NR 601 FINAL EXAM QUESTIONS WITH CORRECT
ANSWERS 2025 -2026 VERSION V2 GUARANTEED PASS
A+ (CHAMBERLAIN UNIVERSITY)
____ 9. A fluoroquinolone (Ciprofloxin) is prescribed for a male patient
with a UTI. What should the nurse practitioner teach the patient
regarding taking this medication?
A. It must be taken on an empty stomach
B. Its effectiveness is decreased by antacids, iron, or caffeine ingestion
C. It may cause a metallic aftertaste
D. Its effectiveness is not a concern and it can be taken with any
medications - ANSWER ->9. ANS: B
PTS: 1
____ 10. A patient has been prescribed metformin (Glucophage). One
week later he returns with lowered
blood sugars but complains of some loose stools during the week. How
should the nurse practitioner respond?
A. Discontinue the medication immediately
B. Reassure the patient that this is an anticipated side effect
C. Double the dosage of medication and have patient return in 1 week
D. Order a chem. 7 to check for lactic acidosis - ANSWER ->10. ANS: B
PTS: 1
____ 11. Which of the following signs of hyperthyroidism commonly
manifest in younger populations, but is notably lacking in the
elderly?
,A. Weight gain
B. Constipation
C. Bradycardia
D. Exophthalmos - ANSWER ->11. ANS: D
PTS: 1
____ 12. A 60-year-old obese male client has type 2 diabetes mellitus
and a lipid panel of TC = 250, HDL =
32, LDL = 165. The nurse practitioner teaches the patient about his
modifiable cardiac risk factors, which include:
A. Advancing age, diabetes, hyperlipidemia, and male gender
B. Diabetes, obesity, and hyperlipidemia
C. Hyperlipidemia, smoking, and family history of heart disease
D. Male with age > 45, diabetes mellitus, and hyperlipidemia - ANSWER
->B
____ 13. A diabetic patient presents with the complaint of right foot
pain but denies any recent known injury.
He states it has gotten progressively worse over the past few months.
On exam, vibratory sense, as
well as sensation tested with a monofilament, was abnormal. The
patient's foot is warm, edematous, and misshapen. The nurse
practitioner suspects Charcot foot. What intervention is indicated?
A. Warm soaks and return for follow-up in 1 week
B. Referral to a pain management clinic
C. Referral to an orthopedist
D. Referral to a cardiologist for evaluation of peripheral vascular
disease - ANSWER ->C
,____ 14. What is a sign of insulin resistance that can present in African
American patients?
A. Acanthosis Nigricans
B. Psoriasis Nigricans
C. Seborrheic Nigricans
D. Bullemic Nigricans - ANSWER ->A
____ 15. During a routine physical examination of a 62-year-old female
patient, the nurse practitioner identifies xanthelasma around both his
eyes. What is the significance of this finding?
A. High potential for future blindness and requires immediate referral
B. None, normal variant of aging process
C. Abnormal lipid metabolism requiring medical management
D. Hereditary variant that is of no consequence but requires watchful
waiting - ANSWER ->C
____ 16. Mr. White is 62 years old and has chronic kidney disease that
has been relatively stable. He also has
a history of hyperlipidemia, osteoarthritis, and hypertension. He is
compliant with his medications,
and his BP has been well controlled on a calcium channel blocker. His
last lipid panel showed: TC =
201, HDL = 40, TG = 180, LDL = 98. He currently takes Crestor 20 mg
daily. In the office today,
his BP is 188/90, and his urine dip now shows significant proteinuria. He
denies any changes in his
dietary habits or medication regimen. What would be the best
medication change for Mr. White at this point?
, A. No change—have him return in 4 weeks for a re-check of his blood
pressure and urine
B. Increase the dose of the calcium channel blocker for his hypertension
C. Change the calcium channel blocker to an ACE-I
D. Increase the dose of his Crestor and have him return in 3 months for
a re-check of
his BP - ANSWER ->C
____ 17. You are working as a nurse practitioner in the Fast Track of the
emergency room. A 76-year-old
male presents with left upper quadrant abdominal pain. There can be
many conditions that present as
left upper quadrant pain, but which of the following is least likely to
cause pain in the left upper quadrant?
A. Splenic abscess
B. Left pyelonephritis
C. Splenic rupture
D. Acute pancreatitis - ANSWER ->D
____ 18. Which is a "cardinal feature" of failure to thrive?
A. Decline in toileting ability
B. Gait disturbance
C. Poor nutritional status
D. Spiritual distress - ANSWER ->C
____ 19. Feeding gastrostomy tubes at end-of-life Alzheimer's disease
patients have been associated with:
A. Prolongation of life
B. Aspirational pneumonia
C. Increase in skin infections
ANSWERS 2025 -2026 VERSION V2 GUARANTEED PASS
A+ (CHAMBERLAIN UNIVERSITY)
____ 9. A fluoroquinolone (Ciprofloxin) is prescribed for a male patient
with a UTI. What should the nurse practitioner teach the patient
regarding taking this medication?
A. It must be taken on an empty stomach
B. Its effectiveness is decreased by antacids, iron, or caffeine ingestion
C. It may cause a metallic aftertaste
D. Its effectiveness is not a concern and it can be taken with any
medications - ANSWER ->9. ANS: B
PTS: 1
____ 10. A patient has been prescribed metformin (Glucophage). One
week later he returns with lowered
blood sugars but complains of some loose stools during the week. How
should the nurse practitioner respond?
A. Discontinue the medication immediately
B. Reassure the patient that this is an anticipated side effect
C. Double the dosage of medication and have patient return in 1 week
D. Order a chem. 7 to check for lactic acidosis - ANSWER ->10. ANS: B
PTS: 1
____ 11. Which of the following signs of hyperthyroidism commonly
manifest in younger populations, but is notably lacking in the
elderly?
,A. Weight gain
B. Constipation
C. Bradycardia
D. Exophthalmos - ANSWER ->11. ANS: D
PTS: 1
____ 12. A 60-year-old obese male client has type 2 diabetes mellitus
and a lipid panel of TC = 250, HDL =
32, LDL = 165. The nurse practitioner teaches the patient about his
modifiable cardiac risk factors, which include:
A. Advancing age, diabetes, hyperlipidemia, and male gender
B. Diabetes, obesity, and hyperlipidemia
C. Hyperlipidemia, smoking, and family history of heart disease
D. Male with age > 45, diabetes mellitus, and hyperlipidemia - ANSWER
->B
____ 13. A diabetic patient presents with the complaint of right foot
pain but denies any recent known injury.
He states it has gotten progressively worse over the past few months.
On exam, vibratory sense, as
well as sensation tested with a monofilament, was abnormal. The
patient's foot is warm, edematous, and misshapen. The nurse
practitioner suspects Charcot foot. What intervention is indicated?
A. Warm soaks and return for follow-up in 1 week
B. Referral to a pain management clinic
C. Referral to an orthopedist
D. Referral to a cardiologist for evaluation of peripheral vascular
disease - ANSWER ->C
,____ 14. What is a sign of insulin resistance that can present in African
American patients?
A. Acanthosis Nigricans
B. Psoriasis Nigricans
C. Seborrheic Nigricans
D. Bullemic Nigricans - ANSWER ->A
____ 15. During a routine physical examination of a 62-year-old female
patient, the nurse practitioner identifies xanthelasma around both his
eyes. What is the significance of this finding?
A. High potential for future blindness and requires immediate referral
B. None, normal variant of aging process
C. Abnormal lipid metabolism requiring medical management
D. Hereditary variant that is of no consequence but requires watchful
waiting - ANSWER ->C
____ 16. Mr. White is 62 years old and has chronic kidney disease that
has been relatively stable. He also has
a history of hyperlipidemia, osteoarthritis, and hypertension. He is
compliant with his medications,
and his BP has been well controlled on a calcium channel blocker. His
last lipid panel showed: TC =
201, HDL = 40, TG = 180, LDL = 98. He currently takes Crestor 20 mg
daily. In the office today,
his BP is 188/90, and his urine dip now shows significant proteinuria. He
denies any changes in his
dietary habits or medication regimen. What would be the best
medication change for Mr. White at this point?
, A. No change—have him return in 4 weeks for a re-check of his blood
pressure and urine
B. Increase the dose of the calcium channel blocker for his hypertension
C. Change the calcium channel blocker to an ACE-I
D. Increase the dose of his Crestor and have him return in 3 months for
a re-check of
his BP - ANSWER ->C
____ 17. You are working as a nurse practitioner in the Fast Track of the
emergency room. A 76-year-old
male presents with left upper quadrant abdominal pain. There can be
many conditions that present as
left upper quadrant pain, but which of the following is least likely to
cause pain in the left upper quadrant?
A. Splenic abscess
B. Left pyelonephritis
C. Splenic rupture
D. Acute pancreatitis - ANSWER ->D
____ 18. Which is a "cardinal feature" of failure to thrive?
A. Decline in toileting ability
B. Gait disturbance
C. Poor nutritional status
D. Spiritual distress - ANSWER ->C
____ 19. Feeding gastrostomy tubes at end-of-life Alzheimer's disease
patients have been associated with:
A. Prolongation of life
B. Aspirational pneumonia
C. Increase in skin infections
