NR 601 MIDTERM MOCK TEST WITH ANSWER
RATIONALES 2026
◉ Curvature with sharp angle.
Answer: Referred to as gibbus in the spine of an older adult
◉ Prevalence of depression in nursing home residents.
Answer: 3-4 times greater than adults living in the community
◉ Untreated depressed older adults.
Answer: Remain untreated due to misdiagnosis, social stigma, and
environmental barriers
◉ Symptoms of depression distinct to the elderly.
Answer: Lack of emotions
◉ Justification for ordering CBC, TSH, serum B12.
Answer: Overlapping symptoms with anemia, thyroid dysfunction,
and nutritional deficiencies
◉ Difference between dementia and delirium.
Answer: Dementia develops slowly, while delirium develops quickly
,◉ Most appropriate screening tool for delirium.
Answer: Confusion Assessment Method
◉ Mechanism by which diphenhydramine causes delirium.
Answer: Anticholinergic effects
◉ Risk factors for delirium in the elderly.
Answer: Multisensory declines, polypharmacy, multiple medical
problems
◉ Consistent finding in delirium.
Answer: Reduction in regional cerebral perfusion
◉ Prioritizing management plan for a provider.
Answer: Includes dual-energy x-ray (DEXA) scan and updating
immunizations
◉ DD for pt's presenting with PMR.
Answer: Can rule out polymyositis with muscle biopsy
◉ Lab results for suspected PMR.
, Answer: Expect to see elevated erythrocyte sed rate (ESR) >50
◉ Lab test for monitoring gout therapy.
Answer: Serum urate level
◉ Dietary restrictions for gout.
Answer: Avoid beer, sausage, fried seafood
◉ Verifying gout diagnosis in a joint.
Answer: Joint aspiration and polarized-light microscopy
◉ First-line treatment for acute gout flare.
Answer: Indomethacin 50mg TID x2 days, then 25mg TID ×3 days
◉ Initial X-ray finding in elderly onset RA.
Answer: Soft tissue swelling
◉ Contributing factor to development of gout in older female.
Answer: Thiazide diuretics
◉ Statement about OA.
Answer: It affects primarily weight-bearing joints
RATIONALES 2026
◉ Curvature with sharp angle.
Answer: Referred to as gibbus in the spine of an older adult
◉ Prevalence of depression in nursing home residents.
Answer: 3-4 times greater than adults living in the community
◉ Untreated depressed older adults.
Answer: Remain untreated due to misdiagnosis, social stigma, and
environmental barriers
◉ Symptoms of depression distinct to the elderly.
Answer: Lack of emotions
◉ Justification for ordering CBC, TSH, serum B12.
Answer: Overlapping symptoms with anemia, thyroid dysfunction,
and nutritional deficiencies
◉ Difference between dementia and delirium.
Answer: Dementia develops slowly, while delirium develops quickly
,◉ Most appropriate screening tool for delirium.
Answer: Confusion Assessment Method
◉ Mechanism by which diphenhydramine causes delirium.
Answer: Anticholinergic effects
◉ Risk factors for delirium in the elderly.
Answer: Multisensory declines, polypharmacy, multiple medical
problems
◉ Consistent finding in delirium.
Answer: Reduction in regional cerebral perfusion
◉ Prioritizing management plan for a provider.
Answer: Includes dual-energy x-ray (DEXA) scan and updating
immunizations
◉ DD for pt's presenting with PMR.
Answer: Can rule out polymyositis with muscle biopsy
◉ Lab results for suspected PMR.
, Answer: Expect to see elevated erythrocyte sed rate (ESR) >50
◉ Lab test for monitoring gout therapy.
Answer: Serum urate level
◉ Dietary restrictions for gout.
Answer: Avoid beer, sausage, fried seafood
◉ Verifying gout diagnosis in a joint.
Answer: Joint aspiration and polarized-light microscopy
◉ First-line treatment for acute gout flare.
Answer: Indomethacin 50mg TID x2 days, then 25mg TID ×3 days
◉ Initial X-ray finding in elderly onset RA.
Answer: Soft tissue swelling
◉ Contributing factor to development of gout in older female.
Answer: Thiazide diuretics
◉ Statement about OA.
Answer: It affects primarily weight-bearing joints
