NR 601 Final exam Latest Version 2023 2024 Questions and Correct CORRECT ANSWERwers Guaranteed Success 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:
- prescribe metformin 500mg po BID
- educate the patient on lifestyle changes to lower blood glucose
- initiate self monitoring of blood glucose
- review the effects of oral hypoglycemic medications - CORRECT ANSWER b.
educate the patient on lifestyle changes to lower blood glucose
A 52 year old female patient screened for diabetes has a fasting plasma glucose level
of 123 mg/dl. The nurse practitioners plan includes:
- repeat fasting glucose in 1 month
- prescribe memformin 500mg BID po
- repeat fasting plasma glucose in one year
- repeat fasting glucose in three years - CORRECT ANSWER c. repeat fasting plasma
glucose in one year
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?
- 6-12 weeks
- 14-21 days
- 3-6 weeks
- 10-14 days - CORRECT ANSWER d. 10-14 days
A 56 year old man presents to the office with concerns about low energy, lack of joy in his life and decreased appetite for 2 weeks. The nurse practitioner assesses him using SIG-E CAPS, the NP knows that the E stands for
- energy (decreased)
- emotional instability
- ego dystonia
- enthusiasm (decreased) - CORRECT ANSWER a. energy (decreased)
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 1 / 3
- repeat fasting plasma glucose in one year
- refer to ophthalmology for eye exam - CORRECT ANSWER a. repeat fasting plasma
glucose in three years
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?
- lisinopril
- furosemide
- amlodipine
- clonidine - CORRECT ANSWER a. lisinopril
A 58 year old male presents to the clinic with complaints of increasing SOB. The NP suspects HF. The NP examines the CXR film. The NP knows diagnosis can be made
with a high degree of accuracy if two of the following criteria are met:
- signs of interstitial edema (Kerley Bs)
- upper zone redistribution of pulmonary blood flow (cephalization)
- abnormally enlarged retrosternal apace
- flattening of the diaphragm with blunting of the costrophrenic angle on PA film
- 1 & 2
- 1 & 3
- 2 & 3 - CORRECT ANSWER a. 1 & 2
b 2 & 4
A 60 year old obese male client has type 2 diabetes mellitus and a lipid panel of TC=250 HDL=32 LDL=165. The nurse practitioner teaches the patient about his
modifiable cardiac risk factors, which include:
- diabetes, obesity and hyperlipidemia
- advancing age, diabetes, hyperlipidemia, and male gender
- hyperlipidemia, smoking and family history of heart disease
- male with age >45, diabetes mellitys and hyperlipidemia - CORRECT ANSWER a.
diabetes, obesity and hyperlipidemia
A 65 caucasian female presents for her yearly physical. She is 5"1 tall and weighs 102 lbs. A review of her chart reveals she smokes 1 pack of cigarettes a day, and drinks 2 beers every evening since she retired. She has taken synthroid and simvastatin for 10 years. She does not exercise, she likes to sit and knit. The NP knows the non-
modifiable risk factor for osteoporosis for this patient include:
- activity level 2 / 3
- age
- tobacco use
- medications - CORRECT ANSWER b. age
A 65 year old caucasian presented to your clinic with the following history and symptoms: reports good general health, asymptomatic mitral valve stenosis, current beta blocker use and physical exam findings unremarkable. The NP knows this patient's
stage of heart failure is:
- Stage D
- Stage B - CORRECT ANSWER b. Stage B
A 65 year old hispanci woman presents to the office for routine follow up for her type 2 diabetes mellitus. Her routine UA reveals few epithelial cells, negative leukocytes, negative nitrates, negative protein, no ketones. Which of the following tests should also be ordered annually for diabetic patients.
- reslult is normal, no further testing is necessary
- urine for culture and sensitivity
- microalbumin - CORRECT ANSWER d. microalbumin
c.recommend a screening intravenous pyelopgram (IVP)
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:
- result is normal, no further testing is necessary
- urine for culture and sensitivity
- recommend a screening intravenous pyelogram (IVP)
- micoralbumin - CORRECT ANSWER d. micoralbumin
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?
- psychogenic nocturia
- benign prostatic hypertrophy
- drug induced impotence
- irritative posterior urethral lesion - CORRECT ANSWER b. benign prostatic
hypertrophy
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?
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