NR 601 MIDTERM EXAM PREPARATION NEWEST 2026 WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS| BRAND NEW VERSION!
Ali is a 72-year-old male who recently came to the US from Nigeria. He reports
having BCG vaccination as a child. Which of the following is correct regarding a TB
skin test
a) Vaccination history prevents testing
b) Vax history is irrelevant, read as usual
c) Only IGRA can be used
d) Test should be doubled in dose
e) Cannot interpret the result
Correct answer: Vax history is irrelevant, read as usual
A local chapter on NP organization has begun planning a community-based
screening for HTN at a local congregate living facility. The organization was
selected on the basis of
a) Volunteer availability
b) A recognized element of high risk within this group
c) Proximity to hospital
d) Funding availability
e) Staff interest
Correct answer: A recognized element of high risk within this group
Performing ROM exercises on a patient who has had a CVA is an example of which
level of prevention
a) Primary
b) Secondary
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, NR 601 Midterm Exam PREPARATION
c) Tertiary
d) Quaternary
e) Preventive
Correct answer: Tertiary
You demonstrate an understanding of primary prevention of falling among the
elderly through which management plan
a) Implement hip replacement surgery
b) Provide info about meds, SE and interactions
c) Begin ROM exercises
d) Perform home safety assessment only
e) Prescribe vitamin D
Correct answer: Provide info about meds, SE and interactions
An example of an active strategy of health promotion for an individual to
accomplish would be
a) Screening colonoscopy
b) Beginning stress management program
c) Watching a health video
d) Receiving immunizations
e) Reading health pamphlets
Correct answer: Beginning stress management program
The 4 main domains of clinical preventive services that you will provide are
a) Immunizations, screening tests, lifestyle counseling, acute care
b) Counseling interventions, screening tests, immunizations, chemoprophylaxis
c) Counseling, surgical intervention, rehab, chemoprophylaxis
d) Chemoprophylaxis, lab tests, diagnostics, acute care
e) Screening, immunizations, health education, physical therapy
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Correct answer: Counseling interventions, screening tests, immunizations,
chemoprophylaxis
What is the appropriate method for TB screening of an older adult entering a
nursing home
a) IGRA blood test only
b) 5 TBU intradermal PPD injection and if negative, repeat with same dose one
week later
c) Chest X-ray only
d) Clinical symptom screening
e) 10 TBU intradermal PPD injection once
Correct answer: 5 TBU intradermal PPD injection and if negative, repeat with
same dose one week later
The term "geriatric syndrome" is best described
a) Disease affecting only the elderly
b) Condition that has multiple underlying factors and involves multiple systems
c) Any single chronic disease in older adults
d) Age-related cognitive decline
e) Disability from trauma
Correct answer: Condition that has multiple underlying factors and involves
multiple systems
Atypical presentation of acute coronary syndrome is
a) More common in males
b) More common in females
c) Rare in elderly
d) Always associated with chest pain
e) Always associated with hypotension
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Correct answer: More common in females
What disease can mimic and often co-exists with MI in elderly with CAD
a) Gastroenteritis
b) Esophageal disease
c) Pulmonary embolism
d) Pneumothorax
e) Cholecystitis
Correct answer: Esophageal disease
Thoracic aortic dissection presents typically as
a) Mild anterior chest discomfort
b) Severe retrosternal CP that radiates to the back and both arms
c) Epigastric pain
d) Neck stiffness
e) Shortness of breath only
Correct answer: Severe retrosternal CP that radiates to the back and both arms
Bordetella pertussis is best characterized
a) Acute fever >101°F
b) Sub-acute cough lasting >2 weeks
c) Nasal congestion only
d) Productive purulent sputum
e) Rapid onset headache
Correct answer: Sub-acute cough lasting >2 weeks
The percentage of the FVC expired in one second is
a) Forced vital capacity
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