NRNP 6540 Midterm Exam Latest Update 2024- 2025 Exam 250 Questions and 100% Verified Correct Answers Guaranteed A+
agitation - CORRECT ANSWER: Change in behavior,-repeating questions, arguing,
Labs- CBC, CMP, B12, TSH Tx-Psychotropic meds ( Abilify, Risperdal)
- antiseizure meds (Tegretol, Lamictal)
anxiolytics- alprazolam, diazepam
Alcoholism - CORRECT ANSWER: alcohol misuse-tachycardia, peripheral neuropathy,
tremors Labs- SBIRT Tx- sobriety or total abstinence
Dementia, Iabs and, Tx - CORRECT ANSWER: A slowly progressive global cognitive
decline- confusion, disorientation Labs: cbc, electrolytes, glucose, BUN, Cr. LFTs, TSH, folate, syphilis serology and UA, Mini mental or MoCA Tx- Cholinesterase inhibitors - donepezil, rivastigmine, galantamine or Namenda
Depression symptoms? Labs? Tx? - CORRECT ANSWER: SIGECAPS measures the
disturbance in:
Sleep Interest Guilt Energy Concentration Appetite Psychomotor slowing Suicidal Ideation Labs assist in causative factors Tx-Beahvior stabilizer-Haldol, mood stabilizer- olanzapine, risperidone, quetiapine
Depression, labs, tx? - CORRECT ANSWER: A pervasive feeling of sadness,
discouragement, can start at age 60.Labs- electrolytes, hormone levels, nutritional deficiency, B13 and vitamin D deficiency Tx- SNRI's- duloxetine, Effexor, SNRIs-citalopram, escitalipram, sertraline
elder abuse - CORRECT ANSWER: Any knowing, intentional, or negligent act by a
caregiver or any other person to an older adult; the act causes harm or serious risk of harm Labs-? 1 / 4
Tx-call the elder abuse hot line
Periodic screening of gums and mouth can screen for what? - CORRECT ANSWER: 1.
Oral cancer
- ill-fitting or poorly functioning dentures
- Periodontal disease
- Erosion of dentin
- dependence on others for dental resources
What 3 things do a comprehensive geriatric assessment do? - CORRECT ANSWER: 1.
Identifies care needs
- Plans care
- Improves outcomes
What are 9 biomarkers of nutritional deficiency? - CORRECT ANSWER: 1. Prealbumin,
- transferrin,
- albumin,
- chemistries,
- cbc,
- vitamin B12,
- folate,
- vitamin D and
- thyroid panel
What are bimodal presentations of disease - CORRECT ANSWER: Diseases that can
present in a younger age and an older age.
What are contraindications for exercise therapy - CORRECT ANSWER: 1. unstable
angina
- uncompensated heart failure
- Severe anemia
- Uncontrolled blood glucose
- Unstable aortic aneurysm
- Uncontrolled hypertension or tachycardia
- Severe dehydration or heat stroke
- Low oxygen saturation
What are examples of bimodal diseases? - CORRECT ANSWER: Psoriasis,
Inflammatory bowel disease, Ulcerative Colitis, Crohn's disease, Hodgkin's lymphoma, and myasthenia gravis
What are examples of drugs are eliminated renally - CORRECT ANSWER: Digoxin, H2
blockers, lithium and water-soluable antibiotics
What are geriatric syndromes - CORRECT ANSWER: Diseases that involve multiple
systems and have more than one underlying cause 2 / 4
What are important 6 areas of geriatric safety prevention - CORRECT ANSWER: 1.
Safe storage and removal of firearms
- Fall prevention
- Wearing seatbelts
- no drinking and driving
- Having a working smoke detector
- Keeping hot water set below 120 degrees
What are the 5 domains of a comprehensive geriatric assessment - CORRECT
ANSWER: 1. Physical health,
- functional health
- psychological health
- socioenvironmental supports
- quality of life
What are the benefits of exercise? - CORRECT ANSWER: Strengthen muscles
Maintain flexibility Promote balance Build and maintain bone mass Prevent injury Improve daily functioning, especially in elderly Prevent chronic disease
What are the geriatric syndrome giants currently - CORRECT ANSWER: Frailty,
anorexia of aging, sarcopenia and cognitive impariment
What are the immunizations recommended for geriatrics? - CORRECT ANSWER: 1.
influenza- annually for all over 50
- Tetanus-diphtheria (Tdap)-once in a lifetime booster, then every 10 years
- Pneumococcal -1 time dose of PCV13 at 65 years old then PPSV23 1 year (12
- Hep B for high risk persons 1st dose then 6 months later 2nd dose, the 4-6 mos later
- Shingrix for zoster
months) later
the 3rd dose
What are the physiological changes of aging - CORRECT ANSWER: 1. Reduced
physiological reserve of most body systems 2.Reduced homeostatic mechanisms that fail to adjust
- Changes in the sympathetic response
- Impaired immunological function- infection risk is greater and autoimmune diseases
are more prevalent.
What are the two formulas to evaluate the kidney function - CORRECT ANSWER: The
Cockcroft-Gault formula and the Modification of Diet in Renal Disease (MDRD)
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What assessment screening tool evaluates functional decline?
How long is the time frame? - CORRECT ANSWER: The Timed Get up and go Test
16 seconds.
What bipolar disorder? What labs? What meds? - CORRECT ANSWER: S and Sx: Euphoria or irritability, depression, hypomania, rapid speech and irritability, can begin after 50, assess with DIGFAST or SIGECAPS Labs- cbc, cmp, tox screen, u/a, thyroid function, rpr Meds: Mood stabilizers-lithium valproic acid, and the antipsychotics- quetiapine and olanzapine
What factors affect maintaining a healthy balanced diet in geriatrics? - CORRECT ANSWER: 1. Chronic illness and disability-related to ADLs like shopping and meal preparation,
- Financial hardships-limit food choices
- Prescribed medications-affects absorption of nutrients, sense of taste or appetite
- Depression or social isolation
- Obesity
What factors influence lab value interpretation in the older adult - CORRECT ANSWER:
- physiological changes with aging
- the prevalence of chronic disease
- changes in nutritional and fluid intake
- Lifestyle
What is a big influence of geriatric functionality and quality of life? - CORRECT
ANSWER: Injury prevention
what is anxiety? what labs? what meds? - CORRECT ANSWER: excessive worry
difficult to control-poor health, financial insecurity, etc.Labs- CBC, CMP, TSH Geriatric Anxiety Inventory screening TX- start low and go slow-SSRIs-Escitalopram, sertraline, citalopram
What is primary prevention? - CORRECT ANSWER: Activities to prevent the
occurrence of a disease or adverse, including mental health
What is secondary prevention - CORRECT ANSWER: Tasks directed towards detection
of a disease or adverse health condition in an asymptomatic individual who has risk factors
What is tertiary prevention - CORRECT ANSWER: The management of existing
conditions to prevent disability and minimize complications to prevent disability for optimal function
What is the key to increasing geriatric physical activity - CORRECT ANSWER:
motivation
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