NR 601
FINAL EXAM
Verified Questions & Answers With Rationales
(Primary Care of the Maturing and
Aged Family Practicum)
Chamberlain
CONSISTS OF 100 QUESTIONS
WEEKS 5 – 8 COVERED
,1. Mr. A, experienced a brief onset of right sided weakness, slurred speech and
confusion yesterday. The symptoms have resolved and the CT is normal. What is the
next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask
Correct Answer:
b. identify modifiable cardiovascular risk factors
Rationale:
These symptoms are consistent with a transient ischemic attack. Even when symptoms
resolve and CT is normal, the priority is secondary prevention by identifying and
managing modifiable cardiovascular risks such as hypertension, diabetes, smoking,
dyslipidemia, and atrial fibrillation.
2. A 56-year old male patient screened for diabetes has a fasting plasma glucose level
of 96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam
Correct Answer:
a. repeat fasting plasma glucose in three years
Rationale:
A fasting plasma glucose of 96 mg/dL is within the normal range. In an average-risk
patient with normal results, repeat screening is generally recommended at routine
intervals rather than starting medication or specialty referral.
3. RW, a 57 year old native American female, presents to the office. RW states she
feels irritable and has difficulty concentrating as well as fallingn asleep and staying
aleep. She states she is worried about her finances, her husband has just lost his job.
The NP diagnoses anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
,c. Ariprprazole
d. Paroxetine
Correct Answer:
d. Paroxetine
Rationale:
SSRIs such as paroxetine are commonly used as first-line pharmacologic treatment for
anxiety disorders. Benzodiazepines may provide short-term relief but are not preferred
as first-line long-term therapy, especially in older adults because of sedation, falls,
dependence, and cognitive effects.
4. The most common sustained rhythmic disorder, which consists of fibrillatory p
waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter
Correct Answer:
c. atrial fibrillation
Rationale:
Atrial fibrillation is the most common sustained cardiac arrhythmia and is characterized
by chaotic atrial electrical activity without organized P waves. It increases risk for stroke
and requires assessment for rate/rhythm control and anticoagulation risk.
5. According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants
Correct Answer:
c. is a contributing factor for frequent urinary tract infections
Rationale:
Postmenopausal estrogen deficiency causes thinning and dryness of vaginal and urethral
, tissues, which can increase irritation, dyspareunia, and recurrent urinary symptoms or
infections.
6. Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model
Correct Answer:
d. Confusion Assessment Model
Rationale:
The Confusion Assessment Method is designed to screen for delirium by assessing acute
onset, fluctuating course, inattention, disorganized thinking, and altered level of
consciousness. SLUMS and MoCA are more commonly used for cognitive impairment
screening.
7. A drug that can be used to treat two very common symptoms in a dying patient
(pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine
Correct Answer:
d. Morphine
Rationale:
Morphine is commonly used in palliative and end-of-life care for pain and dyspnea. It
decreases the sensation of air hunger and provides analgesia when carefully titrated.
8. Which of the following would you recommend annually for the elderly type 2
diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist
FINAL EXAM
Verified Questions & Answers With Rationales
(Primary Care of the Maturing and
Aged Family Practicum)
Chamberlain
CONSISTS OF 100 QUESTIONS
WEEKS 5 – 8 COVERED
,1. Mr. A, experienced a brief onset of right sided weakness, slurred speech and
confusion yesterday. The symptoms have resolved and the CT is normal. What is the
next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask
Correct Answer:
b. identify modifiable cardiovascular risk factors
Rationale:
These symptoms are consistent with a transient ischemic attack. Even when symptoms
resolve and CT is normal, the priority is secondary prevention by identifying and
managing modifiable cardiovascular risks such as hypertension, diabetes, smoking,
dyslipidemia, and atrial fibrillation.
2. A 56-year old male patient screened for diabetes has a fasting plasma glucose level
of 96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam
Correct Answer:
a. repeat fasting plasma glucose in three years
Rationale:
A fasting plasma glucose of 96 mg/dL is within the normal range. In an average-risk
patient with normal results, repeat screening is generally recommended at routine
intervals rather than starting medication or specialty referral.
3. RW, a 57 year old native American female, presents to the office. RW states she
feels irritable and has difficulty concentrating as well as fallingn asleep and staying
aleep. She states she is worried about her finances, her husband has just lost his job.
The NP diagnoses anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
,c. Ariprprazole
d. Paroxetine
Correct Answer:
d. Paroxetine
Rationale:
SSRIs such as paroxetine are commonly used as first-line pharmacologic treatment for
anxiety disorders. Benzodiazepines may provide short-term relief but are not preferred
as first-line long-term therapy, especially in older adults because of sedation, falls,
dependence, and cognitive effects.
4. The most common sustained rhythmic disorder, which consists of fibrillatory p
waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter
Correct Answer:
c. atrial fibrillation
Rationale:
Atrial fibrillation is the most common sustained cardiac arrhythmia and is characterized
by chaotic atrial electrical activity without organized P waves. It increases risk for stroke
and requires assessment for rate/rhythm control and anticoagulation risk.
5. According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants
Correct Answer:
c. is a contributing factor for frequent urinary tract infections
Rationale:
Postmenopausal estrogen deficiency causes thinning and dryness of vaginal and urethral
, tissues, which can increase irritation, dyspareunia, and recurrent urinary symptoms or
infections.
6. Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model
Correct Answer:
d. Confusion Assessment Model
Rationale:
The Confusion Assessment Method is designed to screen for delirium by assessing acute
onset, fluctuating course, inattention, disorganized thinking, and altered level of
consciousness. SLUMS and MoCA are more commonly used for cognitive impairment
screening.
7. A drug that can be used to treat two very common symptoms in a dying patient
(pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine
Correct Answer:
d. Morphine
Rationale:
Morphine is commonly used in palliative and end-of-life care for pain and dyspnea. It
decreases the sensation of air hunger and provides analgesia when carefully titrated.
8. Which of the following would you recommend annually for the elderly type 2
diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist
