NURS 601 APPB Assessment Review Exam with
Correct Answers-Guaranteed Success
There are well described racial and socioeconomic disparities in diagnosis, the
following populations have the higher incidence and lower survival - Correct
Answer black and hispanic older adults in general
A 72 yo female has residual effects from a stroke that includes memory loss and
apathy. Which intervention can best improve the brain's functional reserve? -
Correct Answer decrease overstimulating the patient to avoid agitation
Which of the following considerations is necessary for the NP who is evaluating the
effectiveness of a prescribed opioid for an elderly patient with chronic, debilitating
pain? - Correct Answer All of the above
The NP is providing chronic management for a 74-year-old male with longstanding
COPD. He presents to the primary care office with increased shortness of breath to
the point that he is unable to walk to the mailbox or send a flight of stairs in his
home. He reports that he still smokes 1/4 pack of cigarettes per day. He tells the NP
I guess I'm just getting too old to do normal things anymore. The NP recognizes that
the decline in the patient's physical function is due to: - Correct Answer disease-
related disability
The physiologic eye changes that occur in adults between the ages of 42 to 50 years
of age that indicate the new reading glasses are due to - Correct Answer reduced
lens elasticity
-year-old male reports to the primary care office with a complaint of feeling down
since the death of his spouse eight months ago. He has suppressed his depression
through the use of alcohol. His medical history includes gerd, atrial fibrillation, and
chronic back pain. His medications include:
Cyclobenzaprine 10 milligrams as needed for pain, warfarin 5 milligrams daily,
pantoprazole 40 milligrams daily, lisinopril 10 milligrams daily, Flomax 0.4 milligrams
daily, multivitamin daily, vitamin C 500 milligrams daily, and vitamin D 1000 IU daily.
The MP decides to perform the cage assessment to determine the patient's extent of
alcohol dependency and obtains a score of three which signifies alcohol use
disorder. The NP also performs a medication review and identifies that some of his
medications metabolic effects are altered by alcohol. Which of the medications
should be of concern for the NP? - Correct Answer Cyclobenzaprine (Amrix),
Warfarin, and Pantoprazole (Protonix)
A 68-year-old female presents to the primary care office as a new patient who
recently located from Florida. The patient reports a past medical history of vitamin
B12 deficiency, hypertension, hyperlipidemia, and gerd. The patient reports that one
, year ago she was seen by gastroenterologist for gerd symptoms where she was
prescribed omeprazole 40 milligrams daily. She reports that after being on the
omeprazole for two months she stopped having guard symptoms. Therefore an
endoscopy was not indicated. Despite having no symptoms she continued to take
omeprazole because she did not want her symptoms to return. She also reports that
diet modification has also helped him reduce and gerd symptoms. The MP
determines that omeprazole should be prescribed. The best prescribing method for
this patient is - Correct Answer Reducing the omeprazole from 40 mg to 20 mg
To ensure the older adults correct use of prescribed metered dose inhalers that NP
should - Correct Answer Recommend a spacer device
A 64 year old homeless female reports to the primary care clinic with shortness of
breath. Approximately one week the patient presented to the emergency room with
mild sternal chest pain. A cardiac workup revealed no abnormalities And the patient
was released. Today the patient reports that her breathlessness is worse. The pmh
includes hypertension, hyperlipidemia, atherosclerotic heart disease. The patient is
also pack year smoker. Other than seeking medical care at the ER last week the
patient has not seen a health care provider in five years period based on the
patient's age and condition what immunizations are most important for the MP to
administer today? - Correct Answer Influenza, Prevnar-13
A 65 year old male patient is a 36 pack year smoker who is seeing the MP today for
smoking cessation intervention. The MPP plans to use the 5 A's in planning
interventions for this patient. In addition to prescribing a nicotine patch the patient
has also agreed to participate in intensive cessation counseling covered by
Medicare. When the NP scheduled future follow up visit for the patient which 5A is
being utilized? - Correct Answer Arrange
The NP has diagnosed a 62-year-old female with Graves' disease. What lab value
below was used to diagnose? - Correct Answer Decreased TSH level
The NP is reviewing a 68-year-old males 2 fasting plasma glucose levels completed
on separate occasions. Diagnosing type 2 diabetes both plasma glucose levels must
be greater than - Correct Answer 126 mg/dL
An older adult with type 2 diabetes presents to the primary care clinic with a report of
polyurea, polydipsia, and loss. Which of the following lab results requires immediate
intervention by the NP? - Correct Answer Serum glucose of 65 mg/dL
Mr. Gonzalez a 65-year-old patient with type 2 diabetes reported to the primary care
office with complaints of weakness, fatigue, and diaphoresis. A review of the
patient's blood sugars over the last seven days demonstrates 2 sugars of 58 mg/DL
and 56 MG/ DL respectively period to narrow the differential diagnosis what should
the NP do first? - Correct Answer Determine if the hypoglycemia is related to
alcohol
Correct Answers-Guaranteed Success
There are well described racial and socioeconomic disparities in diagnosis, the
following populations have the higher incidence and lower survival - Correct
Answer black and hispanic older adults in general
A 72 yo female has residual effects from a stroke that includes memory loss and
apathy. Which intervention can best improve the brain's functional reserve? -
Correct Answer decrease overstimulating the patient to avoid agitation
Which of the following considerations is necessary for the NP who is evaluating the
effectiveness of a prescribed opioid for an elderly patient with chronic, debilitating
pain? - Correct Answer All of the above
The NP is providing chronic management for a 74-year-old male with longstanding
COPD. He presents to the primary care office with increased shortness of breath to
the point that he is unable to walk to the mailbox or send a flight of stairs in his
home. He reports that he still smokes 1/4 pack of cigarettes per day. He tells the NP
I guess I'm just getting too old to do normal things anymore. The NP recognizes that
the decline in the patient's physical function is due to: - Correct Answer disease-
related disability
The physiologic eye changes that occur in adults between the ages of 42 to 50 years
of age that indicate the new reading glasses are due to - Correct Answer reduced
lens elasticity
-year-old male reports to the primary care office with a complaint of feeling down
since the death of his spouse eight months ago. He has suppressed his depression
through the use of alcohol. His medical history includes gerd, atrial fibrillation, and
chronic back pain. His medications include:
Cyclobenzaprine 10 milligrams as needed for pain, warfarin 5 milligrams daily,
pantoprazole 40 milligrams daily, lisinopril 10 milligrams daily, Flomax 0.4 milligrams
daily, multivitamin daily, vitamin C 500 milligrams daily, and vitamin D 1000 IU daily.
The MP decides to perform the cage assessment to determine the patient's extent of
alcohol dependency and obtains a score of three which signifies alcohol use
disorder. The NP also performs a medication review and identifies that some of his
medications metabolic effects are altered by alcohol. Which of the medications
should be of concern for the NP? - Correct Answer Cyclobenzaprine (Amrix),
Warfarin, and Pantoprazole (Protonix)
A 68-year-old female presents to the primary care office as a new patient who
recently located from Florida. The patient reports a past medical history of vitamin
B12 deficiency, hypertension, hyperlipidemia, and gerd. The patient reports that one
, year ago she was seen by gastroenterologist for gerd symptoms where she was
prescribed omeprazole 40 milligrams daily. She reports that after being on the
omeprazole for two months she stopped having guard symptoms. Therefore an
endoscopy was not indicated. Despite having no symptoms she continued to take
omeprazole because she did not want her symptoms to return. She also reports that
diet modification has also helped him reduce and gerd symptoms. The MP
determines that omeprazole should be prescribed. The best prescribing method for
this patient is - Correct Answer Reducing the omeprazole from 40 mg to 20 mg
To ensure the older adults correct use of prescribed metered dose inhalers that NP
should - Correct Answer Recommend a spacer device
A 64 year old homeless female reports to the primary care clinic with shortness of
breath. Approximately one week the patient presented to the emergency room with
mild sternal chest pain. A cardiac workup revealed no abnormalities And the patient
was released. Today the patient reports that her breathlessness is worse. The pmh
includes hypertension, hyperlipidemia, atherosclerotic heart disease. The patient is
also pack year smoker. Other than seeking medical care at the ER last week the
patient has not seen a health care provider in five years period based on the
patient's age and condition what immunizations are most important for the MP to
administer today? - Correct Answer Influenza, Prevnar-13
A 65 year old male patient is a 36 pack year smoker who is seeing the MP today for
smoking cessation intervention. The MPP plans to use the 5 A's in planning
interventions for this patient. In addition to prescribing a nicotine patch the patient
has also agreed to participate in intensive cessation counseling covered by
Medicare. When the NP scheduled future follow up visit for the patient which 5A is
being utilized? - Correct Answer Arrange
The NP has diagnosed a 62-year-old female with Graves' disease. What lab value
below was used to diagnose? - Correct Answer Decreased TSH level
The NP is reviewing a 68-year-old males 2 fasting plasma glucose levels completed
on separate occasions. Diagnosing type 2 diabetes both plasma glucose levels must
be greater than - Correct Answer 126 mg/dL
An older adult with type 2 diabetes presents to the primary care clinic with a report of
polyurea, polydipsia, and loss. Which of the following lab results requires immediate
intervention by the NP? - Correct Answer Serum glucose of 65 mg/dL
Mr. Gonzalez a 65-year-old patient with type 2 diabetes reported to the primary care
office with complaints of weakness, fatigue, and diaphoresis. A review of the
patient's blood sugars over the last seven days demonstrates 2 sugars of 58 mg/DL
and 56 MG/ DL respectively period to narrow the differential diagnosis what should
the NP do first? - Correct Answer Determine if the hypoglycemia is related to
alcohol
