Description

1. Q. A nurse practitioner is completing a home visit on a 60-year-old female patient who was recently discharged from the hospital. Furosemide has been increased during the hospital stay. The NP educates the patient about the increase in explaining that with aging this medication:
2. Q. BNP/NT-proBNP testing has limitations in older adults for the detection of:
3. Q. Which vaccinations assist in the prevention of pulmonary disease exacerbation in adults?
4. Q. A NP performs an ASCVD risk estimation during a patient visit and understands that medication intervention will be needed. Which medication is most appropriate in this situation?
5. Q. A NP calculates a CHADS2Vasc score to be 5. The NP understands that the patient is at increased risk for a:
6. Q. A NP reviews the patient’s history noting that the patient has moderative mitral stenosis and atrial fibrillation with rapid ventricular response. The best medication management would include:
7. Q. A 67-year-old female patient presents with shortness of breath upon exertion, bilateral lower extremity swelling, fatigue, weight gain, and cough. The patient denies fever but admits to feeling weak and bloated. The patient’s history included anemia and a recent treatment for community acquired pneumonia. Based on the patients’ complaints and history, the most likely diagnosis could include:
8. Q. A 64-year-old male has lab work completed which indicated a creatine clearance of 35mL/min (normal range 97-137mL/min). this renal status will affect the NPs recommendations on:
9. Q. The most definitive study for the diagnosis of chronic obstructive pulmonary disease (COPD) is:
10. Q. A 66-year-old female patient covered by Medicare come for her annual Medicare wellness visit. The NP is reviewing the chart for the current status of preventive screening. It is noted that the patient has had a normal mammogram 13 months ago, a normal bone density scan 3 years ago and a normal colonoscopy 2 years ago. The NP will order which screenings:
11. Q. A nurse practitioner suspects an unprovoked pulmonary embolism in a 80 year old male patient. A Wells score of 6 is obtained upon reviewing the patient’s history and current physical exam. What is the best test to determine the presence/absence of a pulmonary embolism?
12. Q. A 74-year-old female arrives at the family medicine office for her annual Medicare wellness exam. The nurse practitioner understands that the written plan of care based on age friendly care will address:
13. Q. A 64-year-old male arrives in the outpatient internal medicine office requesting a new patient visit. During the visit, the nurse practitioner notes that the patient is on six prescriptions for various chronic problems. The NP understand that the patient is at risk for:
14. Q. In younger patients, asthma is associated with 1 and is reversible with 2. Older patients with asthma may have more severe asthma which is irreversible due to 3: 1) Atrophy 2) Bronchodilators 3) Airway remodeling, age of onset, and coexistence of COPD or pulmonary fibrosis
15. Q. Which is the best indicator for heart disease in the aging population?
16. Q. During the performance of spirometry, the nurse practitioner notes that the patient has less than a six second exhalation. The NP understands that this will affect the validity of the:
17. Q. Smoking cessation is essential particularly in patients with pulmonary disease. What method of smoking cessation is most efficacious?
18. Q. A 55-year-old male reports to the nurse practitioner that his blood pressure at home is ranging from 160/90 to 170/100. The patient’s blood pressure during the office visit is taken twice and the readings are consistent with the patient’s self- reported values. The nurse practitioner notes a diagnosis on the patient’s problem list of benign prostatic hypertrophy. Which medication might be best in this clinical situation?
19. Q. The single most effective non-pharmacologic method of reducing hypertensive status is
20. Q. Which tools can be used to complete the required elements of the Medicare Annual Wellness