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Exam (elaborations)

NR 661 Exam Review – 100+ Practice Questions with Answers – HTN, DM2, Anxiety, GERD, MSK – Chamberlain University

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This document offers an extensive exam-focused review for NR 661 with over 100 practice questions and accurate answers, curated for the 2025/2026 academic year at Chamberlain University. It is structured as a high-yield Q&A study guide specifically designed for nurse practitioner students preparing for clinical exams, course assessments, or certification boards. Topics span multiple core clinical areas including Hypertension (diagnosis, lifestyle changes, HCTZ, ACE inhibitors), Hyperlipidemia (diagnostics, statin therapy), Type 2 Diabetes (A1C criteria, metformin, insulin use), Anxiety and Depression (Hamilton scale, SSRIs, benzodiazepines), and common Primary Care conditions such as Obesity, GERD, URI, Sinusitis, and Allergic Rhinitis. Additionally, the document covers musculoskeletal (MSK) complaints including back, knee, shoulder, and hip pain, detailing pharmacologic and non-pharmacologic treatment strategies. Dermatologic and urologic issues like eczema, BPH, UTI, tinea, and nail fungus are also included, along with diagnostic workups, management protocols, and referral timelines. This resource is ideal for reinforcing diagnostic reasoning, pharmacology, and treatment planning skills aligned with clinical guidelines and nurse practitioner standards of care. Recommended for: Family Nurse Practitioner (FNP) students Adult-Gerontology Primary Care NP students MSN and DNP students in clinical practicum courses AANP/ANCC board exam candidates Nurse educators and clinical preceptors A complete, system-by-system breakdown of essential exam content for nurse practitioner education. Keywords: NR 661, hypertension treatment, diabetes type 2, hyperlipidemia, anxiety management, SSRIs, GERD, obesity pharmacology, asthma, osteoarthritis, UTI, eczema, tinea, nail fungus, BPH, back pain, knee pain, Chamberlain University

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Document information

Uploaded on
November 25, 2025
Number of pages
41
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

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VISE NR 661 2025/2026 Exam Questions
and Answers | A+ Score Assured



Hypertension-Presentation - 🧠 ANSWER ✔✔Most are not symptomatic,

Occipital Headaches, headache on awakening in am, blurry vision,


Diagnostic studies for Hypertension - 🧠 ANSWER ✔✔EKG,


fasting lipid profile,

fasting blood glucose,

CBC,

CMP, and

urinalysis.

,Diagnosis: > 140/90 mm Hg start on B/P medication.


Non-pharmacologic Management for Hypertension - 🧠 ANSWER ✔✔o

Lifestyle modifications: diet and exercise 30 minutes aerobic exercise 5

days per week.

o Limit alcohol

o stop smoking

o stress management


Pharmacologic Management for Hypertension - 🧠 ANSWER ✔✔o

hydrochlorothiazide (HCTZ) 25 mg/day

o ALTERNATIVE Amlodipine besylate 5 mg /day. I

o lisinopril 10mg/day complicated HTN


Follow up for Hypertension - 🧠 ANSWER ✔✔Referral:


o 2-4weeks

o Cardiology if EKG is normal


Hyperlipidemia Presentation - 🧠 ANSWER ✔✔Xanthomata (lipid deposits

around the eyes)

,o Corneal Arcus prior to age 50 years


Diagnostics for Hyperlipidemia - 🧠 ANSWER ✔✔o lipid profile


o Glucose,

o UA and creatinine (for detection of nephrotic syndrome which can induce

dyslipidemia),

o TSH (for detection of hypothyroidism)

o CMP

Diagnosis: Pt with LDL >= 190mg/dL


Non-pharmacologic Management for Hyperlipidemia - 🧠 ANSWER ✔✔o

Lifestyle Modification; diet and exercise.

-----------------------------------------


Pharmacologic Management for Hyperlipidemia - 🧠 ANSWER ✔✔•

Atorvastatin 10mg once a day

• Alternative Welchol 625 mg tab daily once a day.




COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, for LDL .>190


Diabetes type 2 Presentation: - 🧠 ANSWER ✔✔•Polydipsia, Polyuria,

Polyphagia,

• agitation,

• nervousness,

• obesity,

• fatigue

• blurry vision


Diagnostics for Diabetes type 2: - 🧠 ANSWER ✔✔EKG,


CBC,

CMP,

LIPIDS< Microalbuminuria,

TSH,


Diagnostic criteria for Diabetes type 2 - 🧠 ANSWER ✔✔A1C Diagnosis:

Hgb A1C >or equal to 6.5% or Fasting glucose>126mg/dl and confirmed on

a different day

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