NR601 APPB EXAM QUESTIONS &
DETAILED CORRECT ANSWERS
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
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
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 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
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
-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.
DETAILED CORRECT ANSWERS
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
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
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 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
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
-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.
