NR601 MIDTERM EXAM WITH
VERIFIED QUESTIONS WITH
CORRECT ANSWERS 2025/2026
NEWEST EXAM/GRADED A+
1. What is the most common cause of hypothyroidism
in older adults?
Correct answer Hashimoto's disease .
2. How do symptoms of hypothyroidism in older adults
differ from younger patients?
Correct answer Older adults usually have fewer and more
vague symptoms; they might present with weight loss
rather than weight gain .
3. At what age does the NP recommend an older adult
obtain the pneumococcal vaccination?
Correct answer65 years of age or older .
4. What is the percentage of the FVC expired in one
second (FEV1/FVC ratio)?
Correct answerFEV1/FVC ratio .
5. The aging process causes what normal physiological
changes in the heart?
Correct answer The heart valve thickens and becomes
rigid, secondary to fibrosis and sclerosis .
,6. A 55-year-old Caucasian male follows up after
referral to a cardiologist. He thinks his med is causing
a cough and sometimes he has difficulty breathing.
Which med was most likely prescribed?
Correct answer Lisinopril .
7. A 60-year-old woman presents with a chief
complaint of uncomfortable breathing on exertion.
She has had a minimally productive cough for several
years that does not bother her. On further questioning,
she states that her breathing gets much worse when
she lies down. The most likely cause of her dyspnea is:
Correct answer Cardiac .
8. A 68-year-old male presents with a chief complaint
of episodes of lightheadedness or dizziness. He states
that sweating, tachycardia, and some hand trembling
are often associated with these episodes. Which one of
the following questions should you ask to help confirm
the diagnosis?
Correct answer Are these symptoms related to eating? .
9. A 68-year-old male presents with a chief complaint
of episodic dizziness. Although not dizzy at present, he
states that he has noted onset of dizzy episodes when
he rolls over in bed and occasionally when he turns his
head rapidly. Episodes last about 3 minutes. The most
,likely diagnosis is:
Correct answer Benign positional vertigo .
10. A 75-year-old resident in the nursing home has end
stage dementia and experiences a 10-pound weight
loss over the course of 2 months. The resident has
become increasingly difficult to feed and often spits
out food, pockets food, and frequently drools. The
family is concerned about the resident's nutritional
status. What is the initial action of the nurse
practitioner?
Correct answer Order a swallow evaluation .
11. A 77-year-old client being treated for glaucoma
asks the nurse practitioner what causes glaucoma. The
nurse bases the response on the knowledge that the
increase in intraocular pressure is a result of:
Correct answer A breakdown in the absorption process .
12. A 78-year-old man is being evaluated in the
geriatric clinic. His daughter reports that he has been
very forgetful lately, and she is concerned that he
might be "senile." The advanced practice nurse
administers the clock drawing test and the patient
draws a distorted circular shape and places the
numbers all on one side of the shape. Based on his
performance, the nurse concludes that the patient:
Correct answer Needs further evaluation .
, 13. The abrupt onset of symptoms of stress or urge
incontinence is most often due to a urinary tract
infection. True or False?
Correct answer True .
14. After first managing the pain being experienced by
the client with gout, the treatment focuses on:
Correct answer Preventing systemic involvement by
altering the client's diet .
15. Based on current demographic data, which
statement identifies a predictive trend regarding the
health care needs of society?
Correct answer More nursing services will be required to
serve the needs of the population 85 years of age and
older .
16. The caregiver for an older adult with cognitive
impairment is concerned about the individual's
seeming disinterest in eating. Which suggestion does
the nurse practitioner offer based upon a known effect
of dementia on a client's nutrition? Correct answer "It
can take up to 3 months for the full effects of the
medication to be felt" .
17. An older man has a history of medication therapy
for hypertension. Which intervention does the nurse
practitioner implement when the client reports that,
VERIFIED QUESTIONS WITH
CORRECT ANSWERS 2025/2026
NEWEST EXAM/GRADED A+
1. What is the most common cause of hypothyroidism
in older adults?
Correct answer Hashimoto's disease .
2. How do symptoms of hypothyroidism in older adults
differ from younger patients?
Correct answer Older adults usually have fewer and more
vague symptoms; they might present with weight loss
rather than weight gain .
3. At what age does the NP recommend an older adult
obtain the pneumococcal vaccination?
Correct answer65 years of age or older .
4. What is the percentage of the FVC expired in one
second (FEV1/FVC ratio)?
Correct answerFEV1/FVC ratio .
5. The aging process causes what normal physiological
changes in the heart?
Correct answer The heart valve thickens and becomes
rigid, secondary to fibrosis and sclerosis .
,6. A 55-year-old Caucasian male follows up after
referral to a cardiologist. He thinks his med is causing
a cough and sometimes he has difficulty breathing.
Which med was most likely prescribed?
Correct answer Lisinopril .
7. A 60-year-old woman presents with a chief
complaint of uncomfortable breathing on exertion.
She has had a minimally productive cough for several
years that does not bother her. On further questioning,
she states that her breathing gets much worse when
she lies down. The most likely cause of her dyspnea is:
Correct answer Cardiac .
8. A 68-year-old male presents with a chief complaint
of episodes of lightheadedness or dizziness. He states
that sweating, tachycardia, and some hand trembling
are often associated with these episodes. Which one of
the following questions should you ask to help confirm
the diagnosis?
Correct answer Are these symptoms related to eating? .
9. A 68-year-old male presents with a chief complaint
of episodic dizziness. Although not dizzy at present, he
states that he has noted onset of dizzy episodes when
he rolls over in bed and occasionally when he turns his
head rapidly. Episodes last about 3 minutes. The most
,likely diagnosis is:
Correct answer Benign positional vertigo .
10. A 75-year-old resident in the nursing home has end
stage dementia and experiences a 10-pound weight
loss over the course of 2 months. The resident has
become increasingly difficult to feed and often spits
out food, pockets food, and frequently drools. The
family is concerned about the resident's nutritional
status. What is the initial action of the nurse
practitioner?
Correct answer Order a swallow evaluation .
11. A 77-year-old client being treated for glaucoma
asks the nurse practitioner what causes glaucoma. The
nurse bases the response on the knowledge that the
increase in intraocular pressure is a result of:
Correct answer A breakdown in the absorption process .
12. A 78-year-old man is being evaluated in the
geriatric clinic. His daughter reports that he has been
very forgetful lately, and she is concerned that he
might be "senile." The advanced practice nurse
administers the clock drawing test and the patient
draws a distorted circular shape and places the
numbers all on one side of the shape. Based on his
performance, the nurse concludes that the patient:
Correct answer Needs further evaluation .
, 13. The abrupt onset of symptoms of stress or urge
incontinence is most often due to a urinary tract
infection. True or False?
Correct answer True .
14. After first managing the pain being experienced by
the client with gout, the treatment focuses on:
Correct answer Preventing systemic involvement by
altering the client's diet .
15. Based on current demographic data, which
statement identifies a predictive trend regarding the
health care needs of society?
Correct answer More nursing services will be required to
serve the needs of the population 85 years of age and
older .
16. The caregiver for an older adult with cognitive
impairment is concerned about the individual's
seeming disinterest in eating. Which suggestion does
the nurse practitioner offer based upon a known effect
of dementia on a client's nutrition? Correct answer "It
can take up to 3 months for the full effects of the
medication to be felt" .
17. An older man has a history of medication therapy
for hypertension. Which intervention does the nurse
practitioner implement when the client reports that,
