NR 601 Final Exam (2022-2023) Chamberlain College Of Nursing (100 Correct Q & A) (SATISFAC, Exams of Nursing

Download NR 601 Final Exam (2022-2023) Chamberlain College Of Nursing (100 Correct Q & A) (SATISFAC and more Exams Nursing in PDF only on Docsity! NR 601 Final Exam (2022-2023) Chamberlain College Of Nursing (100 Correct Q & A) (SATISFACTION GUARANTEED, GRADED A+  Which of the following statements is NOT true about palliative care teams? • A: Provide weekly home visits  A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned about her kidneys. She has no report of dysuria, frequency or urgency at this time. Which of the following is the best action to follow? • A: Recheck UA dipstick today  According to the sexuality presentation, atrophic vaginitis (AV) • A: Is a contributing factor for frequent UTIs P a g e 1 | 49  A 68-year-old women is being worked up for stress incontinence. UA reveals positive leukocyte esterase, positive nitrites, 15 WBCs, no RBS, no protein, no casts. She denies frequency, urgency, suprapubic pressure or urgency. What is the first treatment for her US results? • A: no treatment is necessary  The elderly are at higher risk for delirium because of: • A: All of the above  A 63-year-old man is seen in the clinic with a c/o nocturia. Which of the following should be included in the differential diagnosis? • A: Benign prostatic hypertrophy (BPH)  A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which of the following statements is true regarding the management of pain with opioids in the elderly? • A: none of the above P a g e 2 | 49  Which characteristic of delirium helps to distinguish it from dementia? • A: abrupt or Acute onset  According to the sexuality presentation, the biggest barrier to appropriate sexual evaluation in the older patient: • A: Ageist attitudes  Mrs. Smith a 65-year-old women presents to the clinic for the first time and c/o UI and dyspareunia, she went through menopause 10 years ago without any hormone replacement therapy and had a hysterectomy for fibroid. Her mother had a hip fracture at 82, pt had mammogram 5 years ago and no known fam hx of breast cancer…… you decide to begin topical hormone replacement therapy. Which of the following evaluations would be necessary prior initiating hormone replacement therapy? P a g e 5 | 49 NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & As)(SATISFACTION GUARANTEED, GRADED A+ • A: Mammogram  Mr. A experienced a brief onset of right-sided weakness, slurred speech and confusion yesterday. The symptom has resolved. What should the NP do? • A: identify modifiable cardiovascular risk factors  Any women with a complicated cystitis or symptoms of upper tract disease needs a urine culture and NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & As)(SATISFACTION GUARANTEED, GRADED A+ • A: sensitivity test  All of the following patients have a risk of adverse reaction from Metformin except: • A: patients with BMI >30 NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  The Mini-cog is a short screening tool used to assess cognition. Which of the following statements pertaining to the test is a true statement? • A: A score of 0-2 is a positive screen for dementia  What is a sign of insulin resistance that can present in African American patients? • A: Acanthosis Nigricans NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  Age related changes in bladder, urethra and ureters include all of the following in older womenexcept: • A: increased estrogen production’s influence on the bladder and ureter  The majority of patients enrolled in hospice care die: • A: at home  Ms. L 55-year-old women with BMI of 28, has 20-yearhx of primary HTN and has been on hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210 mg/dl. What is the next appropriate test? • A: Prescribe Metformin 500 mg PO BID  A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but complaints of some loose stools during the week. How should the NP respond? • A: Reassure the patient that this is an anticipated side effect  A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL= NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ • A: the urethra is shorter  Which of the following is a role of the advanced nurse in ????? • A: All of the above  All of the following statements are true regarding anxiety EXCEPT: NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ • A: is a normal part of aging  A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes • A: Educate the patient of lifestyle changes to lower blood glucose  Which of the following assessments are commonly noted in a client with Parkinson’s disease? NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ • A: Micrographia and bradykinesia  A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explore which of these causes of incontinence in men? • A: Urinary Tract Infection (UTI) NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  The highest level of evidence to support interventions at the end of life is with: • A: opioids for dyspnea  The comorbid psychiatric problem with the highest frequency in dementia is: • A: Anxiety  All of the following are true statements regarding elder abuse EXCEPT: NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ • A : common signs of abuse include decreased anxiety and depression  Which of the following is a role of the advanced nurse in ????? • A: All of the above NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  The proposed mechanism by which diphenhydramine causes delirium is: • A: Anticholinergic effect  A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is : • A : Morphine NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ • A: All of the above (Services not well understood, confusion remains over when it is appropriate to consult palliative care, denial of impending death)  Which of the following would be an appropriate treatment for a patient with mild BPH? • A: reevaluate symptoms in 1-3 months NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  The most common neurological cause of seizures in an older adult is: • A: stroke  A 68-year-old women presents with a c/o urine leakage whenever she sneezes, laughs, or strains for the past 4 months. She denies dysuria, frequency and nocturia. US dipsticks is negative for RBCs, leukocytes esterase, nitrites, ketones and urobilinogen. What is the diagnosis? • A: stress incontinence NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  The tasks of grieving include all of the following EXCEPT: • A: begin to disengage  Acanthosis nigrans is associated with all of the following conditions except: • A: tinea versicolor  Which of the following statements is trueregarding pain? NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  A male patient with a BMI of 33 presents to the office with c/o fatique, excessive hunger and excessive thirst. You suspect type 2 DM . initial testing to confirm diagnosis can include: • A: all of the above  An 87-year-old tells the NP that his grandson locks him in his bedroom when he goes out. The grandson withholds food if the patient does not give him money every week. The patient appears frail, ungroomed, and his clothes are visibly dirty and smell of urine. Which of the following is the best action for NP? • A: report the grandson to your state’s protective services NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  The leading cause of death in elderly travelers worldwide is: • A: accidents  The majority of depressed older adults remain untreated because of : • A: All of the above (misdiagnosis, social stigma, environmental…)  When examining the spine of an older adult you notice a curvature with a sharp angle. This is referred to as a: • A: scoliosis NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  Which of the following patients has the highest risk for the development of osteoporosis? • A: A 5’4” Asian female weighing 95 lbs  When assessing a patient’s mental health, the NP knows: • A: both A & B ( cognition affects mental status and affect reflects mood)  You are working with an older male adult with a long hx of alcohol abuse and a 30-yearhx of smoking. In recommending an intervention for this client, your responsibility is to: NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  Which of the following patients has the highest risk for the development of osteoporosis? • A: A 5’4” Asian female weighing 95 lbs  Mrs. G is a 65-year-old Caucasian female who presents for her yearly physical. A review of her chart reveals she smokes 1 pack of cigarettes a day, and drinks 2 beers every evening since she retired. She does not exercise, she likes to sit and knit. The NP know the NONMODIFIABLE risk factor for osteoporosis for Mrs. G is : • A: Age NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  The NP orders bilateral wrist X-rays on a 69-year-old gentleman c/o of pain in both wrists for the past 6 weeks not related to any known trauma. The NP suspects elderly onset RA. The initial radiographic finding in a patient with elderly onset RA would be: • A: soft tissue swelling  The NP is reviewing a patient chart prior to the start of the encounter. The NP notes that the patient is using topical CAPSAICIN. The NP knows that topical capsaicin id often used for treatment of: • A: Diabetic neuropathy  Which of the following statements about OA is true? NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ • A: It affects primarily weight bearing joints  MJ presents to the clinic with the following hx and presentation: hx of structural damage with current s/s of HF. Treatment will be based on MJs stage of HF which is: • A: Stage C  Dietary supplements such as Omega 3 (fish oils) are often taken for cardioprotective benefit. The NP knows regarding Omega 3 consumption: NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ • A: is a normal part of aging  Which of the following best describes the pain associated with OA? • A: Begins upon arising and after prolonged weight bearing and/or use of the joint  Which organism that can be prevented by immunization is most often responsible for infectious outbreak in the nursing home setting? • A: Influenza A NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  JK 60 year old women comes to the office today for evaluation of mgmt. plan of her c/o insomnia…..she wakes up after about 4 hrs and cannot return to sleep. The next step in treatment of insomnia is: • A: Zolpidem 5 mg by mouth at hs#7 with no refills  You have ordered a CBC for your patient you suspect has PMR. Which two clinical findings are common in pt with PMR? • A: Normochromic, Normocytic anemia and thrombocytosis  PG is a 58-year-old Caucasian man with stable mental health diagnosis of schizophrenia who presents for a yearly physical. PG is prescribed aripiprazole for treatment of his schizophrenia. The NP NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ knows the following labs should be ordered to assess for cardiometabolic changes related to his medication EXCEPT: • A: AST/ALT  Which of the following is the most appropriate screening tool for delirium? • A: Confusion Assessment Method  An 82-year-old man is seen in the primary care office with complaints of dribbling urine, difficulty starting his stream. Which of the following should be included in the list of differential diagnosis? NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  Which of the listed conditions is most likely to cause delirium? • A: Acute infection  You are working up a 52-year-old patient for microscopic hematuria. Your differential diagnosis list includes all of the following EXCEPT: • A: renal stenosis NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  Don’t have  A 55-year-old Caucasian man with type 2 DM presents to the clinic a as new pt. he takes metformin 500 mg twice a day. His last Hgb A1C was 7%. He is up to date on eye and foot examinations. His BP is 142/96. According to JNC8, what is the most appropriate medication? • A: lisinopril NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+ NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+  Delirium is typically characterized by all of the following except: • A: Hyperactive level of psychomotor activity  An 80-year-old female widow asks her NP about hospice enrolment. Her diagnosis includes congestive HF, HTN and DM2. She has noticed that in the last month she has lower extremity edema and she is finding it difficult to walk to the grocery store and church, she does not use oxygen. She is able to maintain her home but requires more frequent rest after vacuuming. She does not wish to be admitted to the hospital again in the future but if admitted wants to remain full code status. Why is this patient NOT appropriate for hospice? • A: her prognosis is > 6 months NR601 Final Exam / NR 601 Final Exam (New, 2022/2023): Chamberlain College Of Nursing (100 Correct Q & A)(SATISFACTION GUARANTEED, GRADED A+