NR601 NR 601 Final Exam Latest Update

NR601/ NR 601 Final Exam (Latest 2024/ 2025 Update) Primary Care of the Maturing and Aged Family Review| Questions and Verified Answers| 100% Correct |Grade A – Chamberlain ____ 1. An elderly client presents with a new onset of feeling her heart race and fatigue. An EKG reveals atrial fibrillation with rate >110. The patient also has a new fine tremor of both hands. Which of the following would the nurse practitioner suspect?

• Hypothyroidism
• Hyperthyroidism
• Congestive heart failure
• Type 2 diabetes mellitus - ANSWER B

____ 2. A 62-year-old female complains of fatigue and lack of energy. Constipation has increased and the patient has gained ten pounds in the past 3 months.Depression is denied although the patient reports a lack of interest in usual hobbies. Vital signs are within normal limits and the patient's skin is dry and cool.Which of the following must be included in the differential?

• Hyperthyroidism 1 / 4

• Hypothyroidism
• Hyperparathyroidism
• Grave's disease - ANSWER B

____ 3. Mrs. Black, an 87-year-old patient, has been taking 100 mcg of Synthroid for 10 years. She comes to your office for a routine follow-up, feeling well. Her heart rate is 90. Your first

response is to:

• Increase the Synthroid
• Order TSH
• Start a beta-blocker
• Order thyroid scan - ANSWER B

____ 4. Which patient is most likely to have osteoporosis?

• An 80-year-old underweight male who smokes and has been on steroids for

psoriasis

• A 90-year-old female with no family history of osteoporosis who is on hormone

replacement therapy

• A 68-year-old overweight female who drinks 1-2 drinks alcohol/day
• An 82-year-old female with a normal BMI takes calcium and performs weight-

bearing exercise daily - ANSWER A 2 / 4

____ 5. When evaluating the expected outcome for a hypothyroid elderly patient placed on levothyroxine,

the nurse practitioner will:

• Assess a weekly TSH
• Assess the TSH in 4-6 weeks
• Ask the patient if the symptoms have subsided and adjust dosage accordingly
• Decrease the dosage should a cardiac event occur - ANSWER

5. ANS: B

PTS: 1

____ 6. A postmenopausal woman with osteoporosis is taking a bisphosphonate daily by mouth. What action information statement would indicate the patient understood the nurse practitioner's instructions regarding this medication?

• Takes medication at bedtime with a full glass of water
• Takes medication with a full glass of water when up in a.m. 30 minutes prior to

other food and medications

• Takes medication when up in a.m. with a glass of orange juice to increase

absorption 3 / 4

• Takes medication sitting up and with a meal to avoid gastrointestinal distress -

ANSWER 6. ANS: B

PTS: 1

____ 7. The primary reason levothyroxine sodium is initiated at a low dose in an elderly patient with hypothyroidism is to prevent which of the following untoward effects?

• Angina and arrhythmia
• Nausea and diarrhea
• Confusion and delirium
• Osteoporosis and muscle weakness - ANSWER 7. ANS: A

PTS: 1

____ 8. Six months ago an elderly patient was diagnosed with subclinical hypothyroidism. Today the patient returns and has a TSH of 11.0 and complains of fatigue. He has taken Synthroid 25 mcg daily as prescribed. What is the best course of action for the nurse practitioner?

• Assess further for a cause of fatigue
• Double the dose of Synthroid
• Discontinue the Synthroid
• / 4