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NRNP 6531 FINAL EXAM 2025/ACTUAL EXAM WITH 100% CORRECT ANSWERS AND RATIONALES, Exams of Nursing

NRNP 6531 FINAL EXAM 2025/ACTUAL EXAM WITH 100% CORRECT ANSWERS AND RATIONALES

Typology: Exams

2024/2025

Available from 01/07/2025

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First you should auscultate c
---CORRECT ANSWER---
-CORRECT ANSWER--- 1, 2, 3, 5
5. Pain
4. Chondromalacia
3. Smoking
2. Hypercholesterolemia
CORRECT ANSWER--- 3
NRNP 6531 FINAL EXAM 2025/ACTUAL EXAM WITH 100%
CORRECT ANSWERS AND RATIONALES
1.In the assessment for peripheral vascular disorders, the clinician should begin with which
of the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing.
1
arotids then palpate then inspect fingers/nail beds
---
CT and angiography are for when surgical intervention is necessary US is
best initial screening
3. Patient education is very important for individuals who have AAA. The patient and their
family should be taught the importance of follow-up and the management of which of the
following? Select all that apply.
1. Hypertension
4.AAA is mostly atherosclerotic in nature, but can also be caused by trauma, infection,
and inflammation. Which of the following is a true statement regarding the tendency to
2. In the initial screening for a diagnosis of AAA, which of the following is the best
screening test?
1. CT scan
2. Complete blood count (CBC)
3. Ultrasound in the abdominal area
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pf4
pf5
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pf9
pfa
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pf12
pf13
pf14
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First you should auscultate c

---CORRECT ANSWER---

- CORRECT ANSWER--- 1, 2, 3, 5

  1. Pain –
  2. Chondromalacia
  3. Smoking
  4. Hypercholesterolemia

CORRECT ANSWER--- 3

  1. Angiograph

NRNP 6531 FINAL EXAM 202 5 /ACTUAL EXAM WITH 100%

CORRECT ANSWERS AND RATIONALES

1.In the assessment for peripheral vascular disorders, the clinician should begin withwhich

of the following after the general history and physical examination?

  1. Auscultation of the carotid arteries bilaterally.
  2. Palpation of the carotid arteries bilaterally.
  3. Inspection of the carotid arteries bilaterally.
  4. Order diagnostic testing.

arotids then palpate then inspect fingers/nail beds

CT and angiography are for when surgical intervention is necessary USis

best initial screening

  1. Patient education is very important for individuals who have AAA. The patient and their

family should be taught the importance of follow-up and the management of whichof the

following? Select all that apply.

  1. Hypertension

4.AAA is mostly atherosclerotic in nature, but can also be caused by trauma, infection,

and inflammation. Which of the following is a true statement regarding the tendency to

  1. In the initial screening for a diagnosis of AAA, which of the following is the best

screening test?

  1. CT scan
  2. Complete blood count (CBC)
  3. Ultrasound in the abdominal area

d mobility

cancer

  1. History of breast
  2. Reduce
  3. Obesity
  4. Conservative
  5. Surgical
  6. Paralysis --
  7. Purule

develop AAA? Select all that apply.

  1. There is no dominant ethnic group that develops AAA.
  2. Caucasians have a higher risk of developing AAA.
  3. Women have a higher risk of developing AAA.
  4. There is a familial history associated with AAA development.5.

AAA is the 13th leading cause of death in the United States.

---CORRECT ANSWER--- 1, 4, 5

  1. Devon visits the urgent care facility for sudden symptoms of pain to his lower

extremity. The initial diagnosis is acute arterial ischemia. Aside from pain, which other

symptoms may arise from this diagnosis? Select all that apply.

  1. Pulselessness
  2. Paresthesia
  3. Pallor

nce

CORRECT ANSWER--- 1, 2, 3, 5

  1. Heat

---CORRECT ANSWER--- 2, 3, 4

  1. Sharon is a 70 - year-old patient with venous ulcers to her right lower extremity. Shehas a

history of multiple pregnancies and surgeries, and has a sedentary lifestyle.

Which of the following may be possible contributing factors to her diagnosis given

her history? Select all that apply.

CORRECT ANSWER--- 1, 3, 4

  1. In treating AAA, arterial monitoring is recommended. Which of the following IV

6.antihypertensive agents should be used to rapidly and consistently maintain blood

pressure in the mean arterial pressure ranges? Select all that apply.

  1. Nicardipine
  2. Sertraline
  3. Esmolol
  4. Nitroglycerin
  5. Carbidopa ---
  6. Treatment to slow the progression of PAD should include which of the following?

Select all that apply.

  1. Immobilization
  2. Pharmacological

---CORRECT ANSWER--- 1, 3, 4

state of malnourishment of the bo

  1. Lesser known risk factors include prior hospitalization within several months and a
  2. Rifaximin

---CORRECT ANSWER--- 4, 5

  1. Eluxadoline,75 mcg, twice daily with food
  2. Antidiarrheal medications
  3. Caffeinated beverages
  4. Antispasmodics

apply.

  1. Avoid smoking and ingestion of fatty foods.
  2. Avoid tight, restrictive clothing.
  3. Eat three large meals of a balanced diet containing 4 to 5 mg protein/kg body weight

per day.

  1. Be cautious when driving, as you have encephalopathy. – - CORRECT ANSWER--- 1,
  1. Ms. Jenny is 80 years old and is diagnosed with Clostridium difficile-associated

diarrhea (CDAD). As she discusses her condition with her nurse practitioner, she askshow

she obtained this disease. The nurse practitioner tells her which of the following?Select all

that apply.

  1. It used to be hospital-acquired only disease, but now this infection is in the

community.

  1. Risk factors include antibiotic exposure, being an older adult, and church or

synagogue exposure.

  1. Inflammatory bowel disease and compromised immunity can lead to CDAD.

dy. 5. The source of CDAD is currently unknown.

  1. Avoid eating a meal for at least 20 minutes before becoming recumbent.5.

Avoid caffeine and acidic foods. ---CORRECT ANSWER--- 2, 3, 5

  1. Lucy is 65 years old and has been coping with irritable bowel syndrome-diarrhea

(IBS-D) for over 10 years. She has tried various treatments with minimal effectiveness.

She asks the nurse practitioner if there is anything else that might be helpful to control

this diarrhea. The nurse practitioner suggests which of the following? Select any that

Eluxadoline (Viberzi) ---CORRECT ANSWER--- Mu/Kappa opioid receptor agonist and

delta opioid receptor antagonist in the gut used to treat IBS prone diarrhea

  1. Bill James, 67 years old, is being seen in the clinic for complaints of regurgitation,

pyrosis, hoarseness, chronic cough, and atypical chest pain. The nurse practitioner

suspects gastroesophageal reflux disease (GERD). As home-going instructions are

developed, the nurse practitioner includes which of the following? Select any that apply.

  1. Raise the head of the bed 2 inches.
  1. Mark is 60 years old. He reports a swelling in his right side, loss of weight, and a

slight discoloration of his skin. The nurse practitioner conducts a history and physical

examination and orders which of the following to rule out cancer of the liver? Select all

that apply.

  1. CBC to identify anemia.
  2. If obese, set a goal for rapid weight loss. ---CORRECT ANSWER--- 1, 3
  3. May drink alcohol socially, but not daily.
  4. Obtain a hepatitis A and B vaccine, if not immune.
  5. Avoid anti-lipid medications, such as atorvastatin.
  6. Monitor weight and stay within optimal weight limits.
  7. Ultrasound to identify any enlargem
  8. Serum alkaline phosphatase, AST, ALT
  • Not effective for systemic infections because < 1% oral absorption *

550 mg PO BID

  • Reduction of Hepatic Encephalopathy Recurrence

Rifaximin (Xifaxan) ---CORRECT ANSWER --------- Inhibit bacterial RNA synthesis by

binding to bacterial DNA- dependent RNA polymerase.

  • Traveler's diarrhea

200mg PO TID X 3 days

for liver damage.

ent.

  1. Magnetic resonance imaging (MRI).
  2. Radiology for lesions found in the liver. --- CORRECT ANSWER--- 1, 2, 3, 4, 5
  3. Thom is 60 years old and has been treated for nonalcoholic fatty liver disease (NAFLD)

for over 10 years. He still suffers from fatigue, abdominal pain, and an enlarged liver. The

nurse practitioner discusses which of the following home-care plansto assist him in

adjusting to his disease? Select all that apply.

radial scar ---CORRECT ANSWER--- complex sclerosing lesion of the breast tissue -

increase cancer risk

Papilloma ---CORRECT ANSWER--- A benign, superficial, wartlike growth on the

epithelial tissue or elsewhere in the body - increases cancer risk

  1. Women developing ovarian cancer may be asymptomatic, making it hard to detectuntil

the

  1. Which of the following conditions presents nonproliferating lesions and does not

affect future cancer risk?

  1. Atypical lobular hyperplasia
  2. Fat necrosis
  3. Radial scar
  4. Papilloma ---CORRECT ANSWER--- 2
  1. Lynch syndrome ---CORRECT ANSWER--- 1, 2, 4, 5
  2. Obesity
  3. Use of hormonal contraception
  4. Use of tamoxifen
  5. Diabetes
  6. Muscle weakness from a systemic condition
  7. Rheumatoid arthritis (RA)
  8. This is routine for all patients over 65 years of age. ---CORRECT ANSWER--- 3
  9. I am looking for symptoms that form a pattern.
  10. The purpose of conducting this examination is to regulate your medications.
  11. Bacteriuria
  12. Pyuria
  13. Fungi
  14. E. coli ---CORRECT ANSWER--- 2, 3
  15. Marie, 63 years old, is presenting with symptoms of postmenopausal bleeding and is

diagnosed with endometrial cancer. Other than gender and age, which of the following can

be contributing factors in the development of endometrial cancer? Select all that

apply.

Lynch syndrome ---CORRECT ANSWER--- autosomal dominant mutation that can

cause colorectal cancer ovarian cancer and endometrial cancer

  1. While conducting a thorough examination of the musculoskeletal system, the patient

asks why such detail is necessary. Which of the following is the nurse practitioner's best

response?

  1. I don't want to miss any signs of something serious.
  2. Osteoarthritis (OA) ---CORRECT ANSWER--- 3
    1. Mr. Weisner is a 65 - year-old male who is experiencing pain in his joints. The nurse

practitioner assesses which of the following? Select all that apply.

  1. Movement of the joint in a relaxed position.
  2. Movement of the joint in flexion.
  3. Movement of the joint in extension.
  4. Appearance of the limb being normal for his age.
  5. Absence of any curvatures in the limb. ---CORRECT ANSWER--- 1, 2, 3, 4, 5
  6. Mr. Cummins, a 69-year-old Caucasian male, presents with an inability to move his

right arm sufficiently. The nurse practitioner tells him that she will perform a physical

examination and order tests to rule out which of the following?

  1. Gout
  2. Tom Brown is 62 years old and plays golf twice a week. He experiences pain in his

shoulder and goes to the urgent care center to be seen by his nurse practitioner. The

nurse practitioner asks which of the following questions? Select all that apply.

  1. Abdominal ultrasound. ---CORRECT ANSWER--- 1, 2, 3
  2. Urinalysis.
  3. Anti-cyclic citrullinated peptide (anti-CCP) antibodies.
  4. Blood tests for conditions such as rheumatic factor.
  5. Radiology of both hands.

that apply.

  1. Elevation of the leg and pain medication. ---COR
  2. Compression dressing and warm compre
  3. Gout is rare in older people.
  4. Does the shoulder hurt when you are not playing golf?
  5. Is there any swelling, redness, or pain?
  6. Is there any family history of arthritis?
  7. Is there a history of taking ibuprofen?
  8. Does your pain affect your golf game? ---CORRECT ANSWER--- 1, 2, 5
  9. Mrs. Rivets is an 80-year-old female who comes to the emergency department with

complaints of a low-grade fever and pain in her lower leg that is aggravated by

movement. Which early treatment does the nurse practitioner implement? Select all that

apply.

  1. Protection of the lower leg, rest, and application of an ice pack.
  2. Salt compresses and an antibiotic.
  3. Compression dressing and an antibiotic.

sses.

RECT ANSWER--- 1, 5

  1. Gout is localized to the big toe.
  2. Long-term use of some medications can lead to gout. ---CORRECT ANSWER--- 1, 2, 5
  3. A 65-year-old woman seeks relief from pain and swelling in her hands. She consults

with a nurse practitioner for diagnosis and treatment. The nurse practitioner conducts an

examination and interview about the patient's ADLs and how this pain and swelling

inhibits her activity. Which of the following diagnostic tests will be ordered? Select all

What is anti-CCP? ---CORRECT ANSWER--- Anti-citrullinated protein antibody

Autoantibodies that are directed against peptides and proteins that are citrullinated. They

are present in the majority of patients with rheumatoid arthritis. Greater specificity and

sensitivity than RF

  1. Miss Benton is a 65 - year-old female who complains of a painful big toe on the right

foot. She asks the nurse practitioner if this is normal for older people. The nurse

practitioner explains that this appears to be gout, and gives her what information?

Select all that apply.

  1. Gout is an inflammatory condition of joints, tissues, and kidneys.
  2. Gout is a problem with a protein called purine.
  1. Paresthesias
  2. Weight gain
  3. Pertinent family history
  4. Loss of consciousness
  5. Use of tobacco ---CORRECT ANSWER--- 1, 3, 4
    1. To rule out age-related benign symptoms, motor functions should be inspected for

body

position and involuntary movements. Which of the following should be included in the

assessment of motor function? Select all that apply.

  1. Reflexes
  2. Hypersensitivity
  3. Muscle tone
  4. Muscle strength
  5. Sensory loss ---CORRECT ANSWER--- 3, 4
  6. Mrs. Borden is 67 years old and her primary care physician wants her to be seen by a

nurse practitioner who specializes in geriatric issues. On completing the interview and

examination, the nurse practitioner tells Mrs. Borden that she will order a blood laboratory

specimen for thyroid function and pancreatic function. Mrs. Borden asks what the reason is.

Which of the following is the nurse practitioner's best response?

  1. Diabetes is more common in older patients.
  2. Thyroid issues are less common in older patients.
  3. These are common tests to be done on any new patient.
  4. These tests are necessary to obtain baseline information. ---CORRECT ANSWER--- 1
  5. The nurse practitioner is working in the emergency department and is called to assist

with the diagnosis of a patient who just came in. Mr. Barn is 76 years old and complainsof

abdominal pain, and his serum amylase and lipase are three times the normal limit. The

nurse practitioner confirms pancreatitis, as this meets which criteria?

  1. CT severity index
  2. Atlanta classification

3. APACHE II

  1. Ranson criteria ---CORRECT ANSWER--- The CT severity index developed by

Balthazar (2002) is the only scoring system to use evidence of necrotic pancreas as

criteria.

To rate severity, it uses prognostic signs (a score of 3 or higher on the Ranson criteriaand an

8 or higher on the APACHE II) and presence of local pancreatic necrosis, peripancreatic

fluid collection, etc. and organ failure.

The Atlanta classification is both used to diagnose acute pancreatitis and rate the severity

of pancreatitis. Diagnosis is made based on the Atlanta classification when twoof three

criteria are met: abdominal pain consistent with acute pancreatitis, laboratory

or gallstones.

  1. Stool culture. ---CORRECT ANSWER--- 1,2,3,4,5=
  2. Amylase and lipase

c.

  1. Having the mild stroke is connected to having diabetes.
  2. Medications could be associated with diabetes.
  3. Because he had a family history of type 2 diabetes, he should have been screened

every year.

  1. Screening would not have identified him as a risk. ---CORRECT ANSWER--- 1,2,

(BMI) will tell if he is a type 1 or type 2 diabeti

  1. A urine sample that shows ketones in the urine, his age, and his body mass index

following? Select all that apply.

Although he is under 65 years old, the nurse practitioner teaches him which of the

  1. Finding other factors of diabetes has resulted in new treatments.

abnormalities (serum amylase and lipase three times the normal limit or higher), and

imaging findings consistent with acute pancreatitis.

The Ranson criteria was the first system and remains the best known and most widely

used, but has drawbacks in that it requires 2 days' worth of objective measures for the total

score, 5, to be obtained on the first day and evaluated within 48 hours of the onset of pain.

In addition, sensitivity is only 73% and 77% to predict mortality, and the threshold for

abnormal values depends on whether the pancreatitis is caused by alcohol

  1. The nurse practitioner is ordering laboratory testing to confirm her suspicion of acute

pancreatitis. Which of the following findings would confirm her suspicions? Select all

that apply. 1.

Trypsinogen activation peptide (TAP).

  1. Blood urea nitrogen (BUN), creatinine, glucose.3.

An abdominal x-ray.

amount three times the normal.

  1. The pancreas is not the only organ involved in diabetes.
  2. Genetic factors lead to type 1diabetes only. ---CORRECT ANSWER--- 1,2,3,4 (I do

not think 5 is correct)

  1. Mr. Ed, 46 years old, experienced a mild stroke and was hospitalized through the

emergency room. The general work-up showed that his blood glucose was 300 mg/dl. He

denied knowing that his sugar was so high. He did report frequency of urination and

polyphagia. On further examination, the nurse practitioner asked about family history, and

he identified that his mother and grandfather both had adult-onset diabetes.

  1. John Brown, 60 years old, asks the nurse practitioner if a lack of functioning insulin is

the only cause of diabetes. Which of the following is the nurse practitioner's reply?

Select all that apply.

  1. More recently, other hormones have been found to be part of diabetes.
  2. Besides insulin, glucagon, amylin, and incretin are involved.
  1. Ferritin ---CORRECT ANSWER--- 2
  2. Vitamin B12 and folate levels

GFR and kidney disease staging ---CORRECT ANSWER--- Stage I: GFR < or =

90mL/min with other evidence of kidney damage

Stage II: GFR 89 - 60, Kidney damage with mild loss of function Stage

IIIa: GFR 59 - 45, mild to moderate loss of kidney function Stage IIIb:

GFR 44 - 30, moderate to severe loss of kidney functionStage IV: GFR 29

  • 15, severe loss of kidney function

Stage V: GFR < 15, kidney failure

. Hematological and immune systems disorders are sometimes complicated because

the

manifestations may appear in different organ systems. A complete detailed history,

diagnostic testing, and which of the following must be performed for diagnosis?

  1. Cognitive assessment
  2. Ethnicity assessment
  3. Patient education
  4. Physical examination ---CORRECT ANSWER--- 4 . To complete hematological assessment, a diagnostic should be performed. Which ofthe

following should be tested to assess for blood loss or blood cell destruction?

  1. Hemoglobin electrophoresis
  2. Reticulocyte count

Ellen is a 57 - year-old woman diagnosed with iron-deficiency anemia (IDA). Her

physician orders further diagnostic tests to rule out which of the following?

1. HIV

  1. Malignancy
  2. Gastritis
  3. Stroke ---CORRECT ANSWER--- 2

Which of the following conditions has the presentation of increased platelet destruction

by the

immune system?

1. ITP

2. CLL

3. ALL

4. AML ---CORRECT ANSWER--- 1

Jonathan was brought in to urgent care by his mother for symptoms of pain, frequent

nosebleeds, weakness, and shortness of breath. Complete blood count (CBC) with

  1. Weight gain ---CORRECT ANSWER--- 1, 3, 5
  2. Podiatric surgery
  3. Malabsorption syndromes
  4. Peptic ulcer disease
  5. Inadequate diet
  6. Anesthesiologist
  7. Primary care provider (PCP)

The treatment of acute lymphoblastic leukemia (ALL) consists of the control of bone

marrow and systemic disease. Which of the following therapies eliminates any leukemic

cells that may remain? 1. Consolidation therapy

  1. Maintenance therapy
  2. Induction remission
  3. Central nervous system (CNS) prophylaxis ---CORRECT ANSWER--- 1

Acute myeloid leukemia (AML) is a rare and diverse group of diseases. Which of the

following statements is true regarding AML?

  1. Surgeon
  2. Pulmonologist ---CORRECT ANSWER--- 1

IDA is multifactorial and is common in men 65 years and older. Patients present

symptoms of nonspecific fatigue and/or weakness, dizziness, and shortness of breath.

Which of the following are the contributing factors for IDA in older adults? Select all that

apply.

  1. AML has no CNS involvement.
  2. Laboratory evaluation includes urinalysis.
  3. Initial work-up is to assess and characterize the disease based on prior exposure.
  4. Comorbidities do not apply in the diagnosis of AML. ---CORRECT ANSWER--- 3

differential and platelet count and a comprehensive chemistry panel were done. From

which of the following conditions may Jonathan be suffering?

1. ITP

2. CLL

3. ALL

4. AML ---CORRECT ANSWER--- 3

Which of the following medical providers is responsible for the early components of

diagnostic work-up?

Tanya came in for an office visit due to recurrent epistaxis. She also has a diagnosis of

systemic lupus erythematosus. CBC with peripheral blood smear was performed and

confirmed that she has idiopathic thrombocytopenic purpura (ITP). Which of the

following is true relating to the condition of ITP? Select all that apply.

  1. ITP affects women more than men.
  2. ITP is more common in children.

he body by metabolism and excretion.

  1. Pharmacodynamics' fundamental concept is drug clearance. ---CORRECT

ANSWER--- 1, 3

from t

  1. Pharmacodynamics describes the rate and pathways by which drugs are eliminated
  2. Screening tool to alert doctors to correct treatment.
  3. Valuable tool for prescribers, but they are not meant to be mandates for prescribing.
  4. CLL treatment is divided into induction and post-remission or consolidation therapy. --

- CORRECT ANSWER--- 2, 3, 4

Which of the following is most affected by pharmacokinetic change?

  1. Distribution of drugs.
  2. Elimination of drugs.
  3. Absorption of drugs.
  4. Metabolism of drugs. ---CORRECT ANSWER--- 2 (kidneys affect drug distribution)

Pharmacokinetics ---CORRECT ANSWER---

A patient is started on a low dose of a drug for safety but is never advanced to a

therapeutic

dose while another drug is added. Which of the following does this describe?

  1. Preferences of care.
  2. Risk-benefit ratio of drug.
  3. Narrow therapeutic index of drug.
  4. Clinical inertia. ---CORRECT ANSWER--- 4

It is important to know the pharmacodynamic influences of the drug. Which of the

following statements are true regarding pharmacodynamics? Select all that apply. 1.

A drug's pharmacodynamics describes the effect at the site of action.

  1. Pharmacodynamics is concerned with the movement of drugs within the body. 3.

A drug's pharmacodynamics describes the time and intensity of the drug effect.

  1. Screening tool of older persons' potentially inappropriate prescriptions.
  2. It is the Beers criteria that mandates prescribing ---CORRECT ANSWER--- 2, 3, 4

Pain is categorized into different types. Which of the following type of pain originates in

the thoracic, abdominal, and pelvic viscera and presents diffused pain that oftenradiates?

  1. Neuropathic pain
  2. Somatic pain
  3. Visceral pain

Which of the following is true regarding STOPP/START criteria for prescribing

medications? Select all that apply.

  1. Lists potential alternative drugs that can safely be used in older adults.

e.

  1. Teaching that frequent testing and screening is needed if he continues to be sexually

active.

even at an older ag

  1. Teaching about the incidence of contracting sexually transmitted infections (STIs),
  2. Teaching on safe sex practices.
  3. Mixed pain ---CORRECT ANSWER--- 3

A gerontological patient is being examined for a report of pain in the shoulder. The nurse

practitioner completes a thorough systemic examination because:

  1. Older patients with one morbidity often express difficulties in general.
  2. Arthritis of the shoulder is accompanied by other neurological symptoms.
  3. Older patients with arthritis often experience pain in lower extremities.
  4. The patient may not report significant signs and symptoms. ---CORRECT ANSWER--

When a patient is seen by a nurse practitioner, the care plan is developed keepingwhich of

the following objectives in mind?

  1. Increasing the use of the emergency department for injuries from falls.
  2. Maintaining the patient living in his or her home.
  3. Increasing safety checks in the home.
  4. Increasing use of the Welcome to Medicare visit. ---CORRECT ANSWER--- 4

Nutrition counseling is part of health promotion. The nurse practitioner considers a teaching

plan that includes which of the following information? Select all that apply.

  1. Level of involvement in community activities.
    1. Baseline information on current dietary intake.
    2. Current activity patterns.
    3. Current height and weight.
    4. Health status information. ---CORRECT ANSWER--- 2,3,4,

A major concern for older adults is safety. The nurse practitioner addresses safety

issues when assessing the following. Select all that apply.

  1. Presence of a gun in the home.
  2. Fear of falling.
  3. Strength of the patient.
  4. Presence of rugs and other hazards in the home.
  5. Urinary incontinence. ---CORRECT ANSWER--- 1, 2, 3, 4, 5

Albert is 72 years old and complains of burning upon urination. He has recently returned

from a vacation to another country. The nurse practitioner conducts a physical examination

and observes that there is a white discharge from his penis. What does thenurse practitioner

include in the treatment plan? Select all that apply.

  1. The American Heart Association (AHA) ---CORRECT ANSWER--- 1, 2, 4
  2. The National Institute on Aging
  3. The American Medical Association
  4. The Center for Medicare and Medic
  5. The

Select all that apply.

physical activities and cognitive changes?

  1. Diet and supplements
  2. Provider and patients
  3. Social support and patients
  4. Medical conditions and medications ---CORRECT ANSWER--- 1

With the recognition that baby boomers will increase the over 65 population

exponentially, guidelines for increasing physical activity in older adults have been issued.

Which of the following programs is dedicated to health promotion in older

adults? Select all that apply.

Healthy People 2020 initiative

aid

  1. Uncontrolled hypertension
  2. Fibromyalgia
  3. Unstable aortic aneurysm
  4. Chondromalacia
  5. Hypoxemia ---CORRECT ANSWER--- 1, 3

Which of the following may be included in the healthy lifestyle counseling during the

initial

Welcome to Medicare visit? Select all that apply.

  1. Level of physical activity assessment.
  2. Physical therapy consultation.
  3. Referral to an herbalist.
  4. Referral to a health coach.
  5. Referral to an acupuncturist. ---CORRECT ANSWER--- 1, 2, 4

Incorporating exercise into patients' lifestyles can be effectively achieved by including

which of the following in your discussions with patients? Select all that apply.

  1. Talking about the importance of exercise.
  2. Encouraging goal setting and self-monitoring by the patient.
  3. Recommending the purchase of exercise equipment to use at home.
  4. Informing the patient about resources that are available in the community for group

exercise.

  1. Giving an illustration of the exercises. ---CORRECT ANSWER--- 2, 4

Mr. Fekjar is diagnosed with unstable angina. Which of the following is a

contraindication for exercise therapy and prevents patients from joining an exercise

program?

---CORRECT ANSWER--- 1

  1. Headache
  2. Chest pain
  3. Hematuria
  4. STOPP/START Criteria
  5. Medication Appropriateness Index

The goal of increasing physical activity is to promote a healthy lifestyle. Which of the

  1. HHS Guide to Geriatric Medications
  2. Hospital formulary ---CORRECT ANSWER--- 2, 3

Steven is a 65-year-old male diagnosed with Parkinson's disease. He is taking anti-

Parkinson's drugs, calcium supplements, and NSAIDs for his joint pain. Which of the

following conditions could be caused by his medications?

  1. Constipation

Mr. Thomas noticed tremors in his right hand 2 years ago and attributed this to hiselbow

injury from a fall. The tremors have gradually worsened, and he now has tremors underhis

lip,

some gait problems, and occasional stomach spasms. His wife has recently noticed

these things and suggested he have a medical consultation. Which of the following

reasons might Mr. Thomas have had for ignoring these symptoms? Select all that

apply.

following options help reduce the risk of injuries? Select all that apply.

  1. Choosing physical activities that are appropriate for their current fitness level and

health goals.

  1. Remaining under the care of a health-care provider if they have chronic conditions or

symptoms.

  1. Choosing to do physical activities their friends are doing.
  2. Enlisting spousal supervision and support.
  3. Hiring a personal trainer. ---CORRECT ANSWER--- 1, 2

Tina is a 60 - year-old female presenting symptoms of coughing, shortness of breath, and

purulent sputum. She is being treated with antibiotics, use of a nebulizer, and oral

steroids.

Which of the following conditions could be her diagnosis?

  1. Bacterial pneumonia
  2. Acute bronchitis
  3. Chronic bronchitis

After examining Adam, who is 79 years old, the nurse practitioner uses which of the

following criteria to adjust Adam's medications? Select all that apply.

  1. The Beers Criteria published in 1991

4. GERD ---CORRECT ANSWER--- 3