CMN 577 FINAL EXAM QUESTIONS 2
An 80-year-old patient presents to the clinic and expresses concerns about falling and
getting injured. What advice would you give the patient as a nurse practitioner that has
shown to have the most impact on decreasing the risk of falls in the elderly?
a. Spending more time resting in the bed
b. Taking high dose vitamin D supplements to strengthen the bones
c. Using a cane and a walker in the home at all times
d. Engaging in exercises such as tai chi and strength training - ANS-D
An elderly female presents to your clinic with her daughter. The daughter is concerned
about her mother's memory decline over the past several months. She reports that her
mom has left the stove on several times, and her mom can't seem to find the words she
wants to say at times. Testing reveals the diagnosis of mild Alzheimer disease. What
medication would you initiate first?
a. Donepezil
b. Memantine
c. Citalopram
d. Risperidone - ANS-A
An elderly male presents to your clinic with his caregiver. The caregiver reports that the
patient spends most of his time in bed, and he rarely changes position without a "fuss".
On assessment you note a pressure injury to coccyx area. The area has non blanchable
redness surrounding an open area with dermis exposed. What stage is the pressure
injury?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4 - ANS-B
You are the provider caring for a 2-year-old who has very limited vocabulary and suffers
from metastatic osteosarcoma. Which pain scale will you use to help determine pain
management efficacy?
a. Wong-Baker pain scale
, b. Bieri Faces Scale
c. FLACC scale
d. Numeric scale - ANS-C
The nurse practitioner is reviewing the CBC of a female patient that complains of
fatigue, pallor and tachycardia. The hemoglobin is 10.2 and the MCV is low at 72.
Based on these initial findings, the nurse practitioner considers all of the following
diagnoses except:
A. Iron deficiency
B. Thalassemia
C. Vitamin B12 deficiency
D. Anemia of Chronic Disease - ANS-C
A patient presents for prenatal counseling prior to becoming pregnant. She knows that
she is a carrier for the sickle cell trait. She asks the APRN if this means that her child
will have sickle cell anemia. The APRN correctly responds:
A. Sickle cell anemia is an autosomal recessive trait. We will refer you and your partner
for genetic counseling to assess the risks of your child having sickle cell anemia.
B. Sickle cell anemia is not a hereditary genetic condition. You do not need to worry
about having a child with sickle cell anemia.
C. Sickle cell anemia is autosomal dominant. There is a 50% chance your child will
have sickle cell anemia.
D. There is a strong genetic suspicion that you will pass this trait to your child. You
should consider adoption. - ANS-A
All of the following are true pertaining to Lymphedema except:
A. Excision of lymph nodes in the groin can result in Lymphedema
B. Antibiotics are useful in treating Lymphedema
C. Lymphedema has no cure
D. Consistent use of compression stockings are helpful - ANS-B
65-year-old male presents to the clinic with complaint of cough x 2 months, fatigue, and
weight loss. His CT scan noted abnormal findings of isolated nodules. What is your next
action?
A. Order CT-guided biopsy
B. Referral to pulmonology
An 80-year-old patient presents to the clinic and expresses concerns about falling and
getting injured. What advice would you give the patient as a nurse practitioner that has
shown to have the most impact on decreasing the risk of falls in the elderly?
a. Spending more time resting in the bed
b. Taking high dose vitamin D supplements to strengthen the bones
c. Using a cane and a walker in the home at all times
d. Engaging in exercises such as tai chi and strength training - ANS-D
An elderly female presents to your clinic with her daughter. The daughter is concerned
about her mother's memory decline over the past several months. She reports that her
mom has left the stove on several times, and her mom can't seem to find the words she
wants to say at times. Testing reveals the diagnosis of mild Alzheimer disease. What
medication would you initiate first?
a. Donepezil
b. Memantine
c. Citalopram
d. Risperidone - ANS-A
An elderly male presents to your clinic with his caregiver. The caregiver reports that the
patient spends most of his time in bed, and he rarely changes position without a "fuss".
On assessment you note a pressure injury to coccyx area. The area has non blanchable
redness surrounding an open area with dermis exposed. What stage is the pressure
injury?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4 - ANS-B
You are the provider caring for a 2-year-old who has very limited vocabulary and suffers
from metastatic osteosarcoma. Which pain scale will you use to help determine pain
management efficacy?
a. Wong-Baker pain scale
, b. Bieri Faces Scale
c. FLACC scale
d. Numeric scale - ANS-C
The nurse practitioner is reviewing the CBC of a female patient that complains of
fatigue, pallor and tachycardia. The hemoglobin is 10.2 and the MCV is low at 72.
Based on these initial findings, the nurse practitioner considers all of the following
diagnoses except:
A. Iron deficiency
B. Thalassemia
C. Vitamin B12 deficiency
D. Anemia of Chronic Disease - ANS-C
A patient presents for prenatal counseling prior to becoming pregnant. She knows that
she is a carrier for the sickle cell trait. She asks the APRN if this means that her child
will have sickle cell anemia. The APRN correctly responds:
A. Sickle cell anemia is an autosomal recessive trait. We will refer you and your partner
for genetic counseling to assess the risks of your child having sickle cell anemia.
B. Sickle cell anemia is not a hereditary genetic condition. You do not need to worry
about having a child with sickle cell anemia.
C. Sickle cell anemia is autosomal dominant. There is a 50% chance your child will
have sickle cell anemia.
D. There is a strong genetic suspicion that you will pass this trait to your child. You
should consider adoption. - ANS-A
All of the following are true pertaining to Lymphedema except:
A. Excision of lymph nodes in the groin can result in Lymphedema
B. Antibiotics are useful in treating Lymphedema
C. Lymphedema has no cure
D. Consistent use of compression stockings are helpful - ANS-B
65-year-old male presents to the clinic with complaint of cough x 2 months, fatigue, and
weight loss. His CT scan noted abnormal findings of isolated nodules. What is your next
action?
A. Order CT-guided biopsy
B. Referral to pulmonology
