NR 601 FINAL EXAM QUESTIONS & ANSWERS 2026-2027 | CHAMBERLAIN UNIV… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 601 Final Exam
Questions & Answers 2026-
2027 | Chamberlain
University (Rationales)
Verified Answers Exam Ready With Rationales
103 QUESTIONS
DOCUMENT OVERVIEW
This document provides 103 NR 601 Final Exam questions with their correct answers and detailed
rationales, covering advanced practice nursing. It is suitable for comprehensive study, exam review, and
certification preparation, offering a complete resource for understanding key concepts and clinical
decision-making.
CONTENTS
01 • Neurological Disorders 02 • Diabetes Mellitus 03
• Pharmacology and Therapeutics
04 • Cardiovascular Health 05 06 • Genitourinary System
• Palliative and End-of-Life Care
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 103
Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion yesterday. The
symptoms have resolved and the CT is normal. What is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask
CORRECT ANSWER
b. identify modifiable cardiovascular risk factors
RATIONALE
Transient ischemic attacks (TIAs) are warning signs of impending stroke, necessitating prompt evaluation for
underlying cardiovascular risk factors to guide secondary prevention strategies. Identifying and managing these
modifiable factors is paramount to reducing future cerebrovascular events.
Q2 QUESTION 2 OF 103
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model
CORRECT ANSWER
d. Confusion Assessment Model
RATIONALE
The Confusion Assessment Method (CAM) is the most appropriate screening tool for delirium as it is specifically
designed to identify the acute onset and fluctuating course characteristic of this syndrome. The SLUMS and MoCA
assess broader cognitive deficits, while the Lawton Scale evaluates functional independence, making them less
specific for delirium screening.
Page 2
, Q3 QUESTION 3 OF 103
Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention
CORRECT ANSWER
c. acute onset
RATIONALE
Delirium is characterized by an acute, fluctuating onset of confusion and impaired attention, whereas dementia
typically presents with a gradual, progressive decline in cognitive function. The key underlying concept is the
temporal pattern of symptom development, which is diagnostic in differentiating these conditions.
Q4 QUESTION 4 OF 103
A middle aged patient has been diagnosed with Parkinson's disease. What influences the nurse practitioners
descision to begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability
CORRECT ANSWER
d. symptoms interfering with functional ability
RATIONALE
Pharmacological treatment for Parkinson's disease is initiated when motor symptoms significantly impair a patient's
functional ability and quality of life, not solely based on the presence or unilaterality of symptoms. This principle
guides the decision-making process for symptom management in neurodegenerative disorders.
Q5 QUESTION 5 OF 103
An older male patient is experiencing acute onset of right sided weakness, slurred speech and confusion.
What should the nurse practitioner do promptly?
a. order an EKG and administer O2 by cannula immediately
Page 3
, b. Do a through medication review and stat blood sugar
c. evaluate for a stroke and arrange transport to the hospital right away
d. administer an aspirin by mouth
CORRECT ANSWER
c. evaluate for a stroke and arrange transport to the hospital right away
RATIONALE
Acute onset of focal neurological deficits like right-sided weakness, slurred speech, and confusion in an older adult
are highly indicative of a cerebrovascular accident (stroke), necessitating immediate evaluation and emergent
transport to a stroke-capable facility for time-sensitive interventions. This scenario tests the recognition of stroke
symptoms and the priority of rapid assessment and transfer to a stroke center.
Q6 QUESTION 6 OF 103
The elderly are at high risk for delerium because of:
a. multiple medical problems
b. multisensory deficits
c. polypharmacy
d. all of the above
CORRECT ANSWER
d. all of the above
RATIONALE
Delirium in the elderly arises from a complex interplay of factors, including the cumulative burden of chronic
illnesses, sensory impairments that reduce environmental input, and the physiological effects of multiple
medications, all contributing to cognitive decompensation. The key underlying concept is the elderly brain's
reduced reserve capacity, making it vulnerable to the additive stressors of comorbidities, sensory deprivation, and
drug interactions.
Q7 QUESTION 7 OF 103
Which of the following signs or symptoms are not characteristics of delirium
a. patient is coherent
b. short duration
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 601 Final Exam
Questions & Answers 2026-
2027 | Chamberlain
University (Rationales)
Verified Answers Exam Ready With Rationales
103 QUESTIONS
DOCUMENT OVERVIEW
This document provides 103 NR 601 Final Exam questions with their correct answers and detailed
rationales, covering advanced practice nursing. It is suitable for comprehensive study, exam review, and
certification preparation, offering a complete resource for understanding key concepts and clinical
decision-making.
CONTENTS
01 • Neurological Disorders 02 • Diabetes Mellitus 03
• Pharmacology and Therapeutics
04 • Cardiovascular Health 05 06 • Genitourinary System
• Palliative and End-of-Life Care
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 103
Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion yesterday. The
symptoms have resolved and the CT is normal. What is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask
CORRECT ANSWER
b. identify modifiable cardiovascular risk factors
RATIONALE
Transient ischemic attacks (TIAs) are warning signs of impending stroke, necessitating prompt evaluation for
underlying cardiovascular risk factors to guide secondary prevention strategies. Identifying and managing these
modifiable factors is paramount to reducing future cerebrovascular events.
Q2 QUESTION 2 OF 103
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model
CORRECT ANSWER
d. Confusion Assessment Model
RATIONALE
The Confusion Assessment Method (CAM) is the most appropriate screening tool for delirium as it is specifically
designed to identify the acute onset and fluctuating course characteristic of this syndrome. The SLUMS and MoCA
assess broader cognitive deficits, while the Lawton Scale evaluates functional independence, making them less
specific for delirium screening.
Page 2
, Q3 QUESTION 3 OF 103
Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention
CORRECT ANSWER
c. acute onset
RATIONALE
Delirium is characterized by an acute, fluctuating onset of confusion and impaired attention, whereas dementia
typically presents with a gradual, progressive decline in cognitive function. The key underlying concept is the
temporal pattern of symptom development, which is diagnostic in differentiating these conditions.
Q4 QUESTION 4 OF 103
A middle aged patient has been diagnosed with Parkinson's disease. What influences the nurse practitioners
descision to begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability
CORRECT ANSWER
d. symptoms interfering with functional ability
RATIONALE
Pharmacological treatment for Parkinson's disease is initiated when motor symptoms significantly impair a patient's
functional ability and quality of life, not solely based on the presence or unilaterality of symptoms. This principle
guides the decision-making process for symptom management in neurodegenerative disorders.
Q5 QUESTION 5 OF 103
An older male patient is experiencing acute onset of right sided weakness, slurred speech and confusion.
What should the nurse practitioner do promptly?
a. order an EKG and administer O2 by cannula immediately
Page 3
, b. Do a through medication review and stat blood sugar
c. evaluate for a stroke and arrange transport to the hospital right away
d. administer an aspirin by mouth
CORRECT ANSWER
c. evaluate for a stroke and arrange transport to the hospital right away
RATIONALE
Acute onset of focal neurological deficits like right-sided weakness, slurred speech, and confusion in an older adult
are highly indicative of a cerebrovascular accident (stroke), necessitating immediate evaluation and emergent
transport to a stroke-capable facility for time-sensitive interventions. This scenario tests the recognition of stroke
symptoms and the priority of rapid assessment and transfer to a stroke center.
Q6 QUESTION 6 OF 103
The elderly are at high risk for delerium because of:
a. multiple medical problems
b. multisensory deficits
c. polypharmacy
d. all of the above
CORRECT ANSWER
d. all of the above
RATIONALE
Delirium in the elderly arises from a complex interplay of factors, including the cumulative burden of chronic
illnesses, sensory impairments that reduce environmental input, and the physiological effects of multiple
medications, all contributing to cognitive decompensation. The key underlying concept is the elderly brain's
reduced reserve capacity, making it vulnerable to the additive stressors of comorbidities, sensory deprivation, and
drug interactions.
Q7 QUESTION 7 OF 103
Which of the following signs or symptoms are not characteristics of delirium
a. patient is coherent
b. short duration
Page 4
