NR 601 MIDTERM EXAM 1 FINAL
EXAMINATION TEST 2026 FULL ANSWERS
100% CORRECT GRADED A+
⩥ Beers Criteria. Answer: *American Geriatric Society
*Purpose: improve medication selection; avoid dangerous medications
*Tailored for 65 and older in all settings except hospice and palliative
care
*Stresses importance of de-prescribing to avoid polypharmacy and drug
reactions
⩥ Health Promotion. Answer: *Vaccine schedules: tetanus, diphtheria,
pneumococcal, flu
*CRC screening: ages 50-75
*BC screening: biennial screening ages 50-74
*Smoking cessation
*Aerobic exercise and strength training
*AAA screening
⩥ Physical Changes. Answer: *Lab changes can be affected by
dehydration (increased ESR due to inflammation, reduced physiological
reserves due to thinner skin, less subcutaneous tissue and fat)
*Mini nutritional assessment for obesity
,⩥ Functional Domain. Answer: *Purpose: how the older adult cares for
themselves
*Screening tools: Brody + lawton, Barthel index (both assess
instrumental ADLs)
*Functional change is often the first/only sign of a new or changed
disease process
⩥ Pulmonary Function Tests. Answer: Complete activity, understand
results, FEV1 and what it means
⩥ Asthma. Answer: *Chronic, inflammatory, obstructive disease
*Caused by intrinsic factors (stress) or extrinsic factors (environment)
*REVERSIBLE! hyperactivity of bronchi and bronchioles to a variety of
stimuli
⩥ Intermittent asthma. Answer: *Intermittent symptoms less than 2 days
per week
*Nighttime less than twice per month
*Normal peak expiratory flow between exacerbations
*FEV1 >80%; PFT variability ≥20%
*No daily meds
*SABA PRN < twice per week
*Step up meds if control is not achieved
, *Step down meds if controlled for 3 months
⩥ Mild Persistent Asthma. Answer: *Symptoms more than twice a week
but not daily
*Several times at night per month
*FEV1 >80%; PFT variability 20-30%
*Daily low dose ICS; alternate LTRA, cromolyn, nedocromil, or
theophylline
*Rescue: SABA PRN not to exceed 3-4 times/day
⩥ Moderate Persistent Asthma. Answer: *Symptoms are daily but not
continual
*Night time symptoms more than ones a week but not nightly
*Exacerbations affect sleep and activity
*FEV1 60-80% predicted; PFT variability > 30%
*Daily meds: Low dose ICS + LABA or medium dose ICS + LTRA
*Rescue: SABA PRN not to exceed 3-4 times/day
⩥ Severe Persistent Asthma. Answer: *Continuous daily symptoms
*Frequent nighttime symptoms
*Frequent exacerbations
*Physical activities limited by asthma
*FEV1 < 60%; PFT variability > 30%
EXAMINATION TEST 2026 FULL ANSWERS
100% CORRECT GRADED A+
⩥ Beers Criteria. Answer: *American Geriatric Society
*Purpose: improve medication selection; avoid dangerous medications
*Tailored for 65 and older in all settings except hospice and palliative
care
*Stresses importance of de-prescribing to avoid polypharmacy and drug
reactions
⩥ Health Promotion. Answer: *Vaccine schedules: tetanus, diphtheria,
pneumococcal, flu
*CRC screening: ages 50-75
*BC screening: biennial screening ages 50-74
*Smoking cessation
*Aerobic exercise and strength training
*AAA screening
⩥ Physical Changes. Answer: *Lab changes can be affected by
dehydration (increased ESR due to inflammation, reduced physiological
reserves due to thinner skin, less subcutaneous tissue and fat)
*Mini nutritional assessment for obesity
,⩥ Functional Domain. Answer: *Purpose: how the older adult cares for
themselves
*Screening tools: Brody + lawton, Barthel index (both assess
instrumental ADLs)
*Functional change is often the first/only sign of a new or changed
disease process
⩥ Pulmonary Function Tests. Answer: Complete activity, understand
results, FEV1 and what it means
⩥ Asthma. Answer: *Chronic, inflammatory, obstructive disease
*Caused by intrinsic factors (stress) or extrinsic factors (environment)
*REVERSIBLE! hyperactivity of bronchi and bronchioles to a variety of
stimuli
⩥ Intermittent asthma. Answer: *Intermittent symptoms less than 2 days
per week
*Nighttime less than twice per month
*Normal peak expiratory flow between exacerbations
*FEV1 >80%; PFT variability ≥20%
*No daily meds
*SABA PRN < twice per week
*Step up meds if control is not achieved
, *Step down meds if controlled for 3 months
⩥ Mild Persistent Asthma. Answer: *Symptoms more than twice a week
but not daily
*Several times at night per month
*FEV1 >80%; PFT variability 20-30%
*Daily low dose ICS; alternate LTRA, cromolyn, nedocromil, or
theophylline
*Rescue: SABA PRN not to exceed 3-4 times/day
⩥ Moderate Persistent Asthma. Answer: *Symptoms are daily but not
continual
*Night time symptoms more than ones a week but not nightly
*Exacerbations affect sleep and activity
*FEV1 60-80% predicted; PFT variability > 30%
*Daily meds: Low dose ICS + LABA or medium dose ICS + LTRA
*Rescue: SABA PRN not to exceed 3-4 times/day
⩥ Severe Persistent Asthma. Answer: *Continuous daily symptoms
*Frequent nighttime symptoms
*Frequent exacerbations
*Physical activities limited by asthma
*FEV1 < 60%; PFT variability > 30%
