NR601 / NR-601 Primary Care of Adults
(FNP I) Final 1 Exam Study Set Q & A
(Latest ) Chamberlain
College Of Nursing
1. A 78-year-old male presents with resting tremor, bradykinesia, and rigidity.
Which diagnosis is most likely?
Parkinson’s disease
These are hallmark symptoms of Parkinson's disease. The resting tremor and
bradykinesia are especially characteristic.
2. The most appropriate initial screening test for dementia is:
Mini-Cog
The Mini-Cog is quick, validated, and effective in primary care to screen for
dementia.
3. Which medication is most appropriate for treating moderate Alzheimer’s
disease?
,Donepezil
Donepezil is a cholinesterase inhibitor used to treat symptoms of mild to moderate
Alzheimer’s disease.
4. A 72-year-old woman reports urinary leakage when sneezing or coughing.
This is most consistent with:
Stress incontinence
Stress incontinence occurs with increased intra-abdominal pressure, such as
sneezing, coughing, or laughing.
5. Which of the following is a reversible cause of delirium in older adults?
Urinary tract infection
Delirium in the elderly is often caused by infections like UTIs. Treating the infection
may reverse delirium.
6. What is the best pharmacologic treatment for osteoarthritis pain in an 82-
year-old patient?
Acetaminophen
Acetaminophen is the first-line agent due to its safer profile compared to NSAIDs
in elderly patients.
7. A patient presents with orthostatic hypotension. What is the first action?
Measure blood pressure lying, sitting, and standing
Confirming the diagnosis with serial BP measurements is the initial step in
evaluating orthostatic hypotension.
8. A 79-year-old patient with a history of CAD is found to have atrial
fibrillation. What is the best preventive therapy?
, Anticoagulation
AFib increases stroke risk; anticoagulation is indicated unless contraindicated.
9. A common side effect of anticholinergic medications in older adults is:
Confusion
Anticholinergics can cause central nervous system effects, especially confusion, in
older adults.
10.What is a priority intervention for an elderly patient at risk for falls?
Home safety evaluation
Assessing the environment helps identify fall risks and allows for targeted
interventions.
11.Which vaccine should all adults ≥65 receive once?
Pneumococcal conjugate vaccine (PCV20)
PCV20 is now recommended in a one-time dose for adults 65+, replacing earlier
two-dose regimens.
12.An 80-year-old with CHF and mild renal impairment develops hyperkalemia.
Which medication may be responsible?
Spironolactone
Spironolactone is a potassium-sparing diuretic that can lead to hyperkalemia,
especially in renal impairment.
13.A 74-year-old reports difficulty sleeping and early morning awakenings.
Most likely diagnosis?
(FNP I) Final 1 Exam Study Set Q & A
(Latest ) Chamberlain
College Of Nursing
1. A 78-year-old male presents with resting tremor, bradykinesia, and rigidity.
Which diagnosis is most likely?
Parkinson’s disease
These are hallmark symptoms of Parkinson's disease. The resting tremor and
bradykinesia are especially characteristic.
2. The most appropriate initial screening test for dementia is:
Mini-Cog
The Mini-Cog is quick, validated, and effective in primary care to screen for
dementia.
3. Which medication is most appropriate for treating moderate Alzheimer’s
disease?
,Donepezil
Donepezil is a cholinesterase inhibitor used to treat symptoms of mild to moderate
Alzheimer’s disease.
4. A 72-year-old woman reports urinary leakage when sneezing or coughing.
This is most consistent with:
Stress incontinence
Stress incontinence occurs with increased intra-abdominal pressure, such as
sneezing, coughing, or laughing.
5. Which of the following is a reversible cause of delirium in older adults?
Urinary tract infection
Delirium in the elderly is often caused by infections like UTIs. Treating the infection
may reverse delirium.
6. What is the best pharmacologic treatment for osteoarthritis pain in an 82-
year-old patient?
Acetaminophen
Acetaminophen is the first-line agent due to its safer profile compared to NSAIDs
in elderly patients.
7. A patient presents with orthostatic hypotension. What is the first action?
Measure blood pressure lying, sitting, and standing
Confirming the diagnosis with serial BP measurements is the initial step in
evaluating orthostatic hypotension.
8. A 79-year-old patient with a history of CAD is found to have atrial
fibrillation. What is the best preventive therapy?
, Anticoagulation
AFib increases stroke risk; anticoagulation is indicated unless contraindicated.
9. A common side effect of anticholinergic medications in older adults is:
Confusion
Anticholinergics can cause central nervous system effects, especially confusion, in
older adults.
10.What is a priority intervention for an elderly patient at risk for falls?
Home safety evaluation
Assessing the environment helps identify fall risks and allows for targeted
interventions.
11.Which vaccine should all adults ≥65 receive once?
Pneumococcal conjugate vaccine (PCV20)
PCV20 is now recommended in a one-time dose for adults 65+, replacing earlier
two-dose regimens.
12.An 80-year-old with CHF and mild renal impairment develops hyperkalemia.
Which medication may be responsible?
Spironolactone
Spironolactone is a potassium-sparing diuretic that can lead to hyperkalemia,
especially in renal impairment.
13.A 74-year-old reports difficulty sleeping and early morning awakenings.
Most likely diagnosis?
