ADVANCED PRACTICE CARE OF
OLDER ADULTS NRNP 6540 FINAL
EXAM 2023- ACCURATE SPRINGSUMMER QUARTER COMPLETE EXAM
QUESTIONS WITH ANSWERS &
REFERENCES
1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and
is dehydrated. Although she is afebrile, the nurse conducts a thorough physical
examination, including urinalysis and complete blood count (CBC). The total
assessment is necessary because:
1. All body systems interact, and symptoms could indicate a variety of diagnoses.
2.The symptoms are vague and may be signs of aging.
3.There may be other signs or symptoms more indicative of the condition.
4.Mrs. Smith may not be reporting all significant
information. - 1. Selected answer: 1Page: 2
Feedba
ck 1.
The clinician must be aware that all the systems interact and, in doing so,
can increase the older person's vulnerability to illness/disease.
2.
The nurse must not attribute symptoms only to the
aging process. 3.
There may be comorbidities accompanying
this condition. 4.
Assumptions of not reporting properly may not be true.
2. A patient with renal disease has blood work drawn, and the results show
an increase in serum creatinine. The nurse practitioner needs to know which
of the following laboratory values before ordering medications?
1. CBC
2. Culture and sensitivity of the urine
3.Creatinine clearance
4.Uric acid levels - 2.
Selected answer: 3Page:
2
3
3
ADVANCED PRACTICE CARE OF OLDER ADULTS NRNP 6540 NEW 2023-2024
Feedba
ck 1.
A CBC will not evaluate kidney function for a patient with
renal disease. 2.
4
A culture and sensitivity test reflects the presence of an infection and the
antibiotic to which the organism is sensitive.
3.
The calculation of creatinine clearance provides an estimation
of renal function. 4.
Uric acid level is elevated in the presence of gout.
3. Which of the following statements is true regarding diagnostic testing?
1.A test is ordered for a specific purpose.
2.A test is the most invasive available.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the
patient. - 3. Selected answer:1 Page: 3
Feedba
ck 1.
The nurse practitioner should have a plan for the use of each test
result value obtained. 2
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