Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and complete blood count (CBC). The total assessment is necessary because: 1. All body systems interact...
NUR861 FINAL EXAM QUESTIONS AND
CORRECT ANSWERS
Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is
dehydrated. Although she is afebrile, the nurse conducts a thorough physical
examination, including urinalysis and complete blood count (CBC). The total
assessment is necessary because:
1. All body systems interact, and symptoms could indicate a variety of diagnoses.
2. The symptoms are vague and may be signs of aging.
3. There may be other signs or symptoms more indicative of the condition.
4. Mrs. Smith may not be reporting all significant information. ✅1. All body systems
interact, and symptoms could indicate a variety of diagnoses.
A patient with renal disease has blood work drawn, and the results show an increase in
serum creatinine. The nurse practitioner needs to know which of the following laboratory
values before
ordering medications?
1. CBC
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels ✅3. Creatinine clearance
Which of the following statements is true regarding diagnostic testing?
1. A test is ordered for a specific purpose.
2. A test is the most invasive available.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient. ✅1. A test is
ordered for a specific purpose.
Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson
because:
1. The body undergoes physiological changes with aging.
2. A healthy body does not experience significant changes as one gets older.
3. Older patients do not feel any systemic symptoms, such as malaise and weight loss.
4. Even though the same joints are usually affected, age makes it feel different. ✅1.
The body undergoes physiological changes with aging.
The nurse practitioner is examining an 85-year-old man with reports of abdominal pain,
weakness, and loss of appetite. Which is the most likely condition to be tested for and
ruled out?
1. Neoplasms and carcinomas
2. Partial seizure
3. Sarcopenia
,4. Hirschsprung's disease ✅1. Neoplasms and carcinomas
For individuals over 65 years old, the most common morbidities are related to:
1. Heart disease, arthritis
2. Respiratory problems, cancer
3. Diabetes, stroke
4. All of these are common morbidities. ✅4. All of these are common morbidities.
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. ✅1. Older patients with
one morbidity often express difficulties in general.
The nurse practitioner performs a thorough systemic examination of a patient who
reports diarrhea and pain in the upper left quadrant of the abdomen. One possible
diagnosis would be:
1. Hirschsprung's disease
2. Pancreatitis
3. Appendicitis
4. Gastrointestinal inflammatory bowel disease (GIBD) ✅4. Gastrointestinal
inflammatory bowel disease (GIBD)
A patient asks the nurse practitioner what is meant by health promotion. Which of the
following is the nurse practitioner's best response? Health promotion:
1. Includes activities that an individual performs proactively to increase health and well-
being.
2. Is a process of keeping track of immunizations.
3. Includes a set of programs that help people cope with the disease.
4. Includes strategies that prolong life. ✅1. Includes activities that an individual
performs proactively to increase health and well-being.
The nurse practitioner knows that health promotion is accomplished on a broader scale
by:
1. Maintaining current health services.
2. Maintaining federal legislation regarding health care at the current level.
3. Encouraging healthy lifestyle and healthy public policy formulation.
4. Encouraging the advancement of alternative health therapies. ✅3. Encouraging
healthy lifestyle and healthy public policy formulation.
Mr. Thomas comes in for a health examination appointment with his nurse practitioner.
He asks why nurse practitioners are qualified to conduct these evaluations. Which of the
following is the nurse practitioner's best response? The nurse practitioner:
1. Is concerned about health and not disease.
, 2. Saves the physician time in the office.
3. Can assess for minor conditions and refer to the doctor for other conditions.
4. Is prepared to assess health holistically. ✅4. Is prepared to assess health
holistically.
Mrs. Williams, 80 years old, asks her nurse practitioner to order a new alternative
therapy for her. Mrs. Williams believes that this botanical supplement will provide pain
relief for her fibromyalgia. The nurse practitioner explains that this therapy is likely not
covered by Medicare because:
1. The botanical is expensive and not approved for use.
2. Medicare only covers treatments that are approved according to the stringent
guidelines of the U.S. Preventive Services Task Force (USPSTF).
3. There is no reason to use these botanicals when opioids are proven effective.
4. This botanical is not on the Medicare list of approved medications. ✅2. Medicare
only covers treatments that are approved according to the stringent guidelines of the
U.S. Preventive Services Task Force (USPSTF).
The focus of advanced nurse practitioners is primary care. This is defined as activities
that focus on:
1. Preventing the occurrence of a disease or condition.
2. Treating an illness after symptoms appear.
3. Enabling the patient to recover and convalesce.
4. Enriching the patient's appreciation of life. ✅1. Preventing the occurrence of a
disease or condition.
Mrs. Keating is a 70-year-old woman suffering from arthritis. She is seeing the nurse
practitioner for her regular checkup. For a person with chronic degenerative conditions,
which
of the following should the nurse suggest for health promotion?
1. Take herbal supplements.
2. Increase physical activity.
3. Take Aleve.
4. Get a massage ✅2. Increase physical activity.
Older adults who have chronic conditions and are considering an increase in their
physical
activity should:
1. Start slowly, using lower weights with high repetitions.
2. Consult with a personal trainer.
3. Consult a health-care provider to help set physical activity goals that are realistic and
safe.
4. Start with low repetitions but heavier weights. ✅3. Consult a health-care provider to
help set physical activity goals that are realistic and safe.
Mr. and Mrs. Smith are both 75 years old and are seeing their nurse practitioner for their
annual checkups. Mrs. Smith wonders why they each have trouble digesting different
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