NR601 Nursing Midterm Exam With Answers (200 Solved Questions)

Name: NR601 Nursing Midterm Exam With Answers (200 Solved Questions)
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NR601 Nursing Midterm Exam With Answers provides real-world past exam questions to help you practice smarter.

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NR 601 Midterm Exam 2022 Chamberlain
College of Nursing. Verified Q And A.

NR 601 Midterm
(Complete Solution and resources for the exam,
Secure Bettergrade)
NR 601 Midterm
A client is newly diagnosed with type 2 diabetes mellitus. Which
diagnostic test will best evaluate the management plan prescribed
for this client?
Quarterly hemoglobin A1C
After first managing the pain being experienced by the client with
gout, the treatment focuses on:
Preventing systemic involvement by altering the client's diet
The abrupt onset of symptoms of stress or urge incontinence is
most often due to a urinary tract infection
True
A 60-year-old woman presents with a chief complaint of
uncomfortable breathing on exertion. She has had a minimally
productive cough for several years that does not bother her. On
further questioning, she states that her breathing gets much
worse when she lies down. The most likely cause of her dyspnea
is:
Cardiac

Which of the following drugs do not trigger or aggravate a cough?
Hydrochlorothiazide
Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society?
More nursing services will be required to serve the needs of the
population 85 years of age and older.
Which diagnostic laboratory test would the nurse practitioner
typically not order for the purpose of evaluating an individual's
acute, unexplained weight loss?
Serum Potassium
It has been projected that the cultural group presenting the
greatest growth rate among the older adult population will be the:
Hispanic Americans
Which statement made by a client recently diagnosed with
diverticular disease would indicate that she needs additional
teaching regarding dietary considerations?
"I'll have to give up eating right before I go to bed."
Ethnocentrism is defined as:
a belief that one's ethnic group is superior to that of another true
When diagnosed with diverticulosis, a client asks how this
problem occurred. Which assessment data identifies a risk factor
for diverticulosis?
Maintains a diet low in fiber.

A 77-year-old client being treated for glaucoma asks the nurse
practitioner what causes glaucoma. The nurse bases the
response on the knowledge that the increase in intraocular
pressure is a result of:
a breakdown in the absorption process
Weight loss is frequently caused by ingestion of one or more of
the following drugs.
Antibiotics
Digoxin
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Theophylline
A, B, and C
All of the above
Answer: All of the above
Which of the following culturally diverse male clients will most
benefit from educational material related to "Staying Healthy into
your 80s"
Japanese
The following are true statements about bipolar disorders in older
adults except
"Bipolar disorder is the most commonly diagnosed psychiatric
disorder in older adults."
Which assessment data would not be of particular concern when
attempting to manage an older adult's risk for dehydration?
Chronic constipation

When educating the older adult population about the risks to
physical health that chronic alcohol abuse presents, the nurse
practitioner is especially careful to include the:
Identification of the signs and symptoms of gastrointestinal
bleeding
Which of the following drugs does not typically cause
constipation?
Magnesium-containing antacid
An older adult client has been voluntarily admitted for treatment of
alcohol dependency. In implementing care, the nurse plans which
intervention based upon knowledge about alcohol and aging?
Assessing the client for both depression and anxiety
The greatest risk for injury for a client with progressed Parkinson's
disease is:
Falls
An older adult client shares with the nurse that, "I don't know what
it is but it seems that I need more light for reading or even
watching television as I get older." The nurse explains that aging
may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting.
The nurse practitioner educates that client that Healthy People
2010:
offers direction for the achievement of improved quality of life
across the life span

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Which of the following is not a common cause of constipation?
hypercalcemia
The nurse is teaching a health promotion class at a senior center.
Which of the following statements demonstrate that the participant
does not understand the topic:
"We need to use caustic soaps and scrub aggressively with a
wash cloth bathing to minimize bacteria on the skin."
The nurse practitioner shows an understanding of appropriate
influenza vaccination guidelines for a client over the age of 65
when stating:
"Regardless of your physical health you really should get a yearly
flu shot."
The nurse shows understanding of the need to promote healthy
skin in the older adult when encouraging the client to all of the
following except :
clean the skin with a moisturizing soap

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Skeletal disorder characterized by impaired bone strength that
predisposes to increased risk of fracture.
Can occur from not only bone loss but also from failure earlier in
life to make sufficient bone.
Primary: due to aging (increased bone resorption/reduced new
bone formation)
Secondary: consequence of underlying medical condition/drug
What are s/s of osteoporosis?
Sometimes not seen until fracture sustained spontaneously or
after minimal trauma, usually in thoracic/lumbar vertebrae, hip,
wrist, humerus, pelvis.
With each fracture, risk of another increases exponentially.
Loss of height, kyphosis development.
XR: bones appear osteopenic (at least 30% loss in bone mass);
spine shows loss of horizontal vertebral trabeculae, accentuating
end plates, producing biconcave "codfish" vertebrae; maybe
compression fracture.
What are diagnostic tests for osteoporosis?
XR
DEXA (screen all women >65yo, hip/spine; test earlier if major
risk factors present; repeat every 3-5yrs depending on degree)
What is T-score of -2.5 or lower indicative of?
Osteoporosis

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What is a T-score of -1.0 to -2.5 indicative of?
Osteopenia
What is a T-score of -1.0 or higher indicative of?
Normal bone density
What is a Z-score of <-1.5 indicative of?
Secondary cause of osteoporosis
What are the risk factors for osteoporosis?
Previous fracture
Advanced age
Low body wt/BMI
Maternal h/o fracture
Current smoking
Physical inactivity
Excessive exercise resulting in amenorrhea
Poor lifetime intake of calcium
Endocrine disorders
GI dz
Chronic systemic illnesses
Nutritional deficiencies
Meds (steroids, anticonvulsants, thyroid hormone, SSRI,
aromatase inhibitors for breast CA)
Alcoholism
What is the treatment for osteoporosis?
Aim to prevent those that are at risk
Combine diet, exercise, meds
Dietary Ca/vit D

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Wt-bearing/strength exercises
Bisphosphonates
Selective estrogen receptor modulators
Calcitonin
PTH
Denosumab
Fall prevention
How does chronic pain differ from acute pain?
Chronic pain tends to be more multifactorial, less amenable
to cure, more influenced by psychological/social factors.
Typically requires continuous long-term/multidisciplenary
management.
Can be triggered with seemingly minor biologic stimulus or
persist long after injury is healed.
What is the principle goal of chronic pain treatment?
Improvement in QOL/function, rather than complete
elimination of pain.
What is nociceptive pain?
Pain from nociceptive fibers in periphery triggered by actual or
potential tissue damage.
Typically attributed to specific anatomic location of tissue injury.
Pain is well-localized, stabbing, throbbing, achy.
What is neuropathic pain?
Direct neuronal injury.
Burning, tingling, lancinating.
Often occurs in dermatomal pattern

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University

Chamberlain College of Nursing

Subject

Nursing

NR601 Nursing Midterm Exam With Answers (200 Solved Questions)

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