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NR 601 ACTUAL FINAL EXAM 2025 TESTBANK
ACTUAL EXAM COMPLETE 150 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
NEW
Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion yesterday. The symptoms have resolved and the CT is normal. What is the next step of the plan for Mr. A? a. assure the patient that he will not experience the symptoms again b. identify modifiable cardiovascular risk factors c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask - CORRECT ANSWER >>> b. identify
modifiable cardiovascular risk factors 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
RW, a 57 year old native American female, presents to the office. RW states she feels irritable and has difficulty concentrating as well as fallingn asleep and staying aleep. She states she is worried about her finances, her husband has just lost his job. The NP diagnoses anxiety. The NP prescribes a first line treatment which is a. Diazepam b. Clonazepam c. Ariprprazole
d. Paroxetine - CORRECT ANSWER >>> d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is: a. AV block b. atrial tachycardia c. atrial fibrillation
d. atrial flutter - CORRECT ANSWER >>> c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis a. the symptomsm are the same for each woman b. creates a more acidic vaginal environment c. is a contributing factor for frequent urinary tract infections
d. eye exam with an opthlamologist - CORRECT ANSWER >>> d. eye exam with an
opthlamologist Which characteristic of delerium 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
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
A middle aged patient has been diagnosed with Parkinson's disease. What influences the nurse practitioners descision to begin pharmacological treatment for this patient? a. medications initiated at first sign of unilateral involvement b. gait instability requiring the use of a cane c. intentional tremors
d. symptoms interfering with functional ability - CORRECT ANSWER >>> d. symptoms
interfering with functional ability Which of the following is a role of the advanced practice nurse in palliative cancer care? a. detecting cancer in asymptomatic paitents or those with specific symptoms b. arranging for follow up including patiennts c. identifying and managing complications of care
d. all of the above - CORRECT ANSWER >>> d. all of the above
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 ACC 2017 guidelines for high blood pressure in adults, what is the most appropriate first line medication? a. lisinopril b. furosemide c. amlodipine
d. clonidine - CORRECT ANSWER >>> a. lisinopril
An older male patient is experiencing acute onset of right sided weakness, slurred speech and confusion. What should the nurse practitioner do promptly? a. order an EKG and administer O2 by cannula immediately b. Do a through medication review and stat blood sugar
b. multisensory deficits c. polypharmacy
d. all of the above - CORRECT ANSWER >>> d. all of the above
A 68 year old woman presents with a complaint of urine leakage whenever she sneezes, laughs or strains for the past 4 months. She denies dysuria, frequency and nocturia. US dipstick is negative for RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What is the diagnosis? a. stress incontinence b. urinary incontinence c. urge incontinence
d. overflow incontninence - CORRECT ANSWER >>> a. stress incontinence
Which of the following signs or symptoms are not characteristics of delirium a. patient is coherent b. short duration c. sudden onset
d. symptoms are worse in the evenings - CORRECT ANSWER >>> a. patient is coherent
A 52 year old female patient screened for diabetes has a fasting plasma glucose level of 123 mg/dl. The nurse practitioners plan includes: a. repeat fasting glucose in 1 month
b. prescribe memformin 500mg BID po c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years - CORRECT ANSWER >>> c. repeat fasting plasma
glucose in one year 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
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. desimpramine
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 When assessing an elderly client who reports a tremor, which assessment findings would be most reliable in identifying Parkinsons disease? a. congwheel rigidity, bradykinesia, and macrorgraphia b. any presence of fever c. symptoms of slowed movement, unstable angina and tremor
d. resting tremor, slow unsteady gait and cogwheel rigidity - CORRECT ANSWER >>> d.
resting tremor, slow unsteady gait and cogwheel rigidity How dies womans anatomy make them more susceptible to UTI's a. the female urethra is shorter b. aymptomatic 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 uruinary incontinece and dyspareunia. She went through menipause 10 years ago without any hormone replacement therapy and had a hysterectomy for a fibroid. Her mother had a hip
d. male with age >45, diabetes mellitys and hyperlipidemia - CORRECT ANSWER >>> a.
diabetes, obesity and hyperlipidemia When treating inflammatory pain, the NP knows treatmemnt is focused on managing the inflammation. Appropriate medications for inflammatory pain include all of the following except: a. NSAIDS b. Opioids
c. Corticosteroids - CORRECT ANSWER >>> b. Opioids
According to the New York Heart Association (NYHA) functional classification, patients who have symptoms only with marked exertion are classified as: a. Class II b. Stage 1 c. Class I
d. Class IV - CORRECT ANSWER >>> a. Class II
Which of the following assessments are commonly noted in a client with Parkinson's disease: a. exaggeration of rapid successive movements b. increased arm swing c. macrographia and bradycardia
d. micrographia and bradykinesia - CORRECT ANSWER >>> d. micrographia and
bradykinesia The most common neurological cause of seizures in an older adult is: a. multiple sclerosis b. stroke c. alzheimemrs disease
d. peripheral neuropathy - CORRECT ANSWER >>> b. stroke
Patients with osteoarthritis of the hip and knee have a distinguishable gait described as: a. antalgic b. festinating c. steppage
d. ataxic - CORRECT ANSWER >>> a. antalgic
According to the 2017 Guideline for High Blood Pressure in Adults the recommended blood pressure goal for a 55 year old man with a history of chronic kidney disease is: a. <140/ b. <120/ c. <130/
b. benign prostatic hypertrophy and hypotension c. urinary tract infection and arrhythmia
d. chronic prostatitis and atrial fibrillationn - CORRECT ANSWER >>> a. benign prostatic
hypertrophy and hypertension A 65 year old Hispanic woman who presents to the office for routine follow up of her type 2 diabetes mellitus. Her routine UA results are as follows: few epithelial cells, negative leukocytes, negative nitrates, negative protein, no ketones. Which of the following tests should also be ordered annually for diabetic patients: a. result is normal, no further testing is necessary b. urine for culture and sensitivity c. recommend a screening intravenous pyelogram (IVP)
d. micoralbumin - CORRECT ANSWER >>> d. micoralbumin
A 87 year old man tells the nurse practitioner that his grandson locks him in his bedroom when he gets 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 the nurse practitioner. a. advise the patient to call his son and report the grandson's behavior as soon as possible 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 services 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. euglycemia
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 arer screening tests for type 2 diabetes mellitus? a. all options are appropriate b. fasting plasma glucose
a. sertaline
b. diazepam - CORRECT ANSWER >>> a. sertaline
Which obstructive lung disease is classified as reversible? a. Asthma b. Chronic bronchitis c. Emphysema
d. COPD - CORRECT ANSWER >>> a. Asthma
The 2017 HTN guidelines recommend the following treatment for a healthy 54 year old African American woman with a BI of 23 and consistent BP readings of 116-120/ a. none, this is a normal BP b. hypertension, stage 1 requiring treatment c. elevated BP requiring treatment with a thiazide
d. hypertension, stage 1 requiring treatment with a calcium channel blocker - CORRECT
ANSWER >>> a. none, this is a normal BP
According to the genitourinary presentation, the number 1 risk factor for urinary incontinence is: a. smoking and caffeine levles 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 c. prescribe finasteride and saw palmetto
d. prescribe tamsulosin - CORRECT ANSWER >>> d. prescribe tamsulosin
Acanthosis nigricans is associated with all of the following conditions except: a. tinea versicolor b. diabetes c. obesity
d. colon cancer - CORRECT ANSWER >>> a. tinea versicolor
Which of the following medications can blunt the signs of hypoglycemia in diabetics? a. beta blockers b. calcium channel blockers
c. angiotensin receptor blockers (ARB's) d diruetics - CORRECT ANSWER >>> a. beta
blockers
