pg. 1 Latest NR 601 Midterm Exam 2025 Prep Test Bank With 400 Real Exam Practice Questions And Correct Answers (100% Correct Answers Graded A+ Chamberlain) NR601 Midterm Exam 2025/ Nr 601 Midterm Exam Test Bank 2025
- M is a 68 year old man who presents to your primary care practice for a physical.
J.M has type 2 DM for 5 years, smokes 1/2 pack of cigarettes a day, his BMI is 30.No other previous medical diagnoses, no current complaints. According to the AHA/ACC guidelines, JM is stage A heart failure. Treatment goals for J.M
include:
- control symptoms
- prevent further cardiac remodeling
- diruesis to relieve symptoms of congestion
- heart healthy lifestyle - ANSWER-d. heart healthy lifestyle
Functional abilities are best assessed by:
- observed assessment of function
- self report of function
- family report of function
- a comprehensive head-to-toe assessment - ANSWER-a. observed assessment of
function
Preferred amount of exercise for older adults is:
- 30 minutes per day of aerobic activity five times a week
- any increase in any physical activity over a sedentary lifestyle
- 10 minutes of physical activity each morning - ANSWER-a. 30 minutes per day
of aerobic activity five times a week 1 / 4
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A patient presents to the office with complaints of increasing SOB, cough with occasional white sputum and fatigue. As part of the plan the NP orders laboratory tests. The NP knows the likelihood of heart failure is low if the BNP (brain natriuetic peptide) is
- <100
- 100-2 - ANSWER-a. <100
b 200-400
An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times per night. His other lower urinary tract symptoms are slow stream, occasional urgency, and urgency-related leakage once weekly. Medical problems include poorly controlled hypertension, diastolic heart failure, hyperlipidemia, osteoarthritis, and prediabetes. His medications include lisinopril 20 mg daily, metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg twice daily, hydrocodone-acetaminophen as needed, and aspirin 81 mg daily.Amlodipine 5 mg daily was recently added by his cardiologist. On review of systems, Mr. A complains that nocturia is causing daytime fatigue, and he is more constipated. Physical examination is notable for blood pressure 162/83 mmHg, heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged prostate, and 21
pretibial edemas. Your next step in management should be:
- Stop amlodipine and increase lisinopril.
- Day program staff
The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is wetting herself when she attends her new day program. Program staff have requested that "something be done" as she is requiring clothes change nearly every time she is there. She cannot describe the circumstances of leakage, saying "it just comes." Leakage is uncommon at home. Her medications include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will require intervention by which of the following?
An 84-year-old male with history of stroke without residual deficit, systolic heart failure, and type 2 diabetes presents to clinic for follow-up. He is independently 2 / 4
pg. 3 living in a retirement community and still works part time on a golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day), furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years ago, with no abnormality. He reports he is sexually active with men and women, engaging in receptive oral, receptive anal, and penetrative sex. He states he has had over three sexual partners in the last year with intermittent condom use.What sexually transmitted infection testing should be offered?
- Urine testing, blood testing, anal swab, and oropharyngeal swab
- Bladder training
- Atherosclerosis
- Sildenafil
Ms. J, who is 82 years old, complains of urine leakage while playing golf. This has gotten worse over the past year, and she rarely makes it through nine holes without feeling like she needs to "run into the bushes and go." Leakage is usually small volume, but causes her extreme embarrassment because she is afraid, she will smell of urine. She has tried limiting caffeine in the morning before she golfs and avoiding drinking water while playing to no effect. She also tried "those Kegler" exercises in the past without success. Which of the following is the most appropriate recommendation for Ms. J?
What is the most common cause of erectile dysfunction in older men?
Which is the most reasonable first step in the treatment of older men with erectile dysfunction?
You order bilateral wrist XR on 69 yo man with c/o both wrists x6 weeks, not related to any known trauma. You suspect early RA. The initial XR finding in apatien with elderly onset RA would be - ANSWER-Soft tissue swelling
A 72 female has been diagnosed with gout. She also has chronic HF. The most likely contributing factor to development of gout in this older female is - ANSWER-Thiazide diuretics
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pg. 4 A local chapter on NP organization has begun planning a community based screening for HTN at a local congregate living facility. The organization was select3d on the basis of - ANSWER-A recognized element of high risk within this group
The major impact of the physiological changes that occur with aging is:
- impaired immunological response
- reduced physiological reserve
- reduced homeostatic mechanisms
- all options are correct - ANSWER-d. all options are correct
A 65-year old caucasian female presented to your clinic with the following history
and symptoms: mitral valve stenosis, physical exam unremarkable. The NP knows
this patients stage of heart failure is:
- Stage D
- Stage C
- Stage B
- Stage A - ANSWER-c. Stage B
According to the 2017 American College of Cardiology (ACC) hypertension
guidelines, a normal blood pressure is:
- <120/80
- <130/90
- <140/80
- <140/90 - ANSWER-a. <120/80
The aging process causes what normal physiological changes in the heart?
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