NR 601 MIDTERM EXAM (ACTUAL EXAM)
2026 UPDATED QUESTIONS AND VERIFIED
ANSWERS
The best way to diagnose structural heart disease/dysfunction
noninvasively is Correct Answer Echocardiogram
Chronic pain can have major impact on patients ability to function
and have profound impact on overall QOL. Ongoing pain may be
linked to Correct Answer Depression, sleep disturbance,
decreased socialization
The Beers criteria are appropriate for use in evaluating use of
certain meds in patients Correct Answer >65 y/o
All of the following statements are true about lab values in older
adults except Correct Answer Abnormal findings are often due to
physiological aging
According to the 2017 ACC HTN guidelines, the recommended
BP goal for a 65y/o African American woman with a h/o HTN and
DM and no h/o CKD is Correct Answer <140/80
,THe pathophysiology of HF is due to Correct Answer Inadequate
cardiac output to meet the metabolic and O2 demands of the
body
The volume of air a patient to exhale for total duration of the test
during maximal effort is Correct Answer FVC
According it the 2017 ACC HTN guidelines, normal BP is Correct
Answer <120/80
Functional abilities are best assessed by Correct Answer
Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that
goals include prevention of target organ damage. During your
eval you will assess for evidence of Correct Answer Left
ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of
HF with Correct Answer ACEi
The volume of air in the lungs at max inflation is Correct Answer
TLC (total lung capacity)
,Preferred amount of exercise for older adults is Correct Answer
30min/day of aerobic exercise 5 days a week
The percentage of the FVC expired in one second is Correct
Answer FEV1/FVC ratio
The aging process causes what normal physiological changes in
the heart Correct Answer The heart valve thickens and becomes
rigid, secondary to fibrosis and sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist.
He thinks his med is causing a cough and sometimes he has
difficulty breathing. Which med was most likely prescribed?
Correct Answer Lisinopril
MJ presents with h/o structural damage with current s/s of HF.
Treatment will be based on his stage of HF which is Correct
Answer Stage C
65 yo Caucasian presents with mitral valve stenosis, physical
exam is unremarkable. you know her stage of HF is Correct
Answer Stage B
You know the following statements regarding th pain of acute
coronary syndrome are true except Correct Answer Present
atypically more often in men than women
, Elderly patient presents with new onset of feeling heart race,
fatigue. EKG reveals Afib with rate >100. Patient also has a new
tremor in both hands. Which of the following would you suspect
Correct Answer Hyperthyroidism
Which patient is more likely to have osteoporosis Correct Answer
80 y/o. Underweight male who smokes and has been on steroids
for psoriasis
Post menopausal woman with osteoporosis is taking
bisphosphonate daily po. What action info statement would
indicate she understood your instructions regarding this med?
Correct Answer Take med with full glass of water when up in the
AM 30 min before other food and meds
60 y/o obese male has T2DM and lipid panel of TC= 250
HDL=32, LDL=165. You teach him about his modifiable cardiac
risk factors which include Correct Answer DM, obesity,
hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the
following except Correct Answer Crystal deposition
In differentiating OA from chronic gout, pseudo gout, or septic
arthritis, the most valuable diagnostic study would be Correct
Answer Synovial fluid analysis
2026 UPDATED QUESTIONS AND VERIFIED
ANSWERS
The best way to diagnose structural heart disease/dysfunction
noninvasively is Correct Answer Echocardiogram
Chronic pain can have major impact on patients ability to function
and have profound impact on overall QOL. Ongoing pain may be
linked to Correct Answer Depression, sleep disturbance,
decreased socialization
The Beers criteria are appropriate for use in evaluating use of
certain meds in patients Correct Answer >65 y/o
All of the following statements are true about lab values in older
adults except Correct Answer Abnormal findings are often due to
physiological aging
According to the 2017 ACC HTN guidelines, the recommended
BP goal for a 65y/o African American woman with a h/o HTN and
DM and no h/o CKD is Correct Answer <140/80
,THe pathophysiology of HF is due to Correct Answer Inadequate
cardiac output to meet the metabolic and O2 demands of the
body
The volume of air a patient to exhale for total duration of the test
during maximal effort is Correct Answer FVC
According it the 2017 ACC HTN guidelines, normal BP is Correct
Answer <120/80
Functional abilities are best assessed by Correct Answer
Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that
goals include prevention of target organ damage. During your
eval you will assess for evidence of Correct Answer Left
ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of
HF with Correct Answer ACEi
The volume of air in the lungs at max inflation is Correct Answer
TLC (total lung capacity)
,Preferred amount of exercise for older adults is Correct Answer
30min/day of aerobic exercise 5 days a week
The percentage of the FVC expired in one second is Correct
Answer FEV1/FVC ratio
The aging process causes what normal physiological changes in
the heart Correct Answer The heart valve thickens and becomes
rigid, secondary to fibrosis and sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist.
He thinks his med is causing a cough and sometimes he has
difficulty breathing. Which med was most likely prescribed?
Correct Answer Lisinopril
MJ presents with h/o structural damage with current s/s of HF.
Treatment will be based on his stage of HF which is Correct
Answer Stage C
65 yo Caucasian presents with mitral valve stenosis, physical
exam is unremarkable. you know her stage of HF is Correct
Answer Stage B
You know the following statements regarding th pain of acute
coronary syndrome are true except Correct Answer Present
atypically more often in men than women
, Elderly patient presents with new onset of feeling heart race,
fatigue. EKG reveals Afib with rate >100. Patient also has a new
tremor in both hands. Which of the following would you suspect
Correct Answer Hyperthyroidism
Which patient is more likely to have osteoporosis Correct Answer
80 y/o. Underweight male who smokes and has been on steroids
for psoriasis
Post menopausal woman with osteoporosis is taking
bisphosphonate daily po. What action info statement would
indicate she understood your instructions regarding this med?
Correct Answer Take med with full glass of water when up in the
AM 30 min before other food and meds
60 y/o obese male has T2DM and lipid panel of TC= 250
HDL=32, LDL=165. You teach him about his modifiable cardiac
risk factors which include Correct Answer DM, obesity,
hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the
following except Correct Answer Crystal deposition
In differentiating OA from chronic gout, pseudo gout, or septic
arthritis, the most valuable diagnostic study would be Correct
Answer Synovial fluid analysis
