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NR 601 Final Exam 2026/2027 | Chamberlain Primary Care Q&A with Rationales

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Prepare for the NR 601 Final Exam with confidence! This comprehensive question bank includes verified questions with correct answers and detailed clinical rationales covering primary care management of older adults. Topics include: cardiovascular disorders (heart failure, arrhythmias), diabetes screening and management, urinary incontinence types, cognitive disorders, ethical issues in nursing homes, and evidence-based screening guidelines. Updated for 2025/2026 with 3 exam versions and over 1000 practice questions. Designed for Chamberlain University NP students.

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NR 601 Final exam latest upadate!!!
2026-2027|correct solutions with
quiz & answers| highly graded a+


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 ANSWERS-b. identify
modifiable cardiovascular risk factors

A 56-year old male patient screened for diabetes has a fasting plasma glucose level of
96mg/dl. The nurse practitioner management plan includes:

a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - CORRECT ANSWERS-a. repeat fasting
plasma glucose in three years

RW, a 57 year old native American female, presents to the office. RW states she feels
irritable and has difficulty concentrating as well as fallingn asleep and staying aleep.
She states she is worried about her finances, her husband has just lost his job. The NP
diagnoses anxiety. The NP prescribes a first line treatment which is

a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - CORRECT ANSWERS-d. Paroxetine

The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:

,a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - CORRECT ANSWERS-c. atrial fibrillation

According to the Sexually presentation, atrophic vaginitis

a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - CORRECT ANSWERS-c. is a contributing
factor for frequent urinary tract infections

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 ANSWERS-d. Confusion Assessment
Model

A drug that can be used to treat two very common symptoms in a dying patient (pain
and dyspnea_ is:

a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - CORRECT ANSWERS-d. Morphine

Which of the following would you recommend annually for the elderly type 2 diabetic?

a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist - CORRECT ANSWERS-d. eye exam with an
opthlamologist

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 ANSWERS-c. acute onset

The majority of patients enrolled in hospice care die:

, a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - CORRECT ANSWERS-d. at home

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 ANSWERS-d. symptoms
interfering with functional ability

Which of the following is a role of the advanced practice nurse in palliative cancer care?

a. detecting cancer in asymptomatic paitents or those with specific symptoms
b. arranging for follow up including patiennts
c. identifying and managing complications of care
d. all of the above - CORRECT ANSWERS-d. all of the above

A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as a
new patient. He takes metformin 500mg twice a day. His last Hgb A1c was 7%. He is up
to date on eye and foot examinations. His BP is 142/96. According to ACC 2017
guidelines for high blood pressure in adults, what is the most appropriate first line
medication?

a. lisinopril
b. furosemide
c. amlodipine
d. clonidine - CORRECT ANSWERS-a. lisinopril

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
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 ANSWERS-c. evaluate for a stroke and
arrange transport to the hospital right away

The NP knows that medications can trigger or worsen heart failure. With this knowledge
in mind, the NP will avoiding prescribing the following classes of medications

a. benzodiazepines
b. macrolides

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