NR 601 FINAL EXAM (UPDATE 2026)
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT
Mrs R is a 68 year old woman with a BMI of 26. She is on Medicare, has a 20 year
history of primary hypertension and has been well controlled on furosemide 30 mg BID
for years. During this follow up visit Mrs. R reports that for the last 2 months she is
always thirsty, she drinks at least 8 glasses of water a day. Upon chart review the NP
notes that the last two fasting blood glucose levels have been 102mg/dl and 108mg/dl.
What action should the nurse practitioner perform next?
a. plan to recheck glucose as scheduled at the yearly physical exam next month
b. order a fasting blood glucose
c. check a POC glucose now, she is not fasting
d. educate that the diuretic is causing thirst - CORRECT ANSWES -- b. order a fasting
blood glucose
Diabetes is one of the leading causes of which medical condition?
a. chronic lung disease
b. disability
c. kidney failure
d. cardiac death - CORRECT ANSWES -- c. kidney failure
In the late stages of dementia, a phenomenon called "sun downing" occurs, in which
cognitive disturbances tend to :
a. peak mid-day
b. becomes worse toward the evening
c. improves as the day goes on
d. fluctuates during the course of the day - CORRECT ANSWES -- b. becomes worse
toward the evening
The proposed mechanism by which diphenhydramine caused delerium is:
a. anticholinergic effects
b. dopaminergic effects
c. gabanergic effectis
d. serotinergic effects - CORRECT ANSWES -- a. anticholinergic effects
,According to the Palliative Care Presentation, palliative care may be provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months - CORRECT ANSWES -- b. anyone
regardless of their life expectancy or disease progression
The highest level of evidence with the use of adjuvant analgesics is with
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant analgesics
c. tricyclic antidepressants avoided due to high adverse affects
d. neuropathic pain patients are candidates for adjuvant analgesia - CORRECT
ANSWES -- d. neuropathic pain patients are candidates for adjuvant analgesia
According o the Sexuality presentation, the biggest barrier to appropriate sexual
evaluation in the older patient
a. older people dont talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. female post menopausal changes - CORRECT ANSWES -- c. ageist attitudes
The patient with BPH is seen for follow-up.. He has been taking finasteride (Proscar) for
6 months. The clinician should assess this patient for which of these side effects?
a. headache
b. urinary incontinence
c. hypotensionn
d. impotence - CORRECT ANSWES -- d. impotence
Which of the following statements is true regarding pain?
a. all of the above
b. if a patient complains of pain but has no physical signs, he or she is most likely
exhibiting drug-seeking behavior
c. pain is a subjective experience related to actual or potential tissue damage
d. acute pain is more intense and severe than chronic pain - CORRECT ANSWES -- c.
pain is a subjective experience related to actual or potential tissue damage
The highest level of evidence to support interventions at the end of life is with
a. hycosamine for respiratory secretions
b. stimulant laxatives for treating constipation
c. opioids for pain control
, d. opioids for dyspnea - CORRECT ANSWES -- d. opioids for dyspnea
The comorbid psychiatric problem with the highest frequency in dementia is:
a. depression
b,, agitation and aggression
c. psychosis
d. anxiety - CORRECT ANSWES -- a. depression
According to the World Health Orginazition's analgesic ladder, which drug would be
most appropriate in opiate-niave patient who presents with moderate pain
a. naproxen/morphine
b. asprin/fentanyl
c. acetaminophen/hydrocodone
d. ibuprofen/impraminen - CORRECT ANSWES -- c. acetaminophen/hydrocodone
K B age 54 presents to your office. her husband has just died suddenly and she states
she cannot function. She is crying all the time, cant seem to focus and she has so much
she needs to do to plan the funeral service and get through the next few days. YOu
decide to prescribe a benzodiazepine. Please choose the correct treatment decision
statements below.
a. benzodiazepines are safe to prescribe long term
b. benzodiazepines should not be stopped abruptly if taken for > 1 month
c. benzodiazepines are first line treatment for anxiety in the elderly
d. benzodiazepines should be prescribed at the highest dose tolerated for the best
effect - CORRECT ANSWES -- b. benzodiazepines should not be stopped abruptly if
taken for > 1 month
Mrs. L, a 66 year old Asian female, presented for her yearly physical last week. A
review of her chart reveals she smokes 2 packs of cigarettes a day, and drinks 2 beers
every evening since she retired. She stopped walkingn two years ago when she started
having knee pain. As part of heallth maintenance, a DEXA was ordered. You have
received the results, a T score of -2.5. The score is consistant with
a. normal result
b. osteoporosis - CORRECT ANSWES -- b. osteoporosis
According to the American College of Cardiology 2017 Guidelines for High blood
pressure in adults, hypertension stage 2 is defined as
a. >150 or >90 mmHG
b. >140 or >90 mmHG
c. 120-129/<80 mmHg
d. 130-139 or 80-89 mm HG - CORRECT ANSWES -- b. >140 or >90 mmHG
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT
Mrs R is a 68 year old woman with a BMI of 26. She is on Medicare, has a 20 year
history of primary hypertension and has been well controlled on furosemide 30 mg BID
for years. During this follow up visit Mrs. R reports that for the last 2 months she is
always thirsty, she drinks at least 8 glasses of water a day. Upon chart review the NP
notes that the last two fasting blood glucose levels have been 102mg/dl and 108mg/dl.
What action should the nurse practitioner perform next?
a. plan to recheck glucose as scheduled at the yearly physical exam next month
b. order a fasting blood glucose
c. check a POC glucose now, she is not fasting
d. educate that the diuretic is causing thirst - CORRECT ANSWES -- b. order a fasting
blood glucose
Diabetes is one of the leading causes of which medical condition?
a. chronic lung disease
b. disability
c. kidney failure
d. cardiac death - CORRECT ANSWES -- c. kidney failure
In the late stages of dementia, a phenomenon called "sun downing" occurs, in which
cognitive disturbances tend to :
a. peak mid-day
b. becomes worse toward the evening
c. improves as the day goes on
d. fluctuates during the course of the day - CORRECT ANSWES -- b. becomes worse
toward the evening
The proposed mechanism by which diphenhydramine caused delerium is:
a. anticholinergic effects
b. dopaminergic effects
c. gabanergic effectis
d. serotinergic effects - CORRECT ANSWES -- a. anticholinergic effects
,According to the Palliative Care Presentation, palliative care may be provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months - CORRECT ANSWES -- b. anyone
regardless of their life expectancy or disease progression
The highest level of evidence with the use of adjuvant analgesics is with
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant analgesics
c. tricyclic antidepressants avoided due to high adverse affects
d. neuropathic pain patients are candidates for adjuvant analgesia - CORRECT
ANSWES -- d. neuropathic pain patients are candidates for adjuvant analgesia
According o the Sexuality presentation, the biggest barrier to appropriate sexual
evaluation in the older patient
a. older people dont talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. female post menopausal changes - CORRECT ANSWES -- c. ageist attitudes
The patient with BPH is seen for follow-up.. He has been taking finasteride (Proscar) for
6 months. The clinician should assess this patient for which of these side effects?
a. headache
b. urinary incontinence
c. hypotensionn
d. impotence - CORRECT ANSWES -- d. impotence
Which of the following statements is true regarding pain?
a. all of the above
b. if a patient complains of pain but has no physical signs, he or she is most likely
exhibiting drug-seeking behavior
c. pain is a subjective experience related to actual or potential tissue damage
d. acute pain is more intense and severe than chronic pain - CORRECT ANSWES -- c.
pain is a subjective experience related to actual or potential tissue damage
The highest level of evidence to support interventions at the end of life is with
a. hycosamine for respiratory secretions
b. stimulant laxatives for treating constipation
c. opioids for pain control
, d. opioids for dyspnea - CORRECT ANSWES -- d. opioids for dyspnea
The comorbid psychiatric problem with the highest frequency in dementia is:
a. depression
b,, agitation and aggression
c. psychosis
d. anxiety - CORRECT ANSWES -- a. depression
According to the World Health Orginazition's analgesic ladder, which drug would be
most appropriate in opiate-niave patient who presents with moderate pain
a. naproxen/morphine
b. asprin/fentanyl
c. acetaminophen/hydrocodone
d. ibuprofen/impraminen - CORRECT ANSWES -- c. acetaminophen/hydrocodone
K B age 54 presents to your office. her husband has just died suddenly and she states
she cannot function. She is crying all the time, cant seem to focus and she has so much
she needs to do to plan the funeral service and get through the next few days. YOu
decide to prescribe a benzodiazepine. Please choose the correct treatment decision
statements below.
a. benzodiazepines are safe to prescribe long term
b. benzodiazepines should not be stopped abruptly if taken for > 1 month
c. benzodiazepines are first line treatment for anxiety in the elderly
d. benzodiazepines should be prescribed at the highest dose tolerated for the best
effect - CORRECT ANSWES -- b. benzodiazepines should not be stopped abruptly if
taken for > 1 month
Mrs. L, a 66 year old Asian female, presented for her yearly physical last week. A
review of her chart reveals she smokes 2 packs of cigarettes a day, and drinks 2 beers
every evening since she retired. She stopped walkingn two years ago when she started
having knee pain. As part of heallth maintenance, a DEXA was ordered. You have
received the results, a T score of -2.5. The score is consistant with
a. normal result
b. osteoporosis - CORRECT ANSWES -- b. osteoporosis
According to the American College of Cardiology 2017 Guidelines for High blood
pressure in adults, hypertension stage 2 is defined as
a. >150 or >90 mmHG
b. >140 or >90 mmHG
c. 120-129/<80 mmHg
d. 130-139 or 80-89 mm HG - CORRECT ANSWES -- b. >140 or >90 mmHG
