1 of 33
NR 228 FINAL EXAM/NR 228 FINAL EXAM PREPARATION/NR 228
FINAL EXAM PRACTICE REAL EXAM 110 QUESTIONS AND CORRECT
ANSWERS| 2025/2026 A+GRADE|CHAMBERLAIN COLLEGE OF
NURSING
A 68-year-old woman presents with a complaint of urine leakage whenever she sneezes,
laughs or strains for the past 4 months. She denies dysuria, frequency and nocturia. US
dipstick is negative for RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What
is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence - ......ANSWER........a. stress incontinence
A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which
of the following statements is true regarding the management of pain with opioids in the
elderly?
a. none of the options are appropriate management
b. opioids with a long half-life, such as methadone, are a good choice, because they stay in
the system longer and patients do not have to remember to take multiple pills
- ......ANSWER........a. none of the options are appropriate management
An 87-year-old man tells the nurse practitioner that his grandson locks him in his bedroom
when he gets out. The grandson withholds food if the patient does not give him money
every week. The patient appears frail, ungroomed, and his clothes are visibly dirty and
smell of urine. Which of the following is the best action for the nurse practitioner.
,2 of 33
a. advises the patient to call his son and report the grandson's behavior as soon as
possible
b. calls the grandson from the waiting room and educate him about proper care for his
grandfather
c. reports the grandson to your state's protective services
d. advises the grandson if the patient reports the concerns at the end of the next visit, the
NP is obligated to report to protective services - ......ANSWER........c. report the grandson
to your state's protective services
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
A male patient with a BMI of 33 presents to the office with complaints of fatigue, excessive
hunger and excessive thirst. You ordered a CMP and a Hgb A1C. The results are a fasting
glucose 99, Hbg AIC 5.7. The nurse practitioner diagnosis is:
a. type 2 diagnosis mellitus
b. prediabetes
c. euglycemia
d. type 1 diabetes mellitus - ......ANSWER........b. prediabetes
A middle-aged patient has been diagnosed with Parkinson's disease. What influences the
nurse practitioner's decision to begin pharmacological treatment for this patient?
,3 of 33
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
A patient has been prescribed metformin (Glucophage). One week later he returns with
complaints of some loose stools during the week. How should the nurse practitioner
respond?
a. doubles the dosage of medication and has patient return in one week
b. order a chem. 7 to check for lactic acidosis
c. discontinues the medication immediately
d. reassures the patient that this is an anticipated side effect - ......ANSWER........d.
reassure the patient that this is an anticipated side effect
Acanthosis nigricans is associated with all the following conditions except:
a. tinea versicolor
b. diabetes
c. obesity
d. colon cancer - ......ANSWER........a. tinea versicolor
According to the Sexuality presentation, the biggest barrier to appropriate sexual
evaluation in the older patient
, 4 of 33
a. older people don't talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. females post-menopausal changes - ......ANSWER........c. ageist attitudes
According to GOLD criteria, obstruction is defined as a reduction in the FEV1/FVC ration. A
normal ratio is:
a. >70%
b. <70%
c. 80-100%
d. 50-79% - ......ANSWER........a. >70%
According to the 2017 Guideline for High Blood Pressure in Adults the recommended blood
pressure goal for a 55-year-old man with a history of chronic kidney disease is:
a. <140/80
b. <120/80
c. <130/80
d. <150/90 - ......ANSWER........c. <130/80
According to the 2017 Guideline for High Blood pressure in adults, patients with stage 1 or
2 CKD with albuminuria should be started on the following medication to slow progression
of kidney disease
a. ACE inhibitors
b. CCP
NR 228 FINAL EXAM/NR 228 FINAL EXAM PREPARATION/NR 228
FINAL EXAM PRACTICE REAL EXAM 110 QUESTIONS AND CORRECT
ANSWERS| 2025/2026 A+GRADE|CHAMBERLAIN COLLEGE OF
NURSING
A 68-year-old woman presents with a complaint of urine leakage whenever she sneezes,
laughs or strains for the past 4 months. She denies dysuria, frequency and nocturia. US
dipstick is negative for RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What
is the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence - ......ANSWER........a. stress incontinence
A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which
of the following statements is true regarding the management of pain with opioids in the
elderly?
a. none of the options are appropriate management
b. opioids with a long half-life, such as methadone, are a good choice, because they stay in
the system longer and patients do not have to remember to take multiple pills
- ......ANSWER........a. none of the options are appropriate management
An 87-year-old man tells the nurse practitioner that his grandson locks him in his bedroom
when he gets out. The grandson withholds food if the patient does not give him money
every week. The patient appears frail, ungroomed, and his clothes are visibly dirty and
smell of urine. Which of the following is the best action for the nurse practitioner.
,2 of 33
a. advises the patient to call his son and report the grandson's behavior as soon as
possible
b. calls the grandson from the waiting room and educate him about proper care for his
grandfather
c. reports the grandson to your state's protective services
d. advises the grandson if the patient reports the concerns at the end of the next visit, the
NP is obligated to report to protective services - ......ANSWER........c. report the grandson
to your state's protective services
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
A male patient with a BMI of 33 presents to the office with complaints of fatigue, excessive
hunger and excessive thirst. You ordered a CMP and a Hgb A1C. The results are a fasting
glucose 99, Hbg AIC 5.7. The nurse practitioner diagnosis is:
a. type 2 diagnosis mellitus
b. prediabetes
c. euglycemia
d. type 1 diabetes mellitus - ......ANSWER........b. prediabetes
A middle-aged patient has been diagnosed with Parkinson's disease. What influences the
nurse practitioner's decision to begin pharmacological treatment for this patient?
,3 of 33
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
A patient has been prescribed metformin (Glucophage). One week later he returns with
complaints of some loose stools during the week. How should the nurse practitioner
respond?
a. doubles the dosage of medication and has patient return in one week
b. order a chem. 7 to check for lactic acidosis
c. discontinues the medication immediately
d. reassures the patient that this is an anticipated side effect - ......ANSWER........d.
reassure the patient that this is an anticipated side effect
Acanthosis nigricans is associated with all the following conditions except:
a. tinea versicolor
b. diabetes
c. obesity
d. colon cancer - ......ANSWER........a. tinea versicolor
According to the Sexuality presentation, the biggest barrier to appropriate sexual
evaluation in the older patient
, 4 of 33
a. older people don't talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. females post-menopausal changes - ......ANSWER........c. ageist attitudes
According to GOLD criteria, obstruction is defined as a reduction in the FEV1/FVC ration. A
normal ratio is:
a. >70%
b. <70%
c. 80-100%
d. 50-79% - ......ANSWER........a. >70%
According to the 2017 Guideline for High Blood Pressure in Adults the recommended blood
pressure goal for a 55-year-old man with a history of chronic kidney disease is:
a. <140/80
b. <120/80
c. <130/80
d. <150/90 - ......ANSWER........c. <130/80
According to the 2017 Guideline for High Blood pressure in adults, patients with stage 1 or
2 CKD with albuminuria should be started on the following medication to slow progression
of kidney disease
a. ACE inhibitors
b. CCP
