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New 2025 NR 601 Final Exam Prep Test Bank WITH QUESTIONS AND
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UPDATE 2025 Chamberlain) NR601 FINAL Exam 2025/ Nr 601 Final
Exam Test Bank 2025
Which of the following would you recommend annually for the elderly type 2 diabetic? a. periodic visits to a gastroenterologist b. colonoscopy c. follow up with a urologist d. eye exam with an ophthalmologist - CORRECT ANSWER- d. eye exam with an ophthalmologist
The majority of patients enrolled in hospice care die: a. in the hospital b. in an inpatient hospice facility c. in a nursing home d. at home - CORRECT ANSWER- d. at home
Which of the following is a role of the advanced practice nurse in palliative cancer care? a. detecting cancer in asymptomatic patients or those with specific symptoms b. arranging for follow up including patients c. identifying and managing complications of care d. all of the above - CORRECT ANSWER- d. all of the above A 56-year old male patient screened for diabetes has a fasting plasma glucose level of 96mg/dl. The nurse practitioner management plan includes: a. repeat fasting plasma glucose in three years b. prescribe Metformin 500mg po BID c. repeat fasting plasma glucose in one year d. refer to ophthalmology for eye exam - CORRECT ANSWER- a. repeat fasting plasma glucose in three years
According to the Sexually presentation, atrophic vaginitis a. the symptoms are the same for each woman b. creates a more acidic vaginal environment c. is a contributing factor for frequent urinary tract infections d. is not treated with vaginal lubricants - CORRECT ANSWER- c. is a contributing factor for frequent urinary tract infections A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as a new patient. He takes metformin 500mg 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
According to the palliative care presentation, most elderly patients die: a. alone b. at home c. in institutions d. in pain - CORRECT ANSWER- c. in institutions
Male patient presents with a BMI of 30 presents to the office for an annual exam. You are reviewing the lab results. You ordered a CMP as part of routine labs. The fasting glucose was 130. Your next action is: a. repeat the fasting glucose b. start metformin 500mg BID c. repeat fasting glucose in 1 year d. call the patient and report lab results as normal - CORRECT ANSWER- a. repeat the fasting glucose
The task of grieving include all of the following except a. begin to disengage b. acknowledge the reality of death c. work through the pain of grief d. restructure relationships - CORRECT ANSWER- a. begin to disengage
All of the following are true statements regarding elder abuse except: a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse c. missing scheduled appointments and delays in medical care are common d. common signs of abuse include decreased anxiety and depression - CORRECT ANSWER- d. common signs of abuse include decreased anxiety and depression
Hospice care differs from palliative care in that: a. it cannot be provided in the nursing home b. the majority of those admitted to hospice die within 7 days c. it is not covered by insurance d. it is designed for the last six months of life - CORRECT ANSWER- d. it is designed for the last six months of life
How does woman's anatomy make them more susceptible to UTI's a. the female urethra is shorter b. asymptomatic UTI's do not resolve themselves without treatment c. women tend to get UTI's when they are pregnant d. there is a longer distance between the urethra and anus - CORRECT ANSWER- a. the female urethra is shorter
Mrs. Smith, a 64 year old woman presents to the clinic for the first time and complains of urinary incontinence and dyspareunia. She went through menopaused 10 years ago without any hormone replacement therapy and had a hysterectomy for a fibroid. Her mother had a hip fracture at 87 years of age. The patient's most recent mammogram was 7 years ago and no known family history
Which of the following is the most appropriate screening tool for delirium? a. St Louis University Mental Status Exam (SLUMS) b. Montreal Cognitive Assessment c. Lawton Scale of instrumental Activities of Daily Living d. Confusion Assessment Model - CORRECT ANSWER- d. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is: a. lorazepam b. Gabapentin c. Methadone d. Morphine - CORRECT ANSWER- d. Morphine
Which characteristic of delirium helps to distinguish it from dementia? A. short term memory impairment b. personality changes c. acute onset d. impaired attention - CORRECT ANSWER- c. acute onset
Older adults with dementia sometimes suffer from agnosia, which is defined as the inability to a. remember events and places b. understand language
c. use language d. recognize objects - CORRECT ANSWER- d. recognize objects
When treating depression associated with dementia, which of the following would be a poor choice and not be prescribed a. desipramine b. amitriptyline c. fluoxetine d. mirtazapine - CORRECT ANSWER- b. amitriptyline
The most common neurological cause of seizures in an older adult is: a. multiple sclerosis b. stroke c. Alzheimer's disease d. peripheral neuropathy - CORRECT ANSWER- b. stroke
Periods of increased activity, when the patient did not seem to need to sleep or reports being very productive not needing sleep are: a. symptoms of schizophrenia b. symptoms of worsening depression c. symptoms of unipolar depression d. symptoms of hypomania or mania - CORRECT ANSWER- d. symptoms of hypomania or mania
b. call the grandson from the waiting room and educate him about proper care for his grandfather c. report the grandson to your states protective services d. advise the grandson if the patient reports the concerns at the end of the next visit, the NP is obligated to report to protective services - CORRECT ANSWER- c. report the grandson to your states protective service
A male patient with a BMI of 33 presents to the office with complaints of fatigue, excessive hunger and excessive thirst. You ordered a CMP and a Hgb A1C. The results are a fasting glucose 99, Hbg AIC 5.7. The nurse practitioner diagnosis is: a. type 2 diagnosis mellitus b. prediabetes c. euglycemic d. type 1 diabetes mellitus - CORRECT ANSWER- b. prediabetes
All of the following patients have a risk of adverse reactions from Metformin except: a. patients with renal disease b. patients with BMI > c. patients with alcoholic disorder d. patients with hypoxia - CORRECT ANSWER- b. patients with BMI >
According to the ADA guidelines, which of the following are screening tests for type 2 diabetes mellitus?
a. all options are appropriate b. fasting plasma glucose c. two-hour OGTT d. Hemoglobin A1C - CORRECT ANSWER- a. all options are appropriate
The first step in treating delirium is to: a. use side rails and/or wrist restraints to keep the patients safe b. give low dose Haldol if the patient has psychosis c. identify the cause d. provide reality orientation - CORRECT ANSWER- c. identify the cause
According to the genitourinary presentation, the number 1 risk factor for urinary incontinence is: a. smoking and caffeine levels b. uncontrolled diabetes c. aging d. obesity - CORRECT ANSWER- c. aging
Which of the following would be an appropriate treatment for a patient with moderated bothersome symptoms of BPH. a. recommend cranberry supplements b. reevaluate symptoms in 1 to 3 months
A 56 year old man is diagnosed with acute prostatitis, he is afebrile without severe pain and will be managed outpatient. He should initially be treated with antibiotics for how long? a. 6-12 weeks b. 14-21 days c. 3-6 weeks d. 10-14 days - CORRECT ANSWER- d. 10-14 days
An 80 year old female widow asks her nurse practitioner about her end of life options. Her diagnosis include congestive heart failure, hypertension and type 2 diabetes mellitus. She has noticed that in the last month she has lower extremity edema and she if 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 rests after vacuuming. She does not wish to be admitted to the hospital again in the future but if admitted wants to maintain full code status. How should the NP address this patients concerns today? a. start her on a medication for depression b provide her with information for senior day care services c. offer the patient a palliative care referral - CORRECT ANSWER- c. offer the patient a palliative care referral
Hospice services and palliative care services are underutilized due to a. denial of impending death b. confusion remains over when it is appropriate to consult palliative care c. services are not understood
d. all options are appropriate - CORRECT ANSWER- d. all options are appropriate
Jean, a 47 year old presents to the clinic with complaints of dysuria, frequency and strong odor of her urine for 5 days. This is the second occurrence this year. The first occurrence was 3 months ago. Today, UA reveals positive leukocyte esterase, positive nitrates, 18 WBC's, few RBC's, no protein, no casts. What is the appropriate next step for this patient: a. order a urine culture and sensitivity and hold treatment until you receive results b. prescribe a 7 day course of antibiotics and order a urine culture and sensitivity c. treat the patient with a stronger antibiotic, ciprofloxacin, for 10 days d. treat the patient with antibiotics today - CORRECT ANSWER- d. treat the patient with antibiotics today
Delirium is typically characterized by all of the following except: a. altered level of consciousness b. insidious onset c. inattention - CORRECT ANSWER- b. insidious onset
Mrs. G has returned to your office for a follow up visit for urinary incontinence (UI). Mrs. G has followed your 1st line recommendations. She has quit smoking, drinks plenty of fluids, and has eliminated caffeine and spicy foods. Despite all these changes, she still experiences UI. You decide to initiate second line treatment. You recommend: a. bladder control training
a. double the dosage of medication and have patient return in one week b. order a chem. 7 to check for lactic acidosis c. discontinue the medication immediately d. reassure the patient that this is an anticipated side effect - CORRECT ANSWER- d. reassure the patient that this is an anticipated side effect
An 82 year old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnosis. a. Parkinson's disease b. prostate cancer c. all options are appropriate d. benign prostatic hyperplasia (BPH) - CORRECT ANSWER- c. all options are appropriate
A 67 year old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential diagnosis? a. psychogenic nocturia b. benign prostatic hypertrophy c. drug induced impotence d. irritative posterior urethral lesion - CORRECT ANSWER- b. benign prostatic hypertrophy
Which of the following maneuvers is contraindicated in acute prostatitis
a. palpation of the epididymis b. massaging the infected prostate c. serial urine samples d. rectal exams - CORRECT ANSWER- b. massaging the infected prostate
You are working up a 52 year old patient for microscopic hematuria. Your differential diagnosis list includes all of the following except: a. nephrocalcinosis b. acute pyelonephritis c. renal stenosis d. bladder cancer - CORRECT ANSWER- c. renal stenosis
A 48 year old male patient screened for diabetes has a fasting plasma glucose level of 120mg/dl (6.7mmol/L). The nurse practitioner plan includes: a. prescribe metformin 500mg po BID b. educate the patient on lifestyle changes to lower blood glucose c. initiate self monitoring of blood glucose d. review the effects of oral hypoglycemic medications - CORRECT ANSWER- b. educate the patient on lifestyle changes to lower blood glucose
Terazosin, an alpha blocker, is prescribed to treat the following conditions: a. benign prostatic hypertrophy and hypertension b. benign prostatic hypertrophy and hypotension
c. malnutrition d. fluid overload - CORRECT ANSWER- a. acute infection
Mrs. R is a 68 year old woman with a BMI of 26. She is on Medicare, has a 20 year history of primary hypertension and has been well controlled on furosemide 30 mg BID for years. During this follow up visit Mrs. R reports that for the last 2 months she is always thirsty, she drinks at least 8 glasses of water a day. Upon chart review the NP notes that the last two fasting blood glucose levels have been 102mg/dl and 108mg/dl. What action should the nurse practitioner perform next? a. plan to recheck glucose as scheduled at the yearly physical exam next month b. order a fasting blood glucose c. check a POC glucose now, she is not fasting d. educate that the diuretic is causing thirst - CORRECT ANSWER- b. order a fasting blood glucose
Diabetes is one of the leading causes of which medical condition? a. chronic lung disease b. disability c. kidney failure d. cardiac death - CORRECT ANSWER- c. kidney failure
In the late stages of dementia, a phenomenon called "sun downing" occurs, in which cognitive disturbances tend to:
a. peak mid-day b. becomes worse toward the evening c. improves as the day goes on d. fluctuates during the course of the day - CORRECT ANSWER- b. becomes worse toward the evening
The proposed mechanism by which diphenhydramine caused delirium is: a. anticholinergic effects b. dopaminergic effects c. GABAergic effects d. serotonergic effects - CORRECT ANSWER- a. anticholinergic 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 - CORRECT ANSWER- b. anyone regardless of their life expectancy or disease progression
The highest level of evidence with the use of adjuvant analgesics is with: a. therapeutic trials before discontinuing drugs b. patients with fibromyalgia are candidates for adjuvant analgesics
