Obesity: What disease processes does your risk increase if you are obese? STI: First line treatment

Menopause: symptoms of perimenopause; changes in your body for peri and regular menopause; defn of menopause and treatment

elder abuse: Who is most at risk

ethical issues: This is more generic and end of life planning?

advance directives & advance care planning; When do you need this? What is the purpose? POLST: What is this? When do you use it?

1. Question: According to the Sexually presentation, atrophic vaginitis
2. Question: Which of the following is the most appropriate screening tool for delirium?
3. Question: A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea_ is:
4. Question: Which of the following would you recommend annually for the elderly type 2 diabetic?
5. Question: Which characteristic of delirium helps to distinguish it from dementia?
6. Question: The majority of patients enrolled in hospice care die:
7. Question: Which of the following is a role of the advanced practice nurse in palliative cancer care?
8. Question: The elderly are at high risk for delirium because of:
9. Question: 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?
10. Question: Which of the following signs or symptoms are not characteristics of delirium
11. Question: A 52-year-old female patient screened for diabetes has a fasting plasma glucose level of 123 mg/dl. The nurse practitioners plan includes:
12. Question: According to the palliative care presentation, most elderly patients die:
13. Question: Older adults with dementia sometimes suffer from agnosia, which is defined as the inability to
14. Question: When treating depression associated with dementia, which of the following would be a poor choice and not be prescribed
15. Question: Male patient presents with a BMI of 30 presents to the office for an annual exam. You are reviewing the lab results. You ordered a CMP as part of routine labs. The fasting glucose was 130. Your next action is:
16. Question: The task of grieving includes all of the following except
17. Question: All of the following are true statements regarding elder abuse except:
18. Question: Hospice care differs from palliative care in that:
19. Question: How dies woman’s anatomy make them more susceptible to UTI's
20. Question: Mrs. Smith, a 64-year-old woman presents to the clinic for the first time and complains of urinary incontinence and dyspareunia. She went through menopause 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 patient’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 consistent with atrophic vaginitis. You prescribed topical hormone replacement therapy today. Which of the following evaluations should also be ordered today?
21. Question: All of the following patients should be screened for diabetes except:
22. Question: 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:
23. Question: A 65-year-old Hispanic woman who presents to the office for routine follow up of her type 2 diabetes mellitus. Her routine UA results are as follows: few epithelial cells, negative leukocytes, negative nitrates, negative protein, no ketones. Which of the following tests should also be ordered annually for diabetic patients:
24. Question: A male patient with a BMI of 33 presents to the office with complaints of fatigue, excessive hunger and excessive thirst. You ordered a CMP and a Hgb A1C. The results are a fasting glucose 99, Hbg AIC 5.7. The nurse practitioner diagnosis is:
25. Question: All of the following patients have a risk of adverse reactions from Metformin except:
26. Question: The first step in treating delirium is to:
27. Question: A 65 Caucasian female presents for her yearly physical. She is 5"1 tall and weighs 102 lbs. A review of her chart reveals she smokes 1 pack of cigarettes a day, and drinks 2 beers every evening since she retired. She has taken synthroid and simvastatin for 10 years. She does not exercise, she likes to sit and knit. The NP knows the non-modifiable risk factor for osteoporosis for this patient include:
28. Question: According to the genitourinary presentation, the number 1 risk factor for urinary incontinence is:
29. Question: The cornerstone of pharmacotherapy in treating Alzheimer's disease is:
30. Question: The Mini-Cog is a short screening tool used to assess cognition. Which of the following statements pertaining to the test is a true statement?
31. Question: An 80-year-old female widow asks her nurse practitioner about her end of life options. Her diagnosis includes congestive heart failure, hypertension and type 2 diabetes mellitus. She has noticed that in the last month she has lower extremity edema and she if finding it difficult to walk to the grocery store and church. She does not use oxygen. She is able to maintain her home but requires more frequent rests after vacuuming. She does not wish to be admitted to the hospital again in the future but if admitted wants to maintain full code status. How should the NP address this patient concerns today?
32. Question: Hospice services and palliative care services are underutilized due to
33. Question: Delirium is typically characterized by all of the following except:
34. Question: Mrs. G has returned to your office for a follow up visit for urinary incontinence (UI). Mrs G has followed your 1st line recommendations. She has quit smoking, drinks plenty of fluids, and has eliminated caffeine and spicy foods. Despite all these changes, she still experiences UI. You decide to initiate second line treatment. You recommend:
35. Question: Which of the following diagnoses should be considered in a patient presenting with erectile dysfunction?
36. Question: A patient has been prescribed metformin (Glucophage). One week later he returns with complaints of some loose stools during the week. How should the nurse practitioner respond?
37. Question: A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120mg/dl (6.7mmol/L). The nurse practitioner plan includes:
38. Question: Which of the listed conditions is most likely to cause delirium?
39. Question: Age-related changes in the bladder, urethra and ureters include all of the following in older women except:
40. Question: Mrs. R is a 68-year-old woman with a BMI of 26. She is on Medicare, has a 20-year history of primary hypertension and has been well controlled on furosemide 30 mg BID for years. During this follow up visit Mrs. R reports that for the last 2 months she is always thirsty, she drinks at least 8 glasses of water a day. Upon chart review the NP notes that the last two fasting blood glucose levels have been 102mg/dl and 108mg/dl. What action should the nurse practitioner perform next?
41. Question: The proposed mechanism by which diphenhydramine caused delirium is:
42. Question: According to the Palliative Care Presentation, palliative care may be provided to
43. Question: The highest level of evidence with the use of adjuvant analgesics is with
44. Question: According to the Sexuality presentation, the biggest barrier to appropriate sexual evaluation in the older patient
45. Question: The highest level of evidence to support interventions at the end of life is with
46. Question: The comorbid psychiatric problem with the highest frequency in dementia is:
47. Question: According to the 2017 Guideline for High Blood pressure in adults, patients with stage 1 or 2 CKD with albuminuria should be started on the following medication to slow progression of kidney disease
48. Question: Although the patient is currently asymptomatic, her history of three urinary tract infections (UTIs) in 8 months’ warrants testing while she is in the office. A UTI is defined as the presence of 100,000 organisms per milliliter of urine in asymptomatic patients or greater than 100 organisms per milliliter of urine with pyuria (>7 WBCs/mL) in a symptomatic patient. Diabetic patients are at higher risk for UTIs and over time may develop bladder damage (cystopathy) and nephropathy. A nephrology consult is prudent.