NR 601 Final Exam (Latest 2023 - 2024) New Full Questions and Answers ( Included ) 100% Correct
- Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion yesterday. The
symptoms have resolved and the CT is normal.Whatis the next step of the plan for Mr. A?
- assure the patient that he will not experience the symptoms again
- identify modifiable cardiovascular risk factors
- order ASA 81mg stat
- order a stat EEG and administer O2 by mask: 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:
- repeat fasting plasma glucose in three years
- prescribe Metformin 500mg po BID
- repeat fasting plasma glucose in one year
- refer to ophthalmology for eye exam: a. repeat fasting plasma glucose in threeyears
- RW, a 57 year old native American female, presents to the office. RW statesshe feels irritable and has
difficulty concentrating as well as fallingn asleep and staying aleep. She states she is worried about her finances, her husbandhas just lost his job.The NP diagnoses anxiety.The NP prescribes a first line treatment which is
- Diazepam
- Clonazepam
- Ariprprazole
d. Paroxetine: d. Paroxetine
- The most common sustained rhythmic disorder, which consists of fibrilla-tory p waves is:
- AV block
- atrial tachycardia
- atrial fibrillation
d. atrial flutter: c. atrial fibrillation
- According to the Sexually presentation, atrophic vaginitis
- the symptomsm are the same for each woman
- creates a more acidic vaginal environment
- is a contributing factor for frequent urinary tract infections 1 / 3
- is not treated with vaginal lubricants: c. is a contributing factor for frequenturinary tract
infections
- Which of the following is the most appropriate screening tool for delirium?
- St Louis University Mental Status Exam (SLUMS)
- Montreal Cognitive Assessment
- Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model: d. Confusion Assessment Model
- A drug that can be used to treat two very common symptoms in a dyingpatient (pain and
dyspnea_ is:
- lorazepam
- Gabapentin
- Methadone
d. Morphine: d. Morphine
- Which of the following would you recommend annually for the elderly type2 diabetic?
- periodic visits to a gastroenterologist
- colonoscopy
- follow up with a urologist
d. eye exam with an opthlamologist: d. eye exam with an opthlamologist
- Which characteristic of delerium helps to distinguish it from dementia?
- personality changes
- acute onset
a, short term memory impairment
d. impaired attention: c. acute onset
10. The majority of patients enrolled in hospice care die:
- in the hospital
- in an inpatient hospice facility
- in a nursing home
d. at home: d. at home 2 / 3
- A middle aged patient has been diagnosed with Parkinson's disease. What influences the nurse
practitioners descision to begin pharmacologicaltreatment for this patient?
- medications initiated at first sign of unilateral involvement
- gait instability requiring the use of a cane
- intentional tremors
- symptoms interfering with functional ability: d. symptoms interfering withfunctional ability
- Which of the following is a role of the advanced practice nurse in palliativecancer care?
- detecting cancer in asymptomatic paitents or those with specific symptoms
- arranging for follow up including patiennts
- identifying and managing complications of care
d. all of the above: d. all of the above
- A 58 year old Caucasian mane with type 2 diabetes mellitus presents to theclinic 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 isthe most appropriate first line medication?
- lisinopril
- furosemide
- amlodipine
d. clonidine: a. lisinopril
- An older male patient is experiencing acute onset of right sided weakness, slurred speech and
confusion.What should the nurse practitioner do prompt-ly?
- order an EKG and administer O2 by cannula immediately
- Do a through medication review and stat blood sugar
- evaluate for a stroke and arrange transport to the hospital right away
- administer an aspirin by mouth: c. evaluate for a stroke and arrange transport to the hospital right
away
- The NP knows that medications can trigger or worsen heart failure. With this knowledge in mind,
the NP will avoiding prescribing the following classesof medications
- benzodiazepines
- macrolides
- muscle relaxants
d. NSAIDS: d. NSAIDS
- / 3