NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDA, Exams of Nursing

Download NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDA and more Exams Nursing in PDF only on Docsity! NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 NR 601 Week 4 Midterm (Practice 50Questions and Answers).LATEST UPDATED 2024. NR 601 Midterm (50Questions and Answers) 1. A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She has had a minimally productive cough for several years that does not bother her. On further questioning, she states that her breathing gets much worse when she lies down. The most likely cause of her dyspnea is: Cardiac 2. A 68-year-old male presents with a chief complaint of episodes of lightheadedness or dizziness. He states that sweating, tachycardia, and some hand trembling are often associated with these episodes. Which one of the following questions should you ask to help confirm the diagnosis? Are these symptoms related to eating? 3. A 68-year-old male presents with a chief complaint of episodic dizziness. Although not dizzy at present, he states that he has noted onset of dizzy episodes when he rolls over in bed and occasionally when he turns his head rapidly. Episodes last about 3 minutes. The most likely diagnosis is: Benign positional vertigo NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 4. A 75-year old resident in the nursing home has end stage dementia and experiences a 10- pound weight loss over the course of 2 months. The resident has become increasingly difficult to feed and often spits out food, pockets food, and frequently drools. The family is concerned about the resident's nutritional status. What is the initial action of the nurse practitioner? NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 Hispanic Americans 19. The nurse is teaching a health promotion class at a senior center. Which of the following statements demonstrate that the participant does not understand the topic: "We need to use caustic soaps and scrub aggressively with a wash cloth bathing to minimize bacteria on the skin." 20. The nurse practitioner educates that client that Healthy People 2010: offers direction for the achievement of improved quality of life across the life span 21. The nurse practitioner is caring for a client with a newly diagnosed chronic illness. In answering the client's questions, the nurse practitioner most accurately responds when basing the response on the fact that: chronic illness is lifelong, and coping can be influenced by perceived uncertainty. true 22. The nurse practitioner is developing a class on stroke prevention for a local senior citizens center. What would be an important focus when teaching stroke prevention directed at modifiable risk factors? Smoking cessation 23. The nurse practitioner provides a client with education regarding the use of My Pyramid. What is the primary advantage of the United States Department of Agriculture's (USDA) My Pyramid to the older adult client? It's an easy method for identifying and correcting nutritional deficiencies in one's diet. 24. The nurse practitioner shows an understanding of appropriate influenza vaccination guidelines for a client over the age of 65 when stating: "Regardless of your physical health you really should get a yearly flu shot." NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 25. The nurse shows understanding of the need to promote healthy skin in the older adult when encouraging the client to all of the following except : clean the skin with a moisturizing soap 26. Of the following clients, all of whom are 65 years of age or older, the nurse practitioner anticipates that the one who will rate himself or herself as has having excellent health will be: a white female who lives independently in a senior citizen community 27. An older adult client has been voluntarily admitted for treatment of alcohol dependency. In implementing care, the nurse plans which intervention based upon knowledge about alcohol and aging? Assessing the client for both depression and anxiety 28. An older adult client shares with the nurse that, "I don't know what it is but it seems that I need more light for reading or even watching television as I get older." The nurse explains that aging may cause this change due to the: Slower ability of the pupil to adjust to changes in lighting. 29. An older adult is admitted to the hospital during the night after a serious fall. When you round on the patient, you note that the patient has been prescribed meperidine (Demerol) for muscle pain. The nurse practitioner: Changes this medication order as Demerol is contraindicated in older adults 30. An older adult is currently prescribed both aspirin (81 mg) and ibuprofen daily. What instructions are most important for the nurse practitioner to provide to assure the expected outcomes for this client? Take ibuprofen 30 minutes after the aspirin so as to not interfere with its effectiveness 31. An older adult recently diagnosed with depression asks, "How long will it take for the antidepressant medication to make me feel better?" The nurse practitioner correctly responds: NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 "It can take up to 3 months for the full effects of the medication to be felt." 32. An older man has a history of medication therapy for hypertension. Which intervention does the nurse practitioner implement when the client reports that, "I've fallen twice in 5 weeks"? Orthostatic blood pressures 33. Tinnitus is defined as: a buzzing, clicking, or ringing in the ear 34. Weight loss is frequently caused by ingestion of one or more of the following drugs. Antibiotics Digoxin Nonsteroidal anti-inflammatory drugs (NSAIDs) Theophylline A, B, and C All of the above Answer: All of the above 35. What information will be included in client education for an older adult who needs to manage their calcium levels? Take your 1200-1500 mgs of daily calcium spread out between your meals and snacks 36. When best promoting a sense of well-being, the role of the nurse practitioner caring for a terminally ill client is to: help empower the client to achieve his/her potential for wellness 37. When considering Erikson's developmental stages, the task for later life is referred to as: ego integrity NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 C. 25-35 D. Greater than 40 Diabetes is one of the leading causes of which disease: A chronic lung disease B kidney failure C disability D cardiac death. Which antihypertensive medication can be used to treat hot flashes in menopause? A. Labatelol B. Clonidine However it has adverse effects such as dry mouth, drowsiness and hypotension which may make it undesirable. C. Hydrochlorothiazide D. Hydralazine What is the least diabetogenic statin? A. Rosuvastatin B. Simvastatin C. Atorvastatin D. Pravastatin Bence Jones proteins found in a urinalysis may be indicative of: A. Leukemia B. Lymphosarcoma C. Multiple myeloma D. All of the above NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 What is the first line medication for new type 2 diabetic? A.Novolog B. Penicillin C. Metformin D. Glyburide Protein on a urinalysis usually has a renal pathology, specific to which renal structure? A. Glomerulous B. Renal cortex C. Medulla D. Nephron What is the hA1C goal for diabetic patients with complex health status (multiple chronic conditions)? A. <7.5 Its B. VERY complex is 8.5. I feel like that's tricky C. <8.5 D. < 9 Type 2 diabetes factors include? A. Polycystic B. Obesity C. Hypotension D. Liver disease Gastric bypass surgery can be performed on a patient with a BMI off. A. 20-25 B. 40 NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 C. 30-34 D. 25- 29 Signs of indicative abuse includes? 1) Weight Gain 2) Poor Hygiene 3) Lack of control 4) Increase interested in daily activities What age related changes does NOT affect urologic functioning? A. Decreased bladder capacity B. Normal aging C. Increased PVR urine volume D. Increased urethral resistance Painful, irregular-shaped,deep red ulcers with a red halo and undermined edges. Which STD is most likely? A. Syphilis B. HSV (Herpes) C. Chancroid (Haemophilus ducreyi) D. Molluscum contagiosum (Pox virus) What is the average BG level of a HB A1C of 9.5? A. 226 B. 216 C. 197 D. 240 A way I remember this is know that an A1C of 6 is always 126 and add 14 to get your next AIC bG level. Which STI increases in those over the age of 50 years old? A. Syphilis NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 C. Strategy D. Invitation Answer is B P actually stands for perception (Kennedy page 496 What is a common characteristic of dysuria-pyuria syndrome (acute urethral syndrome)? A. Painful urination B. WBCs on microscopic UA C. Absence of positive bacterial culture D. All of the above Often caused by Chlamydia Contraindication for testosterone therapy injection, all EXCEPT: A. Liver disease B. Mercury allergy C. Latex allergy D. Prostrate cancer If the testosterone level is below 300, what is the next step? A. Order a serum prolactin level B. Initiate testosterone therapy C. Repeat the level in 1 month D. Refer to urologist All of the following labs should be ordered in a patient with complaints of ED EXCEPT: A. Lipod profile B. CMP and obviously add a testosterone level to those labs C. TSH D. Fasting blood sugar NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 Risk factors for urinary in continence include: A. Age B. Residing in long term care setting C. Cognitive impairment D. Female gender E. All of the above Kennedy of 84. UI. Is twice as common in women as men incidence increases with age being institutionalized and those with a deficit in ADLs A patient with impaired glucose intolerance is at an increased risk of developing type 2 diabetes within how many years of onset? A) 2 to 5 years B) 5 to 10 years What is the most commonly identified infectious agent or toxic insult in a person with genetic predisposition for DM1? A.) Herpes B.) Congenital Rubella C.) Chicken pox D.) MMR vaccine while pregnant All are contraindications of Metformin except A. Stroke B. MI C. Renal disease D. Septicemia NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 When should insulin therapy begin in the management of DM2? A. Initially B. If A1C is >9.0 and symptomatic C. If A1C is >8% and asymptomatic D. Patients with DM2 do not require insulin therapy. Which A1C indicates strong glycemic control? A. 6% B. <7% C. 8.5% D. 5.7% A patient who is experiencing menopausal symptoms and has a uterus can be treated with? A. Estrogen-only therapy B. Estrogen plus progestin C. Neither are recommend D. Either one can be used Viagra: how long after injection does it last? A. 15-45 minutes B. 30-60 minutes C. 60-90 minutes D. 90- 120 minutes Viagra: how often can it be used? A. Every 24 hours, 2-3 times/week B. Every 24 hours, 4-5 times/week C. Every 12 hours, 2-3 times/week D. Every 12 hours, 4-5 times/week The trasdermal testosterone gel or solution (AndroGel) can be applied to? NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 C. Onset: 60 minutes, HL: 4-6 hrs D. Onset 60 minutes, HL: 2-4 hrs Dilauded is: A. 5 times more potent than Morphine B. 2 times more potent than Morphine C. Half as potent as Morphine D. 3 times more potant than Morphine Which medication is most appropriate for very severe, intractable pain? A. Codeine B. Morphine C. Fentynal D. Hydrocodone Pain arising from the muscles, joints and cutaneous tissue is? A. Visceral pain B. Somatic pain C. . Neuropathic pain D. None of the above All of these medications can be used for neuropathic pain EXCEPT? A. Gabapentin B. Methadone C. Amitriptyline D. All are correct NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 before symptoms present. A. 2-5 B. 10-20 C. 1 D. 5-10 Women are more at risk for which type of abuse? A. Neglect B. Physical C. Sexual D. Both B & C Those with cognitive function are more at risk for which type of abuse? A. Exploitation B. Sexual C. Abandonment D. Physical Which type of dementia is caused by the blockage of bloody supply to neurons? A. Lewy Body Dementia B. Alzheimer’s disease C. Vascular Dementia D. Frontotemporal dementia How would you best treat an uncomplicated UTI of a non-pregnant 55 year old female with no known drug allergies? A: Cipro 7-10 days B: Bactrim 7-10 days In AD, Preclinical changes in the brain can begin in years NR 601 Midterm Exam plus Final Exam (With 100% Verified questions And Answers) LATEST UPDATED 2024/2025 C: Bactrim 3 days D: it’s uncomplicated. No treatment is needed. Age-related changes in the bladder, urethra and ureters include all of the following in older women except: a. decline in ureteral resistance pressure b. increased estrogen produciton's influence on the bladder and ureter c. laxity of the pelvic muscle d. decline in bladder outlet functi The proposed mechanism by which diphenhydramine caused delerium is: a. anticholinergic effects b. dopaminergic effects c. gabanergic effectis d. serotinergic effects According to the Palliative Care Presentation, palliative care may be provided to a. only cancer patients b. anyone regardless of their life expectancy or disease progression c. those with a life expectancy > 6 months d. those with a life expectancy< 6 months