NRNP 6540 FINAL EXAM /NRNP WEEK 12 FINAL EX... Study
NRNP 6540 FINAL EXAM /NRNP WEEK 12 FINAL
EXAM 2024-2025 ACTUAL EXAM 180 QUESTIONS
AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
Terms in this set (179)
1. Answer: 1
Page: 215
1. In the assessment for
peripheral vascular
Feedback
disorders, the clinician
1.
should begin with which of
The clinician should begin with auscultation of the
the following after the
carotid arteries bilaterally because cardiac murmurs will
general history and physical
usually radiate into the carotid arteries.
examination?
2.
After auscultation of the carotid and subclavian arteries,
1. Auscultation of the carotid
the clinician should proceed to palpation of the brachial,
arteries bilaterally.
radial, and ulnar arteries.
2. Palpation of the carotid
3.
arteries bilaterally.
After auscultation and palpation, careful inspection
3. Inspection of the carotid
should be performed of the distal fingers and the nail
arteries bilaterally.
beds.
4. Order diagnostic testing.
4.
Diagnostic testing is usually ordered when areas of
concern are found.
, 1. Answer: 1
NRNP 6540 FINAL EXAM /NRNP WEEK 12 FINAL EX...
Page: 361
1. Mrs. Borden is 67 years
Feedback
old and her primary care
1.
physician wants her to be
The nurse practitioner recognizes that normal aging
seen by a nurse practitioner
changes of the endocrine system primarily are related to
who specializes in geriatric
a decrease in pancreatic function (inability to sufficiently
issues. On completing the
secrete insulin), resulting in diabetes mellitus.
interview and examination,
2.
the nurse practitioner tells
The nurse practitioner needs to screen older adults
Mrs. Borden that she will
periodically for diabetes mellitus and thyroid disease
order a blood laboratory
because the incidence of these conditions increases with
specimen for thyroid
age.
function and pancreatic
3.
function. Mrs. Borden asks
The nurse practitioner managing the care of older adults
what the reason is. Which of
needs to differentiate among four clinical states. One of
the following is the nurse
those is an endocrine function that is altered relative to
practitioner's best
that of younger patients, but is an expected
response?
consequence of normal aging.
4.
1. Diabetes is more common
Overall, the nurse practitioner managing the care of
in older patients.
older adults needs to differentiate among four clinical
2. Thyroid issues are less
states:
common in older patients.
1. An endocrine function that is altered relative to that of
3. These are common tests
younger patients, but is an expected consequence of
to be done on any new
normal aging.
patient.
2. Altered endocrine function secondary to coincident
4. These tests are necessary
nonendocrine disease, but is not of known pathological
to obtain baseline
significance.
information.
3. Iatrogenic changes in endocrine function that largely
reflect the polypharmacy seen in the older adult
population.
4. Authentic endocrinopathy.
, 1. Answer: 2
NRNP 6540 FINAL EXAM /NRNP WEEK 12 FINAL EX...
Page: 428
1. Mrs. James is 78 years old
and comes to the clinic for Feedback
an annual checkup. The 1.
nurse practitioner The psychosocial assessment of the older adult entails
addresses the psychosocial an evaluation of the following basic needs: autonomy
needs of older adults and and independence.
specifically the need for 2.
which of the following? The psychosocial assessment of the older adult entails
an evaluation of the following basic needs: dignity,
1. Dependence. credibility, and respect.
2. Dignity, credibility, and 3.
respect. The psychosocial assessment of the older adult entails
3. Being alone. an evaluation of the following basic needs:
4. Not being touched. communication and belonging.
4.
The psychosocial assessment of the older adult entails
an evaluation of the following basic needs: touch.
, 1. Mrs. M. W. comes into the 1. Answer: 1
NRNP
primary care6540 FINAL
office for her EXAM /NRNP WEEK 12 FINAL EX...
Page: 225
regular yearly checkup. The
nurse practitioner begins
the assessment by asking if Feedback
there are concerns Mrs. M. 1.
W. has that need to be Determining the sequence of events that triggered each
addressed. The patient says symptom and inquiring about precipitating factors such
that she has been as a meal, position of the body, use of caffeine, or
experiencing periodic alcohol and smoking will lead to a differential diagnosis.
episodes of abdominal 2.
cramps and diarrhea that Information regarding episodes of anorexia, dyspepsia,
just comes and goes. The dysphagia, heartburn, nausea, regurgitation, vomiting,
nurse practitioner continues painful or difficult defecation, diarrhea, tenesmus, or
the assessment with which constipation can be clustered to form a differential
of the following? diagnosis.
3.
1. Asking about the The physical examination is often unremarkable, and
sequence of events and laboratory findings may not provide diagnostic
events that triggered each information because the presentation of illness in an
episode. older adult is usually subdued.
2. Conducting a complete 4.
neurological examination. Ask about the severity of pain by having the patient rate
3. Collecting a urine her pain on a scale of 1 to 10. Realize, however, that in
specimen. older adults, pain may be blunted despite the underlying
4. Evaluating abdominal pathology.
pain.
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