NR 601 FINAL Exam WITH 400
Questions AND ANSWERS
JK, 60yo woman, returns for eval of management plan for insomnia. You
saw her 2wks ago, dx'd primary insomnia and recommended melatonin. JK
reports she is taking it nightly, avoiding caffeine/ETOH, and is falling asleep
but not staying asl...
JK, 60yo woman, returns for eval of management plan for insomnia. You
saw her 2wks ago, dx'd primary insomnia and recommended melatonin. JK
reports she is taking it nightly, avoiding caffeine/ETOH, and is falling asleep
but not staying asleep. She wakes up after about 4hrs and cannot return to
sleep. Next step is:
a. Zolpidem 5mg PO HS #7 w/no refills
b. Eszopiclone 1mg PO HS #30 w/5 refills
c. Ramelteon 8mg PO HS #21 w/no refills
d. Zolpidem 5mg PO HS #30 w/3 refills - ANSWER-A
CC, 62yo male, new to your practice. Previously dx'd w/Stage B HF.
According to week 2 HF lecture, you'll look for the following med classes to
ensure appropriate tx of HF:
a. ACE/ARB, statin, BB
b. ACE/ARB
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c. BB - ANSWER-A
JM, 68yo males, presents for physical. He has T2DM x5yrs, smokes
1/2PPD, BMI 30. No other hx, no current complaints. According to
AHA/ACC guidelines, JM is Stage A. Tx goals include:
a. Control symptoms
b. Heart healthy lifestyle
c. Diuresis to relieve symptoms of congestion
d. Prevent further cardiac remodeling - ANSWER-B
Lifestyle modifications for managing HTN include all of the following except:
a. DASH diet
b. Wt reduction
c. HCTZ
d. Physical activity - ANSWER-C
PG is a 58yo Caucasian man w/stable mental health dx of schizophrenia
who presents for yearly physical. He takes aripiprazole for it. You know the
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labs and assessments should be ordered to assess for cardiometabolic
changes related to his meds except for:
a. Waist circumference
b. Glucose
c. Cholesterol
d. AST/ALT - ANSWER-D
Which organism that can be prevented by vax is most often responsible for
infectious "outbreak" in nursing homes?
a. Influenza A
b. Haemophilus influenza
c. Mycobacterium tuberculosis
d. Streptococcus - ANSWER-A
Justification for ordering CBC, TSH, serum B12 for a pt you suspect may
have clinical depression is:
a. Overlapping symptoms w/anemia, thyroid dysfunction, nutritional
deficiencies
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b. Rule out vascular dz
c. Differentiate between depression and anxiety
d. Determine the cause of sadness - ANSWER-A
65yo woman w/BMI 29, 15yr h/o HTN, on HCTZ 25mg for years w/excellent
response. Follow up visit: reports that for last 1-2mo, she has been thirsty,
increased urination. Last fasting BGL was 118. What action should you
take next?
a. Plan to recheck BGL as scheduled at yearly physical
b. Check POC glucose now, since she has just eaten breakfast
c. Educate that the diuretic is causing the increased thirst
d. Order fasting BGL - ANSWER-D
48yo female presents for annual exam. A1C is 6.2%. You interpret this
result as:
a. Prediabetes
b. T2DM
c. T1DM
d. Normal - ANSWER-A
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