1. ‘Which of the following statements is NOT true about palliative care
teams?
A: Provide weekly home visits
2. A 55-year-old women has type 2 DM
... [Show More] she had three UTIs in the last 9
months and she is concerned about her kidneys. She has no report of
dysuria, frequency or urgency at this time. Which of the following is the
best action to follow?
A: Recheck UA dipstick today
3. According to the sexuality presentation, atrophic vaginitis (AV)
A: Is a contributing factor for frequent UTIs
4. Ms. L 55-year-old women with BMI of 28, has 20-yearhx of primary HTN
and has been on hydrochlorothiazide 25 mg daily for years with excellent
response. During follow up visit Mrs L reports that for the last 6 months
she has felt thirsty all of the time even though she drinks at least 10 glasses
of water a day. Upon chart review the N notes that the last two fasting
blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks
a random blood glucose, which is 210 mg/dl. What is the next appropriate
test?
A: Prescribe Metformin 500 mg PO BID
5. A patient has been prescribed Metformin (Glucophage). One week later he
returns with lowered blood sugars but complaints of some loose stools
during the week. How should the NP respond?
A: Reassure the patient that this is an anticipated side effect
6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC=
250, HDL = 32, LDL= 165. The NP teaches the patient about his modifiable
cardiac risk factors which include:
A: Diabetes, obesity, and hyperlipidemia
7. Lifestyle approaches to postmenopausal symptom management include
A: avoiding sugar, coffee, chocolate and alcohol
8. When treating depression associated with dementia, which of the
following would be a poor choice and should not be prescribed?
A: Amitriptyline
2
9. How does women’s anatomy make them more susceptible to UTIs?
A: the urethra is shorter
10. A 48-year-old male patient screened for diabetes has a fasting plasma
glucose level of 120 mg/dl. The NP plan includes
A: Educate the patient of lifestyle changes to lower blood glucose
11. Which of the following assessments are commonly noted in a client with
Parkinson’s disease?
A: Micrographia and bradykinesia
12. A 76-year-old man is seen in the office for c/o urinary incontinence. The
clinician should explore which of these causes of incontinence in men?
A: Urinary Tract Infection (UTI)
13. Which of the following maneuvers is contraindicated in acute prostatis?
A: Massaging the infected prostate
14. Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20-yearhx
of primary HTN and has been on HCTZ 25 mg daily for years , reports
that for the past 6 months she has felt thirsty all of the time even though
she drinks at least 10 glasses of water a day. Upon charting NP notes that
the last two fasting blood glucose levels have been 136 mg/dl and 165
mg/dl. What actions should the NP perform next?
A: order a fasting blood glucose??? PRESCRIBE METFORMIN
XR 500MG PO
15. According to the WHO analgesic ladder, which drug combination would
be most appropriate in an opiate-naïve patient who presents with
moderate pain?
A: Indomethacin/ hydrocodone
16. The cornerstone of pharmacotherapy in treating Alzheimer’s disease is :
A: Cholinesterase inhibitors
17. The highest level of evidence to support interventions at the end of life is
with:
A: opioids for dyspnea
18. The comorbid psychiatric problem with the highest frequency in dementia
is:
A: Anxiety
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19. All of the following are true statements regarding elder abuse EXCEPT:
A : common signs of abuse include decreased anxiety and
depression
20. Which of the following is a role of the advanced nurse in ?????
A: All of the above
21. The proposed mechanism by which diphenhydramine causes delirium is:
A: Anticholinergic effect
22. A drug that can be used to treat two very common symptoms in a dying
patient (pain and dyspnea) is :
A : Morphine
23. According to the Palliative Care presentation, hospice care may be
provided to:
A: those with a life expectancy < 6 months
24. A 68-year-old women is being worked up for stress incontinence. UA
reveals positive leukocyte esterase, positive nitrites, 15 WBCs, no RBS, no
protein, no casts. She denies frequency, urgency, suprapubic pressure or
urgency. What is the first treatment for her US results?
A: no treatment is necessary
25. The elderly are at higher risk for delirium because of:
A: All of the above
26. A 63-year-old man is seen in the clinic with a c/o nocturia. Which of the
following should be included in the differential diagnosis?
A: Benign prostatic hypertrophy (BPH)
27. A 75-year-old man is being treated as an outpatient for metastatic prostate
cancer. Which of the following statements is true regarding the
management of pain with opioids in the elderly?
A: none of the above
28. The highest level of evidence with the use of adjuvant analgesics is with:
A: neuropathic pain patients are candidates for adjuvant
analgesia
29. The 56-year-old man with chronic prostatis should initially be treated with
antibiotics for how long? [Show Less]