NR 601 Week 8 Final Exam Practice Questions

b. multisensory deficits c. polypharmacy d. all of the above A 68 year old woman presents with a complaint of urine leakage whenever she sneezes, laughs or strains for the past 4 months. She denies dysuria, frequency and nocturia. US dipstick is negative for RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What is the diagnosis? a. stress incontinence b. urinary incontinence c. urge incontinence d. overflow incontninence Which of the following signs or symptoms are not characteristics of delirium a. patient is coherent b. short duration c. sudden onset d. symptoms are worse in the evenings A 52 year old female patient screened for diabetes has a fasting plasma glucose level of 123 mg/dl. The nurse practitioners plan includes: a. repeat fasting glucose in 1 month b. prescribe memformin 500mg BID po c. repeat fasting plasma glucose in one year (not sure) d. repeat fasting glucose in three years According to the palliative care presentation, most elderly patients die: a. alone b. at home c. in institutions d. in pain Older adults with dementia sometimes suffer from agnosia, which is defined as the inability to a. remember events and places b. understand language c. use language d. recognize objects c. it is not covered by insurance d. it is designed for the last six months of life How dies womans anatomy make them more susceptible to UTI's a. the female urethra is shorter b. aymptomatic UTI's do not resolve themselves without treatment c. women tend to get UTI's when they are pregnant d. there is a longer distance between the urethra and anus Mrs. Smith, a 64 year old woman presents to the clinic for the first time and complains of uruinary incontinece and dyspareunia. She went through menipause 10 years ago without any hormone replacement therapy and had a hysterectomy for a fibroid. Her mother had a hip fracture at 87 years of age. The patiennt's most recent mammogram was 7 years ago and no known family history of breast cancer. She is not taking any medications. Her physical exam is unremarkable except for findings consistant with atrophic vaginitis. You prescribed topical hormone replacement therapy today. Which of the following evaluations should also be ordered today? Mammogram All of the following patients should be screened for diabetes except: a. a 44 year old caucasian male with hypertension b. a 42 year old femal on disability from back injury from back injury who is unable to exercise c. an overweight middle aged african american woman with a family history of type 2 diabetes mellitus d. an obese hispanic man A 60 year old obese male client has type 2 diabetes mellitus and a lipid panel of TC=250 HDL=32 LDL=165. The nurse practitioner teaches the patient about his modifiable cardiac risk factors, which include: a. diabetes, obesity and hyperlipidemia b. advancing age, diabetes, hyperlipidemia, and male gender c. hyperlipidemia, smoking and family history of heart disease d. male with age >45, diabetes mellitys and hyperlipidemia A 65 year old Hispanic woman