1|Page
NR601 /NR 601 Midterm Exam Questions with CORRECT
Answers- Chamberlain
A local chapter of NP organization has begun planning a community-
based screening for HTN at a local congregate living facility. This
population was selected on the basis of: ......ANSWER......A recognized
element of high risk within this group.
Performing ROM exercises on a pt who has had a CVA is an example of
which level of prevention? ......ANSWER......Tertiary
You demonstrate an understanding of primary prevention of falling
among the elderly through which management plan?
......ANSWER......Provide info about meds, SE, interactions
An example of an active strategy of health promotion for an individual
to accomplish would be: ......ANSWER......Beginning stress management
program
You are working w/an older adult male w/a long h/o ETOH abuse and a
30yr h/o smoking. In recommending an intervention, your responsibility
is to: ......ANSWER......Promote positive change in lifestyle choices
,2|Page
The 4 main domains of clinical preventive services that you will provide
are: ......ANSWER......Counseling interventions, screening tests,
immunizations, chemoprophylaxis
Which organism that can be prevented by immunization is most often
responsible for an infectious "outbreak" in the nursing home setting?
......ANSWER......Influenza A
What is the appropriate method for TB screening of an older adult
entering a nursing home? ......ANSWER......5 TBU intradermal PPD
injection and if negative, repeat w/same dose one week later
Meds known to contribute to constipation include all of the following
except: ......ANSWER......Broad-spectrum abx
All of the following are considered contributors to dysphagia except:
......ANSWER......Smooth muscle relaxants
The term "geriatric syndrome" is best described as:
......ANSWER......Condition that has multiple underlying factors and
involves multiple systems
The anal wink reflex is used to test: ......ANSWER......Sensation and
pudental nerve function
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Atypical presentation of acute coronary syndrome is:
......ANSWER......More common in females
What dz can mimic and often co-exists w/MI in elderly w/CAD?
......ANSWER......Esophageal dz
Thoracic aortic dissection presents typically as: ......ANSWER......Severe
retrosternal CP that radiates to the back and both arms
Bordetella pertussis is best characterized by: ......ANSWER......Sub-acute
cough lasting >2wks
Routine testing of TB should occur in all of the following vulnerable
populations except: ......ANSWER......Hospitalized elderly
Which of the following statements about fluid balance in elderly is
false? ......ANSWER......Assessment of skin turgor at the sternum is a
reliable indicator of dehydration in elderly.
Distinguishing delirium from dementia can be problematic since they
may co-exist. The primary consideration in the DD is:
......ANSWER......Rapid change and fluctuating course of cognitive
function
, 4|Page
Presbystasis is best described as: ......ANSWER......Age-related
disequilibrium of unknown pathology characterized by gradual onset of
difficulty walking
If dizziness has a predictable pattern associated w/it, you should first
consider: ......ANSWER......Hypoglycemia
Evidence shows that the most important predictor of a fall is:
......ANSWER......Prior h/o a fall
The most cost-effective interventions used to prevent falls are:
......ANSWER......Home modifications and vit D supplements
Chronic fatigue syndrome is best described as: ......ANSWER......Fatigue
lasting longer than 6mo and not relieved by rest
Which form of HA is bilat? ......ANSWER......Tension
Microscopic hematuria is defined as: ......ANSWER......3 or more RBCs on
3 or mor samples of urine
Risk factors associated with the finding of a malignancy in a pt
w/hemoptysis include all of the following except:
......ANSWER......Childhood asthma
NR601 /NR 601 Midterm Exam Questions with CORRECT
Answers- Chamberlain
A local chapter of NP organization has begun planning a community-
based screening for HTN at a local congregate living facility. This
population was selected on the basis of: ......ANSWER......A recognized
element of high risk within this group.
Performing ROM exercises on a pt who has had a CVA is an example of
which level of prevention? ......ANSWER......Tertiary
You demonstrate an understanding of primary prevention of falling
among the elderly through which management plan?
......ANSWER......Provide info about meds, SE, interactions
An example of an active strategy of health promotion for an individual
to accomplish would be: ......ANSWER......Beginning stress management
program
You are working w/an older adult male w/a long h/o ETOH abuse and a
30yr h/o smoking. In recommending an intervention, your responsibility
is to: ......ANSWER......Promote positive change in lifestyle choices
,2|Page
The 4 main domains of clinical preventive services that you will provide
are: ......ANSWER......Counseling interventions, screening tests,
immunizations, chemoprophylaxis
Which organism that can be prevented by immunization is most often
responsible for an infectious "outbreak" in the nursing home setting?
......ANSWER......Influenza A
What is the appropriate method for TB screening of an older adult
entering a nursing home? ......ANSWER......5 TBU intradermal PPD
injection and if negative, repeat w/same dose one week later
Meds known to contribute to constipation include all of the following
except: ......ANSWER......Broad-spectrum abx
All of the following are considered contributors to dysphagia except:
......ANSWER......Smooth muscle relaxants
The term "geriatric syndrome" is best described as:
......ANSWER......Condition that has multiple underlying factors and
involves multiple systems
The anal wink reflex is used to test: ......ANSWER......Sensation and
pudental nerve function
,3|Page
Atypical presentation of acute coronary syndrome is:
......ANSWER......More common in females
What dz can mimic and often co-exists w/MI in elderly w/CAD?
......ANSWER......Esophageal dz
Thoracic aortic dissection presents typically as: ......ANSWER......Severe
retrosternal CP that radiates to the back and both arms
Bordetella pertussis is best characterized by: ......ANSWER......Sub-acute
cough lasting >2wks
Routine testing of TB should occur in all of the following vulnerable
populations except: ......ANSWER......Hospitalized elderly
Which of the following statements about fluid balance in elderly is
false? ......ANSWER......Assessment of skin turgor at the sternum is a
reliable indicator of dehydration in elderly.
Distinguishing delirium from dementia can be problematic since they
may co-exist. The primary consideration in the DD is:
......ANSWER......Rapid change and fluctuating course of cognitive
function
, 4|Page
Presbystasis is best described as: ......ANSWER......Age-related
disequilibrium of unknown pathology characterized by gradual onset of
difficulty walking
If dizziness has a predictable pattern associated w/it, you should first
consider: ......ANSWER......Hypoglycemia
Evidence shows that the most important predictor of a fall is:
......ANSWER......Prior h/o a fall
The most cost-effective interventions used to prevent falls are:
......ANSWER......Home modifications and vit D supplements
Chronic fatigue syndrome is best described as: ......ANSWER......Fatigue
lasting longer than 6mo and not relieved by rest
Which form of HA is bilat? ......ANSWER......Tension
Microscopic hematuria is defined as: ......ANSWER......3 or more RBCs on
3 or mor samples of urine
Risk factors associated with the finding of a malignancy in a pt
w/hemoptysis include all of the following except:
......ANSWER......Childhood asthma
