nr 601 week 4 midterm exam questions and answers 400 q amp a
nr 601 care of the mature adults
chamberlain college of nursing
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NR 601 Chamberlain
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NR 601 Midterm
(Questions and Answers)
1. A 60-year-old woman presents with a chief complaint of uncomfortable
breathing on exertion. She has had a minimally productive cough for
several years that does not bother her. On further questioning, she states
that her breathing gets much worse when she lies down. The most likely
cause of her dyspnea is:
Cardiac
2. A 68-year-old male presents with a chief complaint of episodes of
lightheadedness or dizziness. He states that sweating, tachycardia, and
some hand trembling are often associated with these episodes. Which
one of the following questions should you ask to help confirm the
diagnosis?
Are these symptoms related to eating?
3. A 68-year-old male presents with a chief complaint of episodic dizziness.
Although not dizzy at present, he states that he has noted onset of dizzy
, episodes when he rolls over in bed and occasionally when he turns his
head rapidly. Episodes last about 3 minutes. The most likely diagnosis is:
Benign positional vertigo
4. A 75-year old resident in the nursing home has end stage dementia and
experiences a 10-pound weight loss over the course of 2 months. The
resident has become increasingly difficult to feed and often spits out food,
pockets food, and frequently drools. The family is concerned about the
resident's nutritional status. What is the initial action of the nurse
practitioner?
order a swallow evaluation
5. A 77-year-old client being treated for glaucoma asks the nurse
practitioner what causes glaucoma. The nurse bases the response on the
knowledge that the increase in intraocular pressure is a result of:
a breakdown in the absorption process
6. . A 78-year-old man is being evaluated in the geriatric clinic. His daughter
reports that he has been very forgetful lately, and she is concerned that
he might be "senile." The advanced practice nurse administers the clock
drawing test and the patient draws a distorted circular shape and places
, the numbers all on one side of the shape. Based on his performance, the
nurse concludes that the patient:
needs further evaluation
7. The abrupt onset of symptoms of stress or urge incontinence is most
often due to a urinary tract infection
True
8. After first managing the pain being experienced by the client with gout,
the treatment focuses on:
Preventing systemic involvement by altering the client's diet
9. Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society?
More nursing services will be required to serve the needs of the population
85 years of age and older.
10.The caregiver for an older adult with cognitive impairment is concerned
about the individual's seeming disinterest in eating. Which suggestion
, does the nurse practitioner offer based upon a known effect of dementia
on a client's nutrition?
Establish a routine of when and where the individual will have their meals.
11.A client is newly diagnosed with type 2 diabetes mellitus. Which
diagnostic test will best evaluate the management plan prescribed for this
client?
Quarterly hemoglobin A1C
12.Compared with acute pain, persistent chronic pain requires the nurse
practitioner to:
Educate the patient to the benefit of specific lifestyle changes
13.Ethnocentrism is defined as:
a belief that one's ethnic group is superior to that of another true
14.The FANCAPES assessment tool focuses on the older adult's:
ability to meet personal needs to identify the amount of assistance needed
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