*NURSING > EXAM REVIEW > NR 601 / NR601: Primary Care of the Maturing & Aged Family Practicum Midterm Exam Review (Fall 2020) (All)

NR 601 / NR601: Primary Care of the Maturing & Aged Family Practicum Midterm Exam Review (Fall 2020) Chamberlain College Of Nursing

Document Content and Description Below

NR-601 Primary Care of the Maturing & Aged Family Practicum Mid-term Exam Review 1. 63 yo Caucasian patient with PMR will begin tx corticosteroids until the condition has resolved. You look over her r... ecords and it has been 2 years since her last physical exam and any labs or diagnostic tests as she relocated and had not yet ID'd a provider. In prioritizing your management plan your first orders should include - Duel energy X-ray scan and updating immunizations 2. 55-year-old post-menopausal woman with h/o HTN c/o jaw pain on heavy exertion. No c/o CP. EKG is normal sinus rhythm without ST segment abnormalities. Your plan may include - Exercise stress test 3. Elderly may present with atypical signs of pneumonia. You may need to be aware that clustering of all of the following s/s may indicate pneumonia in the elderly except - Bradycardia 4. 72-year-old woman and her husband are driving cross country. After a long day of driving, they stop to eat. Midway through the meal, the woman because very SOB with CP and a sense of panic. Which problem is most likely? - Pulmonary embolism 5. When you recommend exercise for the elderly which of the following pieces of advice should be considered for all types of exercise - Start low and go slow 6. Men have faster and more efficient biotransformation of drugs and this is thought to be due to: - Testosterone 7. Patient has poorly controlled HTN for >10 years. Indicate the most likely position of his PMI - 5th ICS left of MCL 8. 43-year-old Hispanic male has audible diastolic murmur best hard at the mitral point. No audible click. He has been monitored for 2 years. What is the most likely murmur? - Mitral Stenosis 9. The caregiver for an older adult with cognitive impairment is concerned about the individuals seeming disinterest in eating. Which suggestion does the NP offer based upon a known effect of dementia on a client’s nutrition? - Establish a routine of when and where the individual will have their meals. 10. An older man has a hx of medication therapy for hypertension. Which intervention does the nurse practitioner implement when the client reports that, I've fallen twice in 5 weeks? - 11. Which of the following nutritional indicators is not an indication of poor nutritional status in the elderly? - 12. You examine the hands of a 55-year-old woman and note bilateral spindle shaped deformities on middle interphalangeal joints. These are known as - 13. Which test is clinic standard for assessment of aortic stenosis? - 14. Ischemic heart disease is - 15. Preceding a stress test, the following lab work might include - 16. On exam, what type of murmur can be auscultation with aortic regurgitation - 17. Which of the following statements is true regarding anti-arrhythmic drugs? - 18. In mitral stenosis, p waves may suggest - 19. Aortic regurgitation requires medical treatment for early signs of CHF with - 20. The best evidence rating drugs in a post MI pt include - 21. What is the most common valvular heart disease in the elderly? - 22. A common auscultory finding in CHF is - 23. The most common organism responsible for CAP in the elderly is - 24. Exercise recommended for elderly should include activities that - 25. Preferred amount of exercise for elderly is - 26. Which of the following medical conditions is not considered restrictive for engaging in physical activity? - 27. The best recommendation for patient who says they have no equipment to exercise is - 28. Biochemical individuality is best described as - 29. All of the following statements about drug absorption are false except - 30. The cytochrome p system involves enzymes that are generally: - 31. A statement not shown to be true about pharmacodynamic changes with aging is - 32. The major impact of the physiological changes that occur w/aging is: - 33. The strongest evidence regarding normal physiological aging is available through - 34. Pharmacokinetic changes with aging is reflective of - 35. All of the following statements are true about drug distribution in the elderly except - 36. Atypical presentation of disease in elderly is reflected by all of the following except? - 37. Polypharmacy is best described as - 38. What is the major difference between varicose veins and atherosclerosis? - 39. The following are true statements about bipolar disorders in older adults except - 40. In the elderly population, the fastest growing group is the age range - 41. Which statement correctly describes normal changes of aging - 42. Compared with acute pain, persistent chronic pain requires in the nurse practitioner to - 43. When considering Erikson's developmental stages, the task for later life is referred to as - 44. What is the method of action of anticholinergics? - 45. What is the method of action of beta agonists? - 46. What is tuberculosis - 47. What is aortic regurgitation? - 48. What is aortic stenosis - 49. What is mitral stenosis - 50. What is mitral regurgitation - 51. What is mitral valve prolapse? - 52. What happens in valvular regurgitation - 53. What happens in valvular stenosis - 54. What is the purpose of functional assessment of the elderly? - 55. How should HTN be managed - 56. What is first line meds for non-black HTN population including those with DM - 57. What is the med guideline for ASCVD for those </= 75 y/o - 58. What is the med guideline for ASCVD for those >75 y/o - 59. What is the guideline for meds for LDL>=190? - 60. What is the bed guideline for ASCVD for 40-75 y/o with DM? - 61. What is the med guideline for LDL 79-189? - 62. What is the ASCVD med guideline for 40-75 y/o without ASCVD or DM? - 63. When is Zostavax recommended? - 64. What is primary prevention - 65. What is secondary prevention - 66. What is tertiary prevention - 67. The symptoms of depression may encompass what 4 domains - 68. What is transient insomnia - 69. What is short-term insomnia - 70. What is chronic insomnia - 71. What are some symptoms of polymyalgia rheumatica? - 72. What are common lab findings in PMR - 73. What is the treatment for PMR? - 74. What is osteoporosis - 75. Primary osteoporosis - 76. Secondary osteoporosis - 77. What is a T-score of -2.5 indicative of? - 78. What is a T-score of -1.0 to -2.5 indicative of? - 79. What is a T-score of -1.0 or higher indicative of? - 80. What is a Z-score of <-1.5 indicative of? - 81. What is nociceptive pain - 82. What is neuropathic pain - 83. Treatment goals for stage A HF are - 84. The Beer's criteria are appropriate for use in evaluating use of certain meds in patients - 85. The pathophysiology of heart failure is due to - 86. The comorbid psych problem with the highest frequency in dementia is - 87. When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed - 88. Performing ROM exercises on a patient who has had a CVA is an example of which level of prevention - 89. You demonstrate an understanding of primary prevention of falling among the elderly through which management plan? - 90. An example of an active strategy of health promotion for an individual to accomplish would be - 91. Thoracic aortic dissection presents typically as - 92. A statement not shown to be true about pharmacodynamic changes with aging is - 93. The percentage of the FVC expired in one second is - 94. The aging process causes what normal physiological changes in the heart - 95. A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough and sometimes he has difficulty breathing. Which med was most likely prescribed? - 96. MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage of HF which is - 97. 65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her stage of HF is - 98. The best way to diagnose structural heart disease/dysfunction noninvasively is - 99. Chronic pain can have major impact on patient’s ability to function and have profound impact on overall QOL. Ongoing pain may be linked to - 100. The Beers criteria are appropriate for use in evaluating use of certain meds in patients - 101. All of the following statements are true about lab values in older adults except - 102. According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American woman with a h/o HTN and DM and no h/o CKD is - 103. The pathophysiology of HF is due to - 104. The volume of air a patient to exhale for total duration of the test during maximal effort is - 105. According it the 2017 ACC HTN guidelines, normal BP is - 106. Functional abilities are best assessed by - 107. LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of target organ damage. During your eval you will assess for evidence of - 108. Aortic regurgitation requires medical treatment for early signs of HF with - 109. The volume of air in the lungs at max inflation is - 110. Preferred amount of exercise for older adults is - 111. You know the following statements regarding the pain of acute coronary syndrome are true except - 112. Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with rate >100. Patient also has a new tremor in both hands. Which of the following would you suspect? - 113. Which patient is more likely to have osteoporosis? - 114. Post-menopausal woman with osteoporosis is taking bisphosphonate daily po. What action info statement would indicate she understood your instructions regarding this med? - 115. 60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him about his modifiable cardiac risk factors which include - 116. OA of cervical and lumbar spine causes pain related to all of the following except - 117. In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most valuable diagnostic study would be - 118. Patients with OA of the hip and knee often have a distinguishable gait described as - 119. Which of the following best describes pain associated with OA? - 120. Joint effusions typically occurs later in the course of OA, especially in the - 121. You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which 2 clinical findings are common in patients with PMR? - 122. You suspect your patient has PMR and now are concerned that they may have Giant Cell Arteritis too. Which of the following 2 symptoms are most indicative of GCA and PMR? - 123. Which of the following DD for patients presenting with PMR can be ruled out with a muscle biopsy? - 124. In reviewing lab results for patients with suspected PMR, you realize there is no definitive test to diagnose PMR, rather clinical response to treatment. Results you would expect to see include: - 125. Which of the following is the most appropriate lab test for monitoring gout therapy over the long-term? - 126. In providing health teaching related to dietary restrictions, you should advise a patient with gout to avoid which of the following dietary items - 127. The best method of verifying gout diagnosis in a joint is which of the following - 128. The most appropriate first line treatment for acute gout flare, assuming no kidney disease or elevated bleeding risk - 129. You order bilateral wrist XR on 69 yo man with c/o both wrists x6 weeks, not related to any known trauma. You suspect early RA. The initial XR finding in a patient with elderly onset RA would be - 130. A 72 female has been diagnosed with gout. She also has chronic HF. The most likely contributing factor to development of gout in this older female is - 131. Which of the following statements about OA is true? - 132. In considering the specificity of lab data, the most reliable diagnostic test listed below would be - 133. When examining the spine of an older adult you notice a curvature with a sharp angle. This is referred to as - 134. The prevalence of depression in nursing home residents is __________________ greater than adults living in the community - 135. The majority of depressed older adults remain untreated because of - 136. Symptoms of depression distinct to the elderly include - 137. The justification for ordering CBC, TSH, serum B12 for a patient you may suspect have clinical depression is - 138. One major difference that us useful in the DD of dementia versus delirium is that - 139. Which of the following is the most appropriate screening tool for delirium? - 140. The proposed mechanism by which diphenhydramine causes delirium is - 141. The elderly are at risk for delirium because of - 142. A consistent finding in delirium regardless of cause is? - 143. Older adults with Dementia sometimes suffer from agnosia, which is defined as the inability to - 144. In late stages of dementia, a phenomenon called sun downing, in which cognitive disturbances tend to - 145. Of the following, which one is the most useful clinical eval tool to assist in the diagnosis of dementia - 146. The cornerstone of pharmacotherapy in treating Alzheimer's is - 147. The comorbid psych problem with the highest frequency in dementia in - 148. When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed - 149. Which of the following should be avoided in countries where food and water precautions are to be observed? - 150. What insect precautions are not necessary to prevent insect borne diseases in the Tropics - 151. An example of secondary prevention you could recommend/order for older adults would be to - 152. Ali is a 72-year-old male who recent came to the US from Nigeria. He reports having BCG vax as a child. Which of the following is correct regarding a TB skin test? - 153. A local chapter on NP organization has begun planning a community-based screening for HTN at a local congregate living facility. The organization was select3d on the basis of - 154. Performing ROM exercises on a patient who has had a CVA is an example of which level of prevention - 155. You demonstrate an understanding of primary prevention of falling among the elderly through which management plan - 156. An example of an active strategy of health promotion for an individual to accomplish would be - 157. The 4 main domains of clinical preventive services that you will provide are - 158. What is the appropriate method for TB screening of an older adult entering a nursing home? - 159. The term "geriatric syndrome" is best described - Condition that has multiple underlying factors and involves multiple systems 160. Atypical presentation of acute coronary syndrome is - 161. What disease can mimic and often co-exists with MI in elderly with CAD - 162. Thoracic aortic dissection presents typically as - 163. Bordetella pertussis is best characterized - 164. Routine testing of TB should occur in all of the following vulnerable populations except - 165. Distinguishing delirium from dementia can be problematic since they may co-exist. The primary consideration in the DD is - 166. Evidence shows that the most important predictor of a fall is - 167. The most cost-effective interventions used to prevent falls are - 168. Chronic fatigue syndrome is best described as - 169. Risk factors associated with the finding of a malignancy in a patient with hemoptysis include all of the following except - 170. The most common cause of disability in the elderly is - 171. Drug-induced pruritis is distinguished because it - 172. A key symptom of ischemia heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalents are important because [Show More]

Last updated: 1 year ago

Preview 1 out of 17 pages

Add to cart

Instant download

We Accept:

We Accept
document-preview

Buy this document to get the full access instantly

Instant Download Access after purchase

Add to cart

Instant download

We Accept:

We Accept

Reviews( 0 )

$14.50

Add to cart

We Accept:

We Accept

Instant download

Can't find what you want? Try our AI powered Search

OR

REQUEST DOCUMENT
49
0

Document information


Connected school, study & course


About the document


Uploaded On

Nov 14, 2020

Number of pages

17

Written in

Seller


seller-icon
quiz_bit

Member since 4 years

552 Documents Sold


Additional information

This document has been written for:

Uploaded

Nov 14, 2020

Downloads

 0

Views

 49

Document Keyword Tags

Recommended For You

Get more on EXAM REVIEW »

$14.50
What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·