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NR 601 Midterm Exam – 150 Questions on Cardiology, Geriatrics, Musculoskeletal Disorders & Preventive Care – 2026

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This document contains a comprehensive 150-question midterm exam review for NR 601, focusing on advanced primary care management of adult and geriatric populations. The material covers cardiovascular assessment and management including heart failure staging (Stage A–D), ACC 2017 hypertension guidelines, ASCVD statin therapy recommendations, aortic and mitral valve disorders, atrial fibrillation, post-MI pharmacologic therapy, ischemic heart disease, and interpretation of diagnostic testing such as echocardiograms, stress testing, FEV1/FVC ratios, and lung volumes. Extensive coverage is provided on geriatric syndromes and aging physiology, including Beers criteria for medication safety in adults over 65, pharmacokinetic and pharmacodynamic changes with aging, polypharmacy, atypical disease presentations, fall prevention strategies, functional assessment, osteoporosis screening with DEXA and T-score interpretation, and exercise recommendations for older adults. Musculoskeletal disorders such as osteoarthritis, rheumatoid arthritis, gout, polymyalgia rheumatica (PMR), giant cell arteritis (GCA), and synovial fluid analysis interpretation are thoroughly reviewed. The exam also addresses depression in older adults (distinct symptom presentation, screening, lab evaluation), dementia versus delirium differentiation, Confusion Assessment Method (CAM), SLUMS exam, Alzheimer’s pharmacotherapy with cholinesterase inhibitors, insomnia classification, chronic pain management (nociceptive vs neuropathic pain), pulmonary embolism recognition, pneumonia in the elderly, tuberculosis screening protocols, and levels of prevention (primary, secondary, tertiary). Preventive care principles including immunizations, screening tests, counseling interventions, and chemoprophylaxis are emphasized throughout. The content aligns closely with Primary Care: A Collaborative Practice by Dunphy, Winland-Brown, Porter, and Thomas, as well as ACC, ADA, and evidence-based geriatric and cardiovascular guidelines commonly integrated into Family Nurse Practitioner curricula. The structure reflects guideline-driven clinical reasoning, diagnostic evaluation, and pharmacologic management expected in graduate-level advanced primary care courses. This document is particularly relevant for: Students enrolled in NR 601 Family Nurse Practitioner (FNP) students MSN students in Advanced Primary Care courses RN-to-MSN students focusing on adult and geriatric primary care Nurse practitioner students preparing for midterm examinations It serves as a structured, exam-focused study guide designed to strengthen clinical decision-making, interpretation of diagnostic findings, geriatric risk assessment, and evidence-based management of cardiovascular, musculoskeletal, endocrine, pulmonary, and neurocognitive conditions in primary care. Keywords: NR 601 midterm exam advanced primary care review heart failure staging ACC 2017 hypertension guidelines ASCVD statin guidelines aortic stenosis and regurgitation mitral valve disorders FEV1 FVC ratio interpretation osteoporosis T score interpretation polymyalgia rheumatica management giant cell arteritis symptoms osteoarthritis vs rheumatoid arthritis gout management indomethacin Beers criteria elderly delirium vs dementia Confusion Assessment Method SLUMS exam screening cholinesterase inhibitors Alzheimer fall prevention elderly primary secondary tertiary prevention

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NR 601 Midterm 2026 Exam
Questions and Verified Answers
| Already Graded A+


The percentage of the FVC expired in one second is - 🧠 ANSWER

✔✔FEV1/FVC ratio


The aging process causes what normal physiological changes in the heart -

🧠 ANSWER ✔✔The heart valve thickens and becomes rigid, secondary to

fibrosis and sclerosis

,A 55 yo Caucasian male follows up after referral to cardiologist. He thinks

his med is causing a cough and sometimes he has difficulty breathing.

Which med was most likely prescribed? - 🧠 ANSWER ✔✔Lisinopril


MJ presents with h/o structural damage with current s/s of HF. Treatment

will be based on his stage of HF which is - 🧠 ANSWER ✔✔Stage C


65 yo Caucasian presents with mitral valve stenosis, physical exam is

unremarkable. you know her stage of HF is - 🧠 ANSWER ✔✔Stage B


The best way to diagnose structural heart disease/dysfunction

noninvasively is - 🧠 ANSWER ✔✔Echocardiogram


Chronic pain can have major impact on patients ability to function and have

profound impact on overall QOL. Ongoing pain may be linked to - 🧠

ANSWER ✔✔Depression, sleep disturbance, decreased socialization


The Beers criteria are appropriate for use in evaluating use of certain meds

in patients - 🧠 ANSWER ✔✔>65 y/o


All of the following statements are true about lab values in older adults

except - 🧠 ANSWER ✔✔Abnormal findings are often due to physiological

aging

, According to the 2017 ACC HTN guidelines, the recommended BP goal for

a 65y/o African American woman with a h/o HTN and DM and no h/o CKD

is - 🧠 ANSWER ✔✔<140/80


THe pathophysiology of HF is due to - 🧠 ANSWER ✔✔Inadequate cardiac

output to meet the metabolic and O2 demands of the body

The volume of air a patient to exhale for total duration of the test during

maximal effort is - 🧠 ANSWER ✔✔FVC


According it the 2017 ACC HTN guidelines, normal BP is - 🧠 ANSWER

✔✔<120/80


Functional abilities are best assessed by - 🧠 ANSWER ✔✔Observed

assessment of function

LB is a 77 yo with chronic poorly controlled HTN. You know that goals

include prevention of target organ damage. During your eval you will

assess for evidence of - 🧠 ANSWER ✔✔Left ventricular hypertrophy


Aortic regurgitation requires medical treatment for early signs of HF with - 🧠

ANSWER ✔✔ACEi




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