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NR601/ NR 601 Final Exam (Latest 2024/ 2025 Update) Primary Care of the Maturing and Aged Family Review| Questions and Verified Answers| 100% Correct |Grade A – Chamberlain$10.49
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NR601/ NR 601 Final Exam (Latest 2024/ 2025 Update) Primary Care of the Maturing and Aged Family Review| Questions and Verified Answers| 100% Correct |Grade A – Chamberlain
NR601/ NR 601 Final Exam (Latest 2024/ 2025 Update) Primary Care of the Maturing and Aged Family Review| Questions and Verified Answers| 100% Correct |Grade A – Chamberlain
NR601/ NR 601 Final Exam (Latest 2024/ 2025 Update)
Primary Care of the Maturing and Aged Family Review|
Questions and Verified Answers| 100% Correct |Grade
A – Chamberlain
____ 1. An elderly client presents with a new onset of feeling her heart race and
fatigue. An EKG reveals
atrial fibrillation with rate >110. The patient also has a new fine tremor of both
hands. Which of the
following would the nurse practitioner suspect?
A. Hypothyroidism
B. Hyperthyroidism
C. Congestive heart failure
D. Type 2 diabetes mellitus - ANSWER B
____ 2. A 62-year-old female complains of fatigue and lack of energy. Constipation
has increased and the patient has gained ten pounds in the past 3 months.
Depression is denied although the patient reports a lack of interest in usual
hobbies. Vital signs are within normal limits and the patient's skin is dry and cool.
Which of the following must be included in the differential?
A. Hyperthyroidism
,B. Hypothyroidism
C. Hyperparathyroidism
D. Grave's disease - ANSWER B
____ 3. Mrs. Black, an 87-year-old patient, has been taking 100 mcg of Synthroid
for 10 years. She comes to
your office for a routine follow-up, feeling well. Her heart rate is 90. Your first
response is to:
A. Increase the Synthroid
B. Order TSH
C. Start a beta-blocker
D. Order thyroid scan - ANSWER B
____ 4. Which patient is most likely to have osteoporosis?
A. An 80-year-old underweight male who smokes and has been on steroids for
psoriasis
B. A 90-year-old female with no family history of osteoporosis who is on hormone
replacement therapy
C. A 68-year-old overweight female who drinks 1-2 drinks alcohol/day
D. An 82-year-old female with a normal BMI takes calcium and performs weight-
bearing exercise daily - ANSWER A
,____ 5. When evaluating the expected outcome for a hypothyroid elderly patient
placed on levothyroxine,
the nurse practitioner will:
A. Assess a weekly TSH
B. Assess the TSH in 4-6 weeks
C. Ask the patient if the symptoms have subsided and adjust dosage accordingly
D. Decrease the dosage should a cardiac event occur - ANSWER
5. ANS: B
PTS: 1
____ 6. A postmenopausal woman with osteoporosis is taking a bisphosphonate
daily by mouth. What action
information statement would indicate the patient understood the nurse
practitioner's instructions
regarding this medication?
A. Takes medication at bedtime with a full glass of water
B. Takes medication with a full glass of water when up in a.m. 30 minutes prior to
other food and medications
C. Takes medication when up in a.m. with a glass of orange juice to increase
absorption
, D. Takes medication sitting up and with a meal to avoid gastrointestinal distress -
ANSWER 6. ANS: B
PTS: 1
____ 7. The primary reason levothyroxine sodium is initiated at a low dose in an
elderly patient with
hypothyroidism is to prevent which of the following untoward effects?
A. Angina and arrhythmia
B. Nausea and diarrhea
C. Confusion and delirium
D. Osteoporosis and muscle weakness - ANSWER 7. ANS: A
PTS: 1
____ 8. Six months ago an elderly patient was diagnosed with subclinical
hypothyroidism. Today the patient
returns and has a TSH of 11.0 and complains of fatigue. He has taken Synthroid 25
mcg daily as
prescribed. What is the best course of action for the nurse practitioner?
A. Assess further for a cause of fatigue
B. Double the dose of Synthroid
C. Discontinue the Synthroid
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