NR 601 MIDTERM EXAM 2026/2027 QUESTIONS
AND CORRECT ANSWERS GRADED A+
CHAMBERLAIN
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med
is causing a cough and sometimes he has difficulty breathing. Which med was
most likely prescribed?
Lisinopril
Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals
Afib with rate >100. Patient also has a new tremor in both hands. Which of the
following would you suspect
Hyperthyroidism
Which patient is more likely to have osteoporosis
80 y/o. Underweight male who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily po.
What action info statement would indicate she understood your instructions
regarding this med?
Take med with full glass of water when up in the AM 30 min before other food and
meds
,60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165.
You teach him about his modifiable cardiac risk factors which include
DM, obesity, hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the following except
Crystal deposition
In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most
valuable diagnostic study would be
Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait described as
Antalgic
Which of the following best describes pain associated with OA
Begins upon arising and after prolonged weight bearing and or use of the joint
Joint effusions typically occurs later in the course of OA, especially in the
Knee
,MJ presents with h/o structural damage with current s/s of HF. Treatment will be
based on his stage of HF which is
Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is
unremarkable. you know her stage of HF is
Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is
Echocardiogram
Chronic pain can have major impact on patients ability to function and have
profound impact on overall QOL. Ongoing pain may be linked to
Depression, sleep disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds in
patients
>65 y/o
All of the following statements are true about lab values in older adults except
Abnormal findings are often due to physiological aging
, According to the 2017 ACC HTN guidelines, the recommended BP goal for a
65y/o African American woman with a h/o HTN and DM and no h/o CKD is
<140/80
THe pathophysiology of HF is due to
Inadequate cardiac output to meet the metabolic and O2 demands of the body
The volume of air a patient to exhale for total duration of the test during maximal
effort is
FVC
According it the 2017 ACC HTN guidelines, normal BP is
<120/80
Functional abilities are best assessed by
Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include
prevention of target organ damage. During your eval you will assess for evidence
of
Left ventricular hypertrophy
AND CORRECT ANSWERS GRADED A+
CHAMBERLAIN
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med
is causing a cough and sometimes he has difficulty breathing. Which med was
most likely prescribed?
Lisinopril
Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals
Afib with rate >100. Patient also has a new tremor in both hands. Which of the
following would you suspect
Hyperthyroidism
Which patient is more likely to have osteoporosis
80 y/o. Underweight male who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily po.
What action info statement would indicate she understood your instructions
regarding this med?
Take med with full glass of water when up in the AM 30 min before other food and
meds
,60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165.
You teach him about his modifiable cardiac risk factors which include
DM, obesity, hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the following except
Crystal deposition
In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most
valuable diagnostic study would be
Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait described as
Antalgic
Which of the following best describes pain associated with OA
Begins upon arising and after prolonged weight bearing and or use of the joint
Joint effusions typically occurs later in the course of OA, especially in the
Knee
,MJ presents with h/o structural damage with current s/s of HF. Treatment will be
based on his stage of HF which is
Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is
unremarkable. you know her stage of HF is
Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is
Echocardiogram
Chronic pain can have major impact on patients ability to function and have
profound impact on overall QOL. Ongoing pain may be linked to
Depression, sleep disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds in
patients
>65 y/o
All of the following statements are true about lab values in older adults except
Abnormal findings are often due to physiological aging
, According to the 2017 ACC HTN guidelines, the recommended BP goal for a
65y/o African American woman with a h/o HTN and DM and no h/o CKD is
<140/80
THe pathophysiology of HF is due to
Inadequate cardiac output to meet the metabolic and O2 demands of the body
The volume of air a patient to exhale for total duration of the test during maximal
effort is
FVC
According it the 2017 ACC HTN guidelines, normal BP is
<120/80
Functional abilities are best assessed by
Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include
prevention of target organ damage. During your eval you will assess for evidence
of
Left ventricular hypertrophy
