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NR601 / NR 601 Final Exam Primary Care of the Maturing & Aged Family Practicum Questions and Answers (Verified Answers) 1.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
ANS: a. repeat fasting plasma glucose in three years
2.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 1 / 4
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ANS: c. is a contributing factor for frequent urinary tract infections
3.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
ANS: d. eye exam with an ophthalmologist
4.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
ANS: d. at home
5.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 2 / 4
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c.identifying and managing complications of care d.all of the above
ANS: d. all of the above
6.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
ANS: a. lisinopril 3 / 4
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7.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 incontinence
ANS: a. stress incontinence
8.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 metformin 500mg BID po c.repeat fasting plasma glucose in one year d.repeat fasting glucose in three years
ANS: c. repeat fasting plasma glucose in one year
9.According to the palliative care presentation, most elderly patients die:
a.alone b.at home
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