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
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