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NR601 MIDTERM EXAM - PRIMARY CARE OF
THE MATURING AND AGED FAMILY
PRACTICUM UPDATED 2025–2026 WITH ALL
NEW QUESTIONS AND EXACTLY RIGHT
ANSWERS | A+ QUALITY GUARANTEE
55 year old post-menopausal woman with h/o HTN c/o jaw pain on heavy exertion.
No c/o CP. EKG is normal sinus rhythm without ST segment abnormalities. Your
plan may include -
ANSWER> Exercise stress test
The caregiver for an older adult with cognitive impairment is concerned about the
individuals seeming disinterest in eating. Which suggestion does the NP offer
based upon a known effect of dementia on a clients nutrition - ANSWER>
Establish a routine of when and where the individual will have their meals.
An older man has a hx of medication therapy for hypertension. Which intervention
does the nurse practitioner implement when the client reports that, I've fallen twice
in 5 weeks. -
ANSWER> Orthostatic blood pressures
A key symptom of ischemia heart disease is chest pain. However, angina
equivalents may include exertional dyspnea. Angina equivalents are important
because - ANSWER> Women with ischemic heart disease many times don't
present with chest pain. Some patient's may have no symptoms or atypical
symptoms so diagnosis may only be made at the time of the actual MI
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Which test is clinic standard for assessment of aortic stenosis -
ANSWER> Echocardiogram
Ischemic heart disease is - ANSWER> Defined as an imbalance between O2
supply and demand, frequently manifested as angina, leading cause of death in the
elderly
Preceding a stress test, the following lab work might include -
ANSWER> CBC with diff to differentiate ischemic heart disease from anemia,
thyroid studies to rule out hyperthyroidism
On exam, what type of murmur can be auscultation with aortic regurgitation -
ANSWER> Austin Flint
Which of the following statements is true regarding anti- arrhythmic drugs -
ANSWER> Most anti- arrhythmic have low toxic/therapeutic ratio and some are
exceeding toxic
In mitral stenosis, p waves may suggest - ANSWER
> Left atrial enlargement
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Aortic regurgitation requires medical treatment for early signs of CHF with -
ANSWER> ACEi
The best evidence rating drugs in a post MI pt include -
ANSWER> ASA, ACEi/ARB, BB, aldosterone blockade
What is the most common valvular heart disease in the elderly -
ANSWER> Aortic stenosis
Elderly may present with atypical signs of pneumonia. You may need to be aware
that clustering of all of the following s/s may indicate pneumonia in the elderly
except - ANSWER> Bradycardia
A common auscultory finding in CHF is - ANSWER
> S3
The most common organism responsible for CAP in the elderly is - ANSWER>
Strep pneumoniae
72 year old woman and her husband are driving cross country. After a long day of
driving, they stop to eat. Midway through the meal, the woman because very SOB
with CP and a sense of panic. Which problem is most likely - ANSWER>
Pulmonary embolism
NR601 MIDTERM EXAM - PRIMARY CARE OF
THE MATURING AND AGED FAMILY
PRACTICUM UPDATED 2025–2026 WITH ALL
NEW QUESTIONS AND EXACTLY RIGHT
ANSWERS | A+ QUALITY GUARANTEE
55 year old post-menopausal woman with h/o HTN c/o jaw pain on heavy exertion.
No c/o CP. EKG is normal sinus rhythm without ST segment abnormalities. Your
plan may include -
ANSWER> Exercise stress test
The caregiver for an older adult with cognitive impairment is concerned about the
individuals seeming disinterest in eating. Which suggestion does the NP offer
based upon a known effect of dementia on a clients nutrition - ANSWER>
Establish a routine of when and where the individual will have their meals.
An older man has a hx of medication therapy for hypertension. Which intervention
does the nurse practitioner implement when the client reports that, I've fallen twice
in 5 weeks. -
ANSWER> Orthostatic blood pressures
A key symptom of ischemia heart disease is chest pain. However, angina
equivalents may include exertional dyspnea. Angina equivalents are important
because - ANSWER> Women with ischemic heart disease many times don't
present with chest pain. Some patient's may have no symptoms or atypical
symptoms so diagnosis may only be made at the time of the actual MI
,2|Page
Which test is clinic standard for assessment of aortic stenosis -
ANSWER> Echocardiogram
Ischemic heart disease is - ANSWER> Defined as an imbalance between O2
supply and demand, frequently manifested as angina, leading cause of death in the
elderly
Preceding a stress test, the following lab work might include -
ANSWER> CBC with diff to differentiate ischemic heart disease from anemia,
thyroid studies to rule out hyperthyroidism
On exam, what type of murmur can be auscultation with aortic regurgitation -
ANSWER> Austin Flint
Which of the following statements is true regarding anti- arrhythmic drugs -
ANSWER> Most anti- arrhythmic have low toxic/therapeutic ratio and some are
exceeding toxic
In mitral stenosis, p waves may suggest - ANSWER
> Left atrial enlargement
, 3|Page
Aortic regurgitation requires medical treatment for early signs of CHF with -
ANSWER> ACEi
The best evidence rating drugs in a post MI pt include -
ANSWER> ASA, ACEi/ARB, BB, aldosterone blockade
What is the most common valvular heart disease in the elderly -
ANSWER> Aortic stenosis
Elderly may present with atypical signs of pneumonia. You may need to be aware
that clustering of all of the following s/s may indicate pneumonia in the elderly
except - ANSWER> Bradycardia
A common auscultory finding in CHF is - ANSWER
> S3
The most common organism responsible for CAP in the elderly is - ANSWER>
Strep pneumoniae
72 year old woman and her husband are driving cross country. After a long day of
driving, they stop to eat. Midway through the meal, the woman because very SOB
with CP and a sense of panic. Which problem is most likely - ANSWER>
Pulmonary embolism
