Question 1

Mr.Waterson is 76 years old and involved in a weight-loss program.He weighs 250 pounds and is 5 feet and 5 inches tall.He asks his nurse practitioner what he should do for exercise to enhance his modified eating style.The nurse practitioner advises him with which of the following statements? Select all that apply.

Accepted Answer

A) Encourages any level of activity, which is beneficial.  B) Aligns with general guidelines for moderate exercise.  E) Important for older adults to prevent falls.

Question 2

Annie is 89 years old and appears apathetic, unwilling to eat and drink, and shows functional decline.The nurse practitioner discusses with the family the possibility that Annie is experiencing a failure to thrive (FTT).The family asks how this happened.The nurse practitioner replies with which of the following statements? Select all that apply.

Accepted Answer

B,C,D

Question 3

Mr.Ed, 46 years old, experienced a mild stroke and was hospitalized through the emergency room.The general work-up showed that his blood glucose was 300 mg/dl.He denied knowing that his sugar was so high.He did report frequency of urination and polyphagia.On further examination, the nurse practitioner asked about family history, and he identified that his mother and grandfather both had adult-onset diabetes.Although he is under 65 years old, the nurse practitioner teaches him which of the following? Select all that apply.

Accepted Answer

A,B,C

Question 4

John Brown, 60 years old, asks the nurse practitioner if a lack of functioning insulin is the only cause of diabetes.Which of the following is the nurse practitioner's reply? Select all that apply.

Accepted Answer

The answer of John Brown, 60 years old, asks the...

Question 5

Ms.Allen, 72 years old, is being evaluated by the nurse practitioner for type 2 diabetes.Because symptoms of endocrine disorders in older adults are vague, which of the following questions is best to ask?

Accepted Answer

Symptoms of endocrine disorders, including type 2 diabetes, in older adults can be vague and often overlap with normal aging processes or other health conditions. Asking about the ability to carry out daily activities (A) can help identify functional changes that may be related to uncontrolled blood sugar levels, which can affect energy, vision, and overall health, providing a more holistic view of the patient's health status.

Question 6

The nurse practitioner is ordering laboratory testing to confirm her suspicion of acute pancreatitis.Which of the following findings would confirm her suspicions? Select all that apply.

Accepted Answer

The answer of The nurse practitioner is ordering laboratory testing...

Question 7

Mr.John has recently been given a diagnosis of diabetes.He asks the nurse practitioner if can try something nonpharmacological to control his diabetes.Which of the following would the nurse practitioner propose? Select all that apply.

Accepted Answer

The answer of Mr.John has recently been given a diagnosis...

Question 8

The nurse practitioner is working in the emergency department and is called to assist with the diagnosis of a patient who just came in.Mr.Barn is 76 years old and complains of abdominal pain, and his serum amylase and lipase are three times the normal limit.The nurse practitioner confirms pancreatitis, as this meets which criteria?

Accepted Answer

The answer of The nurse practitioner is working in the...

Question 9

Mrs.Borden is 67 years old and her primary care physician wants her to be seen by a nurse practitioner who specializes in geriatric issues.On completing the interview and examination, the nurse practitioner tells Mrs.Borden that she will order a blood laboratory specimen for thyroid function and pancreatic function.Mrs.Borden asks what the reason is.Which of the following is the nurse practitioner's best response?

Accepted Answer

The answer of Mrs.Borden is 67 years old and her...

Question 10

Mr.Jameson, 75 years old, comes to the clinic with complaints of severe sharp epigastric pain that radiates to his back.He has been nauseous and has vomited three times today.The nurse practitioner suspects which of the following?

Accepted Answer

The symptoms described by Mr. Jameson, including severe sharp epigastric pain radiating to the back, nausea, and vomiting, are classic signs of acute pancreatitis. Appendicitis typically presents with lower abdominal pain, gastrointestinal influenza might involve more diffuse abdominal discomfort and flu-like symptoms, and insulin shock is characterized by hypoglycemia symptoms, not abdominal pain.

Question 11

Mrs.Smith, 80 years old, has been vomiting and having bouts of loose stools for several days.She is taking several medications that are prescribed.The nurse practitioner conducts a medication review because:

Accepted Answer

The answer of Mrs.Smith, 80 years old, has been vomiting...

Question 12

Mr.Jones is 70 years old and sees the nurse practitioner for a yearly checkup.He states that he needs to urinate a lot and seems to always be thirsty.He also finds himself gaining some weight.In the process of the examination, the nurse practitioner detects that he is vague in his .Which of the following may be the reason?

Accepted Answer

The symptoms described by Mr. Jones, such as frequent urination, constant thirst, and weight gain, along with the gradual onset of these symptoms, are indicative of diabetes. Diabetes symptoms often develop slowly over time.

Question 13

Bob is 85 years old and is suspected of experiencing adult FTT.His family asks the nurse practitioner to evaluate what exactly is going on with him.The nurse practitioner knows to order which of the following? Select all that apply.

Accepted Answer

The answer of Bob is 85 years old and is...

Question 14

Ms.Jenny is 72 years old and has managed her type 2 diabetes for 30 years.This condition is costly to her in more than one way.Which complications are common?

Accepted Answer

Type 2 diabetes can lead to various complications, including financial challenges due to the cost of managing the condition over time. Good visual acuity, good renal functioning, and increased circulation to lower extremities are not common complications of long-term type 2 diabetes.

Question 15

The nurse practitioner is preparing home-going instructions for a 66-year-old man with newly diagnosed type 2 diabetes.The goals include which of the following? Select all that apply.

Accepted Answer

For a newly diagnosed type 2 diabetic patient, glycemic control (B) is crucial to manage blood sugar levels effectively. Good nutritional status (C) is important to ensure the patient receives a balanced diet that supports overall health and helps in managing diabetes. Exercise (E) is recommended to improve insulin sensitivity, aid in weight management, and promote cardiovascular health. Maintenance of current weight (A) may not be appropriate if the patient is overweight or obese, which is common in type 2 diabetes. More rest (D) is not a specific goal for diabetes management unless it's addressing another health issue.

Quiz 14: Endocrine, Metabolic, and Nutritional Disorders