The organism most commonly responsible for community-acquired pneumonia in older adults is
A. Pseudomonas aeruginosa
B. Staphylococcus aureus
C. Proteus mirabilis
D. Streptococcus pneumonia
Question 2A common auscultatory finding in advanced CHF is
A. Systolic ejection murmur
B. S3 gallop rhythm
C. Friction rub
D. Bradycardia
Question 3The best way to diagnose structural heart disease/dysfunction non-invasively is
A. Chest x-ray
B. EKG
C. Echocardiogram
D. Heart catheterization
Question 4Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months.
She tells you, I have the same thing, year after year. Which of the following choices would you consider strongly in your critical thinking process?
A. Seasonal allergies
B. Acute bronchitis
C. Bronchial asthma
D. Chronic bronchitis
Question 5Jose M. is a 68-year-old man who presents to your primary care practice for a physical. Jose has had type 2 diabetes mellitus for 5 years, diet controlled. His BMI is 32. Smoker, pack per day for 25 years.
He denies other medical problems. Family history includes CAD, CABG x4 for father, now deceased; CHF, type 2 diabetes mellitus, HT for mother. According to the AHA/ACC guidelines, what stage is Jose?
A. Stage A
B. Stage B
C. Stage C
D. Stage D
Question 6Which of the following statements is true concerning anti-arrhythmic drugs?
A. Amiodarone is the only one not associated with increased mortality and it has a very favorable side effect profile.
B. Both long-acting and short-acting calcium channel blockers are associated with an increased risk of cardiovascular morbidity and mortality.
C. Most anti-arrhythmics have a low toxic/therapeutic ratio and some are exceedingly toxic.
D. Anti-arrhythmic therapy should be initiated in the hospital for all patients.
Question 7An older adult may present with atypical clinical signs of pneumonia. The nurse practitioner needs to be aware that the clustering of all of the following signs and symptoms may be indicative of pneumonia in an older person except
A. Bradycardia
B. Malaise
C. Anorexia
D. Confusion
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