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NR 601 FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATED 2022, Study Guides, Projects, Research of Nursing

NR 601 FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE NR 601 FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE NR 601 FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE NR 601 FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE

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NR 601 FINAL EXAM STUDY GUIDE QUESTIONS AND
ANSWERS LATEST UPDATE(2022)
1) "Which FSH value is consistent with complete cessation of ovarian function?"
A. Less than 10 B. 10-25 C. 25-35 D. Greater than 40
2) Diabetes is one of the leading causes of which disease:
A. chronic lung disease B.kidney failure C.disability D. cardiac death.
3)Which antihypertensive medication can be used to treat hot flashes in menopause?
A. Labatelol B. Clonidine However it has adverse effects such as dry mouth, drowsiness
and hypotension which may make it undesirable. C. Hydrochlorothiazide D. Hydralazine
4) What is the least diabetogenic statin?
A. Rosuvastatin B. Simvastatin C. Atorvastatin D. Pravastatin
5) Bence Jones proteins found in a urinalysis may be indicative of:
A. Leukemia B. Lymphosarcoma C. Multiple myeloma D. All of the above
6) What is the first line medication for new type 2 diabetic?
A.Novolog B. Penicillin C. Metformin D. Glyburide
7) Protein on a urinalysis usually has a renal pathology, specific to which renal structure?
A. Glomerulous B. Renal cortex C. Medulla D. Nephron
8) What is the hA1C goal for diabetic patients with complex health status (multiple chronic
conditions)?
A. <7.5 B. <8.0 Its B. VERY complex is 8.5. I feel like that's tricky C. <8.5 D. < 9
9) Type 2 diabetes factors include?
A. Polycystic B. Obesity C. Hypotension D. Liver disease
10) Gastric bypass surgery can be performed on a patient with a BMI off.
A. 20-25 B. 40 C. 30-34 D. 25- 29
11) Signs of indicative abuse includes?
1) Weight Gain 2) Poor Hygiene 3) Lack of control 4) Increase interested in daily
activities
12) What age related changes does NOT affect urologic functioning?
A. Decreased bladder capacity B. Normal aging C. Increased PVR urine volume D.
Increased urethral resistance
13) Painful, irregular-shaped,deep red ulcers with a red halo and undermined edges. Which STD
is most likely?
A. Syphilis B. HSV (Herpes) C. Chancroid (Haemophilus ducreyi) D. Molluscum
contagiosum (Pox virus)
14) What is the average BG level of a HB A1C of 9.5?
A. 226 B. 216 C. 197 D. 240
A way I remember this is know that an A1C of 6 is always 126 and add 14 to get your
next AIC bG level.
15) Which STI increases in those over the age of 50 years old?
A. Syphilis B. HSV (Herpes) C. HIV D. Gonorrhea
16) Which type of incontinence is a result of bladder hypermobility?
A. Urge B. Overflow C. Stress D. Functional
Especially for those who have had vaginal deliveries. Pee when you sneeze/cough. Do
some kegals to manage
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NR 601 FINAL EXAM STUDY GUIDE QUESTIONSAND

ANSWERS LATEST UPDATE(2022)

1) "Which FSH value is consistent with complete cessation of ovarian function?"

A. Less than 10 B. 10-25 C. 25-35 D. Greater than 40

2) Diabetes is one of the leading causes of which disease:

A. chronic lung disease B.kidney failure C.disability D. cardiac death.

3)Which antihypertensive medication can be used to treat hot flashes in menopause?

A. Labatelol B. Clonidine However it has adverse effects such as dry mouth, drowsiness

and hypotension which may make it undesirable. C. Hydrochlorothiazide D. Hydralazine

4) What is the least diabetogenic statin?

A. Rosuvastatin B. Simvastatin C. Atorvastatin D. Pravastatin

5) Bence Jones proteins found in a urinalysis may be indicative of:

A. Leukemia B. Lymphosarcoma C. Multiple myeloma D. All of the above

6) What is the first line medication for new type 2 diabetic?

A.Novolog B. Penicillin C. Metformin D. Glyburide

7) Protein on a urinalysis usually has a renal pathology, specific to which renal structure?

A. Glomerulous B. Renal cortex C. Medulla D. Nephron

8) What is the hA1C goal for diabetic patients with complex health status (multiple chronic

conditions)?

A. <7.5 B. <8.0 Its B. VERY complex is 8.5. I feel like that's tricky C. <8.5 D. < 9

9) Type 2 diabetes factors include?

A. Polycystic B. Obesity C. Hypotension D. Liver disease

10) Gastric bypass surgery can be performed on a patient with a BMI off.

A. 20-25 B. 40 C. 30-34 D. 25- 29

11) Signs of indicative abuse includes?

1) Weight Gain 2) Poor Hygiene 3) Lack of control 4) Increase interested in daily

activities

12) What age related changes does NOT affect urologic functioning?

A. Decreased bladder capacity B. Normal aging C. Increased PVR urine volume D.

Increased urethral resistance

13) Painful, irregular-shaped,deep red ulcers with a red halo and undermined edges. Which STD

is most likely?

A. Syphilis B. HSV (Herpes) C. Chancroid (Haemophilus ducreyi) D. Molluscum

contagiosum (Pox virus)

14) What is the average BG level of a HB A1C of 9.5?

A. 226 B. 216 C. 197 D. 240

A way I remember this is know that an A1C of 6 is always 126 and add 14 to get your

next AIC bG level.

15) Which STI increases in those over the age of 50 years old?

A. Syphilis B. HSV (Herpes) C. HIV D. Gonorrhea

16) Which type of incontinence is a result of bladder hypermobility?

A. Urge B. Overflow C. Stress D. Functional

Especially for those who have had vaginal deliveries. Pee when you sneeze/cough. Do

some kegals to manage

17) What test can detect interstitial cystitis?

A. Potassium sensitivity B. Sodium sensitivity C. CBC D. Bladder ultrasound

18) What is the first line opioid for dyspnea?

A. Percocet B.Morphine C. Tramadol D. Tylenol

19) A male complains of dysuria. Urinalysis is positive for nitrates, leukocyte esterase, and

bacteria. Which medication should be given?

A. Doxycycline X 7 days

B. Trimethoprim-sulfamethoxazole X 7-10 days

C. Ciprofloxacin X 3 days D Nitrofurantoin X 14 day

20) Which patient is a contraindication for Cipro?

A Pregnant B 19 years old C hypertensive D pyelonephritis

21) What is the difference between palliative care and hospice services?

A. Hospice is provided with life expectancy of six months or less

B. Palliative care can be involves at any stage of illness.

C. Palliative care integrates psychological and spiritual aspects of care throughout the

illness from diagnosis to death

D. All of the above.

22) The Crede’s maneuver is an effective management in which UI?

A. Functional B. Urge C. Overflow D. Stress

23) Which UI is associated due to UTI, vaginitis, bladder stones, and tumors?

A. Urge B. Stress C. Functional D. Overflow

24) Which of the following is not part of the SPIKES protocol?

A. Setting B. Planning C. Strategy D. Invitation

25) What is a common characteristic of dysuria-pyuria syndrome (acute urethral syndrome)?

A. Painful urination B. WBCs on microscopic UA C. Absence of positive bacterial

culture D. All of the above

26) Often caused by Chlamydia Contraindication for testosterone therapy injection, all EXCEPT:

A. Liver disease B. Mercury allergy C. Latex allergy D. Prostrate cancer

27) If the testosterone level is below 300, what is the next step?

A. Order a serum prolactin level B. Initiate testosterone therapy C. Repeat the level in 1

month D. Refer to urologist

28) All of the following labs should be ordered in a patient with complaints of ED EXCEPT:

A. Lipid profile B. CMP and obviously add a testosterone level to those labs C. TSH D.

Fasting blood sugar

29) Risk factors for urinary in continence include:

A. Age B. Residing in long term care setting C. Cognitive impairment D.Female gender

E. All of the above

30) A patient with impaired glucose intolerance is at an increased risk of developing type 2

diabetes within how many years of onset?

A) 2 to 5 years B) 5 to 10 years C) 3 to 6 years D) within 1 year

31) What is the most commonly identified infectious agent or toxic insult in a person with

genetic predisposition for DM1?

A.) Herpes B.) Congenital Rubella C.) Chicken pox D.) MMR vaccine 32) while

pregnant All are contraindications of Metformin except

A. Stroke B. MI C. Renal disease D. Septicemia

33) When should insulin therapy begin in the management of DM2?

1. Which of the following statements is NOT true about palliative care teams?

  • A: Provide weekly home visits

2. A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is

concerned about her kidneys. She has no report of dysuria, frequency or urgency at this time.

Which of the following is the best action to follow?

  • A: Recheck UA dipstick today

3. According to the sexuality presentation, atrophic vaginitis (AV)

  • A: Is a contributing factor for frequent UTIs

4. Ms. L 55-year-old women with BMI of 28, has 20-yearhx of primary HTN and has been on

hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L

reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least

10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose

levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210

mg/dl. What is the next appropriate test?

  • A: Prescribe Metformin 500 mg PO BID

5. A patient has been prescribed Metformin (Glucophage). One week later he returns with

lowered blood sugars but complaints of some loose stools during the week. How should the NP

respond?

  • A: Reassure the patient that this is an anticipated side effect

6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32,

LDL= 165. The NP teaches the patient about his modifiable cardiac risk factors which include:

  • A: Diabetes, obesity, and hyperlipidemia

7. Lifestyle approaches to postmenopausal symptom management include

  • A: avoiding sugar, coffee, chocolate and alcohol

8. When treating depression associated with dementia, which of the following would be a poor

choice and should not be prescribed?

  • A: Amitriptyline

9. How does women’s anatomy make them more susceptible to UTIs?

  • A: the urethra is shorter
  1. Which of the following statements is NOT true about palliative care teams? 2. A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned about her kidneys. She has no report of dysuria, frequency or urgency at this time. Which of the following is the best action to follow? 3. According to the sexuality presentation, atrophic vaginitis (AV) 4. Ms. L 55-year-old women with BMI of 28, has 20-yearhx of primary HTN and has been on hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210 mg/dl. What is the next appropriate test? 5. A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but complaints of some loose stools during the week. How should the NP respond? 6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL= 165. The NP teaches the patient about his modifiable cardiac risk factors which include: 7. Lifestyle approaches to postmenopausal symptom management include 8. When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed? 9. How does women’s anatomy make them more susceptible to UTIs? 10. A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes 11. Which of the following assessments are commonly noted in a client with Parkinson’s disease? 12. A 76- year-old man is seen in the office for c/o urinary incontinence. The clinician should explore which of these causes of incontinence in men? 13. Which of the following maneuvers is contraindicated in acute prostatis? • A: Massaging the infected prostate 14. Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20- yearhx of primary HTN and has been on HCTZ 25 mg daily for years , reports that for the past 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon charting NP notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. What actions should the NP perform next? • A: order a fasting blood glucose??? PRESCRIBE METFORMIN XR 500MG PO 15. According to the WHO analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient who presents with moderate pain? • A: Indomethacin/ hydrocodone 16. The cornerstone of pharmacotherapy in treating Alzheimer’s disease is : • A: Cholinesterase inhibitors 17. The highest level of evidence to support interventions at the end of life is with: • A: opioids for dyspnea 18. The comorbid psychiatric problem with the highest frequency in dementia is: • A: Anxiety 19. All of the following are true statements regarding elder abuse EXCEPT: • A : common signs of abuse include decreased anxiety and depression 20. Which of the following is a role of the advanced nurse in ????? • A: All of the above 21. The proposed mechanism by which diphenhydramine causes delirium is: • A: Anticholinergic effect 22. A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is : • A : Morphine 23. According to the Palliative Care presentation, hospice care may be provided to: • A: those with a life expectancy < 6 months 24. A 68-year-old women is being worked up for stress incontinence. UA reveals positive leukocyte esterase, positive nitrites, 15 WBCs, no RBS, no protein, no casts. She denies frequency, urgency, suprapubic

negative nitrates, negative protein, no ketones. Which test would you order next? • A: 24-hour urine for albumin 48. Hospice services and palliative services are underutilized due to: • A: All of the above (Services not well understood, confusion remains over when it is appropriate to consult palliative care, denial of impending death) 49. Which of the following would be an appropriate treatment for a patient with mild BPH? • A: reevaluate symptoms in 1-3 months 50. The most common neurological cause of seizures in an older adult is: • A: stroke 51. A 68-year-old women presents with a c/o urine leakage whenever she sneezes, laughs, or strains for the past 4 months. She denies dysuria, frequency and nocturia. US dipsticks is negative for RBCs, leukocytes esterase, nitrites, ketones and urobilinogen. What is the diagnosis? • A: stress incontinence 52. The tasks of grieving include all of the following EXCEPT: • A: begin to disengage 53. Acanthosis nigrans is associated with all of the following conditions except: • A: tinea versicolor 54. Which of the following statements is trueregarding pain? • A: pain is subjective experience related to actual or potential tissue damage 55. A 51-year-old male pt screened for diabetes has a fasting plasma glucose level of 98 mg/dl. The NP plan includes: • A: repeat fasting plasma glucose in 3 years 56. Increased risk factors for erectile dysfunction include all EXCEPT: • A: dominant personality 57. When assessing an elderly client who reports a tremor, which assessment findings would be most reliable in identifying Parkinson’s disease? • A: Resting tremor, slow unsteady gait, and cogwheel resistance 58. Which of the following is the most appropriate screening tool for delirium? • A: Confusion Assessment Method 59. An 82-year-old man is seen in the primary care office with complaints of dribbling urine, difficulty starting his stream. Which of the following should be included in the list of differential diagnosis? • A: all of the above (BPH, Parkinson’s disease, prostate cancer) 60. The patient with BPH is seen for follow up. He has been taking finasteride(Proscar) for 6 months. The clinician should assess this patient for which of the side effects? • A: Erectile dysfunction 61. Hospice care differs from palliative care in that: • A: supports patients and families through both the dying and the bereavement process

  1. According to the genitourinary presentation, the number 1 risk factor for urinary incontinence is: • A: AGING 63. The firs step in treating delirium is to: • A: identify the cause 64. Which of the listed conditions is most likely to cause delirium? • A: Acute infection 65. You are working up a 52-year-old patient for microscopic hematuria. Your differential diagnosis list includes all of the following EXCEPT: • A: renal stenosis 66. Don’t have 67. A 55-year-old Caucasian man with type 2 DM presents to the clinic a as new pt. he takes metformin 500 mg 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 JNC8, what is the most appropriate medication? • A: lisinopril 68. Delirium is typically characterized by all of the following except: • A: Hyperactive level of psychomotor activity 69. An 80-year-old female widow asks her NP about hospice enrolment. Her diagnosis includes congestive HF, HTN and DM2. She has noticed that in the last month she has lower extremity edema and she is finding it difficult to walk to the grocery store and church, she does not use oxygen. She is able to maintain her home but requires more frequent rest after vacuuming. She does not wish to be admitted to the hospital again in the future but if admitted wants to remain full code status. Why is this patient NOT appropriate for hospice? • A: her prognosis is > 6 months 70. Jean a 42-year-old, presents to the clinic with c/o

dysuria, frequency and strong odor of her urine for 5 days. This is the second occurrence this year. What is the appropriate next step to this patient? • A: order UA and urine culture and sensitivity and treat the patient with antibiotics today 71. All of the following patients should be screened for diabetes EXCEPT: • A: 44-year-old Caucasian with HTN 72. A male patient with a BMI of 33 presents to the office with c/o fatique, excessive hunger and excessive thirst. You suspect type 2 DM. initial testing to confirm diagnosis can include: • A: all of the above 73. An 87-year-old tells the NP that his grandson locks him in his bedroom when he goes 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 NP? • A: report the grandson to your state’s protective services 74. The leading cause of death in elderly travelers worldwide is: • A: accidents 75. The majority of depressed older adults remain untreated because of : • A: All of the above (misdiagnosis, social stigma, environmental…) 76. When examining the spine of an older adult you notice a curvature with a sharp angle. This is referred to as a: • A: scoliosis 77. Which of the following patients has the highest risk for the development of osteoporosis? • A: A 5’4” Asian female weighing 95 lbs 78. When assessing a patient’s mental health, the NP knows: • A: both A & B ( cognition affects mental status and affect reflects mood) 79. You are working with an older male adult with a long hx of alcohol abuse and a 30-yearhx of smoking. In recommending an intervention for this client, your responsibility is to: • A: Promote positive change in lifestyle choices 80. The pathophysiology of heart failure is due to: • A: inadequate cardiac output to meet the metabolic and oxygen demands of the body 81. The leading cause of disability worldwide is: • A: depression 82. Which of the following patients has the highest risk for the development of osteoporosis? • A: A 5’4” Asian female weighing 95 lbs 83. Mrs. G is a 65-year-old Caucasian female who presents for her yearly physical. A review of her chart reveals she smokes 1 pack of cigarettes a day, and drinks 2 beers every evening since she retired. She does not exercise, she likes to sit and knit. The NP know the NONMODIFIABLE risk factor for osteoporosis for Mrs. G is : • A: Age 84. The NP orders bilateral wrist X-rays on a 69-year-old gentleman c/o of pain in both wrists for the past 6 weeks not related to any known trauma. The NP suspects elderly onset RA. The initial radiographic finding in a patient with elderly onset RA would be: • A: soft tissue swelling 85. The NP is reviewing a patient chart prior to the start of the encounter. The NP notes that the patient is using topical CAPSAICIN. The NP knows that topical capsaicin id often used for treatment of: • A: Diabetic neuropathy 86. Which of the following statements about OA is true? • A: It affects primarily weight bearing joints 87. MJ presents to the clinic with the following hx and presentation: hx of structural damage with current s/s of HF. Treatment will be b a sed on M Js st age o f H F whi ch i s: • A: Sta ge C 88. Di etar y su pp le ment s su ch a s Omega 3 (fish oils) are often taken for cardioprotective benefit. The NP knows regarding Omega 3 consumption: • A: randomized control trials have found no reduction in morbidity or mortality 89. A 55-year-old Caucasian male pt follows up with you after referral to a cardiologist. The pt reports he thinks the medication is causing cough and sometimes he has difficulty breathing, which of the following medication was most likely prescribed? • A: Lisinopril 90. The prevalence of depression in nursing home residents is greater than adults living in the