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NRNP 6540 Didactic Exam Questions and Complete Solutions Graded A+
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NRNP 6540 Didactic Exam Questions and Complete Solutions Graded A+
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NRNP 6540 DidacticExam Questions and
Complete Solutions
Graded A+
There are benign and lethal murmurs. Which of the following are true of lethal murmurs - Answer:
hospitalization is required when arrhythmias result from hemodynamic compromise
Cardioversion pre hospitalization may be needed
Aggressive therapeutic treatment is needed when symptomatic
Underlying cardiac problems need to be discovered
What are the classes of BMI for obesity - Answer: Class 1 30-35
Class II 35-39.9
Class morbid >40
What is the screening tool for alcohol - Answer: Cage
It is positive if they answer yes to two or more and then perform a SMAST-G screening tool
What are the hypertension guidelines for patients greater than 60 years of age - Answer: 150/90 for
patients without DM or CKD
140/90 for patients with DM or CKD
,Why would you initiate statins on elderly patients - Answer: 1-cvd
2 - LDL >190
3-in patients age 40-75, LDL of 70-189
Was what is a positive malnutrition score - Answer: Greater than 10 lb weight loss in 6 months
Use the MUST tool
Elderly population should you screen for hyperlipidemia - Answer: Patients that have known
hypertension, smoking, or diabetes
What is the scales nutrition screening tool - Answer: S-sadness, C-cholesterol, A-albumin, L- loss of
weight E- eating problems, S - shopping problems
What are the vision screening requirements of patients > 65 - Answer: Snelling chart - annually
Patients with hypertension or diabetes must have a dilated exam annually
What are the hearing screening requirements of patients > 65 - Answer: Asking questions about whether
people say they appear to have problems with turning the volume up
When should you screen for osteoporosis - Answer: Women >65
Men > 70
You must use a dual energy dxa x-ray
And perform at-score
What is the T score for osteoporosis? - Answer: Normal 1.0
Osteopenia -1 to -2.5
Osteoporosis -2.5
Severe osteoporosis < 2.5 and fragility fracture
What are the mammogram screening requirements - Answer: Age greater than 40-74
,What are the colon cancer screening recommendations - Answer: All patients over the age of 50
Colonoscopy every 10 years
Sigmoidoscopy every 5 years
Occult blood yearly
What are the cervical cancer screening recommendations - Answer: Age 21-65
> age 65 is not required
What are the requirements for counseling patients > 65 - Answer: Exercise, nutrition, tobacco, alcohol
What are the requirements of exercise for patients 65 - Answer: Aerobic exercise for 30 minutes three
times a week
Strength exercise two times a week
What are the alcohol recommendations for an adult - Answer: one per day for women
Per day for men
What are the pneumonia immunization recommendations for patients >65 - Answer: Pcv13 first
PPS 23 one year later
What are the zoster immunization recommendations - Answer: All patients over the age of 60-regardless
if they have had shingles or chicken pox in the past
Contraindications-allergy to neomycin or gelatin
Bone marrow cancer - such as lymphoma
Current chemotherapy or steroids
AIDS patients
, the major impact of the physiological changes that occur with aging is - Answer: Reduced physiological
Reserve-Particularly the cardiac, respiratory, and renal systems
Reduced homeostatic mechanisms-That fail to adjust regulatory systems such as temperature control
and fluid and electrolyte balance
Changes in the sympathetic response-which contribute to orthostasis and Falls as well as a lack of
hypoglycemic response
Impaired immunologic response
the strongest evidence regarding normal physiological aging is available through - Answer: Longitudinal
studies
the following statements are true about laboratory values in older adults - Answer: Reference ranges are
preferable
Normal ranges may not be applicable for older adults
Reference ranges are not necessarily acceptable values
biochemical individuality is best described as - Answer: Each individual's variation is often much smaller
than that of a larger group
polypharmacy is best described as - Answer: Even a single med if there is not a clear indication for its use
pharmacokinetic changes with aging is reflective of - Answer: What the body does to the drug
All of the following statements are false about drug absorption except - Answer: Underlying chronic
disease has little impact on drug absorption
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