray
B. Echocardiogram
C. Electrocardiogram (ECG)
D. Complete blood count (CBC)
**Answer: B.** An echocardiogram can evaluate cardiac function and
structure, aiding in the diagnosis of heart failure.
4. Which immunization should be routinely administered to adults over 65
years old in primary care settings?
A. Varicella vaccine
B. Human papillomavirus (HPV) vaccine
C. Pneumococcal vaccine
D. Hepatitis B vaccine
**Answer: C.** Pneumococcal vaccine is recommended for all adults
over 65 to prevent pneumonia and other pneumococcal diseases.
, 5. When evaluating a patient for potential thyroid disorders, which of the
following tests is most indicative of thyroid function?
A. Serum calcium
B. Thyroid-stimulating hormone (TSH)
C. Serum potassium
D. Liver function tests
**Answer: B.** TSH levels are the primary screening test for thyroid
function and can indicate hypothyroidism or hyperthyroidism.
6. For a patient presenting with symptoms of a urinary tract infection
(UTI), which of the following is the most appropriate management?
A. Immediate antibiotic therapy
B. Urinalysis and urine culture
C. Bladder ultrasound
D. Referral to urology
**Answer: B.** Urinalysis and urine culture are necessary to confirm
UTI and guide appropriate antibiotic therapy.
7. In managing a patient with asthma, which of the following is an
essential component of their treatment plan?
A. Long-term use of oral corticosteroids
B. Regular use of inhaled short-acting beta-agonists (SABAs)
C. Implementation of an asthma action plan
D. Prescribing antibiotics for respiratory infections
**Answer: C.** An asthma action plan is crucial for managing triggers
and controlling symptoms, reducing the need for emergency care.
1. What is the recommended screening tool for assessing the risk of
cardiovascular disease in adults?
a) Body mass index
b) Framingham Risk Score
c) Blood pressure measurement
d) lipid panel
Answer: b) Framingham Risk Score
Rationale: The Framingham Risk Score is a validated tool used to estimate
