NRNP 6540 Week 6 Midterm Exam

(NRNP 6540 Week 6 Midterm)

1. Question: Geriatric assessments can … challenging for the health-care provider due to delay of recognition and/or reporting of symptoms by the patient. Which of the following best describes what is … by health-care providers to address this differential?  
2. Question: A patient complains of dry, irritated, and itchy skin that has not been … with over-the-counter medications. On examination, the patient is also found to present cholestasis and jaundice. From which of the following conditions may the patient … suffering?
3. Question: Which of the following terms refers to conditions that have multiple underlying factors and may involve multiple organs?  
4. Question: Oral cancer is a malignant tumor … by a non-healing sore in the mouth or lip that causes difficulty chewing or swallowing. Which of the following statements applies to an oral cancer diagnosis?  
5. Question: Osorio is a 65-year-old male who recently … because of a medical condition. He has good family support and is very motivated to start a wellness program to prevent worsening of his condition. These factors are an example of:  
6. Question: Thomas comes in for a health examination with his nurse practitioner. When the nurse practitioner measures his blood pressure, the systolic is 150 mm and the diastolic is 80 mm. When Mr. Thomas asks if that is a good pressure for him, the nurse practitioner responds:  
7. Question: Understanding that the current life expectancy is 79 years, the nurse practitioner plans a patient’s health promotion while considering which of the following?                
8. Question: For which of the following evaluations should the patient … when sleep impairment is … with chronic rhinitis?  
9. Question: Many adults find reasons or barriers for not being able to exercise. Which of the following is an example of a patient barrier?  
10. Question: Which of the following is the focus of additional studies about the relationship between physical activities and cognitive changes?  
11. Question: Wandering in older adults can occur with disorientation or cognitive impairment and is … as locomotion in a seemingly aimless pattern. From which of the following conditions can wandering arise? Select all that apply.  
12. Question: Challenges to increasing physical activity are different for everyone. For instance, some patients may … experiencing depression or loss, some may have had significant life changes, and others may be dealing with functional limitations. As relates to increasing physical activity, these are examples of what?  
13. Question: Bertha is an 85-year-old grandmother who has multiple morbidities. Family members report that Bertha is not eating much and does not seem as active as usual. They want the nurse practitioner to order tests to identify what is happening to her. The nurse practitioner considers which of the following before ordering any tests? Select all that apply.  
14. Question: Ms. Samuels, 74 years old, comes to the clinic with concerns about her breathing. She states that she is having trouble with mucus collection and difficulty coughing it out and wants to know why?   The nurse practitioner tells the patient:                
15. Question: An older woman is seen in the ambulatory clinic for a routine checkup. The patient asks about results of her blood work … to last year’s results. How is it best for the clinician to respond?                
16. Question: In conducting a CGA, the nurse practitioner looks for any impairments in communication with the patient. The assessment includes:  
17. Question: A family member comes into the clinician’s office with her older mother, the patient. In the process of the examination, the nurse practitioner identifies the patient as “frail older adult.” The family member asks what that means. The nurse practitioner explains that this refers to:  
18. Question: The nurse practitioner conducts a comprehensive geriatric assessment of the older individual because:  
19. Question: For individuals over 65 years old, the most common morbidities are … to:                
20. Question: In the assessment for peripheral vascular disorders, the clinician should begin with which of the following after the general history and physical examination?  
21. Question: Which of the following is the correct term for the eye condition that presents a sterile mass on the eyelid that is painless and has no reddening?  
22. Question: Khan is 89 years old and is … to have bouts of agitation. The nurse practitioner is counseling her family that these periods of agitation can … by which of the following?  
23. Question: The nurse practitioner and a student are examining the apical pulse of an 82-year-old man. The student perceives that there is an S4 sound. The nurse practitioner interprets that this is likely:  
24. Question: Williams is 76 years old and comes in to have a wound … on her right leg. She fell a month ago and the wound has not healed. She is … that something is wrong. The nurse practitioner examines the wound and sees that it has been cleaned properly and has no signs of infection. The edges are approximated, but the skin around the wound is red and tender to touch. The best response regarding Mrs. Williams’ concern is:  
25. Question: The most common diagnostic test for AR is skin testing that involves scratching the surface of the skin with a single stylus for each allergen. Which of the following are possible if further testing is needed? Select all that apply.
26. Question: Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and complete blood count (CBC). The total assessment is necessary because:  
27. Question: Jones, a 70-year-old male, visits the urgent care and presents symptoms of unilateral eye pain, visual blurring with halos around lights, red eye, and photophobia. He also reports nausea and vomiting. Visual acuity shows a loss in the … eye. He is immediately … for a complete ophthalmic examination. Which of the following conditions may Mr. Jones … experiencing?  
28. Question: A patient comes to the health-care provider office for a checkup. The nurse practitioner notes that the patient is 67 years old and is presenting symptoms of dizziness, orthopnea, and edema. The nurse practitioner begins a … assessment of the:  
29. Question: The nurse practitioner is … with primary prevention strategies. How can the nurse practitioner implement primary prevention strategies for an 80-year-old male patient who smokes?  
30. Question: Stan is 64 years old and has been feeling weak, lightheaded, and slightly nauseous. He goes to the urgent care center where the nurse practitioner initiates an assessment. Which of the following suggest an arrhythmia?                
31. Question: Prentiss is … with symptomatic AAA. The initial treatment is aggressive blood pressure control. At which of the following readings should mean arterial pressure … maintained?  
32. Question: Williams, 80 years old, asks her nurse practitioner to order a new alternative therapy for her. Mrs. Williams believes that this botanical supplement will provide pain relief for her fibromyalgia. The nurse practitioner explains that this therapy is likely not … by Medicare because:
33. Question: The treatment for cellulitis includes which of the following?                
34. Question: Martinez is 75 years old and has had type 2 diabetes for 25 years. She sees her nurse practitioner on a regular basis. Mrs. Smith asks the nurse practitioner why her treatment has not been changed, even though her laboratory values are seemingly out of normal range. Which of the following is the best response?                 
35. Question: The focus of … nurse practitioners is primary care. This is … as activities that focus on:  
36. Question: A 67-year-old female patient comes in for an office visit presenting symptoms of nasal congestion, itching, and sneezing and is … with rhinitis. Which of the following is true about the types of rhinitis?  
37. Question: Which of the following statements best describes “cough”?  
38. Question: The nurse practitioner sees a patient in the emergency department with reports of chest pain and nausea. To analyze the patient’s condition, what further information is … ?  
39. Question: Borden is 79 years old and lives with his daughter. The daughter provides excellent care for her father and wants to know which changes in his heart and circulatory system are due to aging and which are due to lifestyle choices. The nurse practitioner replies:  
40. Question: Keating is a 70-year-old woman suffering from arthritis. She is seeing the nurse practitioner for her regular checkup. For a person with chronic degenerative conditions, which of the following should the nurse suggest for health promotion?  
41. Question: The nurse practitioner identifies a late cardiac murmur in an older adult patient.  This type of murmur is most often due to which of the following?                 
42. Question: Thomas comes in for a health examination appointment with his nurse practitioner. He asks why nurse practitioners are … to conduct these evaluations. Which of the following is the nurse practitioner’s best response? The nurse practitioner:
43. Question: The daughter of a 70-year-old woman asks the nurse practitioner why her mother has had a change in functional ability recently. The mother has regularly been drinking for 40 years, however, her behavior is changing. The nurse practitioner replies that:  
44. Question: The nurse practitioner is assessing a 69-year-old man for possible bipolar disorder. Which of the following are specific for diagnosing bipolar disorder?                
45. Question: The nurse practitioner is seeing patients in the respiratory clinic. An 85-year-old woman comes in with concerns about having difficulty breathing. When considering asthma, the nurse practitioner asks which of the following questions?
46. Question: Medications that may cause orthostatic hypotension include:
47. Question: When evaluating a patient with chronic cough, it is not … to suppress cough in a patient with stable COPD.
48. Question: The American Academy of Ophthalmology recommends comprehensive eye examinations every 1 to 2 years for people ages 65 years and older.
49. Question: The nurse practitioner assesses a patient’s skin and finds an infectious lesion on the lower leg. The lesion is … a secondary lesion. The nurse practitioner explains that a secondary lesion is one that:
50. Question: The nurse practitioner is preparing discharge instructions for a 79-year-old man with newly … asthma. Which of the following are important instructions to include? Select all that apply.
51. Question: Reduction of pain is the main goal for patients suffering from acute joint pain. The mnemonic PRICE is a helpful reminder of the treatment when this occurs. What does the “E” in PRICE stand for?
52. Question: Tina is a 60-year-old female presenting symptoms of coughing, shortness of breath, and purulent sputum. She is being … with antibiotics, use of a nebulizer, and oral steroids. Which of the following conditions could … her diagnosis?
53. Question: Rizzo is an 80-year-old Caucasian female who is presenting symptoms of chest pain, weakness, and lightheadedness. Which of the following may … a possible differential diagnosis of her symptoms?
54. Question: The nurse practitioner is leading a class of seniors over age 65 years and is teaching about nutritional needs. One of the men asks why, even though he eats correctly according to the standards presented, he still feels weaker than he did 10 years ago. He also wonders why he gets more infections than he … to. Which of the following are helpful answers? Select all that apply.
55. Question: An elderly couple is discussing health concerns with the nurse practitioner. The couple is … that each of their individual blood studies show different results. One set of test results shows a significant decrease in blood sugar, but the test results of the partner does not show an equal decrease. Their physician does not seem concerned, and the couple is wondering why. How is it best for the nurse practitioner to respond? Select all that apply.
56. Question: Adam, 70 years old, is … for possible myasthenia gravis (MG). The nurse practitioner knows that MG is commonly seen in women between 20 and 40 years old. Adam, however, is experiencing an ocular form of MG, has dysphonia, and does not have any thymus abnormalities. Adam asks why the nurse is concerned about MG since he is older and this is a “young person’s disease.” Which of the following are the best answers? Select all that apply.
57. Question: A health promotion topic … in the nurse practitioner visit is physical activity. Which of the following would … a good recommendation for the 75-year-old male? Select all that apply.
58. Question: T. is a 69-year-old Caucasian male who presents with dysuria. During the examination, he asks the nurse practitioner if there is a chance he has cancer. The nurse practitioner tells him that before she can determine what is causing the problem she will need to perform a physical examination and order which of the following diagnostic tests?
59. Question: Kefka Jones, 60 years old, has diabetes and is now having urinary tract symptoms. The nurse practitioner orders a glomerular filtration rate (GFR) from a urine sample. Which of the following would indicate a stage 1 chronic kidney disease (CKD)?
60. Question: Jane Smith is a 70-year-old Caucasian woman who comes to see her nurse practitioner for pain in her abdomen. The nurse practitioner is aware that Mrs. Smith is obese and has diabetes. Which of the following is a definitive diagnostic test for cholecystitis?
61. Question: Person comes to the health-care clinic with a presenting symptom of not urinating as much as usual. The nurse practitioner assesses Mr. Person by asking which of the following?
62. Question: Part of the abdominal examination the nurse practitioner will conduct is the assessment of skin color. As the nurse practitioner assesses the abdominal skin, the findings include which of these signs that are concerning?
63. Question: M.W. asks the nurse practitioner what she is listening to in her belly and what it means. The nurse practitioner tells her that she is listening to determine:
64. Question: Patient education is very important for individuals who have AAA. The patient and their family should … taught the importance of follow-up and the management of which of the following? Select all that apply.
65. Question: Devon visits the urgent care facility for sudden symptoms of pain to his lower extremity. The initial diagnosis is acute arterial ischemia. Aside from pain, which other symptoms may arise from this diagnosis? Select all that apply.
66. Question: Which medical specialist is the best referral for patients with symptomatic AAA?
67. Question: The nurse practitioner knows that conducting a comprehensive geriatric assessment (CGA) is more beneficial for which of the following groups?  
68. Question: and Mrs. Smith are both 75 years old and are seeing their nurse practitioner for their annual checkups. Mrs. Smith wonders why they each have trouble digesting different foods. It is inconvenient for her to fix different meals that they both can tolerate. The nurse practitioner explains that:  
69. Question: Rose, 88 years old, comes to the nurse practitioner with a complaint about a growth on her hand. She wants to have a biopsy done. The nurse practitioner asks the following question:  
70. Question: The nurse practitioner suspects the patient has a hordeolum. All of the following should … as a differential diagnosis EXCEPT           
71. Question: A 60-year-old male enters the burn center for triage and treatment due to a burn he … at a campfire. His left arm has an area that is erythematous and painful, and another area has a blister. What does the nurse practitioner record as the degree of burn?  
72. Question: Which of the following differential diagnoses should … with the diagnosis of peripheral arterial disease (PAD)?  
73. Question: A patient asks the nurse practitioner what is meant by health promotion. Which of the following is the nurse practitioner’s best response? Health promotion:  
74. Question: Which of the following conditions is … by bleeding from the nose?  
75. Question: The nurse practitioner is conducting an admitting assessment of a 69-year-old man. He has … ability to ambulate and has difficulty with activities of daily living (ADLs). In the interview, the nurse practitioner asks him if he drinks alcohol. He says, “Yes.” The practitioner follows up with a psycho-social evaluation because:  
76. Question: PVD is a disease that alters blood flow to or from the extremities and vital organs other than the heart. According to studies, which of the following remains the most important risk factor for PVD?  
77. Question: Mary Jane is seeing a nurse practitioner for a CGA and asks which parts of her life will … examined. The nurse practitioner says the domains of the CGA include:  
78. Question: Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson because:     
79. Question: Williams,75 years old, comes to the urgent care center with complaints of fever, fast heartbeat, a swollen gland under his right arm, and redness in his upper left arm that has hurt for 2 to 3 days. The patient says that he has had the redness in his arm for months without any difficulty. The nurse practitioner suspects which of the following?                
80. Question: A gerontological patient is being … for a report of pain in the shoulder. The nurse practitioner completes a thorough systemic examination because:                
81. Question: The nurse practitioner knows that risk factors for coronary artery disease (CAD) include atherosclerosis. The nurse practitioner includes teaching on these factors that can … to help prevent CAD:  
82. Question: The nurse practitioner is considering ordering medications to help control an older patient’s agitation. She chooses which of the following?  
83. Question: When a patient is seen by a nurse practitioner, the care plan is … keeping which of the following objectives in mind?  
84. Question: The nurse practitioner knows that health promotion is … on a broader scale by:  
85. Question: Anne is a 50-year-old post-mastectomy patient … with secondary lymphedema. Based on her surgical history, which of the following may … the contributing factor to the lymphedema?  
86. Question: The nurse practitioner performs a thorough systemic examination of a patient who reports diarrhea and pain in the upper left quadrant of the abdomen. One possible diagnosis would … :                
87. Question: Which of the following statements is true regarding diagnostic testing?
88. Question: A patient with renal disease has blood work drawn, and the results show an increase in serum creatinine. The nurse practitioner needs to know which of the following laboratory values before ordering medications?  
89. Question: The nurse practitioner is examining an 85-year-old man with reports of abdominal pain, weakness, and loss of appetite. Which is the most likely condition to … for and ruled out?                
90. Question: The nurse practitioner is managing a patient with a AAA.  Which of the following conditions should … closely to prevent complications of the AAA?                
91. Question: Older adults who have chronic conditions and are considering an increase in their physical activity should:  
92. Question: Adams is 90 years old. In the last few months he appears unable to comply with the health-care plan developed by the nurse practitioner.  All of the following reasons for noncompliance are probable EXCEPT:                  
93. Question: Steven is a 65-year-old male … with Parkinson’s disease. He is taking anti- Parkinson’s drugs, calcium supplements, and NSAIDs for his joint pain. Which of the following conditions could … by his medications?  
94. Question: Lymphedema is … by swelling of the extremity. Which of the following symptoms are also presented with lymphedema?        
95. Question: A 70-year-old man is seeing a nurse practitioner because he is feeling weak and dizzy. The nurse practitioner is discussing his symptoms. All of the following statements would … appropriate to make EXCEPT:                
96. Question: A 58-year-old man is being seen by his nurse practitioner for a cardiac work-up. His cholesterol is 320 mg/d. The nurse practitioner includes teaching about lowering his cholesterol by discussing blood levels and dietary choices. The nurse practitioner says which of the following?  
97. Question: The American College of Sports Medicine (ACSM) has … programs to incorporate exercise into every patient encounter. Which of the following is the correct phrase for this program?  
98. Question: Nosebleeds are generally minor and nonrecurring, but when a patient is seen for this, a consultation with an ear, nose, and throat (ENT) specialist is … when which of the following conditions occurs? Select all that apply.
99. Question: The nurse practitioner is conducting patient rounds in a long-term care facility. As she talks with Mrs. Jones, she notices that her arms and elbows are … and the skin is shearing. The nurse practitioner explains to the staff that Mrs. Jones needs frequent assessment of her skin and protection provided to prevent skin breakdown because:  
100. Question: The son of a 72-year-old man brings his father into the practitioner to plan for treatment of the patient’s alcoholism. The nurse practitioner has several options available. Which is the first choice?

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