NR 601 FINAL EXAM 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
ADVANCED PATHOPHYSIOLOGY,
PRIMARY CARE, DIFFERENTIAL
DIAGNOSIS, PHARMACOLOGY & NURSE
PRACTITIONER CERTIFICATION STUDY
GUIDE | GRADE A+ STUDY RESOURCE
A 56 year old man is diagnosed with acute prostatitis, he is afebrile without
severe pain and will be managed outpatient. He should initially be treated
with antibiotics for how long?
a. 6-12 weeks
b. 14-21 days
c. 3-6 weeks
d. 10-14 days - CORRECT ANSWER -d. 10-14 days
An 80 year old female widow asks her nurse practitioner about her end of
life options. Her diagnosis include congestive heart failure, hypertension
and type 2 diabetes mellitus. She has noticed that in the last month she has
lower extremity edema and she if finding it difficult to walk to the grocery
store and chrch. She does not use oxygen. She is able to maintain her home
but requires more frequent rests after vacuuming. She does not wish to be
,admitted to the hospital again in the future but if admitted wants to
maintain full code status. How should the NP address this patients
concerns today?
a. start her on a medication for depression
b provide her with information for senior day care services
c. offer the patient a palliative care referral - CORRECT ANSWER -c. offer the
patient a palliative care referral
Hospice services and palliative care services are underutilized due to
a. denial of impending death
b. confusion remains over when it is appropriate to consult palliative care
c. services are not understood
d. all options are appropriate - CORRECT ANSWER -d. all options are
appropriate
Jean, a 47 year old presents to the clinic with complaints of dysuria,
frequency and strong odor of her urine for 5 days. This is the second
occurrence this year. The first occurrence was 3 months ago. Today, UA
reveals positive leukocyte esterase, positive nitrates, 18 WBC's, few RBC's,
no protein, no casts. What is the appropriate next step for this patient
a. order a urine culture and sensitivity and hold treatment until you receive
results
b. prescribe a 7 day course of antibiotics and order a urine culture and
sensitivity
,c. treat the patient with a stronger antibiotic, ofloxin, for 10 days
d. treat the patient with antibiotics today - CORRECT ANSWER -d. treat the
patient with antibiotics today
Delirium is typically characterized by all of the following except:
a. altered level of consciousness
b. insidious onset
c. inattention - CORRECT ANSWER -b. insidious onset
Not sure of the question but
a. dominant personality
b. obesity
c. cardiovascular disease
d. diabetes - CORRECT ANSWER -a. dominant personality
Mrs. G has returned to your office for a follow up visit for urinary
incontinence (UI). Mrs G has followed your 1st line recommendations. She
has quit smoking, drinks plenty of fluids, and has eliminated caffeine and
spicy foods. Despite all these changes, she still experiences UI. You decide
to initiate second line treatement. You recommend:
a. bladder control training
b. keagels
c. antimuscarinic medications
, d. alpha 1 adrenergic receptor antagonists - CORRECT ANSWER -c.
antimuscarinic medications
Which of the following diagnoses should be considered in a patient
presenting with erectile dysfunction?
a. diabetes mellitus
b. artherosclerosis
c. depression
d. all options are appropriate - CORRECT ANSWER -d. all options are
appropriate
urinary incontinence is defined as:
a. unintentional voiding, loss or leakage of urine
b. urination occurs more frequently during the day
c. continous loss of urine or leakage of urine
d. sudden, compelling desire to pass urine that is difficult to prevent -
CORRECT ANSWER -a. unintentional voiding, loss or leakage of urine
A patient has been prescribed metformin (Glucophage). One week later he
returns with complaints of some loose stools during the week. How should
the nurse practitioner respond?
a. double the dosage of medication and have patient return in one week
b. order a chem. 7 to check for lactic acidosis
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
ADVANCED PATHOPHYSIOLOGY,
PRIMARY CARE, DIFFERENTIAL
DIAGNOSIS, PHARMACOLOGY & NURSE
PRACTITIONER CERTIFICATION STUDY
GUIDE | GRADE A+ STUDY RESOURCE
A 56 year old man is diagnosed with acute prostatitis, he is afebrile without
severe pain and will be managed outpatient. He should initially be treated
with antibiotics for how long?
a. 6-12 weeks
b. 14-21 days
c. 3-6 weeks
d. 10-14 days - CORRECT ANSWER -d. 10-14 days
An 80 year old female widow asks her nurse practitioner about her end of
life options. Her diagnosis include congestive heart failure, hypertension
and type 2 diabetes mellitus. She has noticed that in the last month she has
lower extremity edema and she if finding it difficult to walk to the grocery
store and chrch. She does not use oxygen. She is able to maintain her home
but requires more frequent rests after vacuuming. She does not wish to be
,admitted to the hospital again in the future but if admitted wants to
maintain full code status. How should the NP address this patients
concerns today?
a. start her on a medication for depression
b provide her with information for senior day care services
c. offer the patient a palliative care referral - CORRECT ANSWER -c. offer the
patient a palliative care referral
Hospice services and palliative care services are underutilized due to
a. denial of impending death
b. confusion remains over when it is appropriate to consult palliative care
c. services are not understood
d. all options are appropriate - CORRECT ANSWER -d. all options are
appropriate
Jean, a 47 year old presents to the clinic with complaints of dysuria,
frequency and strong odor of her urine for 5 days. This is the second
occurrence this year. The first occurrence was 3 months ago. Today, UA
reveals positive leukocyte esterase, positive nitrates, 18 WBC's, few RBC's,
no protein, no casts. What is the appropriate next step for this patient
a. order a urine culture and sensitivity and hold treatment until you receive
results
b. prescribe a 7 day course of antibiotics and order a urine culture and
sensitivity
,c. treat the patient with a stronger antibiotic, ofloxin, for 10 days
d. treat the patient with antibiotics today - CORRECT ANSWER -d. treat the
patient with antibiotics today
Delirium is typically characterized by all of the following except:
a. altered level of consciousness
b. insidious onset
c. inattention - CORRECT ANSWER -b. insidious onset
Not sure of the question but
a. dominant personality
b. obesity
c. cardiovascular disease
d. diabetes - CORRECT ANSWER -a. dominant personality
Mrs. G has returned to your office for a follow up visit for urinary
incontinence (UI). Mrs G has followed your 1st line recommendations. She
has quit smoking, drinks plenty of fluids, and has eliminated caffeine and
spicy foods. Despite all these changes, she still experiences UI. You decide
to initiate second line treatement. You recommend:
a. bladder control training
b. keagels
c. antimuscarinic medications
, d. alpha 1 adrenergic receptor antagonists - CORRECT ANSWER -c.
antimuscarinic medications
Which of the following diagnoses should be considered in a patient
presenting with erectile dysfunction?
a. diabetes mellitus
b. artherosclerosis
c. depression
d. all options are appropriate - CORRECT ANSWER -d. all options are
appropriate
urinary incontinence is defined as:
a. unintentional voiding, loss or leakage of urine
b. urination occurs more frequently during the day
c. continous loss of urine or leakage of urine
d. sudden, compelling desire to pass urine that is difficult to prevent -
CORRECT ANSWER -a. unintentional voiding, loss or leakage of urine
A patient has been prescribed metformin (Glucophage). One week later he
returns with complaints of some loose stools during the week. How should
the nurse practitioner respond?
a. double the dosage of medication and have patient return in one week
b. order a chem. 7 to check for lactic acidosis
