NR 601 Primary Care of the Maturing and Aged Family Practicum
CHAMBERLAIN UNIVERSITY
NR 601 week 4 Midterm Exam 2025/2026
Complete Question and Answer 100% Accurate
Summer-Fall Semesters Exam GRADED A
Chamberlain university
1. A 60-year-old woman presents with a chief complaint of uncomfortable
breathing on exertion. She has had a minimally productive cough for
several years that does not bother her. On further questioning, she states
that her breathing gets much worse when she lies down. The most likely
cause of her dyspnea is:
A. Chronic obstructive pulmonary disease (COPD)
B. Asthma
C. Heart failure
D. Pulmonary embolism
Correct Answer: C. Heart failure
Explanation: Orthopnea, or difficulty breathing when lying down, is a
classic symptom of heart failure. This occurs due to fluid redistribution
leading to pulmonary congestion when in a supine position.
2. A 68-year-old male presents with a chief complaint of episodes of
lightheadedness or dizziness. He states that sweating, tachycardia, and
some hand trembling are often associated with these episodes. Which one
of the following questions should you ask to help confirm the diagnosis?
,NR 601 Primary Care of the Maturing and Aged Family Practicum
CHAMBERLAIN UNIVERSITY
A. "Do you experience chest pain during these episodes?"
B. "Have you noticed any changes in your vision?"
C. "When was your last meal?"
D. "Do you have a history of migraines?"
Correct Answer: C. "When was your last meal?"
ENT Health
Explanation: Symptoms like lightheadedness, sweating, tachycardia, and
tremors can be indicative of hypoglycemia. Asking about meal timing helps
assess for low blood sugar episodes.
3. A 68-year-old male presents with a chief complaint of episodic
dizziness. Although not dizzy at present, he states that he has noted onset
of dizzy episodes when he rolls over in bed and occasionally when he
turns his head rapidly. Episodes last about 3 minutes. The most likely
diagnosis is:
A. Meniere's disease
B. Benign paroxysmal positional vertigo (BPPV)
C. Vestibular neuritis
D. Orthostatic hypotension
Correct Answer: B. Benign paroxysmal positional vertigo (BPPV)
, NR 601 Primary Care of the Maturing and Aged Family Practicum
CHAMBERLAIN UNIVERSITY
Explanation: BPPV is characterized by brief episodes of vertigo triggered
by changes in head position, such as rolling over in bed.
4. A 75-year-old resident in the nursing home has end-stage dementia
and experiences a 10-pound weight loss over the course of 2 months. The
resident has become increasingly difficult to feed and often spits out food,
pockets food, and frequently drools. The family is concerned about the
resident’s nutritional status. What is the initial action of the nurse
practitioner?
A. Recommend the insertion of a feeding tube.
B. Initiate a calorie-dense supplement regimen.
C. Assess the resident's swallowing ability and risk of aspiration.
D. Refer to a dietitian for meal planning.
Correct Answer: C. Assess the resident's swallowing ability and risk of
aspiration.
Explanation: In patients with advanced dementia exhibiting feeding
difficulties, it's crucial to assess for dysphagia and aspiration risk before
initiating nutritional interventions.
5. A 77-year-old client being treated for glaucoma asks the nurse
practitioner what causes glaucoma. The nurse bases the response on the
knowledge that the increase in intraocular pressure is a result of:
A. Overproduction of aqueous humor
CHAMBERLAIN UNIVERSITY
NR 601 week 4 Midterm Exam 2025/2026
Complete Question and Answer 100% Accurate
Summer-Fall Semesters Exam GRADED A
Chamberlain university
1. A 60-year-old woman presents with a chief complaint of uncomfortable
breathing on exertion. She has had a minimally productive cough for
several years that does not bother her. On further questioning, she states
that her breathing gets much worse when she lies down. The most likely
cause of her dyspnea is:
A. Chronic obstructive pulmonary disease (COPD)
B. Asthma
C. Heart failure
D. Pulmonary embolism
Correct Answer: C. Heart failure
Explanation: Orthopnea, or difficulty breathing when lying down, is a
classic symptom of heart failure. This occurs due to fluid redistribution
leading to pulmonary congestion when in a supine position.
2. A 68-year-old male presents with a chief complaint of episodes of
lightheadedness or dizziness. He states that sweating, tachycardia, and
some hand trembling are often associated with these episodes. Which one
of the following questions should you ask to help confirm the diagnosis?
,NR 601 Primary Care of the Maturing and Aged Family Practicum
CHAMBERLAIN UNIVERSITY
A. "Do you experience chest pain during these episodes?"
B. "Have you noticed any changes in your vision?"
C. "When was your last meal?"
D. "Do you have a history of migraines?"
Correct Answer: C. "When was your last meal?"
ENT Health
Explanation: Symptoms like lightheadedness, sweating, tachycardia, and
tremors can be indicative of hypoglycemia. Asking about meal timing helps
assess for low blood sugar episodes.
3. A 68-year-old male presents with a chief complaint of episodic
dizziness. Although not dizzy at present, he states that he has noted onset
of dizzy episodes when he rolls over in bed and occasionally when he
turns his head rapidly. Episodes last about 3 minutes. The most likely
diagnosis is:
A. Meniere's disease
B. Benign paroxysmal positional vertigo (BPPV)
C. Vestibular neuritis
D. Orthostatic hypotension
Correct Answer: B. Benign paroxysmal positional vertigo (BPPV)
, NR 601 Primary Care of the Maturing and Aged Family Practicum
CHAMBERLAIN UNIVERSITY
Explanation: BPPV is characterized by brief episodes of vertigo triggered
by changes in head position, such as rolling over in bed.
4. A 75-year-old resident in the nursing home has end-stage dementia
and experiences a 10-pound weight loss over the course of 2 months. The
resident has become increasingly difficult to feed and often spits out food,
pockets food, and frequently drools. The family is concerned about the
resident’s nutritional status. What is the initial action of the nurse
practitioner?
A. Recommend the insertion of a feeding tube.
B. Initiate a calorie-dense supplement regimen.
C. Assess the resident's swallowing ability and risk of aspiration.
D. Refer to a dietitian for meal planning.
Correct Answer: C. Assess the resident's swallowing ability and risk of
aspiration.
Explanation: In patients with advanced dementia exhibiting feeding
difficulties, it's crucial to assess for dysphagia and aspiration risk before
initiating nutritional interventions.
5. A 77-year-old client being treated for glaucoma asks the nurse
practitioner what causes glaucoma. The nurse bases the response on the
knowledge that the increase in intraocular pressure is a result of:
A. Overproduction of aqueous humor
