NRNP 6540 Didactic Questions with verified
answers
Ans✓✓✓
67 year old female came in for an office visit presenting with symptoms of nasal
congestion, itching, and sneezing and was diagnosed with rhinitis. Which of the
following is true about the types of rhinitis Ans✓✓✓ Allergic rhinitis has an
increased occurrence in those older than age 60
70 year old male visits urgent care and present symptoms of unilateral eye pain,
visual blurring with halos around the eyes, red eye and photophobia. He also
reports nausea and vomiting. Visual acuity shows the loss and the affected eye.
He is immediately referred for a complete ophthalmic examination.Which of the
following conditions may mr jones be experiencing Ans✓✓✓ Glaucoma
72 year old woman comes to the clinic with concerned about her breathing. She
states she is having trouble with mucus collection and difficulty coughing it out.
The np response with which of the following explanations Ans✓✓✓ As you get
older the tissue in your lungs is not as flexible to aid in exhalation
The body contains less water as you age and the mucus begins to dry out
80 year old male was diagnosed with copd about 10 years ago and the symptoms
are getting progressively worse. The patient is on a combination bronchodilation
therapy with a saba and LABA he needs better symptom management. What
would be the best addition to the medication regimen to control his symptoms
Ans✓✓✓ Inhaled glucocorticoid
,89-year-old female presents to the emergency department with epigastric pain
that has been ongoing for about two hours and fatigue. The patient states she is
not becoming dyspneic the pain is radiating to her arms and neck. The np
suspects ischemic heart disease and angina. Which of the following would be
recommended treatments for this patient to prevent a myocardial infarction
Ans✓✓✓ ASA 162 milligrams is recommended to prevent an mi
Anti ischemic medications are recommended such as CCBs or sublingual nitro
Blood pressure management is recommended to prevent mi after an anginal
event. Blood pressure should be maintained under
89-year-old is reporting bouts of agitation. The apron is counseling her family that
these periods of agitations can be triggered by which of the following Ans✓✓✓
Approaches from other people
A 60-year-old male enters the burn center for triage and treatment due to a burn
he has received at a campfire. His left arm has an area that is erythematis and
painful, and another area has a blister. What is the degree of these Burns
Ans✓✓✓ First and second degree
A 64 year old man has been feeling weak, lightheadedness, and slightly nauseous.
He goes to the urgent care with an np initiates an assessment. Which of the
following suggest an arrhythmia Ans✓✓✓ In age-related factor associated with
tachyarrhythmias is increased left atrial size
(chest x-ray showing an increased size of the left atria)
,Drugs that can cause an arrhythmia include digitalis and other antiarrhythmics,
aminophylline, and alcohol
A 69 year old female seeks medical advice because she is having trouble
breathing. She is experiencing dyspnea, chronic cough with sputum production,
decreased activity intolerance, and wheezing. She states that she has not been
near anyone within a uri and wonders why this is happening Ans✓✓✓ Have you
ever worked in a factory or foundry
How long have you experienced these symptoms
Do you have any past history of respiratory difficulties
Have your symptoms increased as you've gotten older
A 69-year-old is beginning to experience some cognitive decline. His son brings
him to the practitioner for evaluation. The APRN assesses for which of the
following signs or symptoms Ans✓✓✓ Cognitive decline is complex attention,
executive function, learning, and memory
Gradual onset and slow course of illness and progression
Impaired ability to care for oneself
Total or partial loss of ability to recognize familiar people
, A 70 year old patient with venous ulcers to her right lower extremity due to
venous disease. She has a history of multiple pregnancies and surgeries that have
had her in a sedentary lifestyle. Which of the following would be possible
contributing factors to her diagnosis Ans✓✓✓ Obesity
Reduce mobility
A 70-year-old being treated for geriatric depression. What would the APRN do for
the treatment of the patient's depression Ans✓✓✓ Evaluate the present
medication regimen
Treat any comorbidity
Order and SSRI
Order Abilify
A 72-year-old woman and her husband are on a cross country driving Vacation.
After a long day of driving, they stopped for dinner. Midway through the meal the
woman becomes very short of breath, with chest pain and a feeling of panic
which of the problems is most likely Ans✓✓✓ Pulmonary embolism
A 75 year old is suffering from depression. He tells the API and that he is tired of
feeling so low. He asked if depression is a normal part of aging.The APRN tells him
the depression is which of the following Ans✓✓✓ Not a normal part of aging
Can be related to nutritional deficiencies, especially vitamin B12 and D
answers
Ans✓✓✓
67 year old female came in for an office visit presenting with symptoms of nasal
congestion, itching, and sneezing and was diagnosed with rhinitis. Which of the
following is true about the types of rhinitis Ans✓✓✓ Allergic rhinitis has an
increased occurrence in those older than age 60
70 year old male visits urgent care and present symptoms of unilateral eye pain,
visual blurring with halos around the eyes, red eye and photophobia. He also
reports nausea and vomiting. Visual acuity shows the loss and the affected eye.
He is immediately referred for a complete ophthalmic examination.Which of the
following conditions may mr jones be experiencing Ans✓✓✓ Glaucoma
72 year old woman comes to the clinic with concerned about her breathing. She
states she is having trouble with mucus collection and difficulty coughing it out.
The np response with which of the following explanations Ans✓✓✓ As you get
older the tissue in your lungs is not as flexible to aid in exhalation
The body contains less water as you age and the mucus begins to dry out
80 year old male was diagnosed with copd about 10 years ago and the symptoms
are getting progressively worse. The patient is on a combination bronchodilation
therapy with a saba and LABA he needs better symptom management. What
would be the best addition to the medication regimen to control his symptoms
Ans✓✓✓ Inhaled glucocorticoid
,89-year-old female presents to the emergency department with epigastric pain
that has been ongoing for about two hours and fatigue. The patient states she is
not becoming dyspneic the pain is radiating to her arms and neck. The np
suspects ischemic heart disease and angina. Which of the following would be
recommended treatments for this patient to prevent a myocardial infarction
Ans✓✓✓ ASA 162 milligrams is recommended to prevent an mi
Anti ischemic medications are recommended such as CCBs or sublingual nitro
Blood pressure management is recommended to prevent mi after an anginal
event. Blood pressure should be maintained under
89-year-old is reporting bouts of agitation. The apron is counseling her family that
these periods of agitations can be triggered by which of the following Ans✓✓✓
Approaches from other people
A 60-year-old male enters the burn center for triage and treatment due to a burn
he has received at a campfire. His left arm has an area that is erythematis and
painful, and another area has a blister. What is the degree of these Burns
Ans✓✓✓ First and second degree
A 64 year old man has been feeling weak, lightheadedness, and slightly nauseous.
He goes to the urgent care with an np initiates an assessment. Which of the
following suggest an arrhythmia Ans✓✓✓ In age-related factor associated with
tachyarrhythmias is increased left atrial size
(chest x-ray showing an increased size of the left atria)
,Drugs that can cause an arrhythmia include digitalis and other antiarrhythmics,
aminophylline, and alcohol
A 69 year old female seeks medical advice because she is having trouble
breathing. She is experiencing dyspnea, chronic cough with sputum production,
decreased activity intolerance, and wheezing. She states that she has not been
near anyone within a uri and wonders why this is happening Ans✓✓✓ Have you
ever worked in a factory or foundry
How long have you experienced these symptoms
Do you have any past history of respiratory difficulties
Have your symptoms increased as you've gotten older
A 69-year-old is beginning to experience some cognitive decline. His son brings
him to the practitioner for evaluation. The APRN assesses for which of the
following signs or symptoms Ans✓✓✓ Cognitive decline is complex attention,
executive function, learning, and memory
Gradual onset and slow course of illness and progression
Impaired ability to care for oneself
Total or partial loss of ability to recognize familiar people
, A 70 year old patient with venous ulcers to her right lower extremity due to
venous disease. She has a history of multiple pregnancies and surgeries that have
had her in a sedentary lifestyle. Which of the following would be possible
contributing factors to her diagnosis Ans✓✓✓ Obesity
Reduce mobility
A 70-year-old being treated for geriatric depression. What would the APRN do for
the treatment of the patient's depression Ans✓✓✓ Evaluate the present
medication regimen
Treat any comorbidity
Order and SSRI
Order Abilify
A 72-year-old woman and her husband are on a cross country driving Vacation.
After a long day of driving, they stopped for dinner. Midway through the meal the
woman becomes very short of breath, with chest pain and a feeling of panic
which of the problems is most likely Ans✓✓✓ Pulmonary embolism
A 75 year old is suffering from depression. He tells the API and that he is tired of
feeling so low. He asked if depression is a normal part of aging.The APRN tells him
the depression is which of the following Ans✓✓✓ Not a normal part of aging
Can be related to nutritional deficiencies, especially vitamin B12 and D
