NR601 FINAL PAPER 2026 COMPLETE
ANSWERS PRIMARY CARE ASSESSMENT
PRACTICE RESOURCE
◉ 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
, Answer: 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.
Answer: 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.
ANSWERS PRIMARY CARE ASSESSMENT
PRACTICE RESOURCE
◉ 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
, Answer: 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.
Answer: 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.
